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.

29 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1116388 - FORCEPS BP 23CM .5MM SPTZLR-MALIS STD DISP Inpatient	0272 RC	$1,274	$637	$557 – $1,019	—
1116417 - FORCEPS BP 8IN SPTZLR MALIS 1MM 2 IRRIGATE DISP Inpatient	0272 RC	$986	$493	$431 – $789	—
1116554 - TUBE TRACH 7.3MM BIVONA CUFF OBT TWILL TIE STRGT NECK FLNG Inpatient	0278 RC	$642	$321	$281 – $514	—
1116959 - GRAFT TTPLST 3X1CM SFT TIS SCLR ALLOGRAFT DEHYDRATE MLDIR Inpatient	C1762 HCPCS	$1,725	$863	$754 – $1,380	—
1160003 - COUNTERSINK DRILL CANNULATED 4.5 MM SCR Inpatient	0272 RC	$870	$435	$380 – $696	—
1161017 - CATHETER TRAILBLAZER ACCEPTS .046 MM GW FG L150 CM OD4 FR Inpatient	C1887 HCPCS	$579	$290	$253 – $463	—
1162930 - TROCAR LAPSCP STAB SLV BLDLS OBT OPTC TIP L100 MM OD5 MM Inpatient	0272 RC	$571	$285	$249 – $457	—
1162936 - TROCAR LAPSCP STAB SLV BLDLS OBT OPTC TIP L150 MM OD5 MM Inpatient	0272 RC	$684	$342	$299 – $547	—
1163266 - SYSTEM BLN INSPIRA AIR 14MM 40MM HPRS NONCOMPLIANT CATH Inpatient	C1726 HCPCS	$2,016	$1,008	$881 – $1,612	—
1163531 - CATHETER BLN DIL L40 MM L200 CM ODSEC6 MM R2P METACROSS RPD Inpatient	C1725 HCPCS	$856	$428	$374 – $684	—
1164204 - GRAFT BN CELLULAR BN MTRX 1 CC ALLOGRAFT FRZN VIVIGEN Inpatient	C1762 HCPCS	$1,360	$680	$594 – $1,088	—
1164502 - NEEDLE BREAST LOCATOR 20GX7CM Inpatient	C1819 HCPCS	$72.40	$36.20	$31.64 – $57.92	—
1165667 - CARTRIDGE GRSPR 45CM 5MM BABCOCK D DR STRL DISP Inpatient	0272 RC	$326	$163	$142 – $261	—
1166237 - CANNULA ARTHRO 5MM 165MM OBT RADOPQ FLOWPORT 2 PLMR Inpatient	0272 RC	$1,169	$584	$511 – $935	—
1166281 - CATHETER THRMB L140 CM OD.044 IN ASP KIT INDIGO SYS COR Inpatient	C1757 HCPCS	$5,510	$2,755	$2,408 – $4,408	—
1166288 - DEVICE BLOWER L16.5 CM CO2 MIST MALLEABLE SHAFT IV SET AXIUS Inpatient	0272 RC	$216	$108	$94.18 – $172	—
1166420 - CANNULA PRFSN 14FR 7.5IN .25IN CNCT 1 PC NONVENT BIOACTIVE Inpatient	0272 RC	$739	$369	$323 – $591	—
1166649 - WIRE FX OD1.1 MM FUZEFIX MAX FT STD Inpatient	C1769 HCPCS	$109	$54.30	$47.46 – $86.88	—
1166696 - DFBR ELLIPSE DR DF-4 CNCT CARDIAC Inpatient	C1721 HCPCS	$31,683	$15,841	$13,845 – $25,346	—
1166759 - STAPLER L5.2 MM X H1.5-2.2 MM 3D GRIP SRFC PWR ADJ STPL Inpatient	0278 RC	$978	$489	$427 – $782	—
1166771 - SENSOR SHUNT CDI HEP 1.2ML SYS 500 STRL DISP Inpatient	0272 RC	$548	$274	$239 – $438	—
1167037 - CATHETER OD5 FR L100 CM BRAID STRGT TPR PERIPH STNLS STL Inpatient	C1887 HCPCS	$199	$99.55	$87.01 – $159	—
1168191 - DEVICE SUT LONG CINCH Inpatient	0278 RC	$661	$330	$289 – $529	—
1168192 - DEVICE SUT SUT CINCH 6 UN OVERSTICH STRL DISP Inpatient	0272 RC	$600	$300	$262 – $480	—
1169201 - MCATH GUIDE 150CM .85-.62MM .48MM .55MM .4MM CARAVEL Inpatient	C1751 HCPCS	$1,233	$616	$539 – $986	—
1169233 - INSERTER SURG STRGT XPD INSRTR ADDPLUS OMNI VBR OD14 MM Inpatient	0272 RC	$674	$337	$294 – $539	—
1169729 - TROCAR LAPSCP 100MM 5MM KII Z THRD SLV SHLD BLADE STRL LF Inpatient	0272 RC	$398	$199	$174 – $319	—
1169761 - TROCAR LAPSCP 100MM 5MM KII Z THRD SLV RTNT DISC STRL LF Inpatient	0272 RC	$398	$199	$174 – $319	—
1169784 - SUTURE NOVOSTITCH 5-LOC CRTDG NABSB MNSCS CTXR001 Inpatient	C1713 HCPCS	$1,320	$660	$577 – $1,056	—