Advocate Good Shepherd Hospital — price list

← Hospital overviewVerified from Advocate Good Shepherd 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.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1,3 BETA-D GLUCAN ASSAY Inpatient	87449 CPT	$170	$85.00	$74.29 – $136	—
1001083 - GUIDE PIN ORTHO 12IN 3.2MM PT TROCAR TIP Inpatient	0272 RC	$242	$121	$106 – $193	—
1003900 - SCREW BN 6.5MM 20MM TRILOGY SELF TAP STRL HIP ACTB Inpatient	C1713 HCPCS	$132	$65.98	$57.66 – $106	—
1003901 - SCREW BN 6.5MM 25MM TRILOGY SELF TAP STRL HIP Inpatient	C1713 HCPCS	$132	$65.98	$57.66 – $106	—
1004144 - RETRIEVER ENDO 160CM 1.8MM ROTH NET MINI SM CATH SHTH 4.5X2 Inpatient	C1889 HCPCS	$407	$204	$178 – $326	—
1004168 - DEVICE SPEC RTRVL 200CM 1.9MM RPTR HYBRID JAW FLXB DIST WIRE Inpatient	C1889 HCPCS	$426	$213	$186 – $341	—
1004324 - FELT CV 4X4IN THK1.65MM PTFE PATCH STRL Inpatient	C1768 HCPCS	$1,506	$753	$658 – $1,205	—
1004667 - HEAD FEM 3.5MM 1214 LG 40MM HIP ACTB BIOLOX Inpatient	C1776 HCPCS	$1,368	$684	$598 – $1,094	—
1005491 - SHELL ACTB HIP 58MM G7 G HMSPHR LMT HOLE CLR CD Inpatient	C1776 HCPCS	$2,394	$1,197	$1,046 – $1,915	—
1006689 - CATHETER BARDEX LBRCTH 24FR 30CC FOLEY 3W 2 STAGGER DRN EYE Inpatient	C1758 HCPCS	$30.12	$15.06	$13.16 – $24.10	—
1006891 - CATHETER BLN TRUE DIL 18MM 4.5CM 110CM RUPTURE RST ACCEPTS Inpatient	C1725 HCPCS	$2,223	$1,112	$971 – $1,778	—
1009932 - BIT DRILL L195 MM OD4.3 MM NCB Inpatient	0272 RC	$433	$217	$189 – $347	—
1010059 - SCREW BN 4MM 20MM NCB 3.5MM SELF TAP POLYAXIAL TI Inpatient	C1713 HCPCS	$263	$131	$115 – $210	—
1010113 - PLATE BN 355MM FEM RT DIST 18 HOLE PERIPROSTHETIC Inpatient	C1713 HCPCS	$3,566	$1,783	$1,558 – $2,853	—
1010573 - KIT JEJUN 18FR 7-10ML 45CM RADOPQ UNV FEED PORT CNCT Inpatient	0272 RC	$780	$390	$341 – $624	—
1012541 - CANNULA ENDO ACC OD11 GA IVAS Inpatient	A4649 HCPCS	$258	$129	$113 – $206	—
1014449 - NAIL OD11 MM L170 MM PROX TI NIOBIUM ALUM COCR IM CANNULATED Inpatient	C1713 HCPCS	$4,644	$2,322	$2,029 – $3,715	—
1014914 - SCREW L9 MM OD1.3 MM T4 TI HAND SELF TAP SELF RTN LOCK Inpatient	C1713 HCPCS	$385	$192	$168 – $308	—
1018078 - WIRE FX 1.1MM 160MM KIRSCHNER SS LGTH MARK NS Inpatient	C1769 HCPCS	$52.03	$26.02	$22.74 – $41.62	—
1021740 - GUIDEWIRE VASC L300 CM L3 CM HI-TORQUE FE MAN STRGT BARE Inpatient	C1769 HCPCS	$302	$151	$132 – $241	—
1022115 - GRAFT BN CANC H4-10 MM 15 ML ALLOGRAFT FRZ DRY CHIPS Inpatient	C1762 HCPCS	$1,686	$843	$737 – $1,349	—
1022981 - STEM FEM 7 STD OFFSET COLLAR DUOFIX ACTIS HIP Inpatient	C1776 HCPCS	$15,113	$7,556	$6,604 – $12,090	—
1023107 - GUIDEWIRE VASC OD.014 IN L190 CM L3 CM HI-TORQUE PILOT 50 Inpatient	C1769 HCPCS	$302	$151	$132 – $241	—
1023411 - GUIDEWIRE HTORQ VERSACORE 175CM MOD J CRV .035IN VASC PE SIL Inpatient	C1769 HCPCS	$215	$107	$93.91 – $172	—
1023415 - GUIDEWIRE HTORQ VERSACORE 260CM J CRV .035IN VASC SS PTFE Inpatient	C1769 HCPCS	$245	$123	$107 – $196	—
1023464 - CATHETER BLN DIL L15 MM ODSEC2.5 MM TREK SLIM SEAL RPD EXCH Inpatient	C1725 HCPCS	$283	$141	$124 – $226	—
1023476 - CATHETER BLN DIL L8 MM ODSEC3 MM TREK SLIM SEAL RPD EXCH Inpatient	C1725 HCPCS	$283	$141	$124 – $226	—
1023477 - CATHETER BLN DIL L12 MM ODSEC3 MM TREK SLIM SEAL RPD EXCH Inpatient	C1725 HCPCS	$283	$141	$124 – $226	—
1023528 - CATHETER BLN DIL L8 MM L145 CM ODSEC1.5 MM MINI TREK II OTW Inpatient	C1725 HCPCS	$283	$141	$124 – $226	—
1023533 - CATHETER BLN DIL L8 MM L145 CM ODSEC2 MM MINI TREK II OTW 2 Inpatient	C1725 HCPCS	$283	$141	$124 – $226	—