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.

41 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1004655 - HEAD FEM 0MM 1214 MED 28MM HIP ACETABULUM BIOLOX Inpatient	C1776 HCPCS	$1,160	$580	$507 – $928	—
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	—
1012189 - KIT XTRN FX IDENTIFICATION BAND STRUT MAXFRAME Inpatient	C1713 HCPCS	$1,013	$506	$443 – $810	—
1036877 - SLEEVE CENTERING HIP 0 MM 1214 TPR CATHCART MDLR UNIPOLAR Inpatient	C1776 HCPCS	$583	$292	$255 – $467	—
1036948 - HEAD FEM OD28 MM 5 MM 1214 TPR HIP BIOLOX DELTA CERM Inpatient	C1776 HCPCS	$4,710	$2,355	$2,058 – $3,768	—
1036962 - HEAD FEM OD32 MM 5 MM 1214 TPR HIP BIOLOX DELTA Inpatient	C1776 HCPCS	$4,710	$2,355	$2,058 – $3,768	—
1036997 - HEAD FEM OD36 MM -2 MM 1214 TPR HIP COCR ARTICULEZE M Inpatient	C1776 HCPCS	$2,580	$1,290	$1,127 – $2,064	—
1041830 - STEM FEM L108 MM 3 1214 STD OFFSET TPR CEMENT SUMMIT HIP Inpatient	C1776 HCPCS	$7,662	$3,831	$3,348 – $6,129	—
1121453 - STEM FEM L170 MM 16 HI OFFSET TPR PRM DIST BLT TIP TI POR Inpatient	C1776 HCPCS	$9,018	$4,509	$3,941 – $7,214	—
1121867 - SCREW L15 MM ACTB SPHERICAL HEAD BN Inpatient	C1713 HCPCS	$349	$174	$152 – $279	—
1121895 - LINER ACTB OD58 MM ID36 MM 0 D XLPE R3 HIP Inpatient	C1776 HCPCS	$2,954	$1,477	$1,291 – $2,363	—
1122596 - HEAD FEM OD36 MM 4 MM 1214 TPR HIP OXINIUM Inpatient	C1776 HCPCS	$4,037	$2,018	$1,764 – $3,229	—
1122600 - SLEEVE FEM 0 1214 TPR MDLR TI HIP Inpatient	C1776 HCPCS	$541	$270	$236 – $433	—
1131105 - STEM FEM L139 MM 126 D 3 1214 LAT OFFSET COLLAR TI ALUM Inpatient	C1776 HCPCS	$9,235	$4,618	$4,036 – $7,388	—
1183215 - CATHETER SPEC RTRVL OD6.6 FR ODSEC8.51215 MM XTRT BLN Inpatient	0272 RC	$608	$304	$266 – $487	—
1191210 - CLIP IRR SHORT ATCH Inpatient	0272 RC	$592	$296	$259 – $473	—
1210895 - DILATOR ENDO ELATION PULMONARY 3 STG EXCEPTION BLN CATH Inpatient	C1726 HCPCS	$870	$435	$380 – $696	—
1211373 - PEG FX OD2.7 MM L12 MM CORT THRD NONLOCK TI DIST ELB PLT SYS Inpatient	C1713 HCPCS	$652	$326	$285 – $521	—
1211375 - SCREW L18 MM OD2.7 MM TI ELB CORT DIST THRD PEG NONLOCK BN Inpatient	C1713 HCPCS	$652	$326	$285 – $521	—
1212184 - DEVICE EMBL L20 MM OD4 MM PIPELINE Inpatient	0278 RC	$43,491	$21,746	$19,006 – $34,793	—
1212472 - GRASPER ENDO L300 MM 12.5 MM MULTIFUNCTIONAL SLIM SHAFT Inpatient	0272 RC	$619	$309	$270 – $495	—
1213305 - INTRODUCER SHTH OD9 FR ID.118 IN L13 CM ROBUST VLV Inpatient	C1892 HCPCS	$145	$72.40	$63.28 – $116	—
1213486 - PACEMAKER ASSURITY MRI DUAL CHAMBER Inpatient	C1785 HCPCS	$7,772	$3,886	$3,396 – $6,218	—
1213717 - CATHETER DELIVERY SYS OD5 FR ID.04 IN L130 CM LUM FULL LGTH Inpatient	C1887 HCPCS	$449	$224	$196 – $359	—
1213718 - CATHETER DELIVERY SYS OD6 FR ODSEC5.6 FR ID.04 IN L125 CM Inpatient	C1887 HCPCS	$449	$224	$196 – $359	—
1214248 - KIT DRSG L20 CM PREVENAPEEL Inpatient	0272 RC	$804	$402	$351 – $643	—
1214251 - SYSTEM NEG PRSS THRP UN CNCT CNSTR CARRY CASE PREVENA PEEL Inpatient	0272 RC	$1,499	$750	$655 – $1,199	—
1214263 - KIT DRSG L90 CM PREVENA PLUS CUSTOMIZABLE Inpatient	0272 RC	$1,033	$517	$451 – $827	—
1214266 - SYSTEM NEG PRSS KIT PREVENA RESTOR BELLA FORM L21 CM X W19 Inpatient	0272 RC	$2,465	$1,233	$1,077 – $1,972	—
1214870 - STENT GORE VIATORR TIPS OD8-10 MM L7 CM L2 CM ACCEPTS .035- Inpatient	C1874 HCPCS	$15,422	$7,711	$6,740 – $12,338	—