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 |
|---|---|---|---|---|
| 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 | $888.88 – $2,388.06 | 7 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $6,350.00 – $19,105.38 | 9 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $2,022.09 – $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 |
| After cataract laser surgery CPT 66821 | $585.20 | $1,463.00 | $539.02 – $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 | $130.39 – $350.31 | 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 |
| 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 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $53.08 – $132.50 | 9 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $93.33 | 8 |
| Albumin ischemia modified CPT 82045 | not published | not published | $16.76 – $71.27 | 10 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $62.40 | $156.00 | $2.86 – $12.14 | 10 |
| Albumin serum plasma or whole blood CPT 82040 | $35.20 | $88.00 | $2.71 – $10.40 | 10 |
| Albuterol comp con HCPCS J7610 | not published | not published | $2.47 – $3.43 | 2 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $1.02 – $1.42 | 2 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.23 – $0.53 | 4 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.20 – $0.50 | 4 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.09 – $0.22 | 4 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $6.91 – $36.27 | 9 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $0.01 – $4.61 | 2 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,338.87 – $17,245.55 | 8 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $61.98 – $263.55 | 10 |
| Alefacept HCPCS J0215 | not published | not published | $30.78 – $116.18 | 3 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,429.89 – $6,811.76 | 9 |
| Alglucerase injection HCPCS J0205 | not published | not published | $36.70 – $117.26 | 3 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $398.90 – $576.69 | 2 |
| Alkaline phosphatase CPT 84075 | $54.00 | $135.00 | $2.45 – $10.88 | 10 |
| Allergen alpha lactalbumin ige CPT 86008 | $15.20 | $38.00 | $13.95 – $37.65 | 9 |
| Allergen egg white ige CPT 86003 | $20.00 | $50.00 | $2.96 – $10.96 | 10 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $16.00 | $40.00 | $3.94 – $16.74 | 10 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $10,817.74 – $33,803.83 | 8 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $47.57 – $47.57 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $105.77 – $327.66 | 9 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $121.96 – $327.66 | 9 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $37.32 – $327.66 | 9 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $121.96 – $441.74 | 9 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $121.96 – $327.66 | 8 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $121.96 – $358.32 | 9 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $121.96 – $689.19 | 9 |
| Alloskin HCPCS Q4115 | not published | not published | $18.48 – $327.66 | 9 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $46.34 – $327.66 | 9 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.46 – $14.40 | 9 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $324.00 | $810.00 | $31.81 – $135.26 | 10 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $8.28 – $35.70 | 10 |
| Alpha-fetoprotein tumor marker CPT 82105 | $94.80 | $237.00 | $8.28 – $35.22 | 10 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.57 – $29.24 | 3 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $71.76 – $83.89 | 2 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $94.45 – $255.17 | 9 |
| Alt/sgpt CPT 84460 | $35.60 | $89.00 | $2.51 – $11.13 | 10 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.66 – $12.83 | 9 |
| Aluminum - quest CPT 82108 | $57.20 | $143.00 | $12.58 – $53.51 | 10 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,249.27 – $8,729.50 | 7 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $220.40 | $551.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $0.01 – $23.97 | 3 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $130.39 – $350.31 | 7 |
| Amifostine HCPCS J0207 | not published | not published | $993.21 – $3,049.02 | 3 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.66 – $1.67 | 4 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $1.78 – $12.58 | 10 |
| Amino acid screen, urine CPT 82128 | not published | not published | $6.85 – $29.13 | 10 |
| Amino acid single qual CPT 82127 | not published | not published | $6.85 – $29.78 | 10 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $8.33 – $41.18 | 10 |
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.