How many shoppable procedure prices are published for Advocate Good Samaritan Hospital?

Advocate Good Samaritan Hospital in Downers Grove, IL currently has 123 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Advocate Good Samaritan Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Advocate Good Samaritan Hospital's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

What is Advocate Good Samaritan Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Advocate Good Samaritan Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 293 Beds · urban Updated: 2025-11-04

Advocate Good Samaritan Hospital

3815 Highland Avenue, Downers Grove, IL 60515 · 123 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.91×vs. Fair Market Price

Typical commercial prices here are +91% above the fair benchmark (1.91×) even after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 59% of the Time

File Completeness51

Price Logic88

Peer Alignment81

Clean Billing87

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.91× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +25% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Advocate Good Samaritan Hospital prices routine shoppable procedures at 2.9× Medicare (median 1.89× Fair BaseRate) while upper-quartile commercial rates jump +25% to 2.37× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#116 of 126 in IL · 91st State Percentile#3,029 of 3,385 in U.S. · 89th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.76× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 59% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 71% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (45.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.91× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.89× Fair BaseRate (2.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.37×) jump +25% above the median procedure ratio (Q50 1.89×)
Unnegotiated chargemaster list prices average 10.5× Medicare (19¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.66× Divergence

1.9× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+25% Upper Tail

Q25 1.76× · Q50 1.89× · Q75 2.37×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.9× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.5× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.8× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

