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.

18 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
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	—
1053005 - SCREW L48 MM OD3.5 MM ODSEC6 MM 2.5 MM FULL THRD STNLS STL Inpatient	C1713 HCPCS	$66.97	$33.49	$29.27 – $53.58	—
1203005 - TOOL DSCT L14 CM MATCH HEAD 2 FLUTE TLSCP OD3 MM MR8 Inpatient	0272 RC	$689	$345	$301 – $551	—
3000059 - SCREW L85 MM OD2.7 MM T8 CORT STARDRIVE SELF TAP BN NA Inpatient	C1713 HCPCS	$197	$98.65	$86.22 – $158	—
3005114 - SCREW L70 MM OD7.5 MM LONG THRD TI CANNULATED BN Inpatient	C1713 HCPCS	$954	$477	$417 – $763	—
3005194 - SYRINGE DEFLUX GEL 1ML Inpatient	L8604 HCPCS	$10,542	$5,271	$4,607 – $8,433	—
3005195 - NEEDLE DEFLUX 35 CM METAL Inpatient	0272 RC	$248	$124	$108 – $199	—
3005289 - SET RAPIDSORB IPS 1.5MM FASTENER STL Inpatient	C1713 HCPCS	$2,187	$1,093	$956 – $1,749	—
3005427 - IMPLANT BRST 545 CC P6.1 CM GEL SMTH HI PRFL SOFT MEMORYGEL Inpatient	C1789 HCPCS	$3,263	$1,631	$1,426 – $2,610	—
3005838 - PIN FX OD3.2 MM RIM L45 MM HARMONY MIS Inpatient	C1769 HCPCS	$156	$78.19	$68.34 – $125	—
COMPREHENSIVE METABOLIC PANEL Inpatient	80053 CPT	$215	$108	$93.96 – $172	—
CYSTOURETHRO W URETERAL CATH Inpatient	52005 CPT	$4,590	$2,295	$2,006 – $3,672	—