Advocate Good Samaritan Hospital
Downers Grove, IL
Posts prices for 40 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $4,270 | $8,540 | 1.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $895 | $1,790 | 0.9× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,220 | $2,440 | 1.3× |
| CT head/brain without contrast (70450) | $785 | $1,570 | 7.0× |
| MRI brain without contrast (70551) | $1,505 | $3,010 | 5.9× |
| MRI brain with contrast (70552) | $1,605 | $3,210 | 4.3× |
| MRI brain without and with contrast (70553) | $2,360 | $4,720 | 6.3× |
| X-ray lower spine, 4+ views (72110) | $675 | $1,350 | 6.0× |
| MRI lumbar spine without contrast (72148) | $1,505 | $3,010 | 5.9× |
| CT pelvis with contrast (72193) | $890 | $1,780 | 4.7× |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$1,505–$1,880 | $3,010–$3,760 | varies |
| CT abdomen and pelvis with contrast (74177) | $1,780 | $3,560 | 4.8× |
| Ultrasound, abdomen complete (76700) | $970 | $1,940 | 8.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $635 | $1,270 | 5.7× |
| Ultrasound, transvaginal (76830) | $660 | $1,320 | 5.9× |
| Mammography, one breast (diagnostic) (77065) | $282.50 | $565 | 3.3× |
| Mammography, both breasts (diagnostic) (77066) | $282.50 | $565 | 2.6× |
| Mammography, screening (bilateral) (77067) | $237.50 | $475 | 2.6× |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$50–$65 | $100–$130 | varies |
| Comprehensive metabolic panel (80053) | $107.50 | $215 | 10.2× |
| Obstetric panel (80055) | $187.50 | $375 | 3.9× |
| Lipid panel (80061) | $82.50 | $165 | 6.2× |
| Renal function panel (80069) | $82.50 | $165 | 9.5× |
| Hepatic function panel (80076) | $80 | $160 | 9.8× |
| Urinalysis, non-automated, without microscopy (81002) | $25 | $50 | 7.2× |
| PSA, total (84153) | $107.50 | $215 | 5.8× |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$25–$110 | $50–$220 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$37.50–$50 | $75–$100 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$37.50–$50 | $75–$100 | varies |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$27.50–$37.50 | $55–$75 | varies |
| Partial thromboplastin time (PTT) (85730) | $47.50 | $95 | 7.9× |
| Psychotherapy, 30 minutes (90832) | $200 | $400 | 1.1× |
| Family psychotherapy, with patient (50 min) (90847) | $192.50 | $385 | 1.0× |
| Group psychotherapy (90853) range across 6 matching MRF lines |
$177.50–$965 | $355–$1,930 | varies |
| Left heart catheterization (93452) | $5,685 | $11,370 | 1.6× |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$2,105–$3,235 | $4,210–$6,470 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $85 | $170 | 2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $147.50 | $295 | 1.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $177.50 | $355 | 1.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $207.50 | $415 | 1.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
More prices at this hospital
- Imaging: 408 codes with posted prices and Medicare benchmarks
- Lab & pathology: 870 codes with posted prices and Medicare benchmarks
- Visits & medical services: 259 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 551 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 53 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 113.0 MB) ↓ — captured 2026-10-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.