4.8× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

59% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

Procedure Prices at Advocate Good Samaritan Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$47,006	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$29,887	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$28,720	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$27,558	$17,936	unverified
Total hip replacement CPT Code: `27130`	—	$24,878	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$24,878	$13,523	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,731	$8,223	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$12,189	$6,109	unverified
Inguinal hernia repair CPT Code: `49505`	—	$7,942	$3,629	2.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$7,657	$3,372	2.3×
Bunion correction surgery CPT Code: `28296`	—	$7,657	$3,446	2.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$5,430	$2,540	2.1×
Breast lump removal CPT Code: `19120`	$4,270	$2,977	$3,875	0.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,743	$1,256	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,501	$987	2.5×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,228	$855	2.6×
Trauma team activation HCPCS Code: `G0390`	$5,455	$2,034	$1,453	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,878	$981	1.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,670	$1,701	$1,021	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,693	$1,276	$369	3.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,360	$1,276	$511	2.5×
MRI, brain (no contrast) CPT Code: `70551`	$1,505	$1,276	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,505	$1,276	$338	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,120	$1,100	$583	1.9×
CT scan, pelvis CPT Code: `72192`	$785	$718	$163	4.4×
CT scan, sinuses CPT Code: `70486`	$785	$718	$166	4.3×
CT scan, chest (no contrast) CPT Code: `71250`	$785	$718	$167	4.3×
CT scan, head (with contrast) CPT Code: `70460`	$890	$718	$242	3.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,285	$718	$258	2.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,570	$718	$303	2.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,780	$718	$448	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$785	$718	$160	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$785	$718	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$785	$718	$168	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$845	$644	$272	2.4×
Rabies immune globulin HCPCS Code: `90375`	$551	$669	$322	2.1×
Blood transfusion CPT Code: `36430`	$1,005	$672	$498	1.3×
Psychological testing by technician CPT Code: `96138`	—	$603	$395	1.5×
Neurobehavioral status check CPT Code: `96116`	—	$562	$231	unverified
Care planning with family CPT Code: `90887`	—	$509	$107	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$398	$398	$185	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$970	$354	$134	2.6×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$337	$151	2.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$322	$181	1.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$695	$313	$132	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$322	$166	unverified
Family therapy session CPT Code: `90847`	$193	$322	$173	unverified
Ultrasound, pelvis CPT Code: `76856`	$880	$287	$130	2.2×
Screening mammogram (both breasts) CPT Code: `77067`	$238	$264	$123	2.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$730	$268	$126	2.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$283	$264	$148	1.8×
Psychological testing evaluation CPT Code: `96136`	—	$238	$128	1.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$199	$239	$201	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$195	$195	$86	2.3×
X-ray, lower back CPT Code: `72110`	$675	$220	$112	unverified
X-ray, hip CPT Code: `73502`	$270	$217	$93	unverified
Group therapy session CPT Code: `90853`	$409	$185	$100	1.9×
X-ray, pelvis CPT Code: `72170`	$413	$165	$110	1.5×
X-ray, chest (single view) CPT Code: `71045`	$193	$177	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$233	$189	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$273	$207	$93	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$85	$150	$35	4.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$85	$155	$38	4.1×
Occupational therapy (self-care training) CPT Code: `97535`	$85	$155	$38	4.1×
X-ray, shoulder CPT Code: `73030`	$309	$178	$92	unverified
X-ray, hand CPT Code: `73130`	$351	$176	$93	unverified
X-ray, ankle CPT Code: `73610`	$309	$176	$93	unverified
X-ray, foot CPT Code: `73630`	$319	$176	$92	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$85	$138	$34	4.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$85	$155	$40	3.9×
Physical therapy (gait training) CPT Code: `97116`	$85	$129	$33	3.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$147	$25	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$153	$86	$35	2.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$148	$111	$87	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$148	$111	$110	1.0×
Prosthetic fitting and training CPT Code: `97761`	$85	$85	$45	1.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$233	$93	$64	1.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$178	$111	$123	0.9×
Orthotic fitting and training CPT Code: `97760`	$100	$100	$51	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$612	$203	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$305	$348	$111	unverified
Pneumococcal vaccine HCPCS Code: `90732`	—	$256	$140	1.8×
Drug screening test HCPCS Code: `G0480`	—	$166	$116	1.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$163	$129	$56	2.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$117	$39	unverified
Speech therapy (group session) CPT Code: `92508`	—	$51	$27	1.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$66	$38	1.7×
Hepatitis B vaccine HCPCS Code: `90744`	$119	$63	$37	1.7×
Flu vaccine injection HCPCS Code: `G0008`	—	$70	$48	1.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$70	$49	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	—	$70	$49	1.4×
Blood antibody screen CPT Code: `86850`	$135	$81	$46	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$70	$70	$86	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$108	$35	$19	1.8×
Blood test, vitamin D CPT Code: `82306`	$223	$57	$31	1.8×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$44	$25	1.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$35	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$38	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$38	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$35	$8	$4	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$38	$8	$4	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$48	$12	$6	2.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$61	$19	$10	1.9×
Culture, bacterial CPT Code: `87070`	$90	$17	$9	1.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$44	$15	$8	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$83	$26	$14	1.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$80	$26	$14	1.9×
Blood test, lipase CPT Code: `83690`	$68	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$49	$13	$7	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$108	$20	$11	1.8×
Culture, blood CPT Code: `87040`	$83	$20	$11	1.8×
Blood test, vitamin B12 CPT Code: `82607`	$93	$29	$16	1.8×
Blood test, potassium CPT Code: `84132`	$33	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	$39	$9	$5	1.8×
Hepatitis C antibody test CPT Code: `86803`	$90	$27	$15	1.8×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$25	$14	1.8×
Blood test, basic metabolic panel CPT Code: `80048`	$58	$16	$9	1.8×
Blood test, liver function panel CPT Code: `80076`	$80	$16	$9	1.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$68	$32	$18	1.8×
Blood test, amylase CPT Code: `82150`	$53	$12	$7	1.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$33	$20	1.6×
Blood test, hemoglobin CPT Code: `85018`	$21	$5	$3	1.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$33	$8	$5	1.6×

Showing top 25 high-impact procedures of 123 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 45.9%

Audit a Bill or Quote at Advocate Good Samaritan Hospital (Zero PHI Required)

CMS CCN: 140288

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $47,006

1. Amount on Your Bill or Quote ($) Pre-filled with Advocate Good Samaritan Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $51,804 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $51,804

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (45.9% of gross = $51,804).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Advocate Good Samaritan Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$82,039 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($112,814) is $82,039 above the denoised Fair BaseRate ($30,775) and 4.8× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (45.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait189 min

Left ER Before Seen2%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate3.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Advocate Good Samaritan Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-24·administrative_or_closure
Met Requirements
Recorded
2023-07-07·administrative_or_closure
Closure Notice
Recorded
2023-03-21·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,151 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Advocate Good Samaritan Hospital.

Price Index: 1.55× regional baseline

Quality: 69/100 CMS composite

Median Household Income$110,502U.S. Census ACS

Local Uninsured Share5.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 81/100 · Corroborated CMS CCN 140288

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 140288) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-11-04

Validated Rate Rows2,211 (CMS v3.0.0)

File Integrity DigestVerified · CCN 140288

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy