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.

26 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1051970 - SCREW L24 MM OD2.4 MM T8 STNLS STL CORT SELF TAP SELF RTN Inpatient	C1713 HCPCS	$144	$72.00	$62.93 – $115	—
1119704 - FORCEPS SURG GRIESHABER REVOLUTION DSP SERRATE OD23 GA Inpatient	0272 RC	$499	$249	$218 – $399	—
1119706 - FORCEPS SURG SHARKSKIN ILLUMINATE OD23 GA Inpatient	0272 RC	$518	$259	$226 – $414	—
1181974 - DILATOR ENDO TTC BLN CATH 3 WAY STPCK L5.5 CM L240 CM OD10 Inpatient	C1726 HCPCS	$373	$186	$163 – $298	—
1197044 - CATHETER BLN OCCLUSION L10 MM OD7 MM TRANSFORM 1 LUM SUP Inpatient	C2628 HCPCS	$4,716	$2,358	$2,061 – $3,772	—
1197054 - STENT INTRCRAN L21 MM OD3 MM NEUROFORM ATLAS Inpatient	C1876 HCPCS	$23,216	$11,608	$10,146 – $18,573	—
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	—
1197217 - FORCEPS BIOPSY L160 CM OD1.8 MM RADL JAW PED L2 MM Inpatient	C1889 HCPCS	$117	$58.54	$51.16 – $93.66	—
1197243 - FORCEPS ENDO L130 CM MINI OD1.2 MM COREDX BIOPSY Inpatient	0272 RC	$1,611	$805	$704 – $1,289	—
1197261 - STENT ESPH OD23 MM ODSEC18.5 FR L10 CM L78 CM OD23 MM REM Inpatient	C1874 HCPCS	$7,246	$3,623	$3,166 – $5,797	—
1197289 - CLIP HMST 2.8MM 11MM OPEN 235CM MR CONDITIONAL BRAID CATH Inpatient	0278 RC	$720	$360	$315 – $576	—
1197290 - DEVICE RESOLUTION 360 ULTRA CLIP 235CM Inpatient	0278 RC	$635	$318	$278 – $508	—
1197312 - STENT PLASTIC OD10 FR L5 CM RPD EXCH TEMPORARY TPR TIP Inpatient	C2617 HCPCS	$205	$103	$89.59 – $164	—
1197327 - STENT PLASTIC OD7 FR L12 CM DELIVERY SYS RPD EXCH BARB TO Inpatient	C2617 HCPCS	$205	$103	$89.59 – $164	—
1197380 - STENT PLASTIC OD10 FR L7 CM PRELOAD TEMPORARY RPD EXCH Inpatient	C2625 HCPCS	$499	$249	$218 – $399	—
1197381 - STENT PLASTIC OD10 FR L9 CM PRELOAD TEMPORARY RPD EXCH Inpatient	C2625 HCPCS	$499	$249	$218 – $399	—
1197570 - DEVICE BIOPSY US FINE NDL OD22 GA ACQUIRE ENDBR Inpatient	C1889 HCPCS	$1,091	$546	$477 – $873	—
1197590 - NEEDLE ENDO 25GA 1.52MM 8- CM 2.4MM 20ML BVL 1 WAY STPCK ASP Inpatient	C1889 HCPCS	$621	$311	$271 – $497	—
1197642 - DILATOR ENDO CRE 2.8 MM PEBAX ESPH BLN LOW PRFL FX WIRE L180 CM L8 CM OD12-13.5-15 MM ODSEC6 FR Inpatient	C1726 HCPCS	$613	$307	$268 – $491	—
1197664 - CATHETER BLN DIL L5.5 CM L240 CM OD10-11-12 MM ODSEC7.5 FR Inpatient	C1726 HCPCS	$652	$326	$285 – $522	—
1197685 - SNARE 2.8CM RND 240CM 10MM 2.4MM CAPTIVATOR 2 LOOP STIFF Inpatient	C1889 HCPCS	$54.66	$27.33	$23.89 – $43.73	—
1197752 - KIT PEG TROCAR CANNULA RND XTRN BLSTR AMPULE PUSH OD24 FR Inpatient	0272 RC	$336	$168	$147 – $269	—
1197938 - STENT 6FR 24CM TPR TIP BLDR MARK LOWPRFL LG INNER LUM PGTL Inpatient	C2617 HCPCS	$520	$260	$227 – $416	—
1197939 - STENT 6FR 26CM TPR TIP BLDR MARK LOWPRFL LG INNER LUM PGTL Inpatient	C2617 HCPCS	$404	$202	$177 – $323	—
1197959 - STENT CONTOUR VL 4.8FR 22-30CM TPR TIP BLDR MARK LOWPRFL LG Inpatient	C2617 HCPCS	$404	$202	$177 – $323	—
1197964 - STENT CONTOUR 6FR 20CM TPR TIP BLDR MARK LOWPRFL LG INNER Inpatient	C2617 HCPCS	$404	$202	$177 – $323	—