Advocate Good Samaritan Hospital — MRI 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.
6 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| MR ABDOMEN W/O DYE Outpatient | 74181 CPT | $3,010 | $1,505 | $365 – $2,408 | — | |
| MR BRAIN W/O DYE Outpatient | 70551 CPT | $3,010 | $1,505 | $365 – $2,408 | — | |
| MR CERVICAL SPINE LTD WITHOUT DYE Outpatient | 72141 CPT | $3,010 | $1,505 | $365 – $2,408 | — | |
| MR LOWER EXTREM JOINT W/O DYE Outpatient | 73721 CPT | $3,010 | $1,505 | $365 – $2,408 | — | |
| MR LUMBAR SPINE LTD WO DYE Outpatient | 72148 CPT | $3,010 | $1,505 | $365 – $2,408 | — | |
| MRI LUMBAR SPINE SURVEY WO CON Outpatient | 72148 CPT | $3,010 | $1,505 | $365 – $2,408 | — |