Pricing Information

Pursuant to Section 3727.12 of the Ohio Revised Code, you are entitled, upon request, to a list of our charges for room and board and a selected number of radiology, laboratory, emergency department, operating room, delivery room, physical therapy, occupational therapy and respiratory therapy services.

Trinity Health System, as part of our mission, provides charity care to patients who qualify under the charity guidelines. Uninsured or underinsured patients should consult with our Central Registration or Patient Accounting staff to determine if they qualify for charity programs or other discounts.

Hospital charges are the same for all patients, but a patient's responsibility may vary, depending on your individual insurance coverage. Your hospital bill will include separage charges for other services/items received during your stay, such as supplies and drugs. The charges listed below are only reflective of the charge for that specific item.

Hospital bills do not include the professional billing for Emergency Room Physicians, Hospital Pathologists, Anesthesiologists, or Radiologists. You will receive a separate bill from these physicians for their services.

INPATIENT ROOM RATES: OPERATING ROOM:
Med/Surg (60825500) $750 Major OR Room, 15 minutes (61000701) $1406
Telemetry (60821500) 850 Major OR Room, 8 hrs or over (61000717) 8969
Pediatric (60601239) 750 Cardiac OR Room, 30 minutes (61051000) 1869
Physical Rehab (60201100) 700 Cardiac OR Room, 12 hrs or over(61051115) 14571
Mental Health (61801212) 750 PHYSICAL THERAPY:
Addiction Rec.Detox (61701212) 720 Aquatic Therapy, each 15 min. (70651335) $102
Addiction Rec.Rehab (61702212) 720 Debridement, each 15 min. (70651485) 124
Skilled Nursing Fac.(60801212) 350 Functional Activity each 15 mi (70651135) 96
Nursing Facility (60901414) 220 Gait Training-each 15 mi (70651130) 96
Intensive Care Unit (60531600) 1050 Group Exercises 15 mi (70653012) 96
Coronary Care Unit (60502105) 1050 Orthotics Fitting & Train 15 (70653005) 96
Coronary Care Unit Post OP (60451000) 2450 Pt Evaluation (70651545) 230
Family Birth Center (60301123) 750 Pt Re Evaluation (70651360) 96
Nursery Regular (60301714) 610 Ultrasound-ea 15 min (70651080) 96
Nursery Intermediate (60302070) 630 Whirlpool (70651035) 96
Nursery Intensive (60302100) 640 OCCUPATIONAL THERAPY:
EMERGENCY DEPARTMENT: Debridement-each 15 min (70702550) $124
ED Level 1 (61203030) $75 Functional Activities ea 15m (70704025) 73
ED Level 2 (61209930) 146 Functional Gait Training 15 m (70704035 96
ED Level 3 (61209931) 298 Group Therapeutic Exercise (70704030) 73
ED Level 4 (61209932) 461 Orthotics Fit/Training 15 mi (70702080) 72
ED Level 5 (61209933) 635 OT Evaluation (70704150) 230
Critical Care,1st 60 minutes (61204200) 916 OT Re-evaluation (70704060) 142
Critical Care,each addl 30mi (61204205) 146 Paraffin Bath (70702030) 86
RADIOLOGY: Ultrasound-each 15 min (70702095) 73
GD-Chest-Standard Pa & Lat (70417001) $214 Whirlpool (70702035) 96
GD-Chest single view only (70417203) 177 PULMONARY/RESPIRATORY:
Mammograpy, screening Digtal (98504000) 194 Incentive Spirometry (70809360) $158
DTMC 11-19 MEV (704877540) 643 Arterial Blood Gas (70319345) 203
CT-Head brain w/o Contrast (70420100) 1014 C-Pap Daily (70809570) 271
DTM - Complex (704877410) 717 IPPB/SA Sub/treat. (70809350) 71
Abdominal series w/PA chest (70413130) 386 Pulse Oximetry Single (70809372) 71
CT-Abdomen W & W/O Contrast (70420920) 1631 Spirometry (70809332) 98
CT-Pelvis W & W/O Contrast (70421020) 1631 Cardiac Rehab (70852007) 133
PortFilm Inter & Verific (704877415) 296 Pulmonary Stress Test (70851014) 350
Device coplex (704877334) 1122 Sleep Study, NPT protocol (70951025) 2220
GD-Spine/Lumber-Min 4 views (70417011) 330 Sleep Study, Polysomnography (70951010) 2021
FL-Reposit Feed Tube Up to 1 hr (70413855) 369 LAB:
Mammography,Bilateral (98500045) 300 CBC auto diff platelet (70358765) $81
Basic Calculation (704877300) 396 Comprehensive metabolic (70319710) 173
Continuing Phy Consult Weekly (704877336) 328 T4 (70318911) 78
GD-Spine-cervical min 4 views (70417014) 290 Liver Profile (70319605) 116
CT-Pelvis w/o contrast (70421000) 1014 Arterial Blood Gases (70319345) 203
CT-Abdomen w/o contrast (70420900) 1014 Magnesium (70318723) 61
US-Abdomen (70437069) 692 Electrolyte Panel (70319340) 82
CT-Thorax w & w/o contrast (70422095) 1631 HC-A1C (70318677 92
MR-Pituitary w & w/o contrast (70441155) 2767 lipid Hcr Profile (70319257) 94
GD-Knee right 4 or more views (70418075) 274 Hematocrit (HCT) (70358681) 32
GD-Knee left 4 or move views (70418070) 274 Troponin I (70319595) 132
Echo for radiation Tx Fields (704876950) 244 Hemoglobin (HGB) (70358669) 30
NM-MIBI Spect-Stress-Seq (70456080) 2551 CKMB (70319365) 113
US-Pelvic (70437068) 452 Blood Urea Nitrogen (70318744) 70
US-Breasts-Bilateral (70437300) 542 Creatinine-Serum (70318664) 63
NM-Bone Scan Whole Body (70457121) 1170 Cell Block-TC (70331020) 71
IM-Dxa Scan (central) (98500005) 329 Glucose (70318726) 63
  TSH (70318914) 105
EKG Blood Culture (70368922) 109
ECG HOLTER, UP TO 48 HRS (70559910) 685 Basic metabolic (70319236) 93
EKG (70559900) 135 Routine Culture (70368995) 94
HOLTER SCAN AND REPORT (70552000) 206 Routine Urinalysis (70379025) 63
  Microbe Susceptible,Mic (70369004) 66
  Urine Ketone (70378918) 68
  Cross Match (70398740) 117
  (RCR) ABO typing (70392200) 57
  Prothrombin (70386954) 27
  Phosphorus (70318694) 46
  APTT (70357010) 64
  Culture Bacteria Aerobic (70361010) 83
  URGENT CARE:
  EX-URGENT CARE LEVEL 1 (61252000 73
  EX-URGENT CARE LEVEL 2 (61252050) 103
  EX-URGENT CARE LEVEL 3 (61252060) 124
  EX-URGENT CARE LEVEL 4 (61252070) 145
  EX-URGENT CARE LEVEL 5 (61252080) 155