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 |
|---|---|---|---|---|
| Csf ventriculography CPT 78635 | not published | not published | $532.13 – $1,638.48 | 8 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $54.80 – $287.70 | 9 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $109.93 – $577.14 | 9 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $74.08 – $388.92 | 9 |
| CT 3d report other modality w/workstation CPT 76377 | $568.40 | $1,421.00 | $70.34 – $11,143.00 | 2 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,414.40 | $3,536.00 | $171.90 – $461.82 | 7 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,570.80 | $3,927.00 | $171.90 – $461.82 | 7 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,414.40 | $3,536.00 | $171.90 – $461.82 | 7 |
| Cta neck without &/or w/contrast CPT 70498 | $1,304.40 | $3,261.00 | $171.90 – $461.82 | 7 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,280.40 | $3,201.00 | $341.91 – $918.57 | 7 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,414.40 | $3,536.00 | $171.90 – $461.82 | 7 |
| CT Angiogram of the Head CPT 70496 | $1,596.40 | $3,991.00 | $171.90 – $461.82 | 7 |
| CT angio hrt w/3d image CPT 75574 | $1,049.60 | $2,624.00 | $341.91 – $918.57 | 7 |
| CT angio pelvis CPT 72191 | $1,414.40 | $3,536.00 | $171.90 – $461.82 | 7 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,414.40 | $3,536.00 | $171.90 – $461.82 | 7 |
| CT bone density axial CPT 77078 | not published | not published | $85.29 – $229.13 | 7 |
| CT colonography dx CPT 74261 | $1,110.40 | $2,776.00 | $102.46 – $275.27 | 7 |
| CT colonography dx w/dye CPT 74262 | $1,276.80 | $3,192.00 | $171.90 – $461.82 | 7 |
| CT colonography screening CPT 74263 | $395.20 | $988.00 | $233.84 – $628.23 | 7 |
| CT guidance for needle placement CPT 77012 | $1,066.40 | $2,666.00 | $164.64 – $11,143.00 | 2 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,804.80 | $4,512.00 | $135.40 – $11,143.00 | 2 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $241.74 – $649.47 | 7 |
| CT guid parench tis ablat CPT 77013 | $1,009.60 | $2,524.00 | $705.15 – $11,143.00 | 2 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $850.40 | $2,126.00 | $85.29 – $229.13 | 7 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,140.80 | $2,852.00 | $341.91 – $918.57 | 7 |
| CT hrt w/3d image CPT 75572 | $1,140.80 | $2,852.00 | $341.91 – $918.57 | 7 |
| CT limited or localized follow-up study CPT 76380 | $517.20 | $1,293.00 | $85.29 – $229.13 | 7 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $948.40 | $2,371.00 | $171.90 – $461.82 | 7 |
| CT lower extremity without contrast (both sides) CPT 73700 | $944.40 | $2,361.00 | $102.46 – $275.27 | 7 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,083.20 | $2,708.00 | $171.90 – $461.82 | 7 |
| CT neck soft tissue w/contrast CPT 70491 | $751.60 | $1,879.00 | $171.90 – $461.82 | 7 |
| CT neck soft tissue without contrast CPT 70490 | $627.60 | $1,569.00 | $102.46 – $275.27 | 7 |
| CT neck soft tissue without & w/contrast CPT 70492 | $786.00 | $1,965.00 | $171.90 – $461.82 | 7 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $983.20 | $2,458.00 | $171.90 – $461.82 | 7 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $939.60 | $2,349.00 | $171.90 – $461.82 | 7 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $854.00 | $2,135.00 | $102.46 – $275.27 | 7 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $232.12 – $6,165.00 | 9 |
| CT scan for localization CPT 77011 | $1,135.20 | $2,838.00 | $372.28 – $11,143.00 | 2 |
| CT scan for therapy guide CPT 77014 | $537.20 | $1,343.00 | $169.75 – $11,143.00 | 2 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,764.80 | $4,412.00 | $341.91 – $918.57 | 7 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,604.40 | $4,011.00 | $341.91 – $918.57 | 7 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,022.40 | $2,556.00 | $233.84 – $628.23 | 7 |
| CT thoracic spine w/contrast CPT 72129 | $965.60 | $2,414.00 | $171.90 – $461.82 | 7 |
| CT thoracic spine without contrast CPT 72128 | $852.80 | $2,132.00 | $102.46 – $275.27 | 7 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $708.00 | $1,770.00 | $102.46 – $275.27 | 7 |
| CT t-spine w /wo contrast CPT 72130 | $979.60 | $2,449.00 | $171.90 – $461.82 | 7 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,068.80 | $2,672.00 | $341.91 – $918.57 | 7 |
