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.

44 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1045300 - SCREW L40 MM OD7 MM SPINE POLYAXIAL 1 INNIE BN EXPEDIUM Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1053003 - SCREW L45 MM OD3.5 MM 2.5 MM FULL THRD STNLS STL CORT SELF Inpatient	C1713 HCPCS	$71.15	$35.58	$31.09 – $56.92	—
1053005 - SCREW L48 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THRD STNLS STL Inpatient	C1713 HCPCS	$66.97	$33.49	$29.27 – $53.58	—
1053006 - SCREW L50 MM OD3.5 MM 2.5 MM FULL THRD STNLS STL CORT SELF Inpatient	C1713 HCPCS	$90.35	$45.18	$39.48 – $72.28	—
1053675 - GUIDEWIRE VASC OD.014 IN L300 CM HI-TORQUE COMMAND ES CORE Inpatient	C1769 HCPCS	$434	$217	$190 – $348	—
1069192 - BIT DRILL L300 MM OD5 MM STNLS STL CANNULATED LG QCK Inpatient	0272 RC	$954	$477	$417 – $763	—
1155589 - GUIDEWIRE ASAHI SUOH 03 19CM 300CM 3CM 52CM STRGT .014IN Inpatient	C1769 HCPCS	$434	$217	$190 – $348	—
1188857 - PORT SMARTPORT 300 PSI L63 CM OD8 FR LOW PRFL PREATTACH Inpatient	C1788 HCPCS	$812	$406	$355 – $650	—
1203005 - TOOL DSCT L14 CM MATCH HEAD 2 FLUTE TLSCP OD3 MM MR8 Inpatient	0272 RC	$689	$345	$301 – $551	—
1212472 - GRASPER ENDO L300 MM 12.5 MM MULTIFUNCTIONAL SLIM SHAFT Inpatient	0272 RC	$619	$309	$270 – $495	—
1233883 - GUIDEWIRE VASC OD.035 IN L300 CM WHOLEY STRGT FLPY TIP EXCH Inpatient	C1769 HCPCS	$217	$109	$94.92 – $174	—
3000059 - SCREW L85 MM OD2.7 MM T8 CORT STARDRIVE SELF TAP BN NA Inpatient	C1713 HCPCS	$197	$98.65	$86.22 – $158	—
3000846 - CATHETER BLN ZMED 2-X 20MM 4CM 100CM DEHP-FR ACCEPTS .035IN Inpatient	C1725 HCPCS	$1,836	$918	$802 – $1,469	—
3000847 - Catheters Z-MED II Balloon Aortic and Pulmonic Valvuloplasty 22MM 4.5CM 12FR .035IN Inpatient	C1725 HCPCS	$1,836	$918	$802 – $1,469	—
3000927 - SCREW L80 MM L16 MM OD6.5 MM TI CMPR CANNULATED BN Inpatient	C1713 HCPCS	$2,079	$1,040	$909 – $1,663	—
3001786 - STEM FEM 6 HI OFFSET AVENIR COMPLETE HIP Inpatient	C1776 HCPCS	$5,295	$2,648	$2,314 – $4,236	—
3002267 - PASSER SUT 45 D CAP-FIX Inpatient	0272 RC	$1,015	$508	$444 – $812	—
3002355 - PASSER SURG JAZZ BAND STRL LF DISP Inpatient	0272 RC	$725	$363	$317 – $580	—
3003109 - STEM FEM 7.5 HI OFFSET AVENIR COMPLETE HIP Inpatient	C1776 HCPCS	$5,295	$2,648	$2,314 – $4,236	—
3003217 - GRAFT BN L14 MM X W11 MM X H8 MM CORNERSTONE-SR TISS Inpatient	C1713 HCPCS	$1,566	$783	$684 – $1,253	—
3003330 - COMPONENT GLND 52-46MM 1.5MM OFFSET OVOID 20X19MM INLAY REPL Inpatient	C1776 HCPCS	$1,349	$674	$589 – $1,079	—
3003486 - SCREW L46 MM OD4 MM LONG THRD TI CANNULATED BN CANNULATED Inpatient	C1713 HCPCS	$747	$374	$327 – $598	—
3003648 - BEARING HIP A OD32 MM ID22.2 MM ACT ARTICULATION E1 G7 2 MBL Inpatient	C1776 HCPCS	$1,740	$870	$760 – $1,392	—
3004059 - TOOL DSCT L9 CM ACORN OD6 MM MIDAS REX MR8 Inpatient	0272 RC	$621	$311	$271 – $497	—
3004494 - SCREW L48 MM OD4 MM SHORT THRD TI CANNULATED BN Inpatient	C1713 HCPCS	$763	$381	$333 – $610	—
3004782 - SYSTEM COR STENT L23 MM L23 MM OD5 MM XIENCE SKYPOINT Inpatient	C1874 HCPCS	$1,001	$500	$437 – $800	—
3005114 - SCREW L70 MM OD7.5 MM LONG THRD TI CANNULATED BN Inpatient	C1713 HCPCS	$954	$477	$417 – $763	—
3005194 - SYRINGE DEFLUX GEL 1ML Inpatient	L8604 HCPCS	$10,542	$5,271	$4,607 – $8,433	—
3005195 - NEEDLE DEFLUX 35 CM METAL Inpatient	0272 RC	$248	$124	$108 – $199	—
3005289 - SET RAPIDSORB IPS 1.5MM FASTENER STL Inpatient	C1713 HCPCS	$2,187	$1,093	$956 – $1,749	—