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 |
|---|---|---|---|---|
| Placement of seton CPT 46020 | not published | not published | $4,145.15 – $12,362.00 | 8 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $11,270.00 | $22,540.00 | $8,880.76 – $47,462.00 | 18 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Place needles h&n for right CPT 41019 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Place needles pelvic for right CPT 55920 | not published | not published | $7,461.49 – $17,439.00 | 8 |
| Place non-slctv cath thoracic arta CPT 36221 | $3,770.00 | $7,540.00 | $2,970.76 – $17,439.00 | 18 |
| Placental lactogen CPT 83632 | $125.00 | $250.00 | $20.22 – $200.00 | 18 |
| Place po breast cath for rad CPT 19296 | $11,285.00 | $22,570.00 | $8,892.58 – $25,111.00 | 18 |
| Place right device/marker pros CPT 55876 | $1,895.00 | $3,790.00 | $1,493.26 – $6,181.00 | 18 |
| Place slctv cath carotd art uni CPT 36224 | $7,900.00 | $15,800.00 | $4,932.88 – $25,111.00 | 18 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $5,910.00 | $11,820.00 | $3,624.80 – $17,439.00 | 18 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $7,900.00 | $15,800.00 | $4,010.92 – $25,111.00 | 18 |
| Place slctv cath subclavian art CPT 36225 | $5,840.00 | $11,680.00 | $3,624.80 – $17,439.00 | 18 |
| Place slctv cath vertebral art uni CPT 36226 | $7,900.00 | $15,800.00 | $4,794.98 – $25,111.00 | 18 |
| Plaelet rich plasma unit HCPCS P9020 | not published | not published | $808.11 – $1,070.05 | 4 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $185.00 | $370.00 | $129.13 – $296.00 | 18 |
| Plasma cryo redu path each HCPCS P9025 | not published | not published | $195.97 – $259.49 | 4 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $106.89 – $244.44 | 9 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $11.70 – $131.63 | 9 |
| Plasma volume multiple CPT 78111 | not published | not published | $463.50 – $2,612.85 | 8 |
| Plasma volume single CPT 78110 | not published | not published | $228.90 – $2,612.85 | 5 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $231.61 – $564.10 | 7 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $227.72 – $554.71 | 7 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $3,733.87 – $9,096.26 | 7 |
| Plastic surgery neck CPT 15819 | not published | not published | $3,126.00 – $6,181.00 | 4 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $6,739.76 – $16,420.26 | 7 |
| Platelet aggregation each agent teg CPT 85576 | $120.00 | $240.00 | $24.91 – $188.00 | 18 |
| Platelet automated CPT 85049 | $32.50 | $65.00 | $4.48 – $52.00 | 18 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $660.80 – $6,291.00 | 8 |
| Platelet pheresis each unit HCPCS P9034 | $1,270.00 | $2,540.00 | $575.84 – $2,032.00 | 18 |
| Platelet pheresis irr ea HCPCS P9036 | $1,025.00 | $2,050.00 | $715.45 – $1,640.00 | 18 |
| Platelets each unit HCPCS P9019 | $252.50 | $505.00 | $110.14 – $404.00 | 18 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,275.00 | $2,550.00 | $889.95 – $2,040.00 | 18 |
| Platelets irradiated ea unit HCPCS P9032 | $365.00 | $730.00 | $196.88 – $584.00 | 18 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $322.50 | $645.00 | $182.37 – $516.00 | 18 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $545.00 | $1,090.00 | $297.82 – $872.00 | 18 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $895.00 | $1,790.00 | $329.51 – $1,432.00 | 18 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,220.00 | $2,440.00 | $665.88 – $1,952.00 | 18 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,300.00 | $2,600.00 | $706.30 – $1,896.00 | 18 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,070.00 | $4,140.00 | $889.95 – $2,040.00 | 18 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $970.00 | $1,940.00 | $677.06 – $1,552.00 | 18 |
| Platelet survival CPT 78191 | not published | not published | $607.37 – $1,316.25 | 8 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $136.53 – $333.77 | 7 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $1,324.43 | 10 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,615.00 | $7,230.00 | $2,848.62 – $17,439.00 | 18 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $12,440.00 | $24,880.00 | $3,181.00 – $19,904.00 | 14 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,515.00 | $7,030.00 | $2,769.82 – $17,439.00 | 18 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,510.00 | $9,020.00 | $3,553.88 – $17,439.00 | 18 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $3,310.00 | $6,620.00 | $2,608.28 – $6,291.00 | 14 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,170.00 | $2,340.00 | $921.96 – $6,071.00 | 18 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $575.00 | $1,150.00 | $453.10 – $6,291.00 | 14 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $4,825.00 | $9,650.00 | $3,181.00 – $7,720.00 | 14 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $470.00 | $940.00 | $370.36 – $6,291.00 | 14 |
| Plerixafor injection HCPCS J2562 | not published | not published | $100.94 – $430.65 | 10 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $505.00 | $1,010.00 | $305.64 – $1,287.00 | 18 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Plmt biliary drainage cath CPT 47534 | $3,615.00 | $7,230.00 | $2,848.62 – $17,439.00 | 18 |
| Plmt nephroureteral catheter CPT 50433 | $3,095.00 | $6,190.00 | $2,438.86 – $12,362.00 | 18 |
| Plmt ureteral stent prq CPT 50694 | $4,510.00 | $9,020.00 | $3,553.88 – $17,439.00 | 18 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $127.30 – $310.25 | 7 |
| Pm device progr eval dual CPT 93280 | $240.00 | $480.00 | $56.36 – $446.65 | 18 |
| Pm device progr eval multi CPT 93281 | $280.00 | $560.00 | $56.36 – $522.58 | 18 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $941.98 | 10 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $3,446.49 | 10 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $3,497.08 | 10 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $211.31 | 10 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $56.36 – $451.28 | 7 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $924.12 | 10 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $3,074.46 | 10 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $1,504.49 | 10 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $55.70 – $73.75 | 4 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $411.19 – $1,001.30 | 7 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $934.51 – $6,071.00 | 8 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $39.34 – $390.18 | 10 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $23.62 – $56.41 | 7 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $75.00 | $150.00 | $26.07 – $120.00 | 18 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $197.53 – $439.26 | 10 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $397.04 – $968.38 | 7 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,235.00 | $6,470.00 | $1,537.79 – $5,239.25 | 18 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $1,537.79 – $4,841.00 | 9 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,235.00 | $6,470.00 | $1,283.00 – $4,841.00 | 18 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $51.94 | 14 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $14,265.98 – $79,488.00 | 13 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $85.64 – $361.97 | 7 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $85.64 – $361.97 | 7 |
| Positional change of finger CPT 26555 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Positional nystagmus test CPT 92532 | not published | not published | $165.21 – $188.03 | 3 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $25.00 – $113.10 | 13 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $139.81 – $185.13 | 4 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $901.26 – $2,195.33 | 7 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $827.85 – $2,016.68 | 7 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $1,085.82 – $2,646.61 | 7 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $2,792.77 – $6,802.21 | 7 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $3,527.15 – $8,593.26 | 7 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $957.44 – $2,331.65 | 7 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $771.56 – $1,880.36 | 7 |
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.