ADVOCATE LUTHERAN GENERAL HOSPITAL

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
Q2054	LISOCABTAGENE MARALEUCEL UP TO 110M PER TX	$3,015,000	$1,507,500	—	—	10
Q2055	IDECABTAGENE VICLEUCEL UP TO 510M PER TX DOSE	$2,997,000	$1,498,500	—	—	10
33270	INS/RPL SUBQ GEN + LEAD W/EVAL	$64,560	$32,280	—	—	11
0408T	INS/RPL CCM GEN + LEAD(S)	$63,880	$31,940	—	—	10
33263	REM/RPL ICD GEN/DUAL SYSTEM	$62,140	$31,070	—	—	11
33249	INS/RPL ICD DUAL GEN + LEAD(S)	$59,610	$29,805	—	—	11
C1820	1075581 - GENERATOR PULSE 4.95CMX6.09CM PROCLAIM THK1.34CM	$57,975	$28,988	—	—	13
C2624	1168039 - SYSTEM PULM PRSS DLV SYS PA	$55,535	$27,768	—	—	13
93656	COMP EVAL W/ABL PULM VEIN AFIB&3D MAP/ICE	$54,500	$27,250	—	—	11
93654	COMP EVAL W/ABLATION VT & 3D MAP/LAS	$54,500	$27,250	—	—	11
33262	REM/RPL ICD GEN/SINGLE SYSTEM	$54,310	$27,155	—	—	11
33947	ECMO INITIAL ARTERIAL	$53,860	$26,930	—	—	11
33289	IMPLANT WRLESS PUL ART PRESS SENS	$53,540	$26,770	—	—	11
C1722	1151589 - DEFIBRILLATOR EMBLEM 130 GM D12.7 MM W83.1 MM X H69.1 MM	$52,200	$26,100	—	—	13
33264	REM/RPL ICD GEN/MULT SYSTEM	$51,050	$25,525	—	—	11
0571T	INS/RPL SUBSTERNAL ICD	$49,080	$24,540	—	—	11
C2616	YTTRIUM 90 SIR SPHERES PER SOURCE	$46,520	$23,260	—	—	13
37231	ANGIO T/P + STENT/ATHERECTOMY	$45,860	$22,930	—	—	11
37227	ANGIO FEM-POP + STENT/ATHERECTOMY MY	$45,180	$22,590	—	—	11
36906	DIALYSIS CIRCUIT REMOVE CLOT+STENT	$43,200	$21,600	—	—	11
92933	STN/ATH/PTCA DE MAJOR ART SNG LD	$42,910	$21,455	—	—	11
92943	REVASC CHRONIC DE MAJ ART SNG LM	$42,910	$21,455	—	—	11
37221	ANGIO ILIAC + STENT 1ST BILAT	$41,660	$20,830	—	—	11
C9773	REVASC TIB/PERONEAL INTRAVASC LITHO/STNT	$40,600	$20,300	—	—	22
C9774	REVASC TIB/PERONEAL INTRAVASC LITHO/ATHER	$40,600	$20,300	—	—	22
C9775	REVASC TIB/PERONEAL INTRAVASC LITHO/ATH/STNT	$40,600	$20,300	—	—	22
C9767	REVASC INTRAVASC LITHO/ATH/STNT	$40,600	$20,300	—	—	22
C1882	1173233 - DFBR CBLT XT HF 2 CHMBR IS-4 DF-4 CNCT QDPL 57SQ CM 13MM 51	$40,455	$20,228	—	—	13
93653	COMP EVAL W/ABLATION SVT & 3D MAP/LAS	$39,630	$19,815	—	—	11
33274	INS/RPL LEADLESS PMKR SNG VENTR	$39,220	$19,610	—	—	11
33903	PULM ART REVASC INITIAL STNT BILATERAL	$38,950	$19,475	—	—	11
37230	ANGIO T/P STENT 1ST	$38,370	$19,185	—	—	11
0795T	INS DUAL LEADLESS PMK COMPLETE W IMG	$38,320	$19,160	—	—	11
C1813	1177015 - PROSTHESIS PENL TITAN COLOPLAST LOCK-OUT 22CM 0D	$37,164	$18,582	—	—	13
93590	PERC TRANSCATH CLS MITRAL	$36,840	$18,420	—	—	11
93591	PERC TRANSCATH CLS AORTIC	$36,840	$18,420	—	—	11
33271	INSERTION SUBQ ELECTRODE	$36,590	$18,295	—	—	11
92987	VALVULOPLASTY MITRAL	$35,990	$17,995	—	—	11
0823T	INS SNGL LEADLESS PMK RT ATR W IMG	$35,690	$17,845	—	—	11
0646T	TTVI IMPLANT OR REPLACE W PROS VALVE PERC	$35,690	$17,845	—	—	11
C1786	3015688 - SYSTEM MICRA AV2 LEADLESS PACEMAKER	$35,438	$17,719	—	—	13
0614T	REM/REPL SUBSTERNAL ICD PULSE GEN	$35,160	$17,580	—	—	11
93592	PERC TRANSCATH CLS EACH ADDL	$34,130	$17,065	—	—	10
36837	AVF UPPER EXTREMITY CRTN SEPERATE ACCESS SITES WITH IMAGING	$32,720	$16,360	—	—	11
A9604	SM-153 THERAPEUTIC PER TX DOSE UP TO 150 MCI	$32,610	$16,305	—	—	11
77372	RADIOSURGERY COMPLETE TREATMENT	$32,340	$16,170	—	—	11
C1721	1166696 - DFBR ELLIPSE DR DF-4 CNCT CARDIAC	$31,683	$15,841	—	—	13
C1767	1244908 - NEUROSTIMULATOR L2 IN X H1.7 IN INTERSTIM X IMPL THK.3 IN	$31,501	$15,750	—	—	13
92924	ATHER/PTCA MAJOR ART SINGLE LM	$31,240	$15,620	—	—	11
92941	REVASC ACUTE MI MAJ ART SNG RI	$31,240	$15,620	—	—	11

Showing top 50 of 9,268 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.