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.
8 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1041717 - ROD SPNL 5.5MM 500MM STRGT LONGITUDE 2 COCRMO NS Inpatient | C1713 HCPCS | $543 | $272 | $237 – $434 | — | |
| 1116417 - FORCEPS BP 8IN SPTZLR MALIS 1MM 2 IRRIGATE DISP Inpatient | 0272 RC | $986 | $493 | $431 – $789 | — | |
| 1188417 - STENT SYNERGY XD MNRL 2.5MM 16MM DLV SYS 1 ACC PORT RADOPQ Inpatient | C1874 HCPCS | $1,146 | $573 | $501 – $916 | — | |
| 1204172 - INTRAOCULAR KELMAN MULTIFLEX 3 16.5 D CONVEXOPLANO L13 MM Inpatient | V2630 HCPCS | $344 | $172 | $150 – $275 | — | |
| 3054170 - SCREW BN CRTX T8 2.7X36MM Inpatient | C1713 HCPCS | $673 | $336 | $294 – $538 | — | |
| 3054171 - SCREW BN CRTX T8 2.7X46MM Inpatient | C1713 HCPCS | $673 | $336 | $294 – $538 | — | |
| CT ABDOMEN & PELVIS W/O DYE Inpatient | 74176 CPT | $4,990 | $2,495 | $2,181 – $3,992 | — | |
| CT ABDOMEN & PELVIS W/WO DYE Inpatient | 74178 CPT | $7,900 | $3,950 | $3,452 – $6,320 | — |