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.
4 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1104320 - STEM FEM 3 STD COLLAR AVENIR COMPLETE HIP Outpatient | C1776 HCPCS | $7,085 | $3,542 | $2,366 – $5,668 | — | |
| 1104329 - FEM STEM CMNTLSS COLLRD HIGH OFFSET 1214 SIZE 3 Outpatient | C1776 HCPCS | $7,085 | $3,542 | $2,366 – $5,668 | — | |
| 1104332 - FEM STEM CMNTLSS COLLRD HIGH OFFSET 1214 SIZE 5 Outpatient | C1776 HCPCS | $7,085 | $3,542 | $2,366 – $5,668 | — | |
| 1110431 - STRUT SPNL W14 MM X H24 MM D11 MM VERTE-STACK PEEK CRV Outpatient | C1713 HCPCS | $2,076 | $1,038 | $693 – $1,661 | $9,822 |