Scan my bill

Advocate Good Samaritan Hospital prices. From its own published file.

Advocate Good Samaritan Hospital in Downers Grove, IL publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

15,318prices published
Nov 2025file last updated
$2,040cash price for emergency visit, highest (level 5) (list $4,080)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$580$1,160$419–$2,071
Emergency visit, high (level 4)
99284
$1,255$2,510$644–$3,426
Emergency visit, highest (level 5)
99285
$2,040$4,080$927–$4,020
Comprehensive metabolic panel
80053
$108$215$10.56–$213
Basic metabolic panel
80048
$50.00$115$8.46–$163
Complete blood count (CBC)
85025
$37.50$87.50$7.77–$83.40
Blood draw (venipuncture)
36415
$22.50$45.00$3.00–$37.31
Urinalysis
81001
$35.00$70.00$3.17–$56.00
Troponin (heart test)
84484
$140$280$12.47–$224
EKG tracing
93005
$233$465$78.47–$372
Chest X-ray, 2 views
71046
$233$465$106–$634
CT head without contrast
70450
$785$1,570$161–$1,256
CT abdomen and pelvis with contrast
74177
$1,780$3,560$540–$2,848
MRI lower back without contrast
72148
$1,505$3,010$365–$2,408
Ultrasound, abdomen
76700
$970$1,940$161–$1,552
IV push, single drug
96374
$320$640$252–$1,270
IV fluids, first hour
96360
$355$710$280–$1,270
Ketorolac injection, 15 mg
J1885
$53.28$116$0.52–$98.61
Ondansetron injection
J2405
$14.91$29.96$0.15–$24.87
Colonoscopy, diagnostic
45378
——$1,378–$6,181
Upper GI endoscopy with biopsy
43239
——$1,417–$6,181
Knee arthroscopy
29881
——$4,904–$17,439

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Advocate Good Samaritan Hospital price transparency page.

Got a bill from Advocate Good Samaritan Hospital?

Snap a photo. We check every line against these prices and coding rules, free, in about a minute.

Scan my bill

Common billing problems to look for