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.
2 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1172243 - FILTER EMBL VC FEM DELIVERY KIT STRL LF DISP NTNL DENALI Outpatient | C1880 HCPCS | $17,419 | $8,709 | $5,818 – $13,935 | — | |
| 1172244 - FILTER EMBL VC JUG DELIVERY KIT STRL LF DISP NTNL DENALI Outpatient | C1880 HCPCS | $17,419 | $8,709 | $5,818 – $13,935 | — |