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.
7 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1059634 - BIT DRILL 3.8MM 25MM Inpatient | 0272 RC | $428 | $214 | $187 – $343 | — | |
| 1119596 - FORCEPS OPHTHALMIC 360 D MIC OD25 GA GRIESHABER REVOLUTION Inpatient | 0272 RC | $499 | $249 | $218 – $399 | — | |
| 1122596 - HEAD FEM OD36 MM 4 MM 1214 TPR HIP OXINIUM Inpatient | C1776 HCPCS | $4,037 | $2,018 | $1,764 – $3,229 | — | |
| 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 | — | |
| FUNCTIONAL MAPPING 1ST HR Inpatient | 95961 CPT | $3,660 | $1,830 | $1,599 – $2,928 | — | |
| FUNCTIONAL MAPPING EA ADDL HR Inpatient | 95962 CPT | $1,830 | $915 | $800 – $1,464 | — | |
| GLYCOPYRROLATE 0.2 MG-ML IJ SOLN Inpatient | J1596 HCPCS | $52.84 | $26.42 | $23.09 – $42.27 | — |