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)
1015206 - PLATE L42 MM 0 D SM FIRST MTP RT LOW PRFL VAR ANG FSN TI BN Inpatient	C1713 HCPCS	$2,767	$1,384	$1,209 – $2,214	—
1152206 - HOOK SPNL BIFID ASTRA 9.5 MM Inpatient	C1713 HCPCS	$870	$435	$380 – $696	—
1152211 - HOOK SPNL 11MM ASTRA TRNSV NS LF LT Inpatient	C1713 HCPCS	$870	$435	$380 – $696	—
1152215 - HOOK SPNL W11 MM TRANSVERSE ASTRA RT Inpatient	C1713 HCPCS	$870	$435	$380 – $696	—
1152218 - HOOK SPNL 15MM 9.5MM ASTRA LT OFFSET NS Inpatient	C1713 HCPCS	$870	$435	$380 – $696	—
1152236 - SCREW BN 4.5MM 35MM ASTRA POLYAXIAL TI NS SPINE LF Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1152319 - SCREW L35 MM OD5.5 MM TI SPINE POLYAXIAL REDUCTION BN ASTRA Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1152326 - SCREW BN 5.5MM 45MM ASTRA POLYAXIAL TI NS SPINE LF Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1152329 - SCREW L45 MM OD5.5 MM TI SPINE POLYAXIAL REDUCTION BN ASTRA Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1152331 - SCREW L50 MM OD5.5 MM TI SPINE POLYAXIAL BN ASTRA Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1152362 - SCREW L35 MM OD6 MM TI SPINE POLYAXIAL REDUCTION BN ASTRA Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1152370 - SCREW BN 6MM 45MM ASTRA POLYAXIAL REDUCTION TI NS SPINE LF Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1152372 - SCREW BN 6MM 50MM ASTRA POLYAXIAL TI NS SPINE LF Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1152431 - SCREW L50 MM OD7 MM TI SPINE POLYAXIAL REDUCTION BN ASTRA Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1152658 - ROD SPNL 6MM 450MM STRGT ASTRA TI AX LN NS Inpatient	C1713 HCPCS	$543	$272	$237 – $434	—
1152694 - SCREW SET T22 CONE SPINE ASTRA Inpatient	C1713 HCPCS	$109	$54.30	$47.46 – $86.88	—
1152695 - SCREW SET T22 FLAT SPINE ASTRA Inpatient	C1713 HCPCS	$109	$54.30	$47.46 – $86.88	—
1152746 - SCREW BN 5MM 35MM ASTRA UNIPLANAR TI NS SPINE LF Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1152752 - SCREW BN 5MM 40MM ASTRA UNIPLANAR REDUCTION TI NS SPINE LF Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1152794 - SCREW BN 5.5MM 45MM ASTRA UNIPLANAR TI NS SPINE LF Inpatient	C1713 HCPCS	$1,450	$725	$634 – $1,160	—
1181529 - CATHETER URETERAL COOK OD4 FR L70 CM OPEN END ACCEPTS .025 Inpatient	C1758 HCPCS	$57.81	$28.91	$25.26 – $46.25	—
1192844 - TRAY BN CEMENT KYPHOPAK KYPHON EXPRESS II 152 DELIVERY SYS Inpatient	0272 RC	$10,167	$5,084	$4,443 – $8,134	—
3031527 - LEAD ICD EPSILA EV 63CM QDPL PSV FX SUBSTERNAL Inpatient	C1896 HCPCS	$15,631	$7,816	$6,831 – $12,505	—
CULTURE TYPING PULSE FIELD GEL Inpatient	87152 CPT	$240	$120	$105 – $192	—
HC SKIN <100 OTHER 1ST 25CM2 Inpatient	15275 CPT	$3,600	$1,800	$1,573 – $2,880	—