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.

23 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1055140 - SCREW L12 MM OD3.5 MM ID2.9 MM T15 FULL THRD STNLS STL SELF Inpatient	C1713 HCPCS	$323	$162	$141 – $259	—
1055144 - SCREW L20 MM OD3.5 MM T15 FULL THRD STNLS STL SELF TAP Inpatient	C1713 HCPCS	$331	$166	$145 – $265	—
1055145 - SCREW L22 MM OD3.5 MM T15 FULL THRD STNLS STL SELF TAP Inpatient	C1713 HCPCS	$335	$167	$146 – $268	—
1055148 - SCREW L28 MM OD3.5 MM ID2.9 MM T15 FULL THRD STNLS STL SELF Inpatient	C1713 HCPCS	$347	$173	$151 – $277	—
1055155 - SCREW L40 MM OD3.5 MM T15 FULL THRD STNLS STL SELF TAP Inpatient	C1713 HCPCS	$335	$167	$146 – $268	—
1055160 - SCREW L52 MM OD3.5 MM ID2.9 MM T15 FULL THRD STNLS STL SELF Inpatient	C1713 HCPCS	$323	$162	$141 – $259	—
1055170 - SCREW L44 MM OD3.5 MM ID2.9 MM T15 FULL THRD STNLS STL SELF Inpatient	C1713 HCPCS	$323	$162	$141 – $259	—
1055227 - SCREW L10 MM OD2.4 MM ID1.9 MM T8 FULL THRD STNLS STL SELF Inpatient	C1713 HCPCS	$301	$150	$131 – $241	—
1055229 - SCREW L12 MM OD2.4 MM ID1.9 MM T8 FULL THRD STNLS STL SELF Inpatient	C1713 HCPCS	$301	$150	$131 – $241	—
1055241 - NEUROENDOSCOPE SEMIRIGID 15.5CM NEUROPEN LTWT DISP Inpatient	0272 RC	$3,381	$1,691	$1,478 – $2,705	—
1055588 - PIN FX OD3.2 MM L110 MM BN Inpatient	C1769 HCPCS	$376	$188	$165 – $301	—
1055724 - SCREW L54 MM OD4.5 MM ODSEC6.5 MM ID1.75 MM 13 THRD RVRS Inpatient	C1713 HCPCS	$566	$283	$247 – $453	—
1055790 - SCREW L85 MM OD4.5 MM ODSEC8 MM 3.5 MM STNLS STL CORT SELF Inpatient	C1713 HCPCS	$89.45	$44.73	$39.09 – $71.56	—
1232055 - GRAFT BN CORT CANC L12 MM X W14.5 MM X H7 MM ALLOGRAFT TXTR Inpatient	C1762 HCPCS	$2,610	$1,305	$1,141 – $2,088	—
3036055 - SHANK SCR L45 MM OD6.5 MM MODULEX OSTEOGRIP SPINE Inpatient	C1713 HCPCS	$827	$413	$361 – $661	—
3055223 - SCREW SPNL SHANK ILIAC 8.5X80MM Inpatient	C1713 HCPCS	$1,827	$914	$798 – $1,462	—
3055321 - SCREW BONE VOLT CORTEX T8 OD2.4 MM L24 MM Inpatient	C1713 HCPCS	$673	$336	$294 – $538	—
3055443 - SCREW L28 MM OD2.5 MM TI CORT MAGENTA BN TRILEAP Inpatient	C1713 HCPCS	$270	$135	$118 – $216	—
3055444 - PLATE TALAR NECK LAT TI TRILEAP BN Inpatient	C1713 HCPCS	$4,987	$2,493	$2,179 – $3,989	—
3055583 - HEAD HUM OD53 MM SHLDR COCR EQUINOXE EXPAND Inpatient	C1776 HCPCS	$3,147	$1,573	$1,375 – $2,517	—
3055877 - GUIDEWIRE SURG MOMENTUM OD1.5 MM L500 MM NTNL Inpatient	C1769 HCPCS	$1,044	$522	$456 – $835	—
ERBITUX 200 MG-100ML IV SOLN Inpatient	J9055 HCPCS	$365	$182	$159 – $292	—
HB MR BRAIN (RESEARCH) WO CONTRAST Inpatient	70551 CPT	$3,400	$1,700	$1,486 – $2,720	—