Advocate Good Samaritan Hospital

3815 Highland Avenue, Downers Grove, IL 60515 · (630) 275-5900

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Chicago, IL-IN metro Website ↗

Price file

Prices published

File dated 2025-11-04

2,276 price rows for 65 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines · metro median $83

$50

cash

$8 to $163

44 negotiated rates

$100

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,050

$1,780

cash

$540 to $2,848

22 negotiated rates

$3,560

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,250

$785

cash

$161 to $1,256

22 negotiated rates

$1,570

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,580

$890

cash

$269 to $1,488

22 negotiated rates

$1,780

list

Cataract surgery with lens implant

CPT 66984

—

cash

$3,447 to $12,362

8 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$9,574 to $19,357

16 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $123

$180

cash

$35 to $288

22 negotiated rates

$360

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$1,378 to $6,181

13 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,782 to $6,181

8 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,782 to $6,181

8 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $75

$38

cash

$8 to $83

44 negotiated rates

$75

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $108

$108

cash

$11 to $213

22 negotiated rates

$215

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $283

$283

cash

$162 to $524

44 negotiated rates

$565

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$136 to $155

3 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $208

$208

cash

$84 to $332

36 negotiated rates

$415

list

Family psychotherapy with the patient

CPT 90847 · lowest of 4 lines · metro median $151

$193

cash

$134 to $719

44 negotiated rates

$385

list

Family psychotherapy without the patient

CPT 90846

—

cash

$243 to $555

7 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$8,819 to $25,111

8 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $144

$180

cash

$35 to $288

22 negotiated rates

$360

list

Group psychotherapy

CPT 90853 · lowest of 12 lines · metro median $83

$178

cash

$124 to $1,544

132 negotiated rates

$355

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$20,707 to $40,342

15 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$8,569 to $16,695

15 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$13,164 to $25,647

15 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$5,334 to $17,439

8 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$4,904 to $17,439

8 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$829 to $6,071

8 negotiated rates

—

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $5,550

$5,685

cash

$4,480 to $18,102

22 negotiated rates

$11,370

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $91

$83

cash

$13 to $132

22 negotiated rates

$165

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $85

$80

cash

$8 to $156

22 negotiated rates

$160

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,750

$2,360

cash

$540 to $3,776

22 negotiated rates

$4,720

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $1,790

$1,505

cash

$365 to $3,008

44 negotiated rates

$3,010

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 8 lines · metro median $1,765

$1,505

cash

$365 to $2,408

88 negotiated rates

$3,010

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 8 lines · metro median $1,765

$1,505

cash

$365 to $2,408

110 negotiated rates

$3,010

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$25,999 to $50,653

15 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 4 lines · metro median $1,220

$1,220

cash

$961 to $6,071

44 negotiated rates

$2,440

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $148

$148

cash

$84 to $236

36 negotiated rates

$295

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $178

$178

cash

$84 to $284

36 negotiated rates

$355

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines · metro median $208

$208

cash

$84 to $332

36 negotiated rates

$415

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $92

$108

cash

$18 to $172

22 negotiated rates

$215

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $48

$48

cash

$6 to $76

22 negotiated rates

$95

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $85

$85

cash

$43 to $469

44 negotiated rates

$170

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $590

$635

cash

$161 to $1,016

22 negotiated rates

$1,270

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$661 to $752

3 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$772 to $879

3 negotiated rates

—

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $2,110

$2,110

cash

$1,663 to $6,181

22 negotiated rates

$4,220

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$15,737 to $47,462

8 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $28

$28

cash

$4 to $60

44 negotiated rates

$55

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $160

$200

cash

$140 to $409

22 negotiated rates

$400

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$243 to $592

7 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$243 to $870

7 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 2 lines · metro median $1,747

$4,270

cash

$84 to $7,664

22 negotiated rates

$8,540

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $238

$238

cash

$133 to $524

44 negotiated rates

$475

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$3,181 to $6,291

4 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 4 lines · metro median $2,105

$2,105

cash

$1,283 to $5,176

44 negotiated rates

$4,210

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $996

$895

cash

$84 to $1,782

22 negotiated rates

$1,790

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 4 lines · metro median $1,145

$1,145

cash

$84 to $1,898

44 negotiated rates

$2,290

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $80

$25

cash

$17 to $176

44 negotiated rates

$50

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$6,296 to $12,362

8 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $570

$660

cash

$161 to $1,056

21 negotiated rates

$1,320

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $740

$970

cash

$161 to $1,552

22 negotiated rates

$1,940

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$1,417 to $6,181

8 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$1,417 to $6,181

8 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $35

$35

cash

$3 to $56

22 negotiated rates

$70

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$6,999 to $14,206

16 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $478

$675

cash

$161 to $1,080

22 negotiated rates

$1,350

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://sthpiprd.blob.core.windows.net/machine-readable-files/11265/362169147_advocate-good-samaritan-hospital_standardcharges.csv
Advocate Good Samaritan Hospital · parsed · tall v3.0.0 · file dated 2025-11-04 · 107.8 MB · 2276 price rows read · read Nov 2026
https://sthpiprd.blob.core.windows.net/machine-readable-files/11272/362169147_advocate-childrens-hospital-oak-lawn_standardcharges.csv
Advocate Childrens Hospital - Oak Lawn · unmatched · tall v3.0.0 · file dated 2025-11-04 · 141.5 MB · read Oct 2026
https://sthpiprd.blob.core.windows.net/machine-readable-files/11262/362169147_advocate-childrens-hospital-park-ridge_standardcharges.csv
Advocate Childrens Hospital - Park Ridge · unmatched · tall v3.0.0 · file dated 2025-11-04 · 107.3 MB · read Oct 2026
https://sthpiprd.blob.core.windows.net/machine-readable-files/11270/362169147_advocate-south-suburban-hospital_standardcharges.csv
Advocate South Suburban Hospital · unmatched · tall v3.0.0 · file dated 2025-11-04 · 80.1 MB · read Oct 2026