Illinois / Advocate Good Samaritan Hospital

CMS certification 140288 · Downers Grove, IL · 3 entries in CMS's price-transparency list

Advocate Good Samaritan Hospital: charges and Medicare payments

Advocate Good Samaritan Hospital reported 3,707 Medicare inpatient stays across 114 DRGs in 2024. Across them it charged 4.39 times what it was paid — mid-range in Illinois, number 43 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 380 stays at an average charge of $68,032, 25% below the national average. It also billed 3,101 outpatient services, charging 6.96 times what Medicare paid.

1Medicare inpatient stays 3,707
2Charge ÷ paid, inpatient 4.39×
3Rank in IL (highest ratio = 1) 43 of 106
4CMS price-transparency actions 3

Average charge per stay at Advocate Good Samaritan Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 114 DRGs that can be compared with the national average, Advocate Good Samaritan Hospital charged more than the national average in 2 (2%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	380	$68,032	-25%	$14,565
291 Heart Failure and Shock with MCC	315	$47,477	-16%	$11,422
177 Respiratory Infections and Inflammations with MCC	98	$50,684	-28%	$11,747
193 Simple Pneumonia and Pleurisy with MCC	98	$54,126	-9%	$11,574
189 Pulmonary Edema and Respiratory Failure	85	$47,895	-17%	$11,001
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	80	$38,920	-21%	$8,735
690 Kidney and Urinary Tract Infections without MCC	70	$28,840	-24%	$6,092
885 Psychoses	65	$66,494	+51%	$11,620
853 Infectious and Parasitic Diseases with O.R. Procedures with...	63	$151,960	-34%	$38,445
377 Gastrointestinal Hemorrhage with MCC	61	$69,362	-19%	$14,403
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	61	$37,260	-38%	$9,506
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	60	$30,646	-24%	$7,353
552 Medical Back Problems without MCC	60	$34,212	-30%	$7,523
682 Renal Failure with MCC	60	$57,697	-12%	$13,594
267 Endovascular Cardiac Valve Replacement and Supplement...	59	$176,408	-20%	$42,776
689 Kidney and Urinary Tract Infections with MCC	59	$37,234	-27%	$9,421
378 Gastrointestinal Hemorrhage with CC	55	$41,151	-15%	$9,110
481 Hip and Femur Procedures except Major Joint with CC	51	$75,876	-25%	$15,656
280 Acute Myocardial Infarction, Discharged Alive with MCC	50	$55,984	-26%	$15,103
274 Percutaneous and Other Intracardiac Procedures without MCC	49	$126,346	-19%	$24,977
683 Renal Failure with CC	44	$29,505	-28%	$7,329
603 Cellulitis without MCC	42	$27,745	-26%	$7,801
698 Other Kidney and Urinary Tract Diagnoses with MCC	42	$49,786	-32%	$12,900
312 Syncope and Collapse	41	$33,290	-27%	$6,509
309 Cardiac Arrhythmia and Conduction Disorders with CC	38	$33,744	-7%	$6,382
190 Chronic Obstructive Pulmonary Disease with MCC	36	$45,803	-9%	$10,706
454 Combined Anterior and Posterior Spinal Fusion with CC	36	$196,896	-30%	$49,705
286 Circulatory Disorders except AMI, with Cardiac...	35	$83,426	-26%	$17,423
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	34	$35,330	-37%	$8,921
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	31	$45,358	-55%	$13,796
516 Other Musculoskeletal System and Connective Tissue O.R....	31	$90,326	-11%	$18,045
236 Coronary Bypass without Cardiac Catheterization without MCC	29	$145,825	-31%	$32,124
178 Respiratory Infections and Inflammations with CC	28	$42,785	-6%	$7,135
330 Major Small and Large Bowel Procedures with CC	28	$82,669	-31%	$20,300
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	28	$83,257	-19%	$15,176
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	28	$141,708	-34%	$40,100
194 Simple Pneumonia and Pleurisy with CC	26	$35,144	-8%	$6,031
287 Circulatory Disorders except AMI, with Cardiac...	26	$44,910	-30%	$9,516
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	26	$29,339	-21%	$6,196
813 Coagulation Disorders	26	$41,830	-48%	$12,612
812 Red Blood Cell Disorders without MCC	25	$46,667	+5%	$8,722
243 Permanent Cardiac Pacemaker Implant with CC	24	$84,860	-24%	$16,144
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	24	$53,563	-12%	$9,453
480 Hip and Femur Procedures except Major Joint with MCC	24	$98,557	-29%	$20,183
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	23	$42,857	-34%	$10,776
314 Other Circulatory System Diagnoses with MCC	23	$55,361	-42%	$14,223
322 Percutaneous Cardiovascular Procedures with Intraluminal...	23	$88,199	-23%	$16,542
699 Other Kidney and Urinary Tract Diagnoses with CC	23	$33,023	-30%	$8,736
389 Gastrointestinal Obstruction with CC	22	$29,016	-25%	$5,824
460 Spinal Fusion except Cervical without MCC	21	$134,912	-21%	$38,568
208 Respiratory System Diagnosis with Ventilator Support <=96...	19	$92,825	-32%	$19,621
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	19	$300,660	-25%	$80,295
235 Coronary Bypass without Cardiac Catheterization with MCC	19	$171,932	-41%	$45,630
300 Peripheral Vascular Disorders with CC	19	$39,155	-21%	$11,545
329 Major Small and Large Bowel Procedures with MCC	19	$139,048	-35%	$28,149
551 Medical Back Problems with MCC	19	$45,113	-43%	$11,496
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	19	$33,349	-22%	$6,549
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	19	$31,048	-16%	$6,560
025 Craniotomy and Endovascular Intracranial Procedures with MCC	18	$137,864	-40%	$26,407
083 Traumatic Stupor and Coma >1 Hour with CC	18	$45,869	-37%	$9,898

