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 |
|---|---|---|---|---|
| (both sides) smear without diff wbc count CPT 85008 | $20.80 | $52.00 | $1.70 – $7.20 | 10 |
| Botulism ig IV CPT 90288 | not published | not published | $135,886.95 – $135,886.95 | 1 |
| Bowel imaging CPT 78290 | $452.40 | $1,131.00 | $391.79 – $1,250.27 | 8 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Bpg iliorenal CPT 35634 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Bpg splenorenal CPT 35636 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Brace ank air stirrup univ HCPCS L4350 | $21.42 | $53.55 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $131.04 | $327.60 | not published | 0 |
| Brace m arm board HCPCS L3809 | $144.06 | $360.15 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $168.52 | $421.31 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $55.44 | $138.60 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,846.73 – $14,364.00 | 9 |
| Brach/thor cath 1st CPT 36215 | $946.40 | $2,366.00 | $496.23 – $11,143.00 | 3 |
| Brach/thor cath 2nd CPT 36216 | $1,111.60 | $2,779.00 | $639.13 – $11,143.00 | 3 |
| Brach/thor cath 3rd CPT 36217 | $1,304.80 | $3,262.00 | $773.11 – $11,143.00 | 3 |
| Brach/thor cath addl CPT 36218 | $1,095.60 | $2,739.00 | $118.28 – $11,143.00 | 3 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $0.83 – $240.18 | 7 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $35.26 – $94.73 | 7 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $36.64 – $98.44 | 7 |
| Brachy source palladium HCPCS C2640 | not published | not published | $34.01 – $237.12 | 7 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $7.89 – $173.23 | 7 |
| Brachy source yttrium-90 HCPCS C2616 | $23,812.74 | $59,531.85 | $17,771.01 – $47,743.60 | 7 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $99.80 – $268.12 | 7 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $111.72 | $279.30 | $357.49 – $960.43 | 7 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $119.11 – $320.00 | 7 |
| Brachytx isodose complex CPT 77318 | $6,234.40 | $15,586.00 | $366.96 – $1,120.07 | 8 |
| Brachytx isodose intermed CPT 77317 | $6,234.40 | $15,586.00 | $366.96 – $1,120.07 | 8 |
| Brachytx isodose plan simple CPT 77316 | $1,269.20 | $3,173.00 | $366.96 – $1,120.07 | 8 |
| Brachytx, non-str, gold-198 HCPCS C1716 | not published | not published | $423.13 – $1,379.76 | 7 |
| Brachytx, non-str, ha, i-125 HCPCS C2634 | not published | not published | $174.06 – $467.63 | 7 |
| Brachytx, non-str, ha, p-103 HCPCS C2635 | not published | not published | $106.75 – $286.79 | 7 |
| Brachytx, ns, non-hdrir-192 HCPCS C1719 | not published | not published | $105.01 – $2,441.31 | 7 |
| Braf gene CPT 81210 | $108.00 | $270.00 | $70.16 – $368.34 | 10 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Brain flow imaging only CPT 78610 | $364.00 | $910.00 | $331.82 – $1,638.48 | 8 |
| Brain image < 4 views CPT 78600 | not published | not published | $336.04 – $1,250.27 | 8 |
| Brain image 4+ views CPT 78605 | not published | not published | $360.60 – $1,638.48 | 8 |
| Brain image w/flow < 4 views CPT 78601 | $532.00 | $1,330.00 | $391.79 – $1,250.27 | 8 |
| Brain image w/flow 4 + views CPT 78606 | $1,047.60 | $2,619.00 | $532.13 – $1,638.48 | 8 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,295.60 | $3,239.00 | $341.91 – $918.57 | 7 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,132.00 | $2,830.00 | $341.91 – $918.57 | 7 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,033.20 | $2,583.00 | $233.84 – $628.23 | 7 |
| Brain MRI (with and without contrast) CPT 70553 | $1,301.60 | $3,254.00 | $341.91 – $918.57 | 7 |
| Brain MRI (with contrast) CPT 70552 | $1,238.80 | $3,097.00 | $341.91 – $918.57 | 7 |
| Brain MRI (without contrast) CPT 70551 | $1,033.20 | $2,583.00 | $233.84 – $628.23 | 7 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $27.30 | $68.25 | not published | 0 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $187.20 – $982.80 | 9 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $233.69 – $1,226.88 | 9 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $103.13 – $788.02 | 10 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $120.54 – $632.84 | 9 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $113.15 – $594.05 | 9 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $74.05 – $388.75 | 9 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $103.13 – $788.02 | 10 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $113.15 – $594.05 | 9 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $176.00 – $924.00 | 10 |
| Brcassure comprehensive panel-sendout CPT 81162 | $3,012.00 | $7,530.00 | $901.17 – $3,832.25 | 10 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $8,010.22 – $22,431.00 | 9 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,733.60 | $4,334.00 | $1,618.63 – $14,364.00 | 9 |
| Breast prosthesis bra & form HCPCS L8001 | $81.90 | $204.75 | not published | 0 |
| Breast prosthesis w adhesive HCPCS L8031 | $149.10 | $372.75 | not published | 0 |
| Breast prosthes without adhesive HCPCS L8030 | $231.00 | $577.50 | not published | 0 |
| Breast punct aspir cyst, bil CPT 19000 | $1,423.60 | $3,559.00 | $694.00 – $6,165.00 | 8 |
| Breast reconstruction CPT 19366 | not published | not published | $9,806.00 – $9,806.00 | 1 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $9,806.00 – $36,284.80 | 9 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $12,096.23 – $16,302.00 | 3 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $3,086.00 – $13,254.00 | 3 |
| Breast reduction CPT 19318 | not published | not published | $6,507.61 – $18,609.00 | 9 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $211.61 – $568.52 | 7 |
| Breath test analysis c-14 CPT 78268 | $435.60 | $1,089.00 | $94.41 – $299.58 | 10 |
| Breath tst attain/anal c-14 CPT 78267 | $224.80 | $562.00 | $11.06 – $35.36 | 10 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $258.64 – $694.51 | 9 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $0.02 – $1,027,539.68 | 7 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.39 – $2.23 | 3 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $383.31 – $6,165.00 | 9 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $3,958.00 – $11,143.00 | 4 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $3,653.92 – $22,431.00 | 9 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $3,653.92 – $22,431.00 | 9 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $383.31 – $6,165.00 | 9 |
| Bronchial challenge CPT 94070 | $570.40 | $1,426.00 | not published | 0 |
| Bronchial valve addl insert CPT 31651 | not published | not published | $3,958.00 – $24,389.00 | 4 |
| Bronchial valve init insert CPT 31647 | not published | not published | $3,958.00 – $24,389.00 | 9 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $1,744.37 – $14,364.00 | 9 |
| Bronchial valve remov init CPT 31648 | not published | not published | $3,653.92 – $24,389.00 | 9 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $4,830.00 – $18,582.06 | 9 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $1,744.37 – $6,165.00 | 9 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $3,653.92 – $11,143.00 | 9 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $4,830.00 – $18,582.06 | 9 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $4,802.00 – $11,143.00 | 3 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $3,653.92 – $11,143.00 | 9 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $4,802.00 – $11,143.00 | 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.