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 |
|---|---|---|---|---|
| Injection for tear sac x-ray CPT 68850 | $267.60 | $669.00 | $119.77 – $11,143.00 | 3 |
| Injection for ureter x-ray CPT 50684 | $1,143.20 | $2,858.00 | $113.35 – $11,143.00 | 3 |
| Injection for ureter x-ray CPT 50690 | $780.40 | $1,951.00 | $156.63 – $11,143.00 | 3 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $81.31 – $113.13 | 2 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $8.13 – $19.25 | 5 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $127.85 – $243.27 | 4 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $427.72 – $1,171.74 | 8 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.32 – $34.23 | 9 |
| Injection into brain canal CPT 61026 | not published | not published | $695.51 – $6,165.00 | 9 |
| Injection into brain canal CPT 61055 | not published | not published | $302.44 – $6,165.00 | 9 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $916.30 – $2,461.72 | 7 |
| Injection into spinal artery CPT 62294 | not published | not published | $871.48 – $14,364.00 | 9 |
| Injection into vocal cord CPT 31513 | not published | not published | $385.37 – $11,143.00 | 9 |
| Injection intraop add-on CPT 48400 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.00 – $3.01 | 8 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $102.81 – $11,143.00 | 3 |
| Injection jugular CPT 36299 | not published | not published | $4,802.00 – $12,096.23 | 3 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.53 – $3.29 | 4 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $15.99 | 9 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,528.79 – $11,143.00 | 8 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.50 – $17.38 | 9 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $199.86 – $278.02 | 2 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $4.52 | 8 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $3.56 – $4.97 | 2 |
| Injection px peyronie ds CPT 54200 | not published | not published | $246.18 – $6,165.00 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $152.80 | $382.00 | $75.20 – $6,165.00 | 8 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $27.00 – $77.70 | 9 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.77 – $96.95 | 9 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,403.60 | $3,509.00 | $695.51 – $6,165.00 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $695.51 – $6,165.00 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $822.80 | $2,057.00 | $695.51 – $6,165.00 | 9 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,034.00 | $2,585.00 | $871.48 – $6,165.00 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,524.40 | $3,811.00 | $3,958.00 – $11,143.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $3,042.80 | $7,607.00 | $871.48 – $6,165.00 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,544.80 | $3,862.00 | $3,958.00 – $11,143.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,085.60 | $7,714.00 | $871.48 – $6,165.00 | 9 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,020.00 | $5,050.00 | $695.51 – $6,165.00 | 9 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,580.80 | $3,952.00 | $695.51 – $6,165.00 | 9 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $165.83 – $455.80 | 9 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $1,115.60 | $2,789.00 | $302.44 – $6,165.00 | 8 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $938.80 | $2,347.00 | $302.44 – $6,165.00 | 8 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $1,119.20 | $2,798.00 | $302.44 – $6,165.00 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $140.80 | $352.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $140.80 | $352.00 | $11,143.00 – $11,143.00 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $140.80 | $352.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $123.60 | $309.00 | not published | 0 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $27.28 – $37.94 | 2 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $6.09 – $6.11 | 2 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,273.92 – $6,165.00 | 9 |
| Injection treatment of eye CPT 66030 | $2,284.80 | $5,712.00 | $2,273.92 – $6,165.00 | 9 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,924.04 – $6,165.00 | 9 |
| Injection treatment of nerve CPT 64610 | $7,559.60 | $18,899.00 | $1,924.04 – $6,165.00 | 9 |
| Injection treatment of nerve CPT 64681 | not published | not published | $871.48 – $11,143.00 | 9 |
| Injection treatment of nose CPT 30200 | not published | not published | $531.41 – $6,165.00 | 8 |
| Inject sacroiliac joint CPT 27096 | $75.60 | $189.00 | $186.19 – $11,143.00 | 4 |
| Inject/treat eye socket CPT 67500 | $303.60 | $759.00 | $312.74 – $11,143.00 | 8 |
| Inject/treat eye socket CPT 67505 | not published | not published | $312.74 – $6,165.00 | 8 |
| Inject/treat eye socket CPT 67515 | $303.60 | $759.00 | $312.74 – $6,165.00 | 8 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.35 – $86.63 | 6 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $40.31 – $111.38 | 6 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.89 – $93.10 | 9 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $20.87 – $63.08 | 9 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $384.85 – $1,064.39 | 9 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $56.10 – $145.02 | 9 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $2,148.00 | $5,370.00 | $695.51 – $6,165.00 | 9 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,532.00 | $3,830.00 | $871.48 – $6,165.00 | 9 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $2.90 – $6.28 | 3 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.30 – $3.43 | 8 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $16.76 – $47.37 | 8 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.29 – $11.75 | 8 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $167.35 – $455.33 | 8 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $193.76 – $519.80 | 9 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.50 – $51.62 | 9 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $0.02 – $6,265,151.20 | 7 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.78 – $26.59 | 9 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $33.88 – $96.87 | 9 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $32.17 – $173.12 | 2 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $22.02 – $58.12 | 9 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.99 – $374.59 | 9 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.07 – $0.08 | 2 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.23 – $3.07 | 9 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $9.38 – $19.95 | 5 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.84 – $8.43 | 9 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $494.04 – $687.29 | 2 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $444.93 – $618.96 | 2 |
| Inj for ext venography CPT 36005 | $432.00 | $1,080.00 | $4,642.34 – $11,143.00 | 3 |
| Inj for mammo ductogram CPT 19030 | $729.60 | $1,824.00 | $4,642.34 – $11,143.00 | 3 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.54 – $3.38 | 9 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $575.50 – $1,765.74 | 9 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $4.94 – $9.57 | 3 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $4.52 – $56.21 | 9 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $25.86 – $111.95 | 8 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $4.37 – $9.68 | 3 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $73.20 – $142.29 | 3 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $384.27 – $534.59 | 2 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $7.19 – $24.13 | 4 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $117.36 – $324.95 | 9 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,767.88 – $7,736.11 | 9 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $2.46 – $4.63 | 5 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $2.39 – $4.55 | 3 |
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.