Advocate Trinity Hospital
ADVOCATE TRINITY HOSPITAL in Chicago charges 5.4x the Medicare reimbursement rate across 69 analyzed procedures, representing a significant markup for this nonprofit-religious healthcare facility.
Chicago, IL 60617 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
5.42x
Charge / Medicare rate
Max markup
8.06x
Worst procedure
Procedures analyzed
69
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $45,430 | $22,715 | — | 8.1x |
| CHEST PAIN | 313 | $34,281 | $17,141 | — | 7.5x |
| HYPERTENSION WITHOUT MCC | 305 | $32,930 | $16,465 | — | 6.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $41,695 | $20,848 | — | 6.9x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $43,971 | $21,986 | — | 6.8x |
| SEIZURES WITHOUT MCC | 101 | $38,296 | $19,148 | — | 6.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $34,160 | $17,080 | — | 6.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $61,785 | $30,892 | — | 6.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $42,314 | $21,157 | — | 6.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $68,577 | $34,289 | — | 6.7x |
| DIABETES WITH CC | 638 | $36,580 | $18,290 | — | 6.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $40,911 | $20,455 | — | 6.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $31,439 | $15,720 | — | 6.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $81,856 | $40,928 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $31,341 | $15,671 | — | 6.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $99,987 | $49,994 | — | 6.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $31,209 | $15,604 | — | 6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $33,546 | $16,773 | — | 6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $30,108 | $15,054 | — | 6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $53,763 | $26,881 | — | 5.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $70,633 | $35,316 | — | 5.9x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $61,287 | $30,643 | — | 5.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $43,096 | $21,548 | — | 5.9x |
| CELLULITIS WITH MCC | 602 | $57,536 | $28,768 | — | 5.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $37,550 | $18,775 | — | 5.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $105,844 | $52,922 | — | 5.8x |
| CELLULITIS WITHOUT MCC | 603 | $33,305 | $16,653 | — | 5.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $74,324 | $37,162 | — | 5.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $72,589 | $36,295 | — | 5.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $42,643 | $21,321 | — | 5.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $35,337 | $17,669 | — | 5.6x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $35,464 | $17,732 | — | 5.6x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $40,500 | $20,250 | — | 5.6x |
| SYNCOPE AND COLLAPSE | 312 | $33,317 | $16,659 | — | 5.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $54,400 | $27,200 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $39,503 | $19,752 | — | 5.4x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $64,566 | $32,283 | — | 5.4x |
| DIABETES WITH MCC | 637 | $47,428 | $23,714 | — | 5.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $61,954 | $30,977 | — | 5.2x |
| RENAL FAILURE WITH MCC | 682 | $52,452 | $26,226 | — | 5.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $46,721 | $23,361 | — | 5.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $68,839 | $34,419 | — | 5.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $34,986 | $17,493 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $71,867 | $35,934 | — | 5x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $47,963 | $23,981 | — | 4.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $64,452 | $32,226 | — | 4.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $110,217 | $55,108 | — | 4.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $40,477 | $20,239 | — | 4.8x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $153,966 | $76,983 | — | 4.8x |
| RENAL FAILURE WITH CC | 683 | $29,021 | $14,510 | — | 4.8x |
Showing 50 of 69 procedures
How ADVOCATE TRINITY HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — nonprofit-religious hospital billing
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use