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.

35 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1012204 - BIT DRILL OD2.7 MM CANNULATED Inpatient	0272 RC	$1,407	$704	$615 – $1,126	—
1012262 - KIT INST RADL HEAD REPL Inpatient	0272 RC	$997	$498	$436 – $798	—
1037122 - CENTRALIZER STEM CEMENT OD11 MM CEMENTRALIZER PMMA FEM Inpatient	C1776 HCPCS	$345	$173	$151 – $276	—
1122130 - SHELL ACTB OD48 MM HIP 3 HOLE POLY POR R3 STD Inpatient	C1776 HCPCS	$3,741	$1,871	$1,635 – $2,993	—
1122133 - SHELL ACTB OD54 MM HIP 3 HOLE POLY POR R3 STD Inpatient	C1776 HCPCS	$3,741	$1,871	$1,635 – $2,993	—
1122134 - SHELL ACTB OD56 MM HIP 3 HOLE POLY POR R3 STD Inpatient	C1776 HCPCS	$3,741	$1,871	$1,635 – $2,993	—
1122135 - SHELL ACTB OD58 MM HIP 3 HOLE POLY POR R3 STD Inpatient	C1776 HCPCS	$3,741	$1,871	$1,635 – $2,993	—
1122137 - SHELL ACTB HIP 62MM R3 STD 3 HOLE POLY POR STRL Inpatient	C1776 HCPCS	$3,811	$1,905	$1,665 – $3,048	—
1122273 - LINER ACTB OD48 MM ID32 MM 20 D XLPE R3 HIP Inpatient	C1776 HCPCS	$2,954	$1,477	$1,291 – $2,363	—
1122350 - LINER ACTB OD56 MM ID40 MM 20 D XLPE R3 HIP Inpatient	C1776 HCPCS	$3,611	$1,805	$1,578 – $2,888	—
1122551 - HEAD FEM OD40 MM HIP OXINIUM MDLR Inpatient	C1776 HCPCS	$4,546	$2,273	$1,986 – $3,637	—
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	—
1141222 - IMPLANT VOCAL CORD PROLARYN GEL NDL 1CC Inpatient	C1878 HCPCS	$2,074	$1,037	$906 – $1,659	—
1220283 - TUBING ABLT PUMP CARTO SMARTABLATE Inpatient	0272 RC	$297	$148	$130 – $237	—
1221227 - IMPLANT BRST 265 CC FULL PRFL SMTH SHELL SRFC HIGHLY Inpatient	C1789 HCPCS	$2,941	$1,470	$1,285 – $2,352	—
1221232 - IMPLANT BRST 365 CC P4.9 CM FULL PRFL RND SMTH COHESIVE GEL Inpatient	C1789 HCPCS	$2,941	$1,470	$1,285 – $2,352	—
1221304 - IMPLANT BRST 275 CC P3.9 CM LOW PLUS PRFL RND SMTH COHESIVE Inpatient	C1789 HCPCS	$2,941	$1,470	$1,285 – $2,352	—
1222446 - RELOAD STAPLER MED THK L30 MM TRI-STAPLE 2.0 PUR Inpatient	0278 RC	$1,152	$576	$504 – $922	—
1222453 - RELOAD STAPLER MED THK CRV L45 MM TRI-STAPLE 2.0 PUR Inpatient	0278 RC	$1,542	$771	$674 – $1,234	—
1222457 - RELOAD STAPLER L60 MM TRI-STAPLE 2.0 X THK TISS ARTICULATE Inpatient	0278 RC	$1,560	$780	$682 – $1,248	—
1222949 - HEMOSTAT ABS BIONERT ARISTA MPH PLANT STARCH 1 GM Inpatient	0272 RC	$398	$199	$174 – $319	—
1223218 - MARKER 14GA 13CM VENUS RGD NDL 1 MRFBR PAD RADOPQ INTERWOVEN Inpatient	A4648 HCPCS	$747	$374	$327 – $598	—
1225079 - STENT ENROUTE 8MM .065IN 40MM 57CM DLV SYS ANG TIP DYN FLW Inpatient	C1876 HCPCS	$7,105	$3,553	$3,105 – $5,684	—
1225589 - SYSTEM BRSTBIO SCOUT 7.5CM DELIVERY NDL REFLCTR 1 HAND Inpatient	A4648 HCPCS	$1,317	$658	$575 – $1,053	—
1226921 - VALVE ARWY SPIRATION OD6 MM 1 WAY PRELOAD CRTDG BRNCHL Inpatient	C1889 HCPCS	$7,830	$3,915	$3,422 – $6,264	—
1227685 - FILLER BN VOID 10 ML DEMINERALIZE BN MTRX GRAFTON ALLOGRAFT Inpatient	C1713 HCPCS	$2,587	$1,293	$1,130 – $2,069	—
1228958 - WIRE FX 4IN .045IN KIRSCHNER SS TROCAR 2 TIP SMTH NS Inpatient	C1769 HCPCS	$15.99	$8.00	$6.99 – $12.79	—
1229251 - PEG FX OD2.3 MM L10 MM FLUTE THRD LOCK TI PROTEAN Inpatient	C1713 HCPCS	$405	$203	$177 – $324	—
1229639 - MARKER BRST BIOPSY OD18 GA SLIDE BTN MECH SHARP BVL TIP Inpatient	A4648 HCPCS	$275	$138	$120 – $220	—