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.

32 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1008875 - SCREW L44 MM OD3.5 MM T15 FULL THRD STNLS STL CORT SELF TAP Inpatient	C1713 HCPCS	$64.94	$32.47	$28.38 – $51.95	—
1008876 - SCREW L45 MM OD3.5 MM T15 FULL THRD STNLS STL CORT SELF TAP Inpatient	C1713 HCPCS	$64.94	$32.47	$28.38 – $51.95	—
1008878 - SCREW L48 MM OD3.5 MM T15 FULL THRD STNLS STL CORT SELF TAP Inpatient	C1713 HCPCS	$64.94	$32.47	$28.38 – $51.95	—
1025874 - CATHETER INFUSION OD2.1-1.7 FR ODSEC.014 IN ID.017 IN L155 Inpatient	C1887 HCPCS	$2,772	$1,386	$1,212 – $2,218	—
1036887 - HEAD UNIPOLAR BALL MDLR ORTHOCENTRIC OD50 MM CATHCART Inpatient	C1776 HCPCS	$1,413	$707	$618 – $1,131	—
1065271 - CATHETER EMBOLECTOMY OD2.8 -2.4 FR ID.02 IN IDSEC.04 IN L130 Inpatient	C1887 HCPCS	$1,233	$616	$539 – $986	—
1078642 - CATHETER OD5 FR L110 CM LG LUM SH 2 BRAID SOFT TIP RADL TIG Inpatient	C1887 HCPCS	$135	$67.59	$59.07 – $108	—
1078646 - CATHETER OD5 FR L110 CM LG LUM 2 SH 2 BRAID SOFT TIP JACKY Inpatient	C1887 HCPCS	$130	$65.16	$56.95 – $104	—
1097868 - CATHETER SPRT 135CM 1.8FR QKCRS 15MM SPACE HYDROPHILIC Inpatient	C1887 HCPCS	$507	$253	$221 – $405	—
1097871 - CATHETER SPRT 135CM 3.1FR QKCRS 50MM SPACE RADOPQ ACCEPTS GW Inpatient	C1887 HCPCS	$507	$253	$221 – $405	—
1110527 - CATHETER ATTAIN CMND GUIDE Inpatient	C1887 HCPCS	$615	$308	$269 – $492	—
1161017 - CATHETER TRAILBLAZER ACCEPTS .046 MM GW FG L150 CM OD4 FR Inpatient	C1887 HCPCS	$579	$290	$253 – $463	—
1167037 - CATHETER OD5 FR L100 CM BRAID STRGT TPR PERIPH STNLS STL Inpatient	C1887 HCPCS	$199	$99.55	$87.01 – $159	—
1175754 - CATHETER ARWYEX 5.5-8.5MM DCKBL VLV SELF EXPAND ZPHR NTNL Inpatient	C1887 HCPCS	$1,639	$819	$716 – $1,311	—
1188720 - CATHETER OD5 FR L80 CM RADOPQ HI TORQUE SHAFT SLCT SOS OMNI Inpatient	C1887 HCPCS	$47.06	$23.53	$20.57 – $37.65	—
1194083 - CATHETER 3DRC CRV OD6 FR LG LUM SH RADOPQ THREE DIMENSIONAL Inpatient	C1887 HCPCS	$152	$76.02	$66.44 – $122	—
1194128 - CATHETER EBU4 CRV OD6 FR LG LUM RADOPQ FLXB DIST SEG L100 CM Inpatient	C1887 HCPCS	$152	$76.02	$66.44 – $122	—
1194132 - CATHETER EBU4.5 CRV OD6 FR LG LUM RADOPQ FLXB DIST SEG L100 Inpatient	C1887 HCPCS	$152	$76.02	$66.44 – $122	—
1194155 - CATHETER STD IMA CRV OD6 FR RADOPQ LG LUM FLXB DIST SEG L100 Inpatient	C1887 HCPCS	$152	$76.02	$66.44 – $122	—
1194167 - CATHETER STD JL4 CRV OD6 FR LG LUM RADOPQ FLXB DIST SEG L100 Inpatient	C1887 HCPCS	$152	$76.02	$66.44 – $122	—
1194270 - CATHETER AR1 CRV OD7 FR LG LUM RADOPQ FLXB DIST SEG L100 CM Inpatient	C1887 HCPCS	$152	$76.02	$66.44 – $122	—
1194283 - CATHETER EBU4 CRV OD7 FR LG LUM RADOPQ L100 CM GUIDE COR Inpatient	C1887 HCPCS	$152	$76.02	$66.44 – $122	—
1194433 - CATHETER EBU3.5 CRV OD8 FR LG LUM RADOPQ L100 CM GUIDE COR Inpatient	C1887 HCPCS	$152	$76.02	$66.44 – $122	—
1194482 - CATHETER MB1 CRV OD8 FR LG LUM RADOPQ FLXB DIST SEG L100 CM Inpatient	C1887 HCPCS	$152	$76.02	$66.44 – $122	—
1196101 - MCATH INFUSION 150CM 3-2.8FR RNGD HFL FATHOM FATHOM-16 .016 Inpatient	C1887 HCPCS	$2,123	$1,061	$928 – $1,698	—
1196728 - MICROCATHETER STRGT L150 CM L6 CM OD2.4-1.7 FR ID.0165 IN 1 Inpatient	C1887 HCPCS	$3,018	$1,509	$1,319 – $2,415	—
1197071 - MICROCATHETER STRGT L150 CM L6 CM OD2.9-2.7 FR ID.027 IN Inpatient	C1887 HCPCS	$3,315	$1,658	$1,449 – $2,652	—
1206123 - CATHETER SPRT 150CM NAVICROSS 12MM PERIPH SS HYDROPHILIC 2 Inpatient	C1887 HCPCS	$652	$326	$285 – $521	—
1213717 - CATHETER DELIVERY SYS OD5 FR ID.04 IN L130 CM LUM FULL LGTH Inpatient	C1887 HCPCS	$449	$224	$196 – $359	—
1213718 - CATHETER DELIVERY SYS OD6 FR ODSEC5.6 FR ID.04 IN L125 CM Inpatient	C1887 HCPCS	$449	$224	$196 – $359	—