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 |
|---|---|---|---|---|
| Relieve bladder contracture CPT 52640 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Relocation of testis(es) CPT 54680 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Relocation skin pocket aicd CPT 33223 | $2,780.00 | $5,560.00 | $2,190.64 – $6,181.00 | 18 |
| Relocation skin pocket pm CPT 33222 | $3,065.00 | $6,130.00 | $2,415.22 – $6,181.00 | 18 |
| Rem/biv cast full arm/leg CPT 29705 | $390.00 | $780.00 | $307.32 – $6,291.00 | 18 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $401.43 – $6,291.00 | 11 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $14.92 | $29.83 | $9.76 – $23.86 | 18 |
| Rem endovas vena cava filter CPT 37193 | $4,545.00 | $9,090.00 | $3,581.46 – $17,439.00 | 18 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $56.36 – $178.65 | 7 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $56.36 – $206.84 | 7 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $56.36 – $263.25 | 7 |
| Rem interrog evl pm/ldls pm CPT 93294 | not published | not published | not published | 0 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $56.36 – $74.63 | 4 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $194.79 – $257.93 | 4 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $56.36 – $74.63 | 4 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $156.96 – $178.65 | 3 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $470.68 – $623.25 | 4 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $18.08 – $23.95 | 4 |
| Removable insert each HCPCS L6691 | not published | not published | $615.37 – $1,499.58 | 7 |
| Removable soft interface le HCPCS K0672 | not published | not published | $148.16 – $196.19 | 4 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $1,782.19 – $6,181.00 | 8 |
| Removal biliary drg cath CPT 47537 | $865.00 | $1,730.00 | $681.62 – $6,181.00 | 18 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,370.00 | $2,740.00 | $934.51 – $6,071.00 | 18 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,600.00 | $3,200.00 | $1,260.80 – $6,181.00 | 18 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $4,805.89 – $17,439.00 | 8 |
| Removal cerclage without anes CPT 59899 | $380.00 | $760.00 | $265.24 – $608.00 | 18 |
| Removal cerumen impacted (both sides) CPT 69210 | $150.00 | $300.00 | $84.00 – $200.00 | 18 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $6,810.00 | $13,620.00 | $5,366.28 – $25,111.00 | 18 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $235.00 | $470.00 | $164.03 – $397.69 | 18 |
| Removal duct glbldr calculi CPT 47544 | $2,695.00 | $5,390.00 | $2,123.66 – $6,291.00 | 14 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $615.00 | $1,230.00 | $484.62 – $1,876.48 | 13 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | not published | not published | $2,449.01 – $6,181.00 | 8 |
| Removal foreign body foot cmplx CPT 28193 | not published | not published | $2,449.01 – $6,071.00 | 8 |
| Removal foreign body foot subcutaneous right CPT 28190 | $800.00 | $1,600.00 | $630.40 – $1,408.20 | 13 |
| Removal foreign body gum 41805 CPT 41805 | $1,735.00 | $3,470.00 | $1,367.18 – $2,964.70 | 13 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $2,238.97 – $6,181.00 | 8 |
| Removal foreign body mouth CPT 40805 | not published | not published | $769.74 – $6,291.00 | 8 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $2,449.01 – $6,181.00 | 8 |
| Removal implant superficial separate procedure CPT 20670 | not published | not published | $2,449.01 – $6,181.00 | 8 |
| Removal kidney open complex CPT 50225 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal kidney open radical CPT 50230 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $5,787.99 – $17,439.00 | 8 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $5,787.99 – $12,362.00 | 8 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $6,296.00 – $13,052.35 | 8 |
| Removal of adenoids CPT 42830 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Removal of adenoids CPT 42831 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Removal of adenoids CPT 42836 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $4,901.93 – $12,362.00 | 8 |
| Removal of anal fissure CPT 46200 | not published | not published | $4,145.15 – $12,362.00 | 8 |
| Removal of anal tags CPT 46230 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Removal of ankle bone CPT 28130 | not published | not published | $6,296.00 – $14,297.79 | 8 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Removal of ankle implant CPT 27704 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Removal of artery clot CPT 34051 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $8,170.76 – $25,111.00 | 8 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of bladder CPT 51570 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of bladder lesion CPT 51520 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Removal of bladder lesion CPT 51525 | not published | not published | $8,821.00 – $17,439.00 | 4 |
| Removal of bladder lesion CPT 51530 | not published | not published | $8,821.00 – $17,439.00 | 4 |
| Removal of bladder & nodes CPT 51575 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of bladder & nodes CPT 51585 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of bladder stone CPT 51050 | not published | not published | $6,296.00 – $12,362.00 | 8 |
| Removal of bone for graft CPT 20900 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Removal of bone for graft CPT 20902 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Removal of bone lesion CPT 23140 | not published | not published | $4,904.26 – $12,362.00 | 8 |
| Removal of bone lesion CPT 23145 | not published | not published | $4,904.26 – $17,439.00 | 8 |
| Removal of bone lesion CPT 23146 | not published | not published | $8,821.00 – $17,439.00 | 8 |
| Removal of brain abscess CPT 61522 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain lesion CPT 61520 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain lesion CPT 61521 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain lesion CPT 61524 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain lesion CPT 61526 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain lesion CPT 61530 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain lesion CPT 61534 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain lesion CPT 61536 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain tissue CPT 61537 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain tissue CPT 61538 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain tissue CPT 61539 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain tissue CPT 61540 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain tissue CPT 61543 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of brain tissue CPT 61566 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of breast lesion CPT 19120 | $4,270.00 | $8,540.00 | $84.00 – $7,664.10 | 18 |
| Removal of brow wrinkles CPT 15826 | not published | not published | $5,533.59 – $17,439.00 | 8 |
| Removal of calcium deposits CPT 23000 | not published | not published | $3,126.00 – $6,181.00 | 8 |
| Removal of cervix radical CPT 57531 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of colon/ileostomy CPT 44156 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of colon/ileostomy 44151 CPT 44151 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of donor liver CPT 47133 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of epididymis CPT 54860 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Removal of epididymis CPT 54861 | not published | not published | $5,213.15 – $12,362.00 | 8 |
| Removal of esophagus CPT 43108 | not published | not published | $3,181.00 – $6,291.00 | 4 |
| Removal of esophagus CPT 43113 | not published | not published | $3,181.00 – $6,291.00 | 4 |
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.