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) | |
|---|---|---|---|---|---|---|
| 1116959 - GRAFT TTPLST 3X1CM SFT TIS SCLR ALLOGRAFT DEHYDRATE MLDIR Inpatient | C1762 HCPCS | $1,725 | $863 | $754 – $1,380 | — | |
| 1119593 - FORCEPS OPHTHALMIC MIC TXTR BROAD GRASP SRFC BLUNT DIST END Inpatient | 0272 RC | $643 | $322 | $281 – $515 | — | |
| 1119596 - FORCEPS OPHTHALMIC 360 D MIC OD25 GA GRIESHABER REVOLUTION Inpatient | 0272 RC | $499 | $249 | $218 – $399 | — | |
| 1197959 - STENT CONTOUR VL 4.8FR 22-30CM TPR TIP BLDR MARK LOWPRFL LG Inpatient | C2617 HCPCS | $404 | $202 | $177 – $323 | — | |
| EP SOMATOSENSORY-UPPER LIMBS Inpatient | 95925 CPT | $1,590 | $795 | $695 – $1,272 | — | |
| 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 | — | |
| GENERATOR REPROGRAM SIMPLE Inpatient | 95971 CPT | $950 | $475 | $415 – $760 | — |