| CT upper extremity without contrast (both sides) CPT 73200 | $944.40 | $2,361.00 | $102.46 – $275.27 | 7 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,085.20 | $2,713.00 | $171.90 – $461.82 | 7 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $37.59 – $448.58 | 8 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $39.10 – $448.58 | 8 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,472.98 – $11,143.00 | 9 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,022.09 – $11,143.00 | 9 |
| Culture aerobic additional method definitive id each CPT 87077 | $199.60 | $499.00 | $3.82 – $16.97 | 10 |
| Culture afb any source CPT 87116 | $134.80 | $337.00 | $5.34 – $22.68 | 10 |
| Culture anaerobic additional method definitive id each CPT 87076 | $104.40 | $261.00 | $3.99 – $16.97 | 10 |
| Culture anaerobic except blood CPT 87075 | $125.20 | $313.00 | $4.68 – $19.89 | 10 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $4.66 – $20.29 | 10 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $11.20 – $19.40 | 3 |
| Culture bact stool aero addl path ea CPT 87046 | $118.80 | $297.00 | $4.66 – $19.82 | 10 |
| Culture body fluid CPT 87070 | $118.80 | $297.00 | $4.26 – $18.10 | 10 |
| Culture fungi definitive id mold CPT 87107 | $100.00 | $250.00 | $5.10 – $21.67 | 10 |
| Culture fungi definitive id yeast CPT 87106 | $64.00 | $160.00 | $5.10 – $21.67 | 10 |
| Culture fungi other (except blood) CPT 87102 | $126.80 | $317.00 | $4.15 – $17.66 | 10 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $3.80 – $16.19 | 10 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $100.00 | $250.00 | $5.84 – $30.68 | 10 |
| Culture mycoplasma any source CPT 87109 | $126.80 | $317.00 | $7.60 – $32.32 | 10 |
| Culture of specimen by kit CPT 87084 | not published | not published | $10.83 – $56.85 | 10 |
| Culture quantitative aerobic other source CPT 87071 | $16.00 | $40.00 | $4.66 – $20.77 | 10 |
| Culture screening strep group a CPT 87081 | $210.00 | $525.00 | $3.27 – $13.92 | 10 |
| Culture type pulse field gel CPT 87152 | not published | not published | $3.10 – $16.25 | 10 |
| Culture typing added method CPT 87158 | $100.00 | $250.00 | $3.10 – $16.25 | 10 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $6.18 – $26.29 | 10 |
| Culture typing immunologic CPT 87147 | $24.00 | $60.00 | $2.56 – $10.88 | 10 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $349.20 | $873.00 | $87.22 – $457.93 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $109.76 | $274.39 | $17.33 – $73.69 | 10 |
| Culture urine each isolate CPT 87088 | not published | not published | $4.00 – $16.99 | 10 |
| Culture virus isolation CPT 87250 | not published | not published | $9.66 – $41.08 | 10 |
| Curette/treat cornea CPT 65435 | not published | not published | $976.98 – $6,165.00 | 8 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,330.02 – $11,143.00 | 9 |
| Cutter lead HCPCS C1773 | $15,120.00 | $37,800.00 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,293.60 | $3,234.00 | $1,542.73 – $6,165.00 | 9 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $34.80 | $87.00 | $7.07 – $30.07 | 10 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $1.14 – $1.87 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $75.60 | $189.00 | $6.39 – $27.20 | 10 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.48 – $2.23 | 9 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $1.02 – $3.18 | 4 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $87.06 – $199.21 | 4 |
| Cyclosporine 2 hour CPT 80158 | $134.80 | $337.00 | $8.91 – $37.90 | 10 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $1.01 – $2.06 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.68 – $5.64 | 4 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $121.96 – $927.45 | 9 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $56.51 – $1,240.82 | 9 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $14,687.41 | $36,718.53 | not published | 0 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $2,433.10 – $2,433.10 | 1 |
| Cyp2c19 gene com variants CPT 81225 | $861.60 | $2,154.00 | $116.54 – $611.86 | 10 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $69.92 – $367.10 | 10 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $180.36 – $946.91 | 10 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $110.13 – $367.10 | 9 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $110.13 – $367.10 | 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.