Showing the 60 most frequent of 114 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	831	$17,437	$2,568
Level 1 Endovascular Procedures	353	$17,795	$3,055
Level 2 Excision/ Biopsy/ Incision and Drainage	196	$11,479	$1,498
Level 2 Upper GI Procedures	196	$13,224	$1,778
Level 5 Musculoskeletal Procedures	146	$54,049	$12,329
Level 1 Laparoscopy and Related Services	113	$34,567	$5,440
Level 3 Endovascular Procedures	105	$65,097	$10,267
Level 3 Electrophysiologic Procedures	101	$139,369	$22,490
Level 3 Pacemaker and Similar Procedures	88	$44,809	$10,130
Level 3 Vascular Procedures	83	$19,948	$3,026
Level 5 Urology and Related Services	77	$29,820	$4,913
Level 4 Urology and Related Services	60	$24,983	$3,310
Level 4 Musculoskeletal Procedures	59	$34,947	$6,792
Level 3 Excision/ Biopsy/ Incision and Drainage	52	$19,195	$2,646
Level 3 Urology and Related Services	51	$14,818	$1,896
Level 3 Lower GI Procedures	39	$18,341	$2,632
Level 4 Endovascular Procedures	38	$95,990	$16,613
Level 1 Breast/Lymphatic Surgery and Related Procedures	37	$21,645	$3,541
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	34	$21,197	$3,054
Level 2 Laparoscopy and Related Services	34	$52,756	$9,292
Level 4 Gynecologic Procedures	34	$21,770	$2,760
Level 2 Pacemaker and Similar Procedures	33	$45,091	$8,066
Level 4 Airway Endoscopy	31	$23,395	$3,555
Level 3 Upper GI Procedures	29	$17,354	$3,636
Level 2 Breast/Lymphatic Surgery and Related Procedures	27	$35,362	$6,009

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Advocate Good Samaritan Hospital charged $68,032 on average, 8% less than the Illinois average of $73,987, and was paid $14,565 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Advocate Good Samaritan Hospital charged $47,477 on average, 3% more than the Illinois average of $46,293, and was paid $11,422 against a state average of $11,813. For Respiratory Infections and Inflammations with MCC (DRG 177), Advocate Good Samaritan Hospital charged $50,684 on average, 15% less than the Illinois average of $59,769, and was paid $11,747 against a state average of $14,404. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Advocate Good Samaritan Hospital charged $54,126 on average, 10% more than the Illinois average of $49,081, and was paid $11,574 against a state average of $11,857. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,437 was 19% below the state average of $21,498. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,795 was 29% below the state average of $25,004. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,479 was 3% below the state average of $11,818. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $13,224 was 3% below the state average of $13,666.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Advocate Good Samaritan Hospital in Downers Grove, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2023-03-21 (CMS case 512)
Closure Notice — 2023-07-07 (CMS case 512)
Met Requirements — 2025-06-24 (CMS case 5321)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.