Kettering Health Dayton (Grandview)
405 Grand Avenue, Dayton, OH · Ketteringhealth · · NPI 1053339507
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $3,958.00 – $11,143.00 | 4 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $1,179.06 – $23,007.00 | 9 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $202.40 | $506.00 | $197.69 – $11,143.00 | 8 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $2,032.97 – $14,364.00 | 9 |
| Destroy vulva lesion simple 56501 CPT 56501 | $1,934.80 | $4,837.00 | $2,032.97 – $5,461.77 | 8 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $197.69 – $11,143.00 | 8 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $728.21 – $6,165.00 | 8 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $400.54 – $6,165.00 | 8 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $2,032.97 – $6,165.00 | 8 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $2,032.97 – $5,461.77 | 7 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $2,734.88 – $7,347.54 | 9 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $390.40 | $976.00 | $400.54 – $6,165.00 | 8 |
| Destruction benign lesions < 14 lesions CPT 17110 | $424.00 | $1,060.00 | $197.69 – $11,143.00 | 8 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $871.48 – $11,143.00 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $3,958.00 – $11,143.00 | 4 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $1,924.04 – $23,007.00 | 9 |
| Destruction ciliary body CPT 66700 | not published | not published | $2,273.92 – $11,143.00 | 9 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,342.56 – $11,143.00 | 9 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,342.56 – $11,143.00 | 9 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $197.69 – $11,143.00 | 8 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $2,734.88 – $7,347.54 | 9 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,342.56 – $6,293.51 | 8 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $400.54 – $11,143.00 | 8 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $400.54 – $6,165.00 | 8 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $400.54 – $11,143.00 | 8 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $400.54 – $6,165.00 | 8 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $400.54 – $11,143.00 | 8 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $2,032.97 – $6,165.00 | 9 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $400.54 – $6,165.00 | 8 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,734.88 – $22,431.00 | 9 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $3,189.57 – $8,569.09 | 9 |
| Destruction vag lesions simple 57061 CPT 57061 | $2,959.20 | $7,398.00 | $3,189.57 – $8,569.09 | 8 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $2,032.97 – $5,461.77 | 7 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $12.01 – $63.06 | 10 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $19.81 – $91.71 | 10 |
| Determination venous press CPT 93770 | not published | not published | $11,143.00 – $11,143.00 | 1 |
| Determine refractive state CPT 92015 | $82.40 | $206.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $3,150.00 | $7,875.00 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,016.00 | $5,040.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,693.54 – $3,456.61 | 3 |
| Device sut capio slim opn HCPCS C2631 | $821.10 | $2,052.75 | not published | 0 |
| Devise bowel pouch CPT 44316 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $132.00 | $330.00 | $44.36 – $275.46 | 8 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $102.94 – $308.80 | 9 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $2.35 – $3.31 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.02 – $0.17 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.13 – $0.25 | 4 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $204.61 – $572.62 | 9 |
| Dexamethasone panel CPT 80420 | not published | not published | $64.75 – $339.95 | 10 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.79 – $0.96 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $43.64 – $225.88 | 9 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $62.87 – $122.20 | 3 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $24.75 – $40.51 | 2 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $1.41 – $1.98 | 2 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.44 – $3.49 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $7.38 – $22.71 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $2.20 – $5.08 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $4.14 – $10.16 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $26.00 | $65.00 | $10.98 – $46.68 | 10 |
| Diabetes (HbA1c) Test CPT 83036 | $111.20 | $278.00 | $9.00 – $20.39 | 10 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,753.75 – $11,143.00 | 9 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $5,956.71 – $16,003.30 | 9 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $440.16 – $6,165.00 | 8 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,179.06 – $18,609.00 | 8 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $131.09 – $11,143.00 | 8 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $235.25 – $349.76 | 2 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $184.03 – $272.65 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $196.67 – $11,143.00 | 8 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $534.40 | $1,336.00 | $196.67 – $11,143.00 | 8 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $217.60 | $544.00 | $101.00 – $349.76 | 8 |
| Diagnostic Mammogram (one breast) CPT 77065 | $140.40 | $351.00 | $78.71 – $272.65 | 8 |
| Diagnostic radio unlisted proc CPT 76499 | $242.80 | $607.00 | $85.75 – $275.46 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $16,338.40 | $40,846.00 | $4,642.34 – $11,143.00 | 4 |
| Dialysis one evaluation CPT 90945 | $484.40 | $1,211.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.09 – $0.22 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $8.39 – $16.15 | 4 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $15.88 – $35.88 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.14 – $0.67 | 4 |
| Diffusing capacity CPT 94729 | $175.20 | $438.00 | $11,143.00 – $11,143.00 | 1 |
| Digital analysis of eeg CPT 95957 | not published | not published | $11,143.00 – $11,143.00 | 1 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $4,802.00 – $11,143.00 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $5.44 – $13.62 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,168.23 – $13,862.34 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $122.80 | $307.00 | $6.56 – $27.89 | 10 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $50.07 – $239.24 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | $908.00 | $2,270.00 | $4,642.34 – $11,143.00 | 3 |
| Dilate esophagus CPT 43453 | not published | not published | $1,890.72 – $6,165.00 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $893.66 – $6,165.00 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $1,746.80 | $4,367.00 | $3,086.00 – $12,096.23 | 3 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,746.80 | $4,367.00 | $3,086.00 – $12,096.23 | 3 |
| Dilate ic vasospasm init CPT 61640 | $3,668.00 | $9,170.00 | $3,086.00 – $14,364.00 | 3 |
| Dilate tear duct opening CPT 68801 | $399.60 | $999.00 | $440.16 – $11,143.00 | 8 |
| Dilate urethra stricture CPT 53600 | not published | not published | $246.18 – $6,165.00 | 8 |
| Dilate urethra stricture CPT 53601 | not published | not published | $131.09 – $6,165.00 | 8 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,473.19 – $11,143.00 | 9 |
| Dilate urethra stricture CPT 53621 | not published | not published | $246.18 – $6,165.00 | 8 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $126.78 – $11,143.00 | 8 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,179.06 – $6,165.00 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,189.57 – $8,569.09 | 8 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.