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.

61 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
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	—
1052232 - KNIFE ENDO T TY 1 JET HPRS NDL FREE INJ HYBRIDKNIFE VIO Inpatient	C1889 HCPCS	$1,498	$749	$654 – $1,198	—
1065271 - CATHETER EMBOLECTOMY OD2.8 -2.4 FR ID.02 IN IDSEC.04 IN L130 Inpatient	C1887 HCPCS	$1,233	$616	$539 – $986	—
1074509 - FILTER IVC L70 CM DELIVERY SHTH CRV PSHR OD32- MM ID5 FR Inpatient	C1880 HCPCS	$3,045	$1,523	$1,331 – $2,436	—
1078642 - CATHETER OD5 FR L110 CM LG LUM SH 2 BRAID SOFT TIP RADL TIG Inpatient	C1887 HCPCS	$135	$67.59	$59.07 – $108	—
1078646 - CATHETER OD5 FR L110 CM LG LUM 2 SH 2 BRAID SOFT TIP JACKY Inpatient	C1887 HCPCS	$130	$65.16	$56.95 – $104	—
1097868 - CATHETER SPRT 135CM 1.8FR QKCRS 15MM SPACE HYDROPHILIC Inpatient	C1887 HCPCS	$507	$253	$221 – $405	—
1097871 - CATHETER SPRT 135CM 3.1FR QKCRS 50MM SPACE RADOPQ ACCEPTS GW Inpatient	C1887 HCPCS	$507	$253	$221 – $405	—
1110527 - CATHETER ATTAIN CMND GUIDE Inpatient	C1887 HCPCS	$615	$308	$269 – $492	—
1112310 - CATHETER ABLT RF BARRX 360 Inpatient	C1886 HCPCS	$7,673	$3,837	$3,353 – $6,139	—
1161017 - CATHETER TRAILBLAZER ACCEPTS .046 MM GW FG L150 CM OD4 FR Inpatient	C1887 HCPCS	$579	$290	$253 – $463	—
1167037 - CATHETER OD5 FR L100 CM BRAID STRGT TPR PERIPH STNLS STL Inpatient	C1887 HCPCS	$199	$99.55	$87.01 – $159	—
1175754 - CATHETER ARWYEX 5.5-8.5MM DCKBL VLV SELF EXPAND ZPHR NTNL Inpatient	C1887 HCPCS	$1,639	$819	$716 – $1,311	—
1188091 - CATHETER BLN NC EMERGE MNRL 4.5MM 8MM 143CM 2 LUM TPR TIP LL Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1188095 - CATHETER BLN NC EMERGE MNRL 2MM 12MM 143CM 2 LUM TPR TIP LL Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1188096 - CATHETER BLN NC EMERGE MNRL 2.25MM 12MM 143CM 2 LUM TPR TIP Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1188105 - CATHETER BLN NC EMERGE MNRL 5MM 12MM 143CM 2 LUM TPR TIP LL Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1188113 - CATHETER BLN NC EMERGE MNRL 3.25MM 15MM 143CM 2 LUM TPR TIP Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1188115 - CATHETER BLN NC EMERGE MNRL 3.75MM 15MM 143CM 2 LUM TPR TIP Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1188118 - CATHETER BLN NC EMERGE MNRL 5MM 15MM 143CM 2 LUM TPR TIP LL Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1188123 - CATHETER BLN NC EMERGE MNRL 2.5MM 20MM 143CM 2 LUM TPR TIP Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1188129 - CATHETER BLN NC EMERGE MNRL 4MM 20MM 143CM 2 LUM TPR TIP LL Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1188195 - MCATH CEREBROVASCULAR 135CM MAMBA FLEX STRL DISP Inpatient	C1751 HCPCS	$1,784	$892	$779 – $1,427	—
1188299 - CATHETER DRN 12FR 45CM LONG LGTH LOOP PGTL CRV SMTH TPR TIP Inpatient	C1729 HCPCS	$344	$172	$150 – $275	—
1188410 - STENT SYNERGY XD MNRL 2.75MM 12MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188416 - STENT SYNERGY XD MNRL 2.25MM 16MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188417 - STENT SYNERGY XD MNRL 2.5MM 16MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188419 - STENT SYNERGY XD MNRL 3MM 16MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188420 - STENT SYNERGY XD MNRL 3.5MM 16MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188424 - STENT SYNERGY XD MNRL 2.25MM 20MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—