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 |
|---|---|---|---|---|
| Esoph imped function test CPT 91037 | $1,704.00 | $4,260.00 | $212.75 – $571.58 | 7 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $367.68 – $987.80 | 7 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,890.72 – $23,007.00 | 9 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,890.72 – $6,165.00 | 9 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,890.72 – $6,165.00 | 9 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,086.00 – $15,624.00 | 3 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $3,086.00 – $15,624.00 | 3 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $3,086.00 – $15,624.00 | 3 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Essure 58565 CPT 58565 | not published | not published | $4,928.96 – $22,431.00 | 9 |
| Establish access to aorta CPT 36160 | $913.60 | $2,284.00 | $4,802.00 – $11,143.00 | 3 |
| Establish access to artery CPT 36100 | not published | not published | $372.76 – $11,143.00 | 3 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $4,802.00 – $11,143.00 | 4 |
| Estradiol total CPT 82670 | $120.00 | $300.00 | $13.80 – $58.67 | 10 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $9.69 – $20.37 | 4 |
| Estrogens total-sendout CPT 82672 | $62.00 | $155.00 | $10.71 – $45.57 | 10 |
| Etanercept injection HCPCS J1438 | not published | not published | $964.75 – $2,901.85 | 4 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $508.96 – $1,388.58 | 9 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $228.08 – $349.22 | 3 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,266.75 – $14,364.00 | 9 |
| Ethylene glycol -sendout CPT 82693 | $53.60 | $134.00 | $7.36 – $31.29 | 10 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,778.22 – $3,456.61 | 3 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.20 – $2.99 | 4 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $77.46 – $213.32 | 8 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $112.45 – $359.10 | 9 |
| Euglobulin lysis CPT 85360 | not published | not published | $4.15 – $17.66 | 10 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,189.57 – $23,007.00 | 9 |
| Eval aud funcj ea addl 15 CPT 92627 | $41.20 | $103.00 | not published | 0 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $202.80 | $507.00 | not published | 0 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $4.88 – $21.80 | 10 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $166.40 | $416.00 | $39.24 – $206.03 | 10 |
| Evaluation heart device CPT 93640 | $1,888.80 | $4,722.00 | $4,802.00 – $18,353.44 | 3 |
| Evaluation of speech fluency 92521 CPT 92521 | $173.60 | $434.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $441.60 | $1,104.00 | not published | 0 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $2,690.40 | $6,726.00 | $3,086.00 – $12,096.23 | 2 |
| Evasc prlng admn rx agnt add CPT 61651 | $2,562.00 | $6,405.00 | $3,086.00 – $12,096.23 | 2 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $3,086.00 – $23,576.00 | 2 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $3,086.00 – $13,254.00 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $3,086.00 – $13,254.00 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $20,271.60 | $50,679.00 | $3,086.00 – $13,254.00 | 3 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $5,061.60 | $12,654.00 | $3,086.00 – $23,576.00 | 2 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $10,136.00 | $25,340.00 | $3,086.00 – $13,254.00 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $3,086.00 – $13,254.00 | 3 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $10,131.60 | $25,329.00 | $3,086.00 – $13,254.00 | 3 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $3,086.00 – $13,254.00 | 3 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Event monitor CPT 93270 | $240.80 | $602.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $124.40 | $311.00 | not published | 0 |
| Evoked potentials upper limbs CPT 95925 | $592.80 | $1,482.00 | not published | 0 |
| Evoked potential visual not glaucoma CPT 95930 | $765.60 | $1,914.00 | not published | 0 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $734.58 | $1,836.45 | $1,518.68 – $4,080.09 | 6 |
| Ewho w/joint(s) cf HCPCS L3764 | $449.82 | $1,124.55 | $875.94 – $2,353.30 | 6 |
| Exam of vagina w/scope 57420 CPT 57420 | $1,159.20 | $2,898.00 | $300.25 – $6,165.00 | 9 |
| Exam pelvic add-on CPT 99459 | $83.20 | $208.00 | not published | 0 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $3,189.57 – $11,143.00 | 9 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $2,862.04 – $11,143.00 | 9 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,862.04 – $22,431.00 | 9 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $7,149.61 – $19,208.15 | 8 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $2,862.04 – $22,431.00 | 9 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $2,862.04 – $18,609.00 | 9 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $2,862.04 – $22,431.00 | 9 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $7,642.00 – $7,642.00 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $13,254.00 – $13,254.00 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $2,862.04 – $22,431.00 | 9 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,627.33 – $11,143.00 | 9 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $5,832.86 – $23,007.00 | 9 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $5,832.86 – $24,389.00 | 9 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,627.33 – $11,143.00 | 9 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $2,862.04 – $22,431.00 | 9 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $3,189.57 – $14,364.00 | 9 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,627.33 – $6,165.00 | 9 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $2,862.04 – $11,143.00 | 9 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $1,627.33 – $11,143.00 | 9 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $697.73 – $6,165.00 | 8 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $697.73 – $6,165.00 | 8 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $807.20 | $2,018.00 | $697.73 – $6,165.00 | 9 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $1,627.33 – $6,165.00 | 9 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $702.00 | $1,755.00 | $697.73 – $6,165.00 | 9 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,587.60 | $3,969.00 | $1,627.33 – $6,165.00 | 9 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $2,862.04 – $11,143.00 | 9 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $400.54 – $6,165.00 | 8 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $702.00 | $1,755.00 | $697.73 – $6,165.00 | 9 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $3,857.91 – $14,364.00 | 9 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $4,928.96 – $23,007.00 | 9 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $4,928.96 – $13,242.14 | 8 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $2,862.04 – $9,806.00 | 8 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $7,149.61 – $19,208.15 | 7 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $7,149.61 – $19,208.15 | 7 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $3,086.00 – $12,096.23 | 2 |
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.