Advocate Good Samaritan Hospital — price list
← Hospital overviewVerified from Advocate Good Samaritan Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
5 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1042808 - PORT POWERPORT CLRVU ARGD 8FR IMPLINFN SIL PU 1 LUM LTWT Outpatient | C1788 HCPCS | $1,152 | $576 | $385 – $922 | — | |
| 1043041 - PORT POWERPORT SLIM CLRVU ARGD 6FR IMPLINFN SIL PU 1 LUM Outpatient | C1788 HCPCS | $1,152 | $576 | $385 – $922 | — | |
| 1043682 - PORT POWERPORT CLRVU ISP 8FR IMPLINFN Outpatient | C1788 HCPCS | $1,152 | $576 | $385 – $922 | — | |
| 1046128 - PORT POWERPORT MRI ARGD 8FR IMPLINFN CHRNFLX 1 LUM ATCH CATH Outpatient | C1788 HCPCS | $1,027 | $514 | $343 – $822 | — | |
| 1046141 - PORT POWERPORT ISP MRI ARGD 8FR IMPLINFN CHRNFLX PWR INJ Outpatient | C1788 HCPCS | $910 | $455 | $304 – $728 | — |