Pricing Information

Pursuant to Section 3727.42 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 separate 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:
Med/Surg (60825500)$950
Telemetry (60821500)1050
Pediatric (60601239)950
Physical Rehab (60201100)850
Mental Health (61801212)750
Addiction Rec.Detox (61701212)775
Addiction Rec.Rehab (61702212)738
Skilled Nursing Fac.(60801212)350
Nursing Facility (60901414)220
Intensive Care Unit (60531600)1282
Coronary Care Unit (60502105)1250
Coronary Care Unit Post OP (60451000)2550
Family Birth Center (60301123)950
Nursery Regular (60301714)620
Nursery Intermediate (60302070)620
Nursery Intensive (60302100)620

EMERGENCY DEPARTMENT:
ED Level 1 (61203030)$90
ED Level 2 (61209930)172
ED Level 3 (61209931)349
ED Level 4 (61209932)539
ED Level 5 (61209933)742
Critical Care,1st 60 minutes (61204200)1515
Critical Care,each addl 30mi (61204205)181

RADIOLOGY:
GD-Chest-Standard Pa & Lat (70417001)$265
GD-Chest single view only (70417203)220
Mammograpy, screening Digtal (98504000)239
CT-Head brain w/o Contrast (70420100)1242
Abdominal series w/PA chest (70413130)473
CT-Abdomen W & W/O Contrast (70420920)1995
CT-Pelvis W & W/O Contrast (70421020)1995
PortFilm Inter & Verific (704877415)364
Device coplex (704877334)1313
GD-Spine/Lumber-Min 4 views (70417011)404
FL-Reposit Feed Tube Up to 1 hr (70413855)456
Mammography,Bilateral (98500045)369
Basic Calculation (704877300)486
Continuing Phy Consult Weekly (704877336)402
GD-Spine-cervical min 4 views (70417014)356
CT-Pelvis w/o contrast (70421000)1242
CT-Abdomen w/o contrast (70420900)1242
US-Abdomen (70437069)848
CT-Thorax w & w/o contrast (70422095)1995
MR-Pituitary w & w/o contrast (70441155)3385
GD-Knee right 4 or more views (70418075)338
GD-Knee left 4 or move views (70418070)338
NM-MIBI Spect-Stress-Seq (70456080)3120
US-Pelvic (70437068)555
NM-Bone Scan Whole Body (70457121)1433
IM-Dxa Scan (central) (98500005)403

EKG
ECG HOLTER, UP TO 48 HRS (70559910)$840
EKG (70559900)168
HOLTER SCAN AND REPORT (70552000)255

OPERATING ROOM:
Level one initial 30 min (61000800)$2242
Level two initial 30 min (61000805)2278
Level three initial 30 min (61000810)2657
Level four initial 30 min (61000815)2815
Level five initial 30 min (61000820)2962
Level one each add 15 min (610001005)336
Level two each add 15 min (610001007)345
Level three each add 15 min (610001008)440
Level four each add 15 min (610001500)480
Level five each add 15 min (610001505)515

PHYSICAL THERAPY:
Aquatic Therapy, each 15 min. (70651335)$128
Functional Activity each 15 mi (70651135)119
Gait Training-each 15 mi (70651130)119
Group Exercises 15 mi (70653012)119
Orthotics Fitting & Train 15 (70653005)119
Pt Evaluation (70651545)283
Pt Re Evaluation (70651360)119
Ultrasound-ea 15 min (70651080)119

OCCUPATIONAL THERAPY:
Functional Activities ea 15m (70704025)$119
Functional Gait Training 15 m (70704035119
Group Therapeutic Exercise (70704030)119
Orthotics Fit/Training 15 mi (70702080)119
OT Evaluation (70704150)283
OT Re-evaluation (70704060)177
Paraffin Bath (70702030)107
Ultrasound-each 15 min (70702095)119

PULMONARY/RESPIRATORY:
Incentive Spirometry (70809360)$196
Arterial Blood Gas (70319345)252
C-Pap Daily (70809570)344
IPPB/SA Sub/treat. (70809350)91
Pulse Oximetry Single (70809372)90
Spirometry (70809332)122
Cardiac Rehab (70852007)164
Pulmonary Stress Test (70851014)430
Sleep Study, NPT protocol (70951025)2717
Sleep Study, Polysomnography (70951010)2717

LAB:
CBC auto diff platelet (70358765)$102
Comprehensive metabolic (70319710)214
T4 (70318911)99
Liver Profile (70319605)144
Arterial Blood Gases (70319345)252
Magnesium (70318723)77
Electrolyte Panel (70319340)103
HC-A1C (70318677114
lipid Hcr Profile (70319257)117
Hematocrit (HCT) (70358681)40
Troponin I (70319595)176
Hemoglobin (HGB) (70358669)40
CKMB (70319365)141
Blood Urea Nitrogen (70318744)89
Creatinine-Serum (70318664)79
Cell Block-TC (70331020)90
Glucose (70318726)79
TSH (70318914)132
Blood Culture (70368922)136
Routine Culture (70368995)117
Routine Urinalysis (70379025)79
Microbe Susceptible,Mic (70369004)82
Urine Ketone (70378918)50
Cross Match (70398740)146
(RCR) ABO typing (70392200)72
Prothrombin (70386954)35
Phosphorus (70318694)59
APTT (70357010)80
Basic metabolic (70319236)116
Culture Bacteria Aerobic (70361010)104
Venipuncture (10319009)20

URGENT CARE:
EX-URGENT CARE LEVEL 1 (61252000$92
EX-URGENT CARE LEVEL 2 (61252050)129
EX-URGENT CARE LEVEL 3 (61252060)154
EX-URGENT CARE LEVEL 4 (61252070)194
EX-URGENT CARE LEVEL 5 (61252080) 373