Kettering Health Troy
600 W. Main Street, Troy, OH · Ketteringhealth · · NPI 1023587045
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 |
|---|---|---|---|---|
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $614.78 – $1,651.67 | 7 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $391.79 – $1,250.27 | 8 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,924.84 – $15,917.68 | 7 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,924.84 – $15,917.68 | 8 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $2,296.00 | $5,740.00 | not published | 0 |
| Upgrade pm system CPT 33214 | $9,982.40 | $24,956.00 | $10,243.34 – $27,519.76 | 7 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,603.20 | $4,008.00 | $341.91 – $918.57 | 7 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,093.60 | $2,734.00 | $341.91 – $918.57 | 7 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,032.80 | $2,582.00 | $233.84 – $628.23 | 7 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $888.88 – $6,165.00 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $888.88 – $11,143.00 | 9 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $888.88 – $11,143.00 | 9 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $5,924.84 – $18,609.00 | 9 |
| Urea nitrogen CPT 84520 | $76.48 | $191.20 | $1.95 – $8.30 | 10 |
| Urea nitrogen 24 hour urine CPT 84540 | $32.40 | $81.00 | $2.34 – $11.68 | 10 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $3.26 – $15.12 | 10 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $2.05 – $10.77 | 10 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Ureteral reflux study CPT 78740 | $940.00 | $2,350.00 | $391.79 – $1,250.27 | 8 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,454.61 – $9,281.16 | 9 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $3,958.00 – $14,117.44 | 9 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $3,958.00 – $14,117.44 | 9 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,454.61 – $9,281.16 | 9 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $3,958.00 – $14,117.44 | 9 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $3,958.00 – $14,117.44 | 9 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $3,958.00 – $14,117.44 | 9 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $3,958.00 – $14,117.44 | 9 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $8,725.00 – $12,096.23 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $458.00 | $1,145.00 | $233.84 – $742.80 | 8 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,454.61 – $9,281.16 | 8 |
| Urethrocystography void s&i CPT 74455 | $458.00 | $1,145.00 | $185.43 – $742.80 | 8 |
| Uric acid blood CPT 84550 | $35.20 | $88.00 | $2.14 – $9.49 | 10 |
| Uric acid urine CPT 84560 | $44.00 | $110.00 | $2.34 – $10.67 | 10 |
| Urinalysis glass test CPT 81020 | not published | not published | $1.88 – $9.87 | 10 |
| Urinalysis microscopic only CPT 81015 | $10.00 | $25.00 | $3.05 – $6.40 | 10 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.07 – $4.56 | 10 |
| Urinalysis (with microscopy) CPT 81001 | $26.40 | $66.00 | $3.17 – $6.66 | 10 |
| Urinalysis (without microscopy) CPT 81003 | $19.20 | $48.00 | $1.06 – $4.73 | 10 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $143.32 – $190.50 | 2 |
| Urinary reflex study CPT 51792 | $170.40 | $426.00 | $57.81 – $11,143.00 | 8 |
| Urine Culture Test CPT 87086 | $68.80 | $172.00 | $3.98 – $16.95 | 10 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $130.39 – $11,143.00 | 8 |
| Urine pregnancy test CPT 81025 | $71.20 | $178.00 | $8.21 – $18.08 | 10 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.76 – $62.96 | 10 |
| Urine shunt to intestine CPT 50815 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $2.50 – $4,642.34 | 6 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $72.21 – $256.01 | 3 |
| Urography, antegrade CPT 74425 | $676.80 | $1,692.00 | $235.96 – $1,165.79 | 8 |
| Urography inf drip &/or bolus CPT 74410 | $337.20 | $843.00 | $171.90 – $556.96 | 8 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $883.34 – $1,277.07 | 2 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $17.66 – $25.56 | 2 |
| Use 1st target lesion CPT 76982 | $538.80 | $1,347.00 | $102.46 – $333.26 | 8 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.99 – $35.74 | 9 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $190.17 – $921.79 | 4 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,096.23 – $33,803.83 | 8 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $197.21 – $443.11 | 4 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $179.41 – $403.10 | 4 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $190.20 – $427.32 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $107.09 – $240.61 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $79.97 – $179.68 | 4 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $43.16 – $92.46 | 2 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $138.85 – $323.78 | 2 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $186.14 – $196.30 | 2 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $456.51 – $489.39 | 2 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $164.69 – $375.17 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $44.58 – $95.56 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $19.01 – $41.15 | 2 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $87.36 – $254.11 | 3 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $157.78 – $413.81 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $51.22 – $121.39 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $35.51 – $35.51 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $91.68 – $215.03 | 4 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $85.86 – $215.03 | 4 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $205.33 – $486.69 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $37.54 – $87.22 | 4 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $450.16 – $961.21 | 2 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $128.26 – $500.50 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $101.86 – $229.23 | 4 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $101.86 – $229.23 | 4 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $26.67 – $60.32 | 4 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $27.27 – $61.66 | 4 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $27.66 – $57.61 | 2 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $101.97 – $212.43 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $59.71 – $59.71 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $29.60 – $61.66 | 2 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $13.83 – $28.82 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $36.75 – $76.56 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $96.77 – $201.58 | 2 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $44.96 – $101.39 | 4 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $13.33 – $30.16 | 4 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $303.96 – $741.00 | 2 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $278.36 – $647.84 | 2 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $251.58 – $537.38 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $221.78 – $521.06 | 2 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $136.85 – $297.47 | 2 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $406.49 – $869.20 | 2 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $162.83 – $365.85 | 4 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $314.75 – $707.54 | 4 |
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.