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.
7 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1166706 - SYSTEM CARDIAC 40J PCMKR LD RF TELEM DF1 IS-1 CNCT UNIFY ASR Outpatient | C1882 HCPCS | $61,799 | $30,899 | $20,641 – $49,439 | — | |
| 1166708 - DFBR UNIFY ASR CARDVRT NEXT GNRTN CARDIAC Outpatient | C1882 HCPCS | $61,799 | $30,899 | $20,641 – $49,439 | — | |
| 1166714 - DFBR QUADRA ASR MP RF TELEM DF-1 IS-1 IS4-LLLL CNCT 40J Outpatient | C1882 HCPCS | $61,799 | $30,899 | $20,641 – $49,439 | — | |
| 1166716 - DFBR QUADRA ASR MP DF-4 IS4 IS-1 CNCT VNTRC THK14MM 40J 41 Outpatient | C1882 HCPCS | $61,799 | $30,899 | $20,641 – $49,439 | — | |
| 1166767 - DFBR GALLANT HF DF4 IS-4 IS-1 CNCT THK12MM 51X74MM 34CC 76GM Outpatient | C1882 HCPCS | $61,799 | $30,899 | $20,641 – $49,439 | — | |
| 1173233 - DFBR CBLT XT HF 2 CHMBR IS-4 DF-4 CNCT QDPL 57SQ CM 13MM 51 Outpatient | C1882 HCPCS | $61,799 | $30,899 | $20,641 – $49,439 | — | |
| 1181490 - DEFIBRILLATOR MOMENTUM 32 CC 73.4 GM RT ATRIUM RT VENTRICLE Outpatient | C1882 HCPCS | $60,558 | $30,279 | $20,226 – $48,446 | — |