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.

17 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1015374 - NAIL OD11 MM L200 MM FEM RFN-ADVANCED IM RTRGD 5 D BEND Inpatient	C1713 HCPCS	$5,999	$2,999	$2,621 – $4,799	—
1069149 - GUIDEWIRE ORTHO L200 MM DRILL TIP OD2.5 MM STNLS STL TOMOFIX Inpatient	C1769 HCPCS	$171	$85.42	$74.65 – $137	—
1071253 - BIT DRILL L200 MM OD2.8 MM QCK CPLNG CALIBRATE Inpatient	0272 RC	$466	$233	$204 – $373	—
1163531 - CATHETER BLN DIL L40 MM L200 CM ODSEC6 MM R2P METACROSS RPD Inpatient	C1725 HCPCS	$856	$428	$374 – $684	—
1186420 - CATHETER BLN STRLG 5MM 200MM 150CM OTW TPR TIP LOWPRFL INFL Inpatient	C1725 HCPCS	$609	$305	$266 – $487	—
1190169 - GUIDEWIRE VASC OD.012 MM L200 CM HYBRID MICROCATHETER COIL Inpatient	C1769 HCPCS	$1,227	$613	$536 – $981	—
1196515 - GUIDEWIRE FATHOM 10CM 200CM STRGT .014IN VASC PERIPH STRBL Inpatient	C1769 HCPCS	$947	$473	$414 – $757	—
1196726 - GUIDEWIRE VASC OD.010 IN ODSEC.012 IN L200 CM L55 CM SYNCHRO Inpatient	C1769 HCPCS	$1,744	$872	$762 – $1,395	—
1203554 - GUIDE PIN ORTHO L200 MM NONTHREAD OD2.5 MM MEDLINE UNITE Inpatient	C1769 HCPCS	$90.50	$45.25	$39.55 – $72.40	—
1231200 - GUIDE CUT ADP KIT PRM NS VISIONAIRE LEGION DISP LF Inpatient	0272 RC	$1,160	$580	$507 – $928	—
3032176 - GUIDEWIRE ASAHI CHIKAI 16CM 200CM 16CM 180CM RND CRV .01IN Inpatient	C1769 HCPCS	$1,882	$941	$822 – $1,506	—
3042764 - SCREW PEEK STNLS STL SPINE MULTIAXIAL 5.56 MM ROD 559200028 Inpatient	C1713 HCPCS	$2,001	$1,001	$874 – $1,601	—
CT UPPER EXTREMITY BIL WO DYE Inpatient	73200 CPT	$3,120	$1,560	$1,363 – $2,496	—
CYSTOURETHRO W URETERAL CATH Inpatient	52005 CPT	$4,590	$2,295	$2,006 – $3,672	—
DEXMEDETOMIDINE HCL 200 MCG-2ML IV SOLN Inpatient	0250 RC	$69.08	$34.54	$30.19 – $55.26	—
DRAIN PALATE/UVULA ABSCESS Inpatient	42000 CPT	$550	$275	$240 – $440	—
ERBITUX 200 MG-100ML IV SOLN Inpatient	J9055 HCPCS	$365	$182	$159 – $292	—