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.

9 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	—
71336-1001-01 - givosiran 189 mg/mL Soln Inpatient	108329173-2255213 CDM	$565,500	$311,025	$161,168 – $565,500	—
71336-1001-01 - givosiran 189 mg/mL Soln Outpatient	108329173-2255213 CDM	$565,500	$135,720	$135,720 – $565,500	—
72187-0401-01 - tagraxofusp 1000 mcg/mL Soln Inpatient	108290516-2247357 CDM	$328,602	$180,731	$93,652 – $328,602	—
72187-0401-01 - tagraxofusp 1000 mcg/mL Soln Outpatient	108290516-2247357 CDM	$328,602	$78,864	$78,864 – $328,602	—
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Inpatient	18 MS-DRG	—	—	$1,225 – $1,577,654	—