Lutheran Downtown Hospital — price list
← Hospital overviewVerified from Lutheran Downtown 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.
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.
2 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 72694-0954-01 - pegaspargase 3,750 IntlUnit(s) / 5 Inpatient | 108107889-2255213 CDM | $370,304 | $203,667 | $105,537 – $370,304 | — | |
| 72694-0954-01 - pegaspargase 3,750 IntlUnit(s) / 5 Outpatient | 108107889-2255213 CDM | $370,304 | $88,873 | $17,112 – $370,304 | — |