Advocate Lutheran General Hospital — price list

← Hospital overviewVerified from Advocate Lutheran General 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.

31 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1017943 - CATHETER 2 STLK DEV FO INS KIT INTRO 7.5FR 16MM .025IN 6IN Inpatient	C1725 HCPCS	$2,927	$1,463	$1,279 – $2,341	—
1025530 - CATHETER US SOUNDSTAR ECO 10FR 3D STRL LF DISP GE IMG SYS Inpatient	C1759 HCPCS	$3,787	$1,894	$1,655 – $3,030	—
1025874 - CATHETER INFUSION OD2.1-1.7 FR ODSEC.014 IN ID.017 IN L155 Inpatient	C1887 HCPCS	$2,772	$1,386	$1,212 – $2,218	—
1025910 - AGENT HMST SPNG THK18 IN 100 SQ CM THIN MICROFIBRILLAR CLGN Inpatient	0278 RC	$212	$106	$92.54 – $169	—
1181529 - CATHETER URETERAL COOK OD4 FR L70 CM OPEN END ACCEPTS .025 Inpatient	C1758 HCPCS	$57.81	$28.91	$25.26 – $46.25	—
1214930 - GUIDEWIRE PROTRACK 207CM 230CM 13CM .025IN 4.1CM VASC SS Inpatient	C1769 HCPCS	$688	$344	$301 – $550	—
AMINOPROTECT 5 % IV SOLN Inpatient	0258 RC	$1,887	$944	$825 – $1,510	—
ANTICOAGULANT SODIUM CITRATE 4 % VI SOLN Inpatient	0258 RC	$118	$59.00	$51.57 – $94.40	—
BACLOFEN 10 MG PO TABS Inpatient	0250 RC	$77.30	$38.65	$33.78 – $61.84	—
BUSPIRONE HCL 5 MG PO TABS Inpatient	0250 RC	$14.86	$7.43	$6.49 – $11.89	—
BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS Inpatient	0250 RC	$20.94	$10.47	$9.15 – $16.75	—
CARVEDILOL 25 MG PO TABS Inpatient	0250 RC	$14.80	$7.40	$6.47 – $11.84	—
CARVEDILOL 3.125 MG PO TABS Inpatient	0250 RC	$14.68	$7.34	$6.42 – $11.74	—
CBC W/AUTO DIFF Inpatient	85025 CPT	$90.00	$45.00	$39.33 – $72.00	—
CEPHALEXIN 250 MG-5ML PO SUSR Inpatient	0250 RC	$123	$61.59	$53.83 – $98.54	—
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC Inpatient	025 MS-DRG	—	—	$49,115 – $98,292	—
CUVPOSA 1 MG-5ML PO SOLN Inpatient	0250 RC	$133	$66.32	$57.96 – $106	—
DEXMEDETOMIDINE HCL 200 MCG-2ML IV SOLN Inpatient	0250 RC	$69.08	$34.54	$30.19 – $55.26	—
DEXTROSE 5 % IV SOLN Inpatient	0258 RC	$56.13	$28.07	$24.53 – $44.90	—
DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN Inpatient	0250 RC	$146	$73.17	$63.95 – $117	—
DIURIL 250 MG-5ML PO SUSP Inpatient	0250 RC	$119	$59.51	$52.01 – $95.21	—
DOCUSATE SODIUM 100 MG PO CAPS Inpatient	0250 RC	$14.87	$7.44	$6.50 – $11.90	—
DOXY 100 100 MG IV SOLR Inpatient	0250 RC	$168	$84.06	$73.46 – $134	—
DRAINAGE PALM BURSA SINGLE Inpatient	26025 CPT	$7,260	$3,630	$3,173 – $5,808	—
EPIDIOLEX 100 MG-ML PO SOLN Inpatient	0250 RC	$216	$108	$94.33 – $173	—
FAMOTIDINE 20 MG PO TABS Inpatient	0250 RC	$14.95	$7.48	$6.53 – $11.96	—
FLUTICASONE PROPIONATE 50 MCG-ACT NA SUSP Inpatient	0250 RC	$161	$80.39	$70.26 – $129	—
FLUTICASONE PROPIONATE HFA 44 MCG-ACT IN AERO Inpatient	0250 RC	$896	$448	$392 – $717	—
FUROSEMIDE 10 MG-ML PO SOLN Inpatient	0250 RC	$118	$59.00	$51.57 – $94.40	—
GABAPENTIN 300 MG PO CAPS Inpatient	0250 RC	$14.93	$7.47	$6.52 – $11.94	—