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) | |
|---|---|---|---|---|---|---|
| 1154812 - CATHETER BLN DIL L250 MM L130 CM OD5 MM INPACT ADMIRAL OTW 6 Inpatient | C2623 HCPCS | $5,771 | $2,886 | $2,522 – $4,617 | — | |
| 1225079 - STENT ENROUTE 8MM .065IN 40MM 57CM DLV SYS ANG TIP DYN FLW Inpatient | C1876 HCPCS | $7,105 | $3,553 | $3,105 – $5,684 | — | |
| 3059554 - ROD SPNL EUROPA MORE L250 MM OD4.5 MM MOLYBDENUM-RHENIUM Inpatient | C1713 HCPCS | $696 | $348 | $304 – $557 | — | |
| BACLOFEN 10 MG PO TABS Inpatient | 0250 RC | $77.30 | $38.65 | $33.78 – $61.84 | — | |
| BUSPIRONE HCL 5 MG PO TABS Inpatient | 0250 RC | $14.86 | $7.43 | $6.49 – $11.89 | — | |
| BUTALBITAL-APAP-CAFFEINE 50-325-40 MG PO TABS Inpatient | 0250 RC | $20.94 | $10.47 | $9.15 – $16.75 | — | |
| CARVEDILOL 25 MG PO TABS Inpatient | 0250 RC | $14.80 | $7.40 | $6.47 – $11.84 | — | |
| CARVEDILOL 3.125 MG PO TABS Inpatient | 0250 RC | $14.68 | $7.34 | $6.42 – $11.74 | — | |
| CEPHALEXIN 250 MG-5ML PO SUSR Inpatient | 0250 RC | $123 | $61.59 | $53.83 – $98.54 | — | |
| CITRATE Inpatient | 82507 CPT | $130 | $65.00 | $56.81 – $104 | — | |
| CT CHEST DX W/O DYE Inpatient | 71250 CPT | $2,500 | $1,250 | $1,093 – $2,000 | — | |
| CUVPOSA 1 MG-5ML PO SOLN Inpatient | 0250 RC | $133 | $66.32 | $57.96 – $106 | — | |
| DEXMEDETOMIDINE HCL 200 MCG-2ML IV SOLN Inpatient | 0250 RC | $69.08 | $34.54 | $30.19 – $55.26 | — | |
| DEXTROSE-SODIUM CHLORIDE 5-0.45 % IV SOLN Inpatient | 0250 RC | $146 | $73.17 | $63.95 – $117 | — | |
| DIURIL 250 MG-5ML PO SUSP Inpatient | 0250 RC | $119 | $59.51 | $52.01 – $95.21 | — | |
| DOCUSATE SODIUM 100 MG PO CAPS Inpatient | 0250 RC | $14.87 | $7.44 | $6.50 – $11.90 | — | |
| DOXY 100 100 MG IV SOLR Inpatient | 0250 RC | $168 | $84.06 | $73.46 – $134 | — | |
| EPIDIOLEX 100 MG-ML PO SOLN Inpatient | 0250 RC | $216 | $108 | $94.33 – $173 | — | |
| FACTOR IX ACTIVITY Inpatient | 85250 CPT | $405 | $203 | $177 – $324 | — | |
| FAMOTIDINE 20 MG PO TABS Inpatient | 0250 RC | $14.95 | $7.48 | $6.53 – $11.96 | — | |
| FLUTICASONE PROPIONATE 50 MCG-ACT NA SUSP Inpatient | 0250 RC | $161 | $80.39 | $70.26 – $129 | — | |
| FLUTICASONE PROPIONATE HFA 44 MCG-ACT IN AERO Inpatient | 0250 RC | $896 | $448 | $392 – $717 | — | |
| FUROSEMIDE 10 MG-ML PO SOLN Inpatient | 0250 RC | $118 | $59.00 | $51.57 – $94.40 | — | |
| GABAPENTIN 300 MG PO CAPS Inpatient | 0250 RC | $14.93 | $7.47 | $6.52 – $11.94 | — | |
| GROUP THERAPY SPEECH Inpatient | 92508 CPT | $220 | $110 | $96.14 – $176 | — | |
| HYDROCODONE-ACETAMINOPHEN 10-325 MG PO TABS Inpatient | 0250 RC | $16.80 | $8.40 | $7.34 – $13.44 | — |