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 |
|---|---|---|---|---|
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $1,455.58 – $3,544.48 | 7 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $11.61 – $28.21 | 7 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $13.97 | $27.94 | $1.47 – $9.26 | 14 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $118.22 – $286.76 | 7 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $2,192.50 – $2,192.50 | 2 |
| Protein analysis w/probe CPT 88372 | not published | not published | $26.22 – $197.43 | 14 |
| Protein c activity CPT 85303 | $115.00 | $230.00 | $13.84 – $184.00 | 18 |
| Protein c concentrate HCPCS J2724 | not published | not published | $21.79 – $75.21 | 13 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $97.50 | $195.00 | $10.74 – $156.00 | 18 |
| Protein s total CPT 85305 | $62.50 | $125.00 | $11.61 – $100.00 | 18 |
| Protein total 24 hour urine CPT 84156 | $52.50 | $105.00 | $3.67 – $84.00 | 18 |
| Protein total body fluid CPT 84157 | $52.50 | $105.00 | $4.00 – $84.00 | 18 |
| Protein total serum plasma whole blood CPT 84155 | $45.00 | $90.00 | $3.67 – $72.00 | 18 |
| Protein western blot tissue CPT 88371 | not published | not published | $22.23 – $192.74 | 14 |
| Prothrombin complex kcentra HCPCS J7168 | $5.49 | $10.97 | $3.10 – $8.78 | 18 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $32.50 | $65.00 | $3.94 – $52.00 | 18 |
| Proton treatment complex CPT 77525 | not published | not published | $1,927.94 – $19,395.00 | 5 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,927.94 – $13,576.50 | 5 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,927.94 – $11,908.53 | 5 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $874.36 – $12,020.59 | 5 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $47.01 | 14 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $194.79 – $846.16 | 7 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $5,334.21 – $17,439.00 | 8 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $139.81 – $185.13 | 4 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $17,920.00 | $35,840.00 | $14,120.96 – $47,462.00 | 18 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $20,905.00 | $41,810.00 | $16,473.14 – $47,462.00 | 18 |
| Prq card angio/athrect addl CPT 92925 | $7,015.00 | $14,030.00 | $5,527.82 – $47,462.00 | 14 |
| Prq cardiac angio addl art CPT 92921 | $5,305.00 | $10,610.00 | $4,180.34 – $25,111.00 | 14 |
| Prq card revasc chronic addl CPT 92944 | $7,385.00 | $14,770.00 | $4,203.98 – $25,111.00 | 14 |
| Prq card revasc mi 1 vsl CPT 92941 | $17,190.00 | $34,380.00 | $10,567.08 – $25,111.00 | 14 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Prq card stent/ath/angio CPT 92934 | $5,990.00 | $11,980.00 | $4,160.64 – $25,111.00 | 14 |
| Prq card stent w/angio addl CPT 92929 | $7,380.00 | $14,760.00 | $4,400.98 – $25,111.00 | 14 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $14,010.00 | $28,020.00 | $9,538.74 – $25,111.00 | 18 |
| Prq revasc byp graft addl CPT 92938 | $7,835.00 | $15,670.00 | $4,400.98 – $25,111.00 | 14 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $2,419.03 – $12,362.00 | 8 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $16,805.00 | $33,610.00 | $9,538.74 – $25,111.00 | 18 |
| Prq trlml c athrc st angiop1 CPT 92933 | $20,060.00 | $40,120.00 | $10,567.08 – $35,939.41 | 18 |
| Prq trluml c angiop 1art&/br CPT 92920 | $9,465.00 | $18,930.00 | $7,336.28 – $25,111.00 | 18 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $14,010.00 | $28,020.00 | $11,039.88 – $47,462.00 | 18 |
| Prq trluml revsc ch occ ant CPT 92943 | $17,190.00 | $34,380.00 | $8,203.08 – $25,111.00 | 18 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $603.15 – $6,291.00 | 8 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $275.00 | $550.00 | $84.00 – $304.00 | 17 |
| Pr removal intrauterine device CPT 58301 | $400.00 | $800.00 | $315.20 – $6,291.00 | 18 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $675.00 | $1,350.00 | $531.90 – $1,080.00 | 13 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $410.00 | $820.00 | $300.34 – $656.00 | 13 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $452.50 | $905.00 | $300.34 – $724.00 | 13 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $410.00 | $820.00 | $300.34 – $656.00 | 13 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $452.50 | $905.00 | $300.34 – $724.00 | 13 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $10,325.69 – $11,752.26 | 3 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $2,764.90 – $6,181.00 | 8 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $173.46 – $197.43 | 3 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $660.80 – $6,291.00 | 8 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $3,580.00 | $7,160.00 | $1,410.52 – $3,109.13 | 13 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $107.50 | $215.00 | $18.39 – $172.00 | 18 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $20.36 – $49.02 | 7 |
| Psychoanalysis CPT 90845 | not published | not published | $242.85 – $521.81 | 7 |
| Psychoeducation 45 min + HCPCS G0177 | $127.50 | $255.00 | $100.47 – $429.00 | 14 |
| Psychophysiological therapy CPT 90875 | not published | not published | $400.64 – $455.99 | 3 |
| Psychophysiological therapy CPT 90876 | not published | not published | $590.62 – $672.22 | 3 |
| Psychotherapy group therapy CPT 90853 | $965.00 | $1,930.00 | $123.90 – $432.24 | 18 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $200.00 | $400.00 | $139.60 – $388.60 | 18 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $242.85 – $592.31 | 7 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $242.85 – $869.68 | 7 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $470.68 – $623.25 | 7 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $361.61 – $411.57 | 3 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $192.50 | $385.00 | $134.37 – $308.00 | 14 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $144.56 – $798.66 | 7 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $194.83 – $270.31 | 7 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $186.61 – $212.39 | 3 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $144.56 – $164.53 | 3 |
| Psytx complex interactive CPT 90785 | $40.00 | $80.00 | $27.92 – $80.40 | 14 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $396.50 – $451.28 | 3 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $582.37 – $662.83 | 3 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $788.89 – $897.88 | 3 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $35.00 | $70.00 | $10.02 – $469.00 | 18 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $72.50 | $145.00 | $28.10 – $469.00 | 18 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $60.00 | $120.00 | $20.94 – $469.00 | 18 |
| Pt application of modality traction mechanical CPT 97012 | $60.00 | $120.00 | $21.39 – $469.00 | 18 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $698.01 – $794.44 | 3 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $300.00 – $1,363.12 | 10 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $2,726.24 | 10 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $211.31 | 10 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $45.03 – $59.62 | 4 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $35.09 – $188.03 | 7 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,996.42 – $4,865.44 | 7 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $115.00 | $230.00 | $61.77 – $469.00 | 18 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $18.56 – $75.21 | 7 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $30.00 | $60.00 | $23.64 – $469.00 | 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.