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 |
|---|---|---|---|---|
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $7,683.94 – $17,439.00 | 8 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nl removal calculus CPT 50060 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,145.00 | $2,290.00 | $607.37 – $3,966.00 | 18 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,125.00 | $2,250.00 | $607.37 – $3,966.00 | 18 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,475.00 | $2,950.00 | $776.19 – $3,966.00 | 18 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,605.00 | $3,210.00 | $813.60 – $3,966.00 | 18 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,075.00 | $2,150.00 | $607.37 – $3,966.00 | 18 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $905.00 | $1,810.00 | $338.77 – $3,966.00 | 18 |
| No knee/ankle joints with ft b HCPCS L5210 | not published | not published | $5,052.18 – $12,306.97 | 7 |
| No knee joint with artic ali HCPCS L5220 | not published | not published | $5,565.32 – $13,557.41 | 7 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $41,567.25 – $111,480.00 | 8 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $458.45 – $1,034.19 | 8 |
| Non-corrosive finish HCPCS L2780 | not published | not published | $110.56 – $267.96 | 7 |
| Non-cov proc, clinical trial HCPCS G0294 | not published | not published | $59.33 – $78.56 | 4 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $59.33 – $78.56 | 4 |
| Non-imaging heart function CPT 78414 | not published | not published | $264.98 – $1,077.32 | 8 |
| Noninv pace analysis CPT 93724 | not published | not published | $453.32 – $2,402.17 | 7 |
| Non-molded lacer HCPCS L2320 | not published | not published | $337.02 – $822.66 | 7 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $539.81 – $714.78 | 4 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.07 – $0.10 | 4 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $2,143.60 – $9,742.73 | 10 |
| No pt prsnt train add 15 HCPCS G0542 | $10.00 | $20.00 | $7.88 – $469.00 | 18 |
| No pt prsnt train initial 30 HCPCS G0541 | $20.00 | $40.00 | $15.76 – $469.00 | 18 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $220.00 | $440.00 | $100.21 – $634.00 | 18 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $1,649.84 – $3,379.66 | 6 |
| Npm1 gene CPT 81310 | $980.00 | $1,960.00 | $246.52 – $1,568.00 | 18 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | not published | not published | $128.04 – $145.74 | 3 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | not published | not published | $33.05 – $37.62 | 3 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | not published | not published | $88.35 – $100.56 | 3 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $631.93 – $1,061.97 | 7 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | not published | not published | $484.34 – $551.26 | 3 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $32.74 – $43.35 | 4 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $48.86 – $64.70 | 4 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $17.07 – $22.61 | 4 |
| Nras gene variants exon 2&3 CPT 81311 | $1,145.00 | $2,290.00 | $295.79 – $1,832.00 | 18 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $8,285.00 | $16,570.00 | $1,039.00 – $15,488.81 | 18 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $9,155.00 – $18,102.00 | 8 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $6,296.00 – $13,854.95 | 8 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $5,572.86 – $12,362.00 | 8 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $8,941.57 – $18,102.00 | 8 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $2,606.55 – $12,362.00 | 8 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $941.98 | 10 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $941.98 | 10 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $941.98 | 10 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $2,355.70 | 10 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,590.00 | $5,180.00 | $874.36 – $4,144.00 | 18 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,355.00 | $4,710.00 | $874.36 – $3,768.00 | 18 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $482.29 – $1,024.80 | 8 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $1,982.53 – $2,256.43 | 3 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $99.70 | 10 |
| Nuclear rx intra-arterial CPT 79445 | $735.00 | $1,470.00 | $338.77 – $3,966.00 | 18 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $338.77 – $1,034.19 | 8 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $338.77 – $1,123.52 | 8 |
| Nuclear rx IV admin CPT 79101 | $995.00 | $1,990.00 | $338.77 – $3,966.00 | 18 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,250.00 | $6,500.00 | $1,973.24 – $5,200.00 | 18 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $276.62 – $893.18 | 8 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $707.66 – $1,725.24 | 7 |
| Nudt15 gene common variants CPT 81306 | $430.00 | $860.00 | $291.36 – $1,324.43 | 18 |
| Nursing fac care supervision CPT 99379 | not published | not published | $437.81 – $498.30 | 3 |
| Nursing fac care supervision CPT 99380 | not published | not published | $660.85 – $752.15 | 3 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $441.94 – $503.00 | 3 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $338.68 – $385.47 | 3 |
| Nushield 1 square cm HCPCS Q4160 | not published | not published | $161.11 – $330.02 | 6 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,808.06 – $4,094.06 | 10 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $392,043.75 – $519,120.00 | 4 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $113.77 – $250.63 | 10 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Observation care discharge CPT 99217 | not published | not published | $363.47 – $413.69 | 3 |
| Observation direct referral from physician office for admission HCPCS G0379 | $207.50 | $415.00 | $163.51 – $11,037.00 | 18 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | not published | not published | $1,016.04 – $1,156.42 | 3 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | not published | not published | $627.80 – $714.53 | 3 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $817.80 – $930.78 | 3 |
| Observation per hour HCPCS G0378 | $82.50 | $165.00 | $53.19 – $11,037.00 | 14 |
| Obstetric panel inc HIV tstg CPT 80081 | $190.00 | $380.00 | $74.86 – $340.78 | 18 |
| Obstetrics panel CPT 80055 | $187.50 | $375.00 | $47.81 – $352.85 | 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.