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 |
|---|---|---|---|---|
| Diagnostic Mammogram (one breast) CPT 77065 | $140.40 | $351.00 | $78.71 – $272.65 | 8 |
| Diagnostic radio unlisted proc CPT 76499 | $242.80 | $607.00 | $85.29 – $275.46 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $16,338.40 | $40,846.00 | $4,642.34 – $11,143.00 | 4 |
| Dialysis one evaluation CPT 90945 | $484.40 | $1,211.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.09 – $0.22 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $8.39 – $16.15 | 4 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $15.88 – $35.88 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.14 – $0.67 | 4 |
| Diffusing capacity CPT 94729 | $175.20 | $438.00 | $11,143.00 – $11,143.00 | 1 |
| Digital analysis of eeg CPT 95957 | not published | not published | $11,143.00 – $11,143.00 | 1 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $4,802.00 – $11,143.00 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $5.44 – $13.62 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,168.23 – $13,862.34 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $122.80 | $307.00 | $6.56 – $27.89 | 10 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $50.07 – $239.24 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | $908.00 | $2,270.00 | $4,642.34 – $11,143.00 | 3 |
| Dilate esophagus CPT 43453 | not published | not published | $1,880.60 – $6,165.00 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $888.88 – $6,165.00 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $1,746.80 | $4,367.00 | $3,086.00 – $12,096.23 | 3 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,746.80 | $4,367.00 | $3,086.00 – $12,096.23 | 3 |
| Dilate ic vasospasm init CPT 61640 | $3,668.00 | $9,170.00 | $3,086.00 – $14,364.00 | 3 |
| Dilate tear duct opening CPT 68801 | $399.60 | $999.00 | $437.81 – $11,143.00 | 8 |
| Dilate urethra stricture CPT 53600 | not published | not published | $244.86 – $6,165.00 | 8 |
| Dilate urethra stricture CPT 53601 | not published | not published | $130.39 – $6,165.00 | 8 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,454.61 – $11,143.00 | 9 |
| Dilate urethra stricture CPT 53621 | not published | not published | $244.86 – $6,165.00 | 8 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $126.10 – $11,143.00 | 8 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,172.75 – $6,165.00 | 9 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,172.50 – $8,523.25 | 8 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,172.75 – $6,165.00 | 9 |
| Dilation of salivary duct CPT 42660 | not published | not published | $528.56 – $11,143.00 | 8 |
| Dilation of urethra CPT 53661 | not published | not published | $130.39 – $11,143.00 | 8 |
| Dilation of urethra CPT 53665 | not published | not published | $2,048.65 – $6,165.00 | 9 |
| Dilation of vagina CPT 57400 | not published | not published | $3,172.50 – $11,143.00 | 9 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,520.61 – $6,165.00 | 8 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $683.38 – $1,835.96 | 7 |
| Dilator fascial 10fx20cm HCPCS C2627 | $176.40 | $441.00 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $2,910.00 | $7,275.00 | $3,454.61 – $22,431.00 | 9 |
| Dilat xst trc new access rcs CPT 50437 | $4,895.60 | $12,239.00 | $3,454.61 – $9,281.16 | 8 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.05 – $0.05 | 1 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $78.30 – $152.19 | 3 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $10.53 – $23.30 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $748.84 – $1,994.07 | 9 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.03 – $1.59 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $0.89 – $1.84 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $20.52 – $206.52 | 2 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $4.72 – $10.71 | 4 |
| Disability dlco CPT 94727 | $163.60 | $409.00 | not published | 0 |
| Disaccharidases CPT 82657 | $647.60 | $1,619.00 | $8.92 – $46.56 | 10 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,022.09 – $14,364.00 | 9 |
| Disarticulation shoulder CPT 23920 | not published | not published | $12,096.23 – $33,803.83 | 7 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Discography cerv/thor spine CPT 72285 | $1,360.00 | $3,400.00 | $141.92 – $5,852.95 | 8 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,744.37 – $11,143.00 | 9 |
| Dissect brain w/scope CPT 62161 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Dissolve clot heart vessel CPT 92975 | $1,257.60 | $3,144.00 | $3,086.00 – $12,096.23 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,453.40 – $14,651.11 | 8 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $5,801.65 – $15,586.72 | 7 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $6,636.00 – $8,386.90 | 2 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.01 – $23.97 | 3 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $10,131.60 | $25,329.00 | $3,086.00 – $6,350.00 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $111.60 – $585.90 | 10 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $109.93 – $577.14 | 9 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $54.80 – $287.70 | 9 |
| Dna antibody native/double stranded CPT 86225 | $33.20 | $83.00 | $6.79 – $28.85 | 10 |
| Dna gardnerella CPT 87510 | $35.60 | $89.00 | $9.90 – $42.10 | 10 |
| Dna probe chlamydia CPT 87490 | $122.40 | $306.00 | $9.90 – $47.78 | 10 |
| Dna probe gc CPT 87590 | $122.40 | $306.00 | $10.75 – $56.45 | 10 |
| Dna trichomonas CPT 87660 | $35.60 | $89.00 | $9.90 – $42.10 | 10 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $9.02 – $22.74 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.52 – $1.65 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.78 – $144.02 | 9 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $4.34 – $17.21 | 3 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $123.39 – $175.40 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.89 – $1.98 | 4 |
| Doppler echo complete CPT 93320 | $610.00 | $1,525.00 | $79.98 – $11,143.00 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $400.00 | $1,000.00 | $305.50 – $11,143.00 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $534.80 | $1,337.00 | $211.61 – $568.52 | 8 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $303.20 | $758.00 | $130.39 – $387.25 | 8 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.79 – $2.46 | 3 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $65.38 – $149.52 | 4 |
| Dornhoffer fixed part w/window HCPCS L8614 | $25,541.78 | $63,854.44 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $243.71 – $669.99 | 9 |
| Double transfer toe-hand CPT 26554 | not published | not published | $7,111.36 – $19,105.38 | 8 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.70 – $8.79 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $108.47 – $419.64 | 9 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.16 – $0.33 | 3 |
| Dpyd gene common variants CPT 81232 | not published | not published | $110.13 – $367.10 | 9 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $694.00 – $11,143.00 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $694.00 – $11,143.00 | 8 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,618.63 – $4,348.60 | 8 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $694.00 – $11,143.00 | 8 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $2,846.73 – $7,648.02 | 9 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,846.73 – $11,143.00 | 9 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $232.12 – $11,143.00 | 9 |
| Drainage of abdomen CPT 48000 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,618.63 – $11,143.00 | 9 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,846.73 – $7,648.02 | 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.