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) | |
|---|---|---|---|---|---|---|
| 1177975 - IMPLANT ORBT THK.35MM SUPRAFOIL 4X4CM STRL LF Outpatient | L8610 HCPCS | $72.17 | $36.09 | $24.10 – $1,576 | — | |
| 1195111 - WEIGHT EYLD 1.6GM CONTOUR GOLD THK1MM RND SPHR TPR 18.8X5MM Outpatient | L8610 HCPCS | $1,228 | $614 | $410 – $1,576 | — |