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)
1011995 - WIRE FX OD1.6 MM L150 MM L25 MM LCP CMPR THRD Inpatient	C1769 HCPCS	$163	$81.50	$71.23 – $130	—
1015017 - SCREW L125 MM ANTIROTATE FEM NECK SYS BN Inpatient	C1713 HCPCS	$903	$452	$395 – $723	—
1101500 - COMPONENT FEM 7 KN LT CRCTE RTN CEMENT TRTHLN STRL LF Inpatient	C1776 HCPCS	$4,060	$2,030	$1,774 – $3,248	—
1149081 - PIN HLD L150 MM REF PERC Inpatient	0272 RC	$1,093	$547	$478 – $875	—
1161017 - CATHETER TRAILBLAZER ACCEPTS .046 MM GW FG L150 CM OD4 FR Inpatient	C1887 HCPCS	$579	$290	$253 – $463	—
1162936 - TROCAR LAPSCP STAB SLV BLDLS OBT OPTC TIP L150 MM OD5 MM Inpatient	0272 RC	$684	$342	$299 – $547	—
1169201 - MCATH GUIDE 150CM .85-.62MM .48MM .55MM .4MM CARAVEL Inpatient	C1751 HCPCS	$1,233	$616	$539 – $986	—
1186420 - CATHETER BLN STRLG 5MM 200MM 150CM OTW TPR TIP LOWPRFL INFL Inpatient	C1725 HCPCS	$609	$305	$266 – $487	—
1186687 - CATHETER BLN STRLG SL 2.5MM 100MM 150CM OTW INFL PORT Inpatient	C1725 HCPCS	$688	$344	$301 – $550	—
1196101 - MCATH INFUSION 150CM 3-2.8FR RNGD HFL FATHOM FATHOM-16 .016 Inpatient	C1887 HCPCS	$2,123	$1,061	$928 – $1,698	—
1196728 - MICROCATHETER STRGT L150 CM L6 CM OD2.4-1.7 FR ID.0165 IN 1 Inpatient	C1887 HCPCS	$3,018	$1,509	$1,319 – $2,415	—
1197071 - MICROCATHETER STRGT L150 CM L6 CM OD2.9-2.7 FR ID.027 IN Inpatient	C1887 HCPCS	$3,315	$1,658	$1,449 – $2,652	—
1203540 - GUIDEWIRE ORTHO L150 MM NON THRD OD1.4 MM REFLEX Inpatient	C1769 HCPCS	$54.30	$27.15	$23.73 – $43.44	—
1203548 - GUIDEWIRE ORTHO L150 MM NON THRD OD1.6 MM REFLEX Inpatient	C1769 HCPCS	$54.30	$27.15	$23.73 – $43.44	—
1206123 - CATHETER SPRT 150CM NAVICROSS 12MM PERIPH SS HYDROPHILIC 2 Inpatient	C1887 HCPCS	$652	$326	$285 – $521	—
1208374 - TROCAR LAPSCP LONG 150MM 12MM VERSAONE FX CANNULA BLDLS Inpatient	0272 RC	$518	$259	$226 – $414	—
1237729 - CATHETER BLN JADE 2.5MM 150MM 150CM ACCEPTS .014IN GW PTA Inpatient	C1725 HCPCS	$489	$244	$214 – $391	—
3015077 - OXYGENATOR PERFUSION AMG PMP INFANT STERILE Inpatient	0272 RC	$6,380	$3,190	$2,788 – $5,104	—
3040668 - SET HEMODIALYSIS PRISMAFLEX EXCRPR CIRCUIT ST150 STRL LF Inpatient	0272 RC	$968	$484	$423 – $774	—
3043639 - GUIDEWIRE ORTHO STNLS STL GUIDE WIRES OD1.25 MM L150 MM THRD Inpatient	C1769 HCPCS	$247	$124	$108 – $198	—
EPISTAXIS WITH MCC Inpatient	150 MS-DRG	—	—	$15,179 – $30,378	—
GROUP THERAPY OT OR PT Inpatient	97150 CPT	$130	$65.00	$56.81 – $104	—
HERCEPTIN 150 MG IV SOLR Inpatient	J9355 HCPCS	$505	$253	$221 – $404	—