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)
1039117 - LEAD PCNG QUARTET 86CM 4 ELECTRODE IS4 CNCT STRBL TIP Inpatient	C1900 HCPCS	$4,205	$2,103	$1,838 – $3,364	—
1111766 - PLATE TIBIOTALAR LT ANT AXSOS 3 BN Inpatient	C1713 HCPCS	$7,395	$3,698	$3,232 – $5,916	—
1117472 - LEAD ICD SPRINT QUATTRO SCR S 62CM TRPLR SCR IN DF-4 RT Inpatient	C1777 HCPCS	$6,670	$3,335	$2,915 – $5,336	—
1172330 - DILATOR 14FR 70CM TPR PLASTIC SPT SHTH LTX SURG Inpatient	0272 RC	$319	$159	$139 – $255	—
1172411 - MATRIX TISS DURAGEN DURAPLASTY L2 IN X W2 IN PATCH Inpatient	C1763 HCPCS	$1,115	$557	$487 – $892	—
1173276 - MATRIX 5X4IN DURAGEN PATCH RGNRT RSRB SUTURABLE BOVINE CLGN Inpatient	C1763 HCPCS	$3,495	$1,748	$1,528 – $2,796	—
1173483 - GUIDEWIRE ORTHO AQLS PERFORM OD2.5 MM L220 MM Inpatient	C1769 HCPCS	$246	$123	$108 – $197	—
1173825 - SCREW BSPLT L18 MM RVRS PERIPH OD5 MM AQLS PERFORM SHLDR Inpatient	C1713 HCPCS	$344	$172	$150 – $275	—
1173872 - INSERT HUM H0 MM 12 OD39 MM PERFORM SHLDR Inpatient	C1776 HCPCS	$6,003	$3,002	$2,623 – $4,802	—
1174239 - PATCH VASC 8X.8CM XENOSURE BOVINE PRICRD TISS STRL Inpatient	C1781 HCPCS	$722	$361	$316 – $578	—
1174558 - PATCH VASC 14X1CM N-PYRG XENOSURE BOVINE PRICRD STRL Inpatient	C1768 HCPCS	$1,266	$633	$553 – $1,013	—
1175754 - CATHETER ARWYEX 5.5-8.5MM DCKBL VLV SELF EXPAND ZPHR NTNL Inpatient	C1887 HCPCS	$1,639	$819	$716 – $1,311	—
1175950 - DEVICE CLSR WECK EFX SHLD UNIFORM SUT RTRVL WING FNGR GRIP Inpatient	0272 RC	$366	$183	$160 – $293	—
1175967 - RELOAD STAPLER 3 MM 3.5 MM 4 MM L60 MM ENDO GIA TI MED THK Inpatient	0278 RC	$1,287	$643	$562 – $1,029	—
1176469 - SNARE VASC EN SNARE OD.47-.79 IN ODSEC6 FR L47 IN L100 CM 3 Inpatient	C1773 HCPCS	$805	$403	$352 – $644	—
1177015 - PROSTHESIS PENL TITAN COLOPLAST LOCK-OUT 22CM 0D Inpatient	C1813 HCPCS	$37,164	$18,582	$16,240 – $29,731	—
1177220 - DEVICE THRMB 22MM 5MM EMBOTRAP 3 Inpatient	C1757 HCPCS	$18,727	$9,363	$8,184 – $14,981	—
1177377 - GRAFT STENT OD16 MM ODSEC16 FR L146 MM 2 BRANCH ENDURANT II Inpatient	0278 RC	$18,337	$9,169	$8,013 – $14,670	—
1177643 - DEVICE BRST BIOPSY THUMB WHEEL EVIVA Inpatient	A4649 HCPCS	$592	$296	$259 – $474	—
1178817 - GRAFT BN CANC 30 CC ALLOGRAFT FRZN CHIP CRUSHED READIGRAFT Inpatient	C1713 HCPCS	$1,305	$652	$570 – $1,044	—
1179438 - CAPSULE VID L26.2 MM 156 D 434.1MHZ 4 LIGHT EMIT DIODE BTRY Inpatient	0272 RC	$1,346	$673	$588 – $1,076	—
1179448 - CAPSULE PH CLBRT FREE REFLUX DELIVERY SYS BRAVO Inpatient	0272 RC	$851	$425	$372 – $681	—
HYDROMORPHONE HCL 1 MG-ML IJ SOLN Inpatient	J1171 HCPCS	$28.12	$14.06	$12.29 – $22.50	—