Kettering Health Miamisburg (Sycamore)
4000 Miamisburg-Centerville Road, Miamisburg, OH · Ketteringhealth · · NPI 1316966518
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 |
|---|---|---|---|---|
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $80.80 | $202.00 | not published | 0 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,243.99 – $23,007.00 | 9 |
| Acth stimulation panel CPT 80402 | not published | not published | $42.94 – $182.62 | 10 |
| Acth stimulation panel CPT 80406 | not published | not published | $38.65 – $164.35 | 10 |
| Actigraphy testing CPT 95803 | $258.00 | $645.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $213.60 | $534.00 | $23.52 – $100.02 | 10 |
| Acute venous thrombus image CPT 78456 | not published | not published | $550.25 – $4,304.48 | 8 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.04 – $0.11 | 4 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $8.33 – $35.43 | 10 |
| Acylcarnitines qual CPT 82016 | not published | not published | $6.85 – $34.63 | 10 |
| Adapter b 8 channel 10cm HCPCS C1883 | $3,780.00 | $9,450.00 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | $161.11 – $11,143.00 | 8 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $506.97 – $1,362.03 | 6 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $234.60 – $630.28 | 6 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $684.45 – $1,838.84 | 6 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $422.45 – $1,134.95 | 6 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $453.48 – $1,218.32 | 6 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $377.39 – $1,013.90 | 6 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $895.08 – $2,404.72 | 6 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $456.27 – $1,225.81 | 6 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $608.96 – $1,636.03 | 6 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.39 – $1.09 | 4 |
| Adenovirus ag ia CPT 87301 | not published | not published | $5.92 – $25.16 | 10 |
| Adenovirus antibody,serum - quest CPT 86603 | $52.40 | $131.00 | $6.36 – $27.03 | 10 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $5.87 – $45.70 | 10 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $6,350.00 – $17,331.79 | 3 |
| Adh-sendout CPT 84588 | $280.40 | $701.00 | $16.76 – $71.27 | 10 |
| Adj gastric band via subq port CPT 43999 | $373.60 | $934.00 | $899.22 – $2,415.85 | 7 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $6,350.00 – $19,327.65 | 9 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $2,045.62 – $14,364.00 | 9 |
| Adjustment gastric band HCPCS S2083 | not published | not published | $4,642.34 – $4,642.34 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.46 – $0.68 | 3 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $76.93 – $76.93 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $205.60 | $514.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $302.40 | $756.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $443.60 | $1,109.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $222.80 | $557.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $202.40 | $506.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $202.40 | $506.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $55.20 | $138.00 | not published | 0 |
| Administration immunization each additional component CPT 90461 | $29.20 | $73.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $34.80 | $87.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $29.20 | $73.00 | not published | 0 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $34.80 | $87.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $27.20 | $68.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $35.60 | $89.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $35.60 | $89.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $42.16 – $114.70 | 9 |
| Adrenal cortex & medulla img CPT 78075 | $1,869.20 | $4,673.00 | $851.34 – $4,304.48 | 8 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.93 – $2.04 | 3 |
| Aep neurodiagnostic i&r CPT 92653 | $423.20 | $1,058.00 | not published | 0 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,943.42 – $8,965.92 | 8 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $0.02 – $1,618,302.00 | 7 |
| _afb id by dna probe rflx ast CPT 87149 | $549.20 | $1,373.00 | $9.90 – $42.10 | 10 |
| #afb mycobacteria suscep. #1 CPT 87190 | $162.00 | $405.00 | $2.92 – $15.35 | 10 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $224.40 | $561.00 | $56.97 – $242.26 | 10 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $54.80 – $287.70 | 9 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $109.93 – $577.14 | 9 |
| Aflibercept injection HCPCS J0178 | not published | not published | $771.56 – $2,220.45 | 9 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $30.23 – $33.17 | 2 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $554.72 – $1,490.31 | 6 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,379.49 – $3,706.14 | 6 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $598.47 – $1,607.85 | 6 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $1,096.64 – $2,946.23 | 6 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $344.65 – $925.94 | 6 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $496.21 – $1,333.12 | 6 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $504.86 – $1,356.36 | 6 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $945.14 – $2,539.21 | 6 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $350.64 – $942.03 | 6 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $691.55 – $1,857.92 | 6 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,412.85 – $3,795.76 | 6 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $968.68 – $2,602.46 | 6 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $776.59 – $2,086.39 | 6 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $947.20 – $2,544.75 | 6 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $620.02 – $1,665.75 | 6 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,811.67 – $4,867.23 | 6 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $576.10 – $1,547.75 | 6 |
| After cataract laser surgery CPT 66821 | $585.20 | $1,463.00 | $545.29 – $11,143.00 | 9 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $230.15 – $621.72 | 9 |
| Ag detect nos ia single CPT 87450 | not published | not published | $4.74 – $12.87 | 2 |
| Air conduction bilat CPT 92552 | not published | not published | $131.91 – $354.39 | 7 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $113.60 | $284.00 | not published | 0 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $3,000.26 – $8,060.50 | 6 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,972.47 – $5,299.24 | 6 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $688.96 – $1,850.96 | 6 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,751.06 – $4,704.40 | 6 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $537.91 – $1,445.15 | 6 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $114.53 – $307.70 | 6 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $241.17 – $647.93 | 6 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $146.92 – $394.72 | 6 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,399.13 – $11,818.70 | 6 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $162.67 – $437.03 | 6 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $222.10 – $596.69 | 6 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $199.65 – $536.38 | 6 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,809.06 – $4,860.22 | 6 |
| Albumin body fluid quantitative each specimen CPT 82042 | $41.20 | $103.00 | $3.11 – $16.34 | 10 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $53.08 – $128.06 | 8 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $78.71 | 9 |
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.