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.

46 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1112310 - CATHETER ABLT RF BARRX 360 Inpatient	C1886 HCPCS	$7,673	$3,837	$3,353 – $6,139	—
1188123 - CATHETER BLN NC EMERGE MNRL 2.5MM 20MM 143CM 2 LUM TPR TIP Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1206123 - CATHETER SPRT 150CM NAVICROSS 12MM PERIPH SS HYDROPHILIC 2 Inpatient	C1887 HCPCS	$652	$326	$285 – $521	—
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	—
1230686 - PEG FX L18 MM VOLAR UNTHREAD STNLS STL TORX Inpatient	C1713 HCPCS	$326	$163	$142 – $261	—
1230687 - PEG FX L20 MM TORX TRX Inpatient	C1713 HCPCS	$326	$163	$142 – $261	—
1231022 - SCREW L55 MM OD7.5 MM SPINE POLYAXIAL BN MOMENTUM Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1231063 - ROD SPNL MOMENTUM L45 MM OD6 MM TI CRV Inpatient	C1713 HCPCS	$543	$272	$237 – $434	—
1231066 - ROD SPNL MOMENTUM L70 MM OD6 MM TI CRV Inpatient	C1713 HCPCS	$543	$272	$237 – $434	—
1231076 - TAP SURG 14 IN SQ NONCANNULATED OD6.5 MM MOMENTUM Inpatient	0272 RC	$557	$278	$243 – $445	—
1231077 - TAP SURG 14 IN SQ NONCANNULATED OD7.5 MM MOMENTUM Inpatient	0272 RC	$557	$278	$243 – $445	—
1231081 - TAP SURG CANNULATED OD8 MM MOMENTUM ILIAC Inpatient	0272 RC	$679	$339	$297 – $543	—
1231199 - BLOCK CUT VISIONAIRE JOURNEY 2 NS Inpatient	0272 RC	$1,160	$580	$507 – $928	—
1231200 - GUIDE CUT ADP KIT PRM NS VISIONAIRE LEGION DISP LF Inpatient	0272 RC	$1,160	$580	$507 – $928	—
1232034 - GRAFT BN L12 MM X W14.5 MM X H9 MM ANT CRV FSN PRLL SOLID Inpatient	C1762 HCPCS	$2,030	$1,015	$887 – $1,624	—
1232055 - GRAFT BN CORT CANC L12 MM X W14.5 MM X H7 MM ALLOGRAFT TXTR Inpatient	C1762 HCPCS	$2,610	$1,305	$1,141 – $2,088	—
1232091 - STENT VIABIL OD10 MM L8 CM L40 CM BIL PERC NTNL EPTFE FEP Inpatient	C1874 HCPCS	$8,416	$4,208	$3,678 – $6,733	—
1232416 - DEVICE CLSR L6 IN 3-0 V-20 V-LOC 90 NABSB POLYBUTESTER BLUE Inpatient	0272 RC	$200	$99.77	$87.19 – $160	—
1232965 - TROCAR LAPSCP SHORT BLDLS RADL EXPAND SLV CANNULA DIL L70 MM Inpatient	0272 RC	$447	$224	$195 – $358	—
1233883 - GUIDEWIRE VASC OD.035 IN L300 CM WHOLEY STRGT FLPY TIP EXCH Inpatient	C1769 HCPCS	$217	$109	$94.92 – $174	—
1234398 - CLIP SUT ABS LAPRA-TY VICRYL POLYDIOXANONE Inpatient	0278 RC	$200	$100	$87.61 – $160	—
1234403 - DEVICE EMBL HANDHELD DETACHMENT CONTROLLER OPTM Inpatient	0272 RC	$616	$308	$269 – $492	—
1236844 - SCREW L30 MM OD5 MM XL25 MEDULLARY LOCK LIGHT GRN 4.2 MM Inpatient	C1713 HCPCS	$720	$360	$315 – $576	—
1236845 - SCREW BN 5MM 32MM X25 LOCK STRL IM NL Inpatient	C1713 HCPCS	$692	$346	$303 – $554	—
1236847 - SCREW L36 MM OD5 MM XL25 LOCK IM NL BN Inpatient	C1713 HCPCS	$720	$360	$315 – $576	—
1236850 - SCREW L60 MM OD5 MM XL25 LOCK IM NL BN Inpatient	C1713 HCPCS	$731	$365	$319 – $584	—
1237218 - KIT ARTHRO BENDER CANNULA SET RVRS CRV INSRTR NDL FAST-FIX Inpatient	C1713 HCPCS	$1,505	$753	$658 – $1,204	—
1237366 - NAIL OD11 MM L360 MM TIB TI ALUM VNDM PEEK TN ADVANCED IM MR Inpatient	C1713 HCPCS	$4,814	$2,407	$2,104 – $3,851	—
1237367 - SCREW L40 MM OD5 MM XL25 LOCK IM NL BN Inpatient	C1713 HCPCS	$716	$358	$313 – $573	—
1237369 - SCREW L40 MM OD5 MM XL25 LOCK LOW PRFL IM NL BN NA Inpatient	C1713 HCPCS	$802	$401	$350 – $641	—