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.
3 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1173233 - DFBR CBLT XT HF 2 CHMBR IS-4 DF-4 CNCT QDPL 57SQ CM 13MM 51 Outpatient | C1882 HCPCS | $61,799 | $30,899 | $20,641 – $49,439 | — | |
| 1173274 - MATRIX 2X2IN DURAGEN PATCH RGNRT RSRB SUTURABLE BOVINE CLGN Outpatient | C1763 HCPCS | $1,413 | $707 | $472 – $1,131 | — | |
| 1173275 - MATRIX 3X3IN DURAGEN PATCH RGNRT RSRB SUTURABLE BOVINE CLGN Outpatient | C1763 HCPCS | $2,426 | $1,213 | $810 – $1,941 | — |