Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $890.00 | $1,780.00 | $539.81 – $1,424.00 | 18 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $785.00 | $1,570.00 | $160.73 – $1,256.00 | 18 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,360.00 | $4,720.00 | $539.81 – $3,776.00 | 18 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,605.00 | $3,210.00 | $539.81 – $2,568.00 | 18 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,505.00 | $3,010.00 | $365.36 – $2,408.00 | 18 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $272.50 | $545.00 | $119.90 – $634.00 | 18 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $510.00 | $1,020.00 | $160.73 – $816.00 | 18 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $560.00 | $1,120.00 | $160.73 – $896.00 | 18 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,360.00 | $4,720.00 | $539.81 – $3,776.00 | 18 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,605.00 | $3,210.00 | $539.81 – $2,568.00 | 18 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,505.00 | $3,010.00 | $365.36 – $2,408.00 | 18 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,285.00 | $2,570.00 | $269.08 – $2,056.00 | 18 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $890.00 | $1,780.00 | $269.08 – $1,424.00 | 18 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $785.00 | $1,570.00 | $160.73 – $1,256.00 | 18 |
| Neck spine disk surgery CPT 63020 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $10,797.81 – $25,111.00 | 8 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | not published | not published | $227.74 – $259.21 | 3 |
| Neg press ventilation cnp CPT 94662 | not published | not published | $239.56 – $1,323.16 | 7 |
| Neg pres wound ther drsg set HCPCS A6550 | $256.85 | $513.70 | $45.07 – $410.96 | 18 |
| Neisseria meningitidis CPT 86741 | $82.50 | $165.00 | $13.19 – $132.00 | 18 |
| Nelarabine injection HCPCS J9261 | not published | not published | $91.90 – $601.72 | 13 |
| Neopatch or therion, 1 sq cm HCPCS Q4176 | not published | not published | $293.04 – $600.29 | 6 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $11.03 | $22.06 | $1.64 – $16.59 | 14 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $112.91 – $231.29 | 6 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nephrectomy partial CPT 50240 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nephrotomy w/exploration CPT 50045 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | not published | not published | $470.68 – $639.32 | 7 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | not published | not published | $515.10 – $586.26 | 3 |
| Nerve conduction 7-8 studies CPT 95910 | $1,030.00 | $2,060.00 | $470.68 – $1,648.00 | 18 |
| Nerve conduction studies 11-12 CPT 95912 | $1,415.00 | $2,830.00 | $802.01 – $2,264.00 | 18 |
| Nerve conduction studies 1-2 CPT 95907 | $455.00 | $910.00 | $236.49 – $728.00 | 18 |
| Nerve conduction studies 13+ CPT 95913 | $1,630.00 | $3,260.00 | $802.01 – $2,608.00 | 18 |
| Nerve conduction studies 3-4 CPT 95908 | $680.00 | $1,360.00 | $470.68 – $1,088.00 | 18 |
| Nerve conduction studies 5-6 CPT 95909 | $855.00 | $1,710.00 | $470.68 – $1,368.00 | 18 |
| Nerve conduction studies 9-10 CPT 95911 | $1,230.00 | $2,460.00 | $802.01 – $1,968.00 | 18 |
| Nerve graft add-on CPT 64901 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nerve graft add-on CPT 64902 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nerve surgery CPT 64859 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nerve teasing preparations CPT 88362 | not published | not published | $547.51 – $1,634.98 | 14 |
| Nesiritide injection HCPCS J2325 | not published | not published | $49.43 – $206.84 | 9 |
| Neurectomy foot CPT 28055 | not published | not published | $2,951.63 – $12,362.00 | 8 |
| Neurectomy hamstring CPT 27325 | not published | not published | $2,951.63 – $6,181.00 | 8 |
| Neurectomy popliteal CPT 27326 | not published | not published | $2,951.63 – $6,181.00 | 8 |
| Neuroeltrd stim post tibial CPT 64566 | not published | not published | $446.18 – $6,291.00 | 8 |
| Neuroendoscopy add-on CPT 62160 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Neurolysis celiac plexus CPT 64680 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Neurolysis trigeminal nerve CPT 64600 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $1,225.00 | $2,449.99 | $364.48 – $1,959.99 | 14 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $287.50 | $575.00 | $200.68 – $460.00 | 18 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $2,951.63 – $12,362.00 | 8 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $2,951.63 – $12,362.00 | 8 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $42.13 – $191.97 | 10 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $105.33 – $152.85 | 8 |
| Neutron beam tx complex CPT 77423 | not published | not published | $709.17 – $1,523.09 | 8 |
| New Patient Office Visit (level 2) CPT 99202 | $115.00 | $230.00 | $80.27 – $184.00 | 14 |
| New Patient Office Visit (level 3) CPT 99203 | $147.50 | $295.00 | $84.00 – $236.00 | 14 |
| New Patient Office Visit (level 4) CPT 99204 | $177.50 | $355.00 | $84.00 – $284.00 | 14 |
| New Patient Office Visit (level 5) CPT 99205 | $207.50 | $415.00 | $84.00 – $332.00 | 14 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $257.45 – $1,169.66 | 10 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | $400.00 | $800.00 | $246.24 – $1,194.96 | 18 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $6,296.00 – $12,362.00 | 4 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $24.56 – $111.61 | 14 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $42.84 – $232.18 | 11 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | not published | not published | $0.18 – $1.08 | 6 |
| Nikaidoh proc CPT 33782 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,640.00 | $3,280.00 | $653.00 – $2,624.00 | 18 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $5,787.99 – $12,362.00 | 8 |
| Nipple exploration CPT 19110 | not published | not published | $5,787.99 – $12,362.00 | 8 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $13.61 – $62.50 | 11 |
| Nitrogen n-13 ammonia HCPCS A9526 | not published | not published | $1,132.54 – $2,320.00 | 6 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $25.48 | $50.96 | $2.21 – $40.77 | 14 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $47.85 – $106.81 | 10 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $286.59 – $643.89 | 10 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $1,046.75 – $6,071.00 | 8 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $446.18 – $6,291.00 | 8 |
| Njx cath slct p angrph mapca CPT 93575 | $1,180.00 | $2,360.00 | $929.84 – $6,291.00 | 14 |
| Njx cath slct p-art angrp bi CPT 93573 | $810.00 | $1,620.00 | $638.28 – $6,291.00 | 14 |
| Njx cath slct pulm vn angrph CPT 93574 | $910.00 | $1,820.00 | $717.08 – $6,291.00 | 14 |
| Njx chemonucleolysis lmbr CPT 62292 | $2,775.00 | $5,550.00 | $2,186.70 – $12,362.00 | 18 |
| Njx cth slct p-art angrp uni CPT 93569 | $457.50 | $915.00 | $360.51 – $6,291.00 | 14 |
| Njx interlaminar crv/thrc CPT 62324 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Njx interlaminar lmbr/sac CPT 62326 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $1,345.68 – $6,071.00 | 8 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,800.00 | $3,600.00 | $1,008.89 – $6,071.00 | 18 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.