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.
3 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1017888 - LEAD ICD RT VENTRICLE L64 CM OD7.3 FR RLNC 4-FRONT MP35N Outpatient | C1895 HCPCS | $9,990 | $4,995 | $3,337 – $7,992 | — | |
| 1117557 - LEAD ICD TENSI-LOCK SPRINT QUATTRO 62CM 2 COIL DF-4 CNCT Outpatient | C1895 HCPCS | $10,189 | $5,095 | $3,403 – $8,151 | — | |
| 1194702 - LEAD DFBR OPTISURE DURATA 65CM 2 COIL DF4 CNCT TRUE BP HLX Outpatient | C1895 HCPCS | $10,189 | $5,095 | $3,403 – $8,151 | — |