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.

54 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1004325 - FELT CV 6X6IN THK1.65MM PTFE PATCH STRL LF Inpatient	C1768 HCPCS	$1,700	$850	$743 – $1,360	—
1011995 - WIRE FX OD1.6 MM L150 MM L25 MM LCP CMPR THRD Inpatient	C1769 HCPCS	$163	$81.50	$71.23 – $130	—
1017635 - SYSTEM BN CEMENT WO NDL AUTOPLEX VERTAPLEX Inpatient	0278 RC	$5,142	$2,571	$2,247 – $4,114	—
1017651 - SYSTEM BN CEMENT REV TOTAL MX KIT BRK NOZ FEM LF Inpatient	0272 RC	$413	$206	$180 – $330	—
1027862 - GUIDEWIRE ORTHO PEDINAIL OD3.2 MM THRD Inpatient	C1769 HCPCS	$657	$329	$287 – $526	—
1038610 - PIN FX 4MM 80MM STRL BN Inpatient	C1769 HCPCS	$376	$188	$165 – $301	—
1046026 - GUIDEWIRE T2 3MM 800MM ORTHO SMTH TIP TI STRL FEM NL SYS Inpatient	C1769 HCPCS	$442	$221	$193 – $354	—
1051419 - PIN FX OD2.4 MM STEINMANN Inpatient	C1769 HCPCS	$83.26	$41.63	$36.38 – $66.61	—
1051761 - BONE CORNERSTONE SR 7X14X11 Inpatient	C1713 HCPCS	$1,566	$783	$684 – $1,253	—
1053675 - GUIDEWIRE VASC OD.014 IN L300 CM HI-TORQUE COMMAND ES CORE Inpatient	C1769 HCPCS	$434	$217	$190 – $348	—
1055588 - PIN FX OD3.2 MM L110 MM BN Inpatient	C1769 HCPCS	$376	$188	$165 – $301	—
1069149 - GUIDEWIRE ORTHO L200 MM DRILL TIP OD2.5 MM STNLS STL TOMOFIX Inpatient	C1769 HCPCS	$171	$85.42	$74.65 – $137	—
1070237 - GUIDEWIRE ORTHO KIRSCHNER OD.035 IN L4 IN BCMPT CORROSION Inpatient	C1769 HCPCS	$105	$52.49	$45.88 – $83.98	—
1088190 - GRAFT BN ACHILLES TNDN ALLOGRAFT PRETRIM BIOCLEANSE Inpatient	C1762 HCPCS	$5,510	$2,755	$2,408 – $4,408	—
1088636 - IMPLANT BIO TISS MED BOVINE ACHILLES TNDN DELIVERY DEV Inpatient	C1763 HCPCS	$5,510	$2,755	$2,408 – $4,408	—
1111766 - PLATE TIBIOTALAR LT ANT AXSOS 3 BN Inpatient	C1713 HCPCS	$7,395	$3,698	$3,232 – $5,916	—
1116959 - GRAFT TTPLST 3X1CM SFT TIS SCLR ALLOGRAFT DEHYDRATE MLDIR Inpatient	C1762 HCPCS	$1,725	$863	$754 – $1,380	—
1141669 - PIN FX 18IN 3IN PFC STEINMANN UNCMP HDLS NS SS KN Inpatient	C1769 HCPCS	$371	$186	$162 – $297	—
1155589 - GUIDEWIRE ASAHI SUOH 03 19CM 300CM 3CM 52CM STRGT .014IN Inpatient	C1769 HCPCS	$434	$217	$190 – $348	—
1157913 - WIRE FX OD.062 IN L3 IN KIRSCHNER Inpatient	C1769 HCPCS	$72.40	$36.20	$31.64 – $57.92	—
1164204 - GRAFT BN CELLULAR BN MTRX 1 CC ALLOGRAFT FRZN VIVIGEN Inpatient	C1762 HCPCS	$1,360	$680	$594 – $1,088	—
1166649 - WIRE FX OD1.1 MM FUZEFIX MAX FT STD Inpatient	C1769 HCPCS	$109	$54.30	$47.46 – $86.88	—
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	—
1174558 - PATCH VASC 14X1CM N-PYRG XENOSURE BOVINE PRICRD STRL Inpatient	C1768 HCPCS	$1,266	$633	$553 – $1,013	—
1176469 - SNARE VASC EN SNARE OD.47-.79 IN ODSEC6 FR L47 IN L100 CM 3 Inpatient	C1773 HCPCS	$805	$403	$352 – $644	—
1180710 - GUIDEWIRE VASC OD.035 IN L145 CM L15 CM BENTSON BENTSON TPR Inpatient	C1769 HCPCS	$59.69	$29.85	$26.08 – $47.75	—
1183214 - GUIDEWIRE ENDO METRO OD.035 IN L600 CM STRGT RADOPQ Inpatient	C1769 HCPCS	$711	$355	$310 – $568	—
1185298 - GRAFT VASC L45 CM ID4-7 MM PTFE HEP STRCH GORE PROPATEN VASC Inpatient	C1768 HCPCS	$3,753	$1,876	$1,640 – $3,002	—