Lutheran Downtown Hospital — price list

← Hospital overviewVerified from Lutheran Downtown 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.

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.

30 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
4060018 OTH STER SUPP LVL 18[Omnicell Cath Lab] Inpatient	100133675-2114382 CDM	$269,188	$148,053	$76,719 – $269,188	—
4060018 OTH STER SUPP LVL 18[Omnicell Cath Lab] Outpatient	100133675-2114382 CDM	$269,188	$64,605	$64,605 – $269,188	—
4070018 OTH STER SUPP LVL 18[Omnicell EP Lab] Inpatient	103179668-2114382 CDM	$269,188	$148,053	$76,719 – $269,188	—
4070018 OTH STER SUPP LVL 18[Omnicell EP Lab] Outpatient	103179668-2114382 CDM	$269,188	$64,605	$64,605 – $269,188	—
54396-0801-01 - pegloticase Soln Inpatient	1286149-2255213 CDM	$404,861	$222,673	$115,385 – $404,861	—
54396-0801-01 - pegloticase Soln Outpatient	1286149-2255213 CDM	$404,861	$97,167	$97,167 – $404,861	—
ALLOGENEIC BONE MARROW TRANSPLANT Inpatient	14 MS-DRG	—	—	$1,225 – $307,551	—
CHRG - HEART ACQ FEE 263 Inpatient	102623540-2114382 CDM	$308,605	$169,733	$87,952 – $308,605	—
CHRG - HEART ACQ FEE 263 Outpatient	102623540-2114382 CDM	$308,605	$74,065	$74,065 – $308,605	—
CHRG - KIDNEY LIVDON ACQFEE 266 Inpatient	102623549-2114382 CDM	$289,311	$159,121	$82,454 – $289,311	—
CHRG - KIDNEY LIVDON ACQFEE 266 Outpatient	102623549-2114382 CDM	$289,311	$69,435	$69,435 – $289,311	—
CHRG - KIDNEY OS DON ACQFEE 266 Inpatient	102623539-2114382 CDM	$289,311	$159,121	$82,454 – $289,311	—
CHRG - KIDNEY OS DON ACQFEE 266 Outpatient	102623539-2114382 CDM	$289,311	$69,435	$69,435 – $289,311	—
DEVICE VENTRICULAR ASSIST CARDIAC 14086-2550-000[I Inpatient	97549455-2114382 CDM	$269,188	$148,053	$76,719 – $269,188	—
DEVICE VENTRICULAR ASSIST CARDIAC 14086-2550-000[I Outpatient	97549455-2114382 CDM	$269,188	$64,605	$64,605 – $269,188	—
KIT HEARTMATE II IMPLANT KIT 104911[INLH] Inpatient	97550895-2114382 CDM	$269,188	$148,053	$76,719 – $269,188	—
KIT HEARTMATE II IMPLANT KIT 104911[INLH] Outpatient	97550895-2114382 CDM	$269,188	$64,605	$64,605 – $269,188	—
KIT HEARTMATE III LVAD IMPLANT 106524US[INLH] Inpatient	97551103-2114382 CDM	$269,188	$148,053	$76,719 – $269,188	—
KIT HEARTMATE III LVAD IMPLANT 106524US[INLH] Outpatient	97551103-2114382 CDM	$269,188	$64,605	$64,605 – $269,188	—
KIT LVAS IMPL HRTMT 3 CIRCLTRY106524US[INLHCVOR] Inpatient	110842147-2114382 CDM	$269,188	$148,053	$76,719 – $269,188	—
KIT LVAS IMPL HRTMT 3 CIRCLTRY106524US[INLHCVOR] Outpatient	110842147-2114382 CDM	$269,188	$64,605	$64,605 – $269,188	—
KIT LVAS IMPL HRTMT 3 CIRCLTRY106524US[INLHOR] Inpatient	110842148-2114382 CDM	$269,188	$148,053	$76,719 – $269,188	—
KIT LVAS IMPL HRTMT 3 CIRCLTRY106524US[INLHOR] Outpatient	110842148-2114382 CDM	$269,188	$64,605	$64,605 – $269,188	—
LVAD HEARTMATE II LVAS 106015[INLH] Inpatient	96817163-2114382 CDM	$269,188	$148,053	$76,719 – $269,188	—
LVAD HEARTMATE II LVAS 106015[INLH] Outpatient	96817163-2114382 CDM	$269,188	$64,605	$64,605 – $269,188	—
LVAD HEARTMATE II LVAS 106015[INLHCVOR] Inpatient	97556941-2114382 CDM	$269,188	$148,053	$76,719 – $269,188	—
PUMP ASSEMBLY IVAD 10012-2555-001[INLH] Inpatient	97550112-2114382 CDM	$269,188	$148,053	$76,719 – $269,188	—
PUMP ASSEMBLY IVAD 10012-2555-001[INLH] Outpatient	97550112-2114382 CDM	$269,188	$64,605	$64,605 – $269,188	—
SET ABIOMED VENTRICLE ATRIAL 32FR 0055-0032-MH[INL Inpatient	97550052-2114382 CDM	$269,188	$148,053	$76,719 – $269,188	—
SET ABIOMED VENTRICLE ATRIAL 32FR 0055-0032-MH[INL Outpatient	97550052-2114382 CDM	$269,188	$64,605	$64,605 – $269,188	—