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.

36 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1023781 - STENT OMNILINK ELITE 10MM 29MM 80CM OTW BLN EXPANDABLE Inpatient	C1876 HCPCS	$1,813	$906	$792 – $1,450	—
1045912 - SYSTEM COR STENT L12 MM L145 CM OD2.5 MM XIENCE SKYPOINT Inpatient	C1874 HCPCS	$1,595	$798	$697 – $1,276	—
1045926 - SYSTEM COR STENT L38 MM L145 CM OD2.75 MM XIENCE SKYPOINT Inpatient	C1874 HCPCS	$1,595	$798	$697 – $1,276	—
1045940 - SYSTEM COR STENT L28 MM L145 CM OD3.25 MM XIENCE SKYPOINT Inpatient	C1874 HCPCS	$1,298	$649	$567 – $1,038	—
1045946 - SYSTEM COR STENT L18 MM L145 CM OD3.5 MM XIENCE SKYPOINT Inpatient	C1874 HCPCS	$1,397	$698	$610 – $1,117	—
1101870 - INSERT TIB KN TRTHLN 7 10MM X3 CNDRL STABILIZE BRNG STRL LF Inpatient	C1776 HCPCS	$2,030	$1,015	$887 – $1,624	—
1141222 - IMPLANT VOCAL CORD PROLARYN GEL NDL 1CC Inpatient	C1878 HCPCS	$2,074	$1,037	$906 – $1,659	—
1153966 - STENT NTNL OD14 MM VNS L120 MM SELF EXPAND 3 AXIAL SHAFT Inpatient	C1876 HCPCS	$4,278	$2,139	$1,869 – $3,422	—
1187045 - CATHETER BLN MNRL EMERGE 2.75MM 12MM 144CM 2 LUM ULTRA Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1187059 - CATHETER BLN MNRL EMERGE 3.5MM 15MM 144CM 2 LUM ULTRA Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1187084 - CATHETER BLN EMERGE MNRL 1.2MM 12MM 144CM 2 LUM ULTRA Inpatient	C1725 HCPCS	$272	$136	$119 – $217	—
1187292 - CATHETER BLN CHRGR 6MM 40MM 135CM OTW NONCOMPLIANT 2 LUM Inpatient	C1725 HCPCS	$434	$217	$190 – $348	—
1187308 - CATHETER BLN CHRGR 7MM 40MM 75CM OTW NONCOMPLIANT 2 LUM Inpatient	C1725 HCPCS	$434	$217	$190 – $348	—
1187344 - CATHETER BLN CHRGR 10MM 40MM 75CM OTW 2 LUM SHAFT TPR TIP Inpatient	C1725 HCPCS	$434	$217	$190 – $348	—
1188410 - STENT SYNERGY XD MNRL 2.75MM 12MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188416 - STENT SYNERGY XD MNRL 2.25MM 16MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188417 - STENT SYNERGY XD MNRL 2.5MM 16MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188419 - STENT SYNERGY XD MNRL 3MM 16MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188420 - STENT SYNERGY XD MNRL 3.5MM 16MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188424 - STENT SYNERGY XD MNRL 2.25MM 20MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188448 - STENT SYNERGY XD MNRL 2.25MM 32MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188452 - STENT SYNERGY XD MNRL 3.5MM 32MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188457 - STENT SYNERGY XD MNRL 2.5MM 38MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1188462 - STENT SYNERGY XD MNRL 2.5MM 48MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$2,030	$1,015	$887 – $1,624	—
1197054 - STENT INTRCRAN L21 MM OD3 MM NEUROFORM ATLAS Inpatient	C1876 HCPCS	$23,216	$11,608	$10,146 – $18,573	—
1197261 - STENT ESPH OD23 MM ODSEC18.5 FR L10 CM L78 CM OD23 MM REM Inpatient	C1874 HCPCS	$7,246	$3,623	$3,166 – $5,797	—
1214870 - STENT GORE VIATORR TIPS OD8-10 MM L7 CM L2 CM ACCEPTS .035- Inpatient	C1874 HCPCS	$15,422	$7,711	$6,740 – $12,338	—
1217803 - SYSTEM COR STENT L8 MM L140 CM ID2 MM RESOLUTE ONYX RPD EXCH Inpatient	C1874 HCPCS	$1,146	$573	$501 – $916	—
1225079 - STENT ENROUTE 8MM .065IN 40MM 57CM DLV SYS ANG TIP DYN FLW Inpatient	C1876 HCPCS	$7,105	$3,553	$3,105 – $5,684	—
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	—