Advocate Good Shepherd Hospital — MRI prices
← Hospital overviewVerified from Advocate Good Shepherd 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.
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.
12 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| MR BRAIN SHUNT EVAL LTD WO CON Inpatient | 70551 CPT | $2,850 | $1,425 | $1,245 – $2,280 | — | |
| MR BRAIN W/DYE Inpatient | 70552 CPT | $3,050 | $1,525 | $1,333 – $2,440 | — | |
| MR BRAIN W/WO DYE Inpatient | 70553 CPT | $4,480 | $2,240 | $1,958 – $3,584 | — | |
| MR C SPINE W/O DYE Inpatient | 72141 CPT | $2,850 | $1,425 | $1,245 – $2,280 | — | |
| MR CERVICAL SPINE LTD W/O DYE Inpatient | 72141 CPT | $2,850 | $1,425 | $1,245 – $2,280 | — | |
| MR CERVICAL SPINE LTD WITHOUT DYE Inpatient | 72141 CPT | $2,850 | $1,425 | $1,245 – $2,280 | — | |
| MR L SPINE WO DYE Inpatient | 72148 CPT | $2,850 | $1,425 | $1,245 – $2,280 | — | |
| MR LOWER EXT JOINT BIL WO CONTRAST Inpatient | 73721 CPT | $3,560 | $1,780 | $1,556 – $2,848 | — | |
| MR LOWER EXTREM JOINT W/O DYE Inpatient | 73721 CPT | $2,850 | $1,425 | $1,245 – $2,280 | — | |
| MR LUMBAR SPINE LTD WO DYE Inpatient | 72148 CPT | $2,850 | $1,425 | $1,245 – $2,280 | — | |
| MRI CERVICAL SPINE SURVEY WO CON Inpatient | 72141 CPT | $2,850 | $1,425 | $1,245 – $2,280 | — | |
| MRI LUMBAR SPINE SURVEY WO CON Inpatient | 72148 CPT | $2,850 | $1,425 | $1,245 – $2,280 | — |