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.

18 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1221304 - IMPLANT BRST 275 CC P3.9 CM LOW PLUS PRFL RND SMTH COHESIVE Inpatient	C1789 HCPCS	$2,941	$1,470	$1,285 – $2,352	—
3040645 - BLADE SAW LAPIDUS 1 LAPILOCK YOCO Inpatient	0272 RC	$1,813	$906	$792 – $1,450	—
3040668 - SET HEMODIALYSIS PRISMAFLEX EXCRPR CIRCUIT ST150 STRL LF Inpatient	0272 RC	$968	$484	$423 – $774	—
3040848 - VALVE AORTIC EVOLUT FX VALVETAV 26MM Inpatient	0278 RC	$87,000	$43,500	$38,019 – $69,600	—
3042764 - SCREW PEEK STNLS STL SPINE MULTIAXIAL 5.56 MM ROD 559200028 Inpatient	C1713 HCPCS	$2,001	$1,001	$874 – $1,601	—
3042765 - SHANK SCR L50 MM OD7.5 MM MODULEX OSTEOGRIP SPINE Inpatient	C1713 HCPCS	$827	$413	$361 – $661	—
3043507 - STENT ESPH OD23 MM L6.2 CM FULL CVR AGILE CATH DIAMETER 18.5 Inpatient	C1874 HCPCS	$9,097	$4,549	$3,976 – $7,278	—
3043639 - GUIDEWIRE ORTHO STNLS STL GUIDE WIRES OD1.25 MM L150 MM THRD Inpatient	C1769 HCPCS	$247	$124	$108 – $198	—
3044782 - SHANK SCR L50 MM OD5.5 MM MODULEX OSTEOGRIP SPINE Inpatient	C1713 HCPCS	$827	$413	$361 – $661	—
3045047 - KIT PREP FOOT JOINT INSTRUMENT Inpatient	0272 RC	$1,479	$740	$646 – $1,183	—
3045074 - CATHETER THRMB L132 CM L7 IN FREECLIMB 70 TENZING Inpatient	C1757 HCPCS	$12,035	$6,018	$5,259 – $9,628	—
3045253 - MARKER BIOPSY CONIC SITE 18G X 10CM TUMARK PRO NITINOL Inpatient	A4648 HCPCS	$334	$167	$146 – $267	—
3048318 - WIRE FX LAPILOCK SHORT THRD Inpatient	C1769 HCPCS	$682	$341	$298 – $545	—
3048492 - ROD SPINL STR WAXIAL LINE TI 5.5X600MM Inpatient	C1713 HCPCS	$1,044	$522	$456 – $835	—
3049688 - SCREW SET CD HORIZON MODULEX DRMAS 6.5 Inpatient	C1713 HCPCS	$2,320	$1,160	$1,014 – $1,856	—
3049782 - CATHETER APRO 55 INTERMEDIATE SUPPORT Inpatient	C1757 HCPCS	$6,815	$3,408	$2,978 – $5,452	—
CANCER ANTIGEN 125 Inpatient	86304 CPT	$245	$123	$107 – $196	—
HYPERTENSION WITH MCC Inpatient	304 MS-DRG	—	—	$12,902 – $25,820	—