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.

25 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1031242 - SET DRN AUTO EFFLUENT PRISMAX Inpatient	0272 RC	$261	$130	$114 – $209	—
1124063 - COUPLER ORTHO 4 MM OFFSET LEGION KN Inpatient	C1776 HCPCS	$2,993	$1,496	$1,308 – $2,394	—
1124295 - INSERT ARTC 5-6 H15 MM KN DEEP DISH XLPE LEGION Inpatient	C1776 HCPCS	$4,311	$2,155	$1,884 – $3,449	—
1191240 - BIT DRILL 1.9MM CANNULATED MINI NS DISP YLW 2.5MM SCR Inpatient	0272 RC	$536	$268	$234 – $429	—
1212472 - GRASPER ENDO L300 MM 12.5 MM MULTIFUNCTIONAL SLIM SHAFT Inpatient	0272 RC	$619	$309	$270 – $495	—
1240326 - DEVICE EMBL L16 MM OD4 MM PIPELINE Inpatient	0278 RC	$43,491	$21,746	$19,006 – $34,793	—
1240884 - SHEATH CATH L80 CM OD9 FR ODSEC3.81 MM IDSEC3 MM AMPLATZER Inpatient	0272 RC	$2,242	$1,121	$980 – $1,793	—
1241515 - BASEPLATE TIB 9 KN CEMENT REV ROTATE PLAT ATTUNE Inpatient	C1776 HCPCS	$8,203	$4,102	$3,585 – $6,563	—
1241891 - KIT CATH PERITX DISP STRL LF PRTNL Inpatient	C1750 HCPCS	$1,643	$821	$718 – $1,314	—
1242280 - INSERT TIB 3-4 JOURNEY II H9 MM KN MEDIAL UNICOMPARTMENTAL Inpatient	C1776 HCPCS	$1,837	$919	$803 – $1,470	—
1242711 - MESH P4HB SCAFFOLD 2X7CM Inpatient	C1781 HCPCS	$1,450	$725	$634 – $1,160	—
1243081 - SOLUTION WND CLNSG BACTISURE Inpatient	0272 RC	$1,595	$798	$697 – $1,276	—
1243825 - SCREW L32 MM OD5 MM XL25 LOCK LOW PRFL IM NL BN NA Inpatient	C1713 HCPCS	$802	$401	$350 – $641	—
1243826 - SCREW L36 MM OD5 MM XL25 LOCK LOW PRFL IM NL BN NA Inpatient	C1713 HCPCS	$739	$369	$323 – $591	—
1243828 - SCREW L50 MM OD5 MM XL25 LOCK LOW PRFL IM NL BN NA Inpatient	C1713 HCPCS	$864	$432	$378 – $692	—
1244608 - INSERT HUM H3 MM 34 RVRS SYMMETRIC OD39 MM PERFORM SHLDR Inpatient	C1776 HCPCS	$6,003	$3,002	$2,623 – $4,802	—
1244729 - SCREW L75 MM OD2.4 MM T8 CORT STARDRIVE SELF TAP BN NA Inpatient	C1713 HCPCS	$219	$110	$95.71 – $175	—
1244908 - NEUROSTIMULATOR L2 IN X H1.7 IN INTERSTIM X IMPL THK.3 IN Inpatient	C1767 HCPCS	$31,501	$15,750	$13,766 – $25,201	—
1245111 - CATHETER ARWY L1050 MM ID2.6 MM DEPLOYMENT LOADER SPIRATION Inpatient	0272 RC	$3,045	$1,523	$1,331 – $2,436	—
1245594 - CATHETER EMBL 155CM 2-2.8FR .021IN TRUSELECT MIC BERN TIP Inpatient	C1887 HCPCS	$2,292	$1,146	$1,002 – $1,834	—
1245601 - CATH ARMADILLO 7FR 95CM Inpatient	0272 RC	$5,075	$2,538	$2,218 – $4,060	—
1245602 - SCREW L60 MM OD7.5 MM SPINE POLYAXIAL BN MOMENTUM Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1245762 - IMPLANT BRST 685 CC P6.4 CM GEL SMTH HI PRFL SOFT MEMORYGEL Inpatient	C1789 HCPCS	$3,263	$1,631	$1,426 – $2,610	—
3012457 - SCREW SPINAL 5.5MM DIA TRANS FACET CONNECTOR KIT JAZZ SYSTEM Inpatient	C1713 HCPCS	$4,350	$2,175	$1,901 – $3,480	—
FRAGILE X METHYLATION STATUS Inpatient	81244 CPT	$445	$223	$194 – $356	—