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.

67 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1017635 - SYSTEM BN CEMENT WO NDL AUTOPLEX VERTAPLEX Inpatient	0278 RC	$5,142	$2,571	$2,247 – $4,114	—
1023012 - AGENT HMST FLOUR 1 GM MICROFIBRILLAR CLGN AVITENE Inpatient	0278 RC	$652	$326	$285 – $521	—
1025910 - AGENT HMST SPNG THK18 IN 100 SQ CM THIN MICROFIBRILLAR CLGN Inpatient	0278 RC	$212	$106	$92.54 – $169	—
1027862 - GUIDEWIRE ORTHO PEDINAIL OD3.2 MM THRD Inpatient	C1769 HCPCS	$657	$329	$287 – $526	—
1031135 - VALVE AOR OD25 MM INSPIRIS RESILIA BIOPROSTHESIS COCR SIL Inpatient	0278 RC	$20,300	$10,150	$8,871 – $16,240	—
1036729 - APPLIER INTERNAL CLIP L9.75 IN AUTOMATIC PRM SURGICLIP II Inpatient	0278 RC	$517	$258	$226 – $413	—
1084127 - VALVE SHUNT DELTA PS MED CSF FLOW CNTRL MED PRSS REG CONTOUR Inpatient	0278 RC	$2,895	$1,448	$1,265 – $2,316	—
1091933 - RELOAD STAPLER SUREFORM 60 GRN Inpatient	0278 RC	$700	$350	$306 – $560	—
1096897 - TUBE TRACH L90 MM CUFF SOFT SWVL FLNG DIST XTN SHLY XLT Inpatient	0278 RC	$216	$108	$94.41 – $173	—
1098373 - RING ANNULOPLASTY OD28 MM MITRAL CARPENTIER-EDWARDS PHYSIO Inpatient	0278 RC	$5,800	$2,900	$2,535 – $4,640	—
1108264 - TUBE TRACH L95 MM UNCUFF SOFT SWVL FLNG PROX XTN SHLY XLT Inpatient	0278 RC	$216	$108	$94.41 – $173	—
1109278 - PLATE L52.5 MM SPINE CRV ANT LOCK TI ATLANTIS TRANSLATIONAL Inpatient	C1713 HCPCS	$1,740	$870	$760 – $1,392	—
1116554 - TUBE TRACH 7.3MM BIVONA CUFF OBT TWILL TIE STRGT NECK FLNG Inpatient	0278 RC	$642	$321	$281 – $514	—
1118039 - TUBE TRACH 8.3MM SHLY XLT CUFF RND TIP OBT 1 INNER CANNULA 6 Inpatient	0278 RC	$201	$101	$88.00 – $161	—
1139151 - KIT CATH L120 CM L14 CM CODMAN BACTISEALBACTISEAL BA SIL Inpatient	0278 RC	$2,211	$1,105	$966 – $1,769	—
1148402 - KIT AOR VLV 29 MM TRANSCATHETER BLN CATH CRIMPER INFLATION Inpatient	0278 RC	$94,250	$47,125	$41,187 – $75,400	—
1166759 - STAPLER L5.2 MM X H1.5-2.2 MM 3D GRIP SRFC PWR ADJ STPL Inpatient	0278 RC	$978	$489	$427 – $782	—
1168191 - DEVICE SUT LONG CINCH Inpatient	0278 RC	$661	$330	$289 – $529	—
1175967 - RELOAD STAPLER 3 MM 3.5 MM 4 MM L60 MM ENDO GIA TI MED THK Inpatient	0278 RC	$1,287	$643	$562 – $1,029	—
1177377 - GRAFT STENT OD16 MM ODSEC16 FR L146 MM 2 BRANCH ENDURANT II Inpatient	0278 RC	$18,337	$9,169	$8,013 – $14,670	—
1180567 - SHUNT NS CNTRL RESERVOIR AESCULAP CSF Inpatient	0278 RC	$1,142	$571	$499 – $913	—
1182949 - COIL EMBL 14CM 14MM NESTER PLATINUM FIBER 3.2 LOOP .035IN Inpatient	0278 RC	$427	$214	$187 – $342	—
1182963 - COIL EMBL 7CM 4MM NESTER PLATINUM FIBER 5.6 LOOP .035IN Inpatient	0278 RC	$415	$208	$181 – $332	—
1182969 - COIL EMBL 5CM 5-2MM TORNADO MICROCOILS PLATINUM SYNTH FBR Inpatient	0278 RC	$424	$212	$185 – $339	—
1183753 - STAPLER THK TISS L40 MM X H1.5 MM CRV CUTTER ECHELON Inpatient	0278 RC	$1,461	$731	$639 – $1,169	—
1183875 - COUPLER ANSTM 3MM RING PIN US DPLR PROTECTIVE CVR Inpatient	0278 RC	$1,001	$500	$437 – $800	—
1184035 - STAPLER REG TISS L100 MM X H3.8 MM ENDO 4 ROW LNR CUTTER QCK Inpatient	0278 RC	$1,761	$881	$770 – $1,409	—
1184040 - RELOAD STAPLER L60 MM X H3.8 MM GIA TI REG TISS 4 ROW LNR Inpatient	0278 RC	$629	$314	$275 – $503	—
1184874 - RELOAD STAPLER L60 MM ECHELON ENDOPATH REG TISS 6 ROW BLUE Inpatient	0278 RC	$554	$277	$242 – $443	—
1190081 - VALVE AOR CARDIOGRAFT 26MM LG ALLOGRAFT CRPRS Inpatient	0278 RC	$30,883	$15,442	$13,496 – $24,706	—