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)$1100
Telemetry (60821500)1100
Pediatric (60601239)1000
Physical Rehab (60201100)900
Mental Health (61801212)750
Addiction Rec.Detox (61701212)814
Addiction Rec.Rehab (61702212)775
Skilled Nursing Fac.(60801212)350
Intensive Care Unit (60531600)1300
Coronary Care Unit (60502105)1300
Coronary Care Unit Post OP (60451000)2550
Family Birth Center (60301123)1050
Nursery Regular (60301714)650
Nursery Intermediate (60302070)650
Nursery Intensive (60302100)650

EMERGENCY DEPARTMENT:
ED Level 1 (61203030)$95
ED Level 2 (61209930)181
ED Level 3 (61209931)367
ED Level 4 (61209932)566
ED Level 5 (61209933)780
Critical Care,1st 60 minutes (61204200)1591
Critical Care,each addl 30mi (61204205)578

RADIOLOGY:
GD-Chest-Standard Pa & Lat (70417001)$279
GD-Chest single view only (70417203)231
Mammograpy, screening Digtal (98504000)251
CT-Head brain w/o Contrast (70420100)1305
Abdominal series w/PA chest (70413130)497
CT-Abdomen W & W/O Contrast (70420920)2095
CT-Pelvis W & W/O Contrast (70421020)2095
PortFilm Inter & Verific (704877415)364
Device coplex (704877334)1373
GD-Spine/Lumber-Min 4 views (70417011)425
FL-Reposit Feed Tube Up to 1 hr (70413855)479
Mammography,Bilateral (98500045)388
Basic Calculation (704877300)486
Continuing Phy Consult Weekly (704877336)402
GD-Spine-cervical min 4 views (70417014)374
CT-Pelvis w/o contrast (70421000)1305
CT-Abdomen w/o contrast (70420900)1305
US-Abdomen (70437069)891
CT-Thorax w & w/o contrast (70422095)2095
MR-Pituitary w & w/o contrast (70441155)3555
GD-Knee right 4 or more views (70418075)355
GD-Knee left 4 or move views (70418070)355
NM-MIBI Spect-Stress-Seq (70456080)3276
US-Pelvic (70437068)583
NM-Bone Scan Whole Body (70457121)1505
IM-Dxa Scan (central) (98500005)424

EKG
ECG HOLTER, UP TO 48 HRS (70559910)$882
EKG (70559900)177
HOLTER SCAN AND REPORT (70552000)268

OPERATING ROOM:
Level one initial 30 min (61000800)$2355
Level two initial 30 min (61000805)2392
Level three initial 30 min (61000810)2790
Level four initial 30 min (61000815)2956
Level five initial 30 min (61000820)3111
Level one each add 15 min (610001005)353
Level two each add 15 min (610001007)363
Level three each add 15 min (610001008)462
Level four each add 15 min (610001500)504
Level five each add 15 min (610001505)541

PHYSICAL THERAPY:
Aquatic Therapy, each 15 min. (70651335)$135
Functional Activity each 15 mi (70651135)125
Gait Training-each 15 mi (70651130)125
Group Exercises 15 mi (70653012)125
Orthotics Fitting & Train 15 (70653005)125
Pt Evaluation (70651545)297
Pt Re Evaluation (70651360)189
Ultrasound-ea 15 min (70651080)125

OCCUPATIONAL THERAPY:
Functional Activities ea 15m (70704025)$125
Functional Gait Training 15 m (70704035125
Group Therapeutic Exercise (70704030)125
Orthotics Fit/Training 15 mi (70702080)125
OT Re-evaluation (70704060)189
Paraffin Bath (70702030)113
Ultrasound-each 15 min (70702095)125

PULMONARY/RESPIRATORY:
Incentive Spirometry (70809360)$206
Arterial Blood Gas (70319345)252
C-Pap Daily (70809570)351
IPPB/SA Sub/treat. (70809350)210
Pulse Oximetry Single (70809372)95
Spirometry (70809332)129
Cardiac Rehab (70852007)173
Pulmonary Stress Test (70851014)452
Sleep Study, NPT protocol (70951025)2853
Sleep Study, Polysomnography (70951010)2853

LAB:
CBC auto diff platelet (70358765)$108
Comprehensive metabolic (70319710)225
T4 (70318911)104
Liver Profile (70319605)152
Arterial Blood Gases (70319345)252
Magnesium (70318723)81
Electrolyte Panel (70319340)109
HC-A1C (70318677120
lipid Hcr Profile (70319257)123
Hematocrit (HCT) (70358681)42
Troponin I (70319595)185
Hemoglobin (HGB) (70358669)42
CKMB (70319365)149
Blood Urea Nitrogen (70318744)94
Creatinine-Serum (70318664)83
Cell Block-TC (70331020)95
Glucose (70318726)83
TSH (70318914)139
Blood Culture (70368922)143
Routine Culture (70368995)123
Routine Urinalysis (70379025)83
Microbe Susceptible,Mic (70369004)87
Urine Ketone (70378918)53
Cross Match (70398740)154
(RCR) ABO typing (70392200)76
Prothrombin (70386954)37
Phosphorus (70318694)62
APTT (70357010)84
Basic metabolic (70319236)122
Culture Bacteria Aerobic (70361010)110
Venipuncture (10319009)21

URGENT CARE:
EX-URGENT CARE LEVEL 1 (61252000$97
EX-URGENT CARE LEVEL 2 (61252050)136
EX-URGENT CARE LEVEL 3 (61252060)162
EX-URGENT CARE LEVEL 4 (61252070)204
EX-URGENT CARE LEVEL 5 (61252080) 392