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.

126 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1003711 - BLOCK AUG NEXGEN 5MM F DIST PRECT Inpatient	C1776 HCPCS	$2,152	$1,076	$940 – $1,721	—
1004655 - HEAD FEM 0MM 1214 MED 28MM HIP ACETABULUM BIOLOX Inpatient	C1776 HCPCS	$1,160	$580	$507 – $928	—
1004935 - CUP ACTB OD48 MM ALTEON CLUSTER HOLE GRP 3 HIP Inpatient	C1776 HCPCS	$2,422	$1,211	$1,058 – $1,937	—
1004949 - LINER ACTB ID32 MM ALTEON XTD COVERAGE GRP 3 HIP Inpatient	C1776 HCPCS	$2,320	$1,160	$1,014 – $1,856	—
1005490 - SHELL ACTB HIP 56MM G7 F HMSPHR LMT HOLE CLR CD Inpatient	C1776 HCPCS	$2,030	$1,015	$887 – $1,624	—
1007217 - COMPONENT FEM 3 KN LT CRCTE RTN CEMENT TRULIANT Inpatient	C1776 HCPCS	$4,437	$2,219	$1,939 – $3,550	—
1008662 - PLATE L177 MM SM BEND PROX LT PERIARTICULAR 10 HOLE VAR ANG Inpatient	C1713 HCPCS	$4,268	$2,134	$1,865 – $3,415	—
1017884 - LEAD DFBR L64 CM OD7.3 FR RLNC 4-FRONT EZ-4 MP35N IROX SIL Inpatient	C1777 HCPCS	$6,540	$3,270	$2,858 – $5,232	—
1022991 - STEM FEM 5 HI OFFSET COLLAR DUOFIX ACTIS HIP Inpatient	C1776 HCPCS	$12,815	$6,408	$5,600 – $10,252	—
1028790 - LINER ACTB G7 D 40MM 2 MBL COCR HIP Inpatient	C1776 HCPCS	$3,898	$1,949	$1,703 – $3,118	—
1033803 - LINER ACTB OD60 MM ID36 MM NTRL ALTRX PINNACLE HIP Inpatient	C1776 HCPCS	$3,974	$1,987	$1,737 – $3,179	—
1033950 - HEAD HUM D PRESS FIT CSR SHLDR STRL LF Inpatient	C1776 HCPCS	$13,340	$6,670	$5,830 – $10,672	—
1035271 - TRAY TIB 5 MM KN MBT CEMENT REV ROTATE PLAT L80.6 MM X W53.1 Inpatient	C1776 HCPCS	$7,806	$3,903	$3,411 – $6,245	—
1036876 - SPACER FEM -3 MM TPR ARTICULEZE HIP Inpatient	C1776 HCPCS	$583	$292	$255 – $467	—
1036877 - SLEEVE CENTERING HIP 0 MM 1214 TPR CATHCART MDLR UNIPOLAR Inpatient	C1776 HCPCS	$583	$292	$255 – $467	—
1036887 - HEAD UNIPOLAR BALL MDLR ORTHOCENTRIC OD50 MM CATHCART Inpatient	C1776 HCPCS	$1,413	$707	$618 – $1,131	—
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	—
1036970 - HEAD FEM OD36 MM 0 MM 1113 TPR HIP BIOLOX DELTA S-ROM MDLR Inpatient	C1776 HCPCS	$4,755	$2,378	$2,078 – $3,804	—
1036997 - HEAD FEM OD36 MM -2 MM 1214 TPR HIP COCR ARTICULEZE M Inpatient	C1776 HCPCS	$2,580	$1,290	$1,127 – $2,064	—
1037122 - CENTRALIZER STEM CEMENT OD11 MM CEMENTRALIZER PMMA FEM Inpatient	C1776 HCPCS	$345	$173	$151 – $276	—
1037142 - CENTRALIZER STEM CEMENT OD10.5 MM CEMENTRALIZER PMMA HIP FEM Inpatient	C1776 HCPCS	$345	$173	$151 – $276	—
1040119 - COMPONENT FEM 4 KN LT CRCTE RTN CEMENT ATTUNE Inpatient	C1776 HCPCS	$9,417	$4,708	$4,115 – $7,534	—
1040120 - COMPONENT FEM 5 KN LT CRCTE RTN CEMENT ATTUNE Inpatient	C1776 HCPCS	$9,417	$4,708	$4,115 – $7,534	—
1040168 - COMPONENT FEM 7 KN RT POSTERIOR STABILIZE CEMENT ATTUNE Inpatient	C1776 HCPCS	$9,417	$4,708	$4,115 – $7,534	—
1040757 - INSERT TIB 6 ATTUNE H5 MM KN FX BRNG CRCTE RTN AOX Inpatient	C1776 HCPCS	$4,321	$2,160	$1,888 – $3,457	—
1040916 - INSERT TIB 6 ATTUNE H6 MM KN POSTERIOR STABILIZE ROTATE PLAT Inpatient	C1776 HCPCS	$5,040	$2,520	$2,202 – $4,032	—
1041830 - STEM FEM L108 MM 3 1214 STD OFFSET TPR CEMENT SUMMIT HIP Inpatient	C1776 HCPCS	$7,662	$3,831	$3,348 – $6,129	—
1049604 - LEAD NRSTM AXONICS STRL LF DISP PERC NRV EVAL Inpatient	C1778 HCPCS	$145	$72.40	$63.28 – $116	—
1051328 - STEM TIB TOP PLASMA OD14 MM INBONE ANKLE Inpatient	C1776 HCPCS	$1,673	$837	$731 – $1,339	—