Illinois / Advocate Trinity Hospital

CMS certification 140048 · Chicago, IL · 1 entry in CMS's price-transparency list

Advocate Trinity Hospital: charges and Medicare payments

Advocate Trinity Hospital reported 2,307 Medicare inpatient stays across 69 DRGs in 2024. Across them it charged 3.93 times what it was paid — mid-range in Illinois, number 59 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 306 stays at an average charge of $66,771, 26% below the national average. It also billed 1,987 outpatient services, charging 7.51 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 2,307
  2. 2Charge ÷ paid, inpatient 3.93×
  3. 3Rank in IL (highest ratio = 1) 59 of 106
  4. 4CMS price-transparency actions 1
DRG 871$66,771DRG 291$45,748DRG 280$49,336DRG 640$50,330DRG 177$54,301DRG 190$46,699DRG 885$60,496DRG 189$39,995DRG 872$39,546DRG 312$34,581
Average charge per stay at Advocate Trinity Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 69 DRGs that can be compared with the national average, Advocate Trinity Hospital charged more than the national average in 2 (3%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC306$66,771-26%$17,509
291 Heart Failure and Shock with MCC259$45,748-19%$11,727
280 Acute Myocardial Infarction, Discharged Alive with MCC89$49,336-35%$12,315
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...64$50,330-17%$11,067
177 Respiratory Infections and Inflammations with MCC61$54,301-23%$17,247
190 Chronic Obstructive Pulmonary Disease with MCC51$46,699-8%$12,035
885 Psychoses51$60,496+37%$13,531
189 Pulmonary Edema and Respiratory Failure50$39,995-31%$10,105
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC49$39,546-19%$10,125
312 Syncope and Collapse48$34,581-24%$8,348
682 Renal Failure with MCC48$54,000-18%$11,383
377 Gastrointestinal Hemorrhage with MCC46$55,934-34%$13,728
853 Infectious and Parasitic Diseases with O.R. Procedures with...45$141,802-38%$42,322
698 Other Kidney and Urinary Tract Diagnoses with MCC43$49,706-32%$11,426
378 Gastrointestinal Hemorrhage with CC42$40,925-16%$10,046
064 Intracranial Hemorrhage or Cerebral Infarction with MCC39$66,938-33%$19,158
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...39$36,131-10%$8,152
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...35$46,738-16%$8,509
193 Simple Pneumonia and Pleurisy with MCC35$45,360-24%$11,232
683 Renal Failure with CC32$36,691-10%$8,041
690 Kidney and Urinary Tract Infections without MCC31$27,223-28%$7,042
286 Circulatory Disorders except AMI, with Cardiac...30$76,287-32%$17,003
689 Kidney and Urinary Tract Infections with MCC30$33,926-34%$8,542
100 Seizures with MCC27$43,876-54%$14,304
314 Other Circulatory System Diagnoses with MCC27$62,563-34%$15,885
313 Chest Pain26$37,253-7%$6,118
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...25$49,214-19%$10,250
638 Diabetes with CC25$35,917-14%$7,529
208 Respiratory System Diagnosis with Ventilator Support <=96...24$74,464-45%$20,787
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...24$32,483-12%$6,536
552 Medical Back Problems without MCC23$37,824-23%$7,293
884 Organic Disturbances and Intellectual Disability23$36,954-41%$12,343
252 Other Vascular Procedures with MCC22$92,655-46%$32,067
309 Cardiac Arrhythmia and Conduction Disorders with CC22$29,956-17%$6,680
811 Red Blood Cell Disorders with MCC21$51,638-24%$11,718
070 Other Cerebrovascular Disorders with MCC20$59,432-22%$15,706
071 Other Cerebrovascular Disorders with CC20$39,522-22%$8,110
637 Diabetes with MCC20$51,230-23%$12,421
603 Cellulitis without MCC19$26,867-28%$7,143
870 Septicemia or Severe Sepsis with MV >96 Hours19$194,847-40%$51,280
287 Circulatory Disorders except AMI, with Cardiac...18$45,317-29%$9,305
481 Hip and Femur Procedures except Major Joint with CC18$75,135-25%$22,425
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...17$135,026-38%$38,173
149 Dysequilibrium16$34,217-23%$6,324
299 Peripheral Vascular Disorders with MCC16$54,815-27%$13,700
393 Other Digestive System Diagnoses with MCC16$48,617-37%$12,671
699 Other Kidney and Urinary Tract Diagnoses with CC16$30,950-35%$8,233
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale15$51,027-22%$12,904
194 Simple Pneumonia and Pleurisy with CC15$31,502-18%$7,324
467 Revision of Hip or Knee Replacement with CC15$104,553-34%$21,546
057 Degenerative Nervous System Disorders without MCC14$36,164-36%$10,610
092 Other Disorders of Nervous System with CC14$41,795-19%$14,225
101 Seizures without MCC14$32,669-33%$7,023
300 Peripheral Vascular Disorders with CC14$39,140-21%$8,420
329 Major Small and Large Bowel Procedures with MCC14$155,390-28%$39,127
948 Signs and Symptoms without MCC14$34,947-8%$6,605
281 Acute Myocardial Infarction, Discharged Alive with CC13$42,572-16%$11,165
812 Red Blood Cell Disorders without MCC13$41,979-5%$9,758
270 Other Major Cardiovascular Procedures with MCC12$169,367-35%$61,115
304 Hypertension with MCC12$42,578-26%$9,362

Showing the 60 most frequent of 69 DRGs.

Outpatient services

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Advocate Trinity Hospital charged $66,771 on average, 10% less than the Illinois average of $73,987, and was paid $17,509 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Advocate Trinity Hospital charged $45,748 on average, 1% less than the Illinois average of $46,293, and was paid $11,727 against a state average of $11,813. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Advocate Trinity Hospital charged $49,336 on average, 23% less than the Illinois average of $64,281, and was paid $12,315 against a state average of $14,664. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Advocate Trinity Hospital charged $50,330 on average, 7% more than the Illinois average of $46,822, and was paid $11,067 against a state average of $12,592. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,975 was 7% below the state average of $21,498. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $15,047 was 1% above the state average of $14,917. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,984 was 1% above the state average of $11,818. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $62,559 was 7% below the state average of $67,146.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Advocate Trinity Hospital in Chicago, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.