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.

33 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1011995 - WIRE FX OD1.6 MM L150 MM L25 MM LCP CMPR THRD Inpatient	C1769 HCPCS	$163	$81.50	$71.23 – $130	—
1027862 - GUIDEWIRE ORTHO PEDINAIL OD3.2 MM THRD Inpatient	C1769 HCPCS	$657	$329	$287 – $526	—
1038610 - PIN FX 4MM 80MM STRL BN Inpatient	C1769 HCPCS	$376	$188	$165 – $301	—
1046026 - GUIDEWIRE T2 3MM 800MM ORTHO SMTH TIP TI STRL FEM NL SYS Inpatient	C1769 HCPCS	$442	$221	$193 – $354	—
1051419 - PIN FX OD2.4 MM STEINMANN Inpatient	C1769 HCPCS	$83.26	$41.63	$36.38 – $66.61	—
1053675 - GUIDEWIRE VASC OD.014 IN L300 CM HI-TORQUE COMMAND ES CORE Inpatient	C1769 HCPCS	$434	$217	$190 – $348	—
1055588 - PIN FX OD3.2 MM L110 MM BN Inpatient	C1769 HCPCS	$376	$188	$165 – $301	—
1069149 - GUIDEWIRE ORTHO L200 MM DRILL TIP OD2.5 MM STNLS STL TOMOFIX Inpatient	C1769 HCPCS	$171	$85.42	$74.65 – $137	—
1070237 - GUIDEWIRE ORTHO KIRSCHNER OD.035 IN L4 IN BCMPT CORROSION Inpatient	C1769 HCPCS	$105	$52.49	$45.88 – $83.98	—
1141669 - PIN FX 18IN 3IN PFC STEINMANN UNCMP HDLS NS SS KN Inpatient	C1769 HCPCS	$371	$186	$162 – $297	—
1155589 - GUIDEWIRE ASAHI SUOH 03 19CM 300CM 3CM 52CM STRGT .014IN Inpatient	C1769 HCPCS	$434	$217	$190 – $348	—
1157913 - WIRE FX OD.062 IN L3 IN KIRSCHNER Inpatient	C1769 HCPCS	$72.40	$36.20	$31.64 – $57.92	—
1166649 - WIRE FX OD1.1 MM FUZEFIX MAX FT STD Inpatient	C1769 HCPCS	$109	$54.30	$47.46 – $86.88	—
1173483 - GUIDEWIRE ORTHO AQLS PERFORM OD2.5 MM L220 MM Inpatient	C1769 HCPCS	$246	$123	$108 – $197	—
1180710 - GUIDEWIRE VASC OD.035 IN L145 CM L15 CM BENTSON BENTSON TPR Inpatient	C1769 HCPCS	$59.69	$29.85	$26.08 – $47.75	—
1183214 - GUIDEWIRE ENDO METRO OD.035 IN L600 CM STRGT RADOPQ Inpatient	C1769 HCPCS	$711	$355	$310 – $568	—
1190169 - GUIDEWIRE VASC OD.012 MM L200 CM HYBRID MICROCATHETER COIL Inpatient	C1769 HCPCS	$1,227	$613	$536 – $981	—
1196515 - GUIDEWIRE FATHOM 10CM 200CM STRGT .014IN VASC PERIPH STRBL Inpatient	C1769 HCPCS	$947	$473	$414 – $757	—
1196726 - GUIDEWIRE VASC OD.010 IN ODSEC.012 IN L200 CM L55 CM SYNCHRO Inpatient	C1769 HCPCS	$1,744	$872	$762 – $1,395	—
1203540 - GUIDEWIRE ORTHO L150 MM NON THRD OD1.4 MM REFLEX Inpatient	C1769 HCPCS	$54.30	$27.15	$23.73 – $43.44	—
1203548 - GUIDEWIRE ORTHO L150 MM NON THRD OD1.6 MM REFLEX Inpatient	C1769 HCPCS	$54.30	$27.15	$23.73 – $43.44	—
1203554 - GUIDE PIN ORTHO L200 MM NONTHREAD OD2.5 MM MEDLINE UNITE Inpatient	C1769 HCPCS	$90.50	$45.25	$39.55 – $72.40	—
1214930 - GUIDEWIRE PROTRACK 207CM 230CM 13CM .025IN 4.1CM VASC SS Inpatient	C1769 HCPCS	$688	$344	$301 – $550	—
1228958 - WIRE FX 4IN .045IN KIRSCHNER SS TROCAR 2 TIP SMTH NS Inpatient	C1769 HCPCS	$15.99	$8.00	$6.99 – $12.79	—
1233883 - GUIDEWIRE VASC OD.035 IN L300 CM WHOLEY STRGT FLPY TIP EXCH Inpatient	C1769 HCPCS	$217	$109	$94.92 – $174	—
3005838 - PIN FX OD3.2 MM RIM L45 MM HARMONY MIS Inpatient	C1769 HCPCS	$156	$78.19	$68.34 – $125	—
3010517 - GUIDEWIRE VASC OD.014 IN L180 CM L3 CM RUNTHROUGH NS IZANAI Inpatient	C1769 HCPCS	$290	$145	$127 – $232	—
3011236 - GUIDEWIRE SHEPHERD 3CM TPR .018IN 300CM ANGIO RADOPQ Inpatient	C1769 HCPCS	$398	$199	$174 – $319	—
3013243 - GUIDEWIRE VASCULAR COMET II 0.014IN 185CM FLEXIBLE PRESSURE HYDROPHILIC Inpatient	C1769 HCPCS	$1,885	$943	$824 – $1,508	—
3032176 - GUIDEWIRE ASAHI CHIKAI 16CM 200CM 16CM 180CM RND CRV .01IN Inpatient	C1769 HCPCS	$1,882	$941	$822 – $1,506	—