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.

21 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1003637 - DRIVER 2MM HEX SET TRIAL CONSTRAIN SCR 4.5MM SURG Inpatient	0272 RC	$308	$154	$134 – $246	—
1036729 - APPLIER INTERNAL CLIP L9.75 IN AUTOMATIC PRM SURGICLIP II Inpatient	0278 RC	$517	$258	$226 – $413	—
1036876 - SPACER FEM -3 MM TPR ARTICULEZE HIP Inpatient	C1776 HCPCS	$583	$292	$255 – $467	—
1036877 - SLEEVE CENTERING HIP 0 MM 1214 TPR CATHCART MDLR UNIPOLAR Inpatient	C1776 HCPCS	$583	$292	$255 – $467	—
1036887 - HEAD UNIPOLAR BALL MDLR ORTHOCENTRIC OD50 MM CATHCART Inpatient	C1776 HCPCS	$1,413	$707	$618 – $1,131	—
1036948 - HEAD FEM OD28 MM 5 MM 1214 TPR HIP BIOLOX DELTA CERM Inpatient	C1776 HCPCS	$4,710	$2,355	$2,058 – $3,768	—
1036962 - HEAD FEM OD32 MM 5 MM 1214 TPR HIP BIOLOX DELTA Inpatient	C1776 HCPCS	$4,710	$2,355	$2,058 – $3,768	—
1036970 - HEAD FEM OD36 MM 0 MM 1113 TPR HIP BIOLOX DELTA S-ROM MDLR Inpatient	C1776 HCPCS	$4,755	$2,378	$2,078 – $3,804	—
1036997 - HEAD FEM OD36 MM -2 MM 1214 TPR HIP COCR ARTICULEZE M Inpatient	C1776 HCPCS	$2,580	$1,290	$1,127 – $2,064	—
1070365 - SCREW L26 MM OD3 MM CANNULATED HDLS BN OSTEOMED Inpatient	C1713 HCPCS	$629	$315	$275 – $503	—
1110361 - COMPONENT FEM 6 D SM L66 MM X W62 MM KN LT ROTATE HINGE PIN Inpatient	C1776 HCPCS	$11,002	$5,501	$4,808 – $8,802	—
3003648 - BEARING HIP A OD32 MM ID22.2 MM ACT ARTICULATION E1 G7 2 MBL Inpatient	C1776 HCPCS	$1,740	$870	$760 – $1,392	—
3036055 - SHANK SCR L45 MM OD6.5 MM MODULEX OSTEOGRIP SPINE Inpatient	C1713 HCPCS	$827	$413	$361 – $661	—
3036687 - PROBE ABLT L15 CM MICROWAVE OD17 GA NEUWAVE PR Inpatient	C2618 HCPCS	$6,090	$3,045	$2,661 – $4,872	—
3036927 - SYSTEM COR STENT OD3.50MM L48MM XIENCE SKYPOINT EVEROLIMUS ELUTING COR Inpatient	C1874 HCPCS	$1,914	$957	$836 – $1,531	—
BRONCHOSCOPY, DIAGNOSTIC Inpatient	0360 RC	$4,990	$2,495	$2,181 – $3,992	—
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC Inpatient	036 MS-DRG	—	—	$20,131 – $40,288	—
CLONOSEQ ASSAY Inpatient	0364U CPT	$6,110	$3,055	$2,670 – $4,888	—
COMPLEX CASE S/U + 1ST 15 MIN Inpatient	0360 RC	$3,060	$1,530	$1,337 – $2,448	—
COMPLEX CASE EACH ADD MINUTE Inpatient	0360 RC	$56.00	$28.00	$24.47 – $44.80	—
HB METHYLPHENIDATE Inpatient	80360 CPT	$200	$100	$87.40 – $160	—