Advocate Good Samaritan Hospital — ER visit prices
← 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.
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.
4 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ED DOA Outpatient | 99281 CPT | $385 | $193 | $133 – $796 | — | |
| ED LEVEL 1 Outpatient | 99281 CPT | $390 | $195 | $133 – $796 | — | |
| ED LEVEL 3 Outpatient | 99283 CPT | $1,160 | $580 | $419 – $2,071 | $838 | |
| ED LEVEL 5 Outpatient | 99285 CPT | $4,080 | $2,040 | $927 – $4,020 | $3,880 |