Advocate Trinity Hospital — price list

← Hospital overviewVerified from Advocate Trinity 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.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1000897 - PATCH SURG LG OVAL 7X5.4IN 2 LAYER MONO SELF EXPAND SEAL Outpatient	C1781 HCPCS	$5,605	$2,803	$1,956 – $4,484	—
1000899 - PATCH SURG LG CRC 4.5IN 2 LAYER MONO SELF EXPAND SEAL EDGE Outpatient	C1781 HCPCS	$3,400	$1,700	$1,187 – $2,720	—
1000905 - PATCH SURG SM CRC MONO SELF EXPAND STRAP POCKET OD1.7 IN Outpatient	C1781 HCPCS	$2,191	$1,096	$765 – $1,753	—
1000906 - PATCH SURG MED CRC 2.5IN STRAP MONO SELF EXPAND PCKT VNTRLX Outpatient	C1781 HCPCS	$2,620	$1,310	$914 – $2,096	—
1000907 - PATCH SURG LG CRC MONO SELF EXPAND STRAP POCKET OD3.2 IN Outpatient	C1781 HCPCS	$2,915	$1,458	$1,017 – $2,332	—
1003637 - DRIVER 2MM HEX SET TRIAL CONSTRAIN SCR 4.5MM SURG Outpatient	0272 RC	$409	$204	$143 – $327	—
1005564 - SCREW BN 6.5MM 30MM G7 DOME LOWPRFL STRL HIP ACTB Outpatient	C1713 HCPCS	$168	$84.18	$58.75 – $135	—
1005567 - SCREW BN 6.5MM 40MM G7 DOME LOWPRFL STRL HIP ACTB Outpatient	C1713 HCPCS	$168	$84.18	$58.75 – $135	—
1005569 - SCREW BN 6.5MM 50MM G7 DOME LOWPRFL STRL HIP ACTB Outpatient	C1713 HCPCS	$168	$84.18	$58.75 – $135	—
1005570 - SCREW L60 MM OD6.5 MM DOME HIP ACTB LOW PRFL BN G7 Outpatient	C1713 HCPCS	$168	$84.18	$58.75 – $135	—
1005575 - HEAD FEM STD OFFSET 40MM HIP ACTB TYPE 1 COCR G7 Outpatient	C1776 HCPCS	$1,412	$706	$493 – $1,130	—
1005934 - PLUG SURG H1 IN SM TPR MONO NABSB OD1.35 IN PERFIX PP GROIN Outpatient	C1781 HCPCS	$1,003	$501	$350 – $802	—
1005935 - PLUG SURG H1.3 IN MED TPR MONO NABSB OD1.55 IN PERFIX PP Outpatient	C1781 HCPCS	$1,012	$506	$353 – $810	—
1005936 - PLUG SURG H1.6 IN LG TPR MONO NABSB OD1.9 IN PERFIX PP GROIN Outpatient	C1781 HCPCS	$1,022	$511	$357 – $817	—
1005937 - PLUG SURG 1.6IN GROIN MONO NABSB PERFIX PP XL TPR 2IN STRL Outpatient	C1781 HCPCS	$1,178	$589	$411 – $943	—
1005947 - SYSTEM FX 30 ABS FASTENER LOW PRFL HLW CORE ATRM BLUNT TIP Outpatient	C1713 HCPCS	$2,845	$1,423	$993 – $2,276	—
1005973 - MESH 3DMAX 5X3IN MED CONTOUR CRV PP SEAL EDGE LAPSCP INGNL Outpatient	C1781 HCPCS	$914	$457	$319 – $731	—
1005974 - MESH BARD 3DMAX 6X4IN LG CRV CONTOUR PP SEAL EDGE 3D MEDIAL Outpatient	C1781 HCPCS	$974	$487	$340 – $779	—
1005976 - MESH BARD 3DMAX 5X3IN MED CRV CONTOUR PP SEAL EDGE LAPSCP Outpatient	C1781 HCPCS	$914	$457	$319 – $731	—
1005977 - MESH 3DMAX 6X4IN LG CRV CONTOUR PP SEAL EDGE LAPSCP INGNL Outpatient	C1781 HCPCS	$974	$487	$340 – $779	—
1007685 - PLATE L116 MM LT 4 HOLE VAR ANG RND PRFL TPR TIP STNLS STL Outpatient	C1713 HCPCS	$3,516	$1,758	$1,227 – $2,813	—
1008424 - SCREW L26 MM OD2.7 MM T8 STNLS STL MTPHSL SELF TAP LOW PRFL Outpatient	C1713 HCPCS	$188	$93.82	$65.49 – $150	—
1009199 - SCREW L30 MM OD2.7 MM T8 STNLS STL SELF TAP LOCK VAR ANG Outpatient	C1713 HCPCS	$583	$292	$204 – $467	—
1010158 - STAPLER INTERNAL 45MM LNR CUTTER NABSB BRAID SUT PRSTRG Outpatient	0278 RC	$798	$399	$279 – $639	—
1011405 - BIT DRILL L330 MM OD4.2 MM 100 MM 3 FLUTE CALIBRATE QCK Outpatient	0272 RC	$924	$462	$323 – $739	—
1011578 - BIT DRILL L214 MM OD16 MM CANNULATED HLW LG QCK CPLNG Outpatient	0272 RC	$2,911	$1,455	$1,016 – $2,329	—
1012760 - BURR SURG 5.5MM 6 FLUTE RND FORMULA F SERIES Outpatient	0272 RC	$274	$137	$95.79 – $220	—
1014449 - NAIL OD11 MM L170 MM PROX TI NIOBIUM ALUM COCR IM CANNULATED Outpatient	C1713 HCPCS	$4,793	$2,397	$1,673 – $3,835	—
1014452 - NAIL OD11 MM L235 MM PROX LT TI NIOBIUM ALUM COCR IM Outpatient	C1713 HCPCS	$5,510	$2,755	$1,923 – $4,408	—
1014491 - NAIL OD12 MM L170 MM PROX TI NIOBIUM ALUM COCR IM CANNULATED Outpatient	C1713 HCPCS	$4,793	$2,397	$1,673 – $3,835	—