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.

18 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1020734 - SPLINT NSL MINI 50X28MM VELCRO ALUM FOAM 2 PC ADH DISP Inpatient	0272 RC	$223	$112	$97.45 – $178	—
1022991 - STEM FEM 5 HI OFFSET COLLAR DUOFIX ACTIS HIP Inpatient	C1776 HCPCS	$12,815	$6,408	$5,600 – $10,252	—
1023012 - AGENT HMST FLOUR 1 GM MICROFIBRILLAR CLGN AVITENE Inpatient	0278 RC	$652	$326	$285 – $521	—
1023781 - STENT OMNILINK ELITE 10MM 29MM 80CM OTW BLN EXPANDABLE Inpatient	C1876 HCPCS	$1,813	$906	$792 – $1,450	—
1024642 - KIT NDL 11GA CRV AVAFLEX Inpatient	0272 RC	$1,356	$678	$593 – $1,085	—
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	—
1026898 - SHEATH .079IN 10.7FR 95CM LONG INTRO RADL Inpatient	C1894 HCPCS	$3,393	$1,697	$1,483 – $2,714	—
1027102 - SPACER H7 MM MED LORDOTIC ACIS PROTI 360 SPNL Inpatient	C1713 HCPCS	$1,740	$870	$760 – $1,392	—
1027862 - GUIDEWIRE ORTHO PEDINAIL OD3.2 MM THRD Inpatient	C1769 HCPCS	$657	$329	$287 – $526	—
1028790 - LINER ACTB G7 D 40MM 2 MBL COCR HIP Inpatient	C1776 HCPCS	$3,898	$1,949	$1,703 – $3,118	—
1029240 - KIT PRSS MNTR TRANSDUCER TIP CATH BOLT TWIST DRILL BIT FBR Inpatient	0272 RC	$3,590	$1,795	$1,569 – $2,872	—
1102012 - INSERT TIB KN TRTHLN 6 9MM X3 POSTERIOR STABILIZE BRNG STRL Inpatient	C1776 HCPCS	$2,030	$1,015	$887 – $1,624	—
1181026 - INTRODUCER SHTH 14FR 20CM 15.5CM PEEL-AWAY PERC STRL DISP Inpatient	C1894 HCPCS	$185	$92.29	$80.66 – $148	—
1231022 - SCREW L55 MM OD7.5 MM SPINE POLYAXIAL BN MOMENTUM Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
3010235 - COIL L8 CM OD3.5 MM DTCHABL EMBL TARGET TETRA Inpatient	0278 RC	$7,416	$3,708	$3,241 – $5,933	—
HEADACHES WITH MCC Inpatient	102 MS-DRG	—	—	$12,734 – $25,483	—