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.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1000133 - PLATE L32 MM 14 TBLR 4 HOLE STNLS STL PEDILOC PEDIFRAG BN Inpatient	C1713 HCPCS	$664	$332	$290 – $531	—
1000157 - SCREW L20 MM OD4.5 MM TI CANNULATED SELF TAP LOW PRFL BN Inpatient	C1713 HCPCS	$842	$421	$368 – $674	—
1000164 - PLATE L16 MM O TI PEDIPLATES BN Inpatient	C1713 HCPCS	$1,559	$780	$681 – $1,247	—
1000377 - SCREW L48 MM 3.5 MM HEX BN PERSONA Inpatient	0272 RC	$652	$326	$285 – $521	—
1000431 - SCREW L136 MM G2 PLVC BN INTELLIJOINT HIP Inpatient	0272 RC	$319	$159	$139 – $255	—
1003637 - DRIVER 2MM HEX SET TRIAL CONSTRAIN SCR 4.5MM SURG Inpatient	0272 RC	$308	$154	$134 – $246	—
1003711 - BLOCK AUG NEXGEN 5MM F DIST PRECT Inpatient	C1776 HCPCS	$2,152	$1,076	$940 – $1,721	—
1004192 - NEEDLE SCLRTX 25GA 2.5MM 230CM 5MM INJ LL SPRG LOAD HNDL Inpatient	A4649 HCPCS	$124	$61.98	$54.17 – $99.16	—
1004325 - FELT CV 6X6IN THK1.65MM PTFE PATCH STRL LF Inpatient	C1768 HCPCS	$1,700	$850	$743 – $1,360	—
1004655 - HEAD FEM 0MM 1214 MED 28MM HIP ACETABULUM BIOLOX Inpatient	C1776 HCPCS	$1,160	$580	$507 – $928	—
1004935 - CUP ACTB OD48 MM ALTEON CLUSTER HOLE GRP 3 HIP Inpatient	C1776 HCPCS	$2,422	$1,211	$1,058 – $1,937	—
1004949 - LINER ACTB ID32 MM ALTEON XTD COVERAGE GRP 3 HIP Inpatient	C1776 HCPCS	$2,320	$1,160	$1,014 – $1,856	—
1005010 - BIT DRILL OD2.5 MM PEDI-LOC PEDIFRAG Inpatient	0272 RC	$496	$248	$217 – $397	—
1005035 - REAMER SURG 9.5MM CANNULATED ENTRY RGD PEDINAIL DISP Inpatient	0272 RC	$1,592	$796	$695 – $1,273	—
1005490 - SHELL ACTB HIP 56MM G7 F HMSPHR LMT HOLE CLR CD Inpatient	C1776 HCPCS	$2,030	$1,015	$887 – $1,624	—
1005934 - PLUG SURG H1 IN SM TPR MONO NABSB OD1.35 IN PERFIX PP GROIN Inpatient	C1781 HCPCS	$824	$412	$360 – $659	—
1005935 - PLUG SURG H1.3 IN MED TPR MONO NABSB OD1.55 IN PERFIX PP Inpatient	C1781 HCPCS	$832	$416	$363 – $665	—
1005989 - MESH 3DMAX 16X10CM LG MID INGNL HERNIA REPR SURG RT Inpatient	C1781 HCPCS	$1,134	$567	$496 – $907	—
1005994 - MESH HERNIA L6 IN X W4 IN PP BARD LTWT LG PORE MONO LOW PRFL Inpatient	C1781 HCPCS	$515	$258	$225 – $412	—
1007217 - COMPONENT FEM 3 KN LT CRCTE RTN CEMENT TRULIANT Inpatient	C1776 HCPCS	$4,437	$2,219	$1,939 – $3,550	—
1007581 - PLATE L57 MM X W10 MM X H3.4 MM PUBIC SYMPHYSIS 4 HOLE COAX Inpatient	C1713 HCPCS	$1,728	$864	$755 – $1,383	—
1007583 - PLATE L57 MM X W10 MM X H3.4 MM PUBIC SYMPHYSIS 4 HOLE STNLS Inpatient	C1713 HCPCS	$1,899	$949	$830 – $1,519	—
1007682 - PLATE L90 MM LT 2 HOLE RND PRFL VAR ANG TPR TIP STNLS STL BN Inpatient	C1713 HCPCS	$2,625	$1,313	$1,147 – $2,100	—
1007892 - PLATE BN 54MM RDS LT DIST VOLAR 6 HOLE HEAD 3 HOLE SHAFT 2 Inpatient	C1713 HCPCS	$2,267	$1,133	$991 – $1,813	—
1008288 - PLATE L121 MM LONG DIST LAT RT 5 HOLE VAR ANG BN 2.73.5 MM Inpatient	C1713 HCPCS	$3,041	$1,520	$1,329 – $2,433	—
1008426 - SCREW L30 MM OD2.7 MM T8 STNLS STL MTPHSL SELF TAP LOW PRFL Inpatient	C1713 HCPCS	$141	$70.61	$61.71 – $113	—
1008428 - SCREW L34 MM OD2.7 MM T8 STNLS STL MTPHSL SELF TAP LOW PRFL Inpatient	C1713 HCPCS	$122	$60.89	$53.22 – $97.42	—
1008433 - SCREW L44 MM OD2.7 MM T8 STNLS STL MTPHSL SELF TAP LOW PRFL Inpatient	C1713 HCPCS	$141	$70.61	$61.71 – $113	—
1008439 - SCREW L56 MM OD2.7 MM T8 STNLS STL MTPHSL SELF TAP LOW PRFL Inpatient	C1713 HCPCS	$141	$70.61	$61.71 – $113	—
1008513 - PLATE BN 91MM HUM PERIART RT PROX 2 HOLE LMT CNTCT TPR TIP Inpatient	C1713 HCPCS	$3,596	$1,798	$1,571 – $2,877	—