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) | |
|---|---|---|---|---|---|---|
| 1193742 - PACEMAKER 12.2 CC 24.8 GM ACCOLADE LTD NXT IMAGEREADY Outpatient | C1785 HCPCS | $11,629 | $5,814 | $3,884 – $9,303 | — | |
| 1193745 - PACEMAKER 15.8 CC 29.1 GM ACCOLADE MRI EL D.75 CM 2 CHMBR Outpatient | C1785 HCPCS | $11,629 | $5,814 | $3,884 – $9,303 | — | |
| 1213486 - PACEMAKER ASSURITY MRI DUAL CHAMBER Outpatient | C1785 HCPCS | $11,872 | $5,936 | $3,965 – $9,498 | — | |
| 1233197 - PACEMAKER AZURE XT DR MRI SURESCAN 2 CHMBR 7.4MM 50.8X46.6MM Outpatient | C1785 HCPCS | $11,872 | $5,936 | $3,965 – $9,498 | — |