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 |
|---|---|---|---|---|
| Ghs ppd (tb intradermal) CPT 86580 | $19.20 | $48.00 | $6.96 – $76.15 | 8 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $24.80 | $62.00 | $4.77 – $20.29 | 10 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $2.56 – $11.78 | 10 |
| Ghs protoporphyrins fract CPT 84202 | $30.00 | $75.00 | $7.08 – $30.14 | 10 |
| Ghs pr without cont pulse ox CPT 94625 | $105.20 | $263.00 | not published | 0 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $6.05 – $25.72 | 10 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $251.60 | $629.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $54.00 | $135.00 | $7.21 – $30.66 | 10 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $323.71 – $869.68 | 7 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $130.39 – $11,143.00 | 8 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $437.81 – $6,165.00 | 8 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,575.89 – $14,364.00 | 9 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,206.68 – $18,609.00 | 9 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $6.36 – $33.37 | 10 |
| Ghs reticulocyte count CPT 85044 | $38.00 | $95.00 | $2.13 – $9.05 | 10 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $5.92 – $29.21 | 10 |
| Ghs sedimentation rate CPT 85651 | $47.20 | $118.00 | $1.68 – $8.97 | 10 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $5.95 – $25.85 | 10 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $4.41 – $20.66 | 10 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $3.40 – $15.71 | 10 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $398.40 – $11,143.00 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $398.40 – $11,143.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $398.40 – $11,143.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $398.40 – $11,143.00 | 9 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $196.63 – $11,143.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $196.63 – $11,143.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $196.63 – $11,143.00 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $196.63 – $11,143.00 | 9 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $196.63 – $11,143.00 | 9 |
| Ghs sleep study unattended CPT 95800 | $414.00 | $1,035.00 | not published | 0 |
| Ghs somatosensory testing lower extremit CPT 95926 | $765.60 | $1,914.00 | not published | 0 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,356.80 | $3,392.00 | not published | 0 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $300.82 – $6,165.00 | 8 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $130.39 – $350.31 | 7 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $165.20 | $413.00 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $130.39 – $11,143.00 | 8 |
| Ghs st - re-eval for alt comm CPT 92597 | $309.60 | $774.00 | not published | 0 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $130.80 | $327.00 | not published | 0 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $291.20 | $728.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $2,251.60 | $5,629.00 | $724.32 – $6,165.00 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $398.40 – $6,165.00 | 9 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,520.61 – $6,165.00 | 9 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $3.60 – $15.33 | 10 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $241.74 – $11,143.00 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $241.74 – $11,143.00 | 9 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $12.00 – $51.03 | 10 |
| Ghs urine, porphyrins quant CPT 84120 | $53.20 | $133.00 | $7.26 – $30.89 | 10 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $3,172.50 – $8,523.25 | 7 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $3,558.80 | $8,897.00 | not published | 0 |
| Ghs windowing of cast CPT 29730 | not published | not published | $159.26 – $11,143.00 | 8 |
| Giardia ag if CPT 87269 | not published | not published | $5.92 – $28.58 | 10 |
| Giardia lamblia antibody CPT 86674 | $130.00 | $325.00 | $7.27 – $30.91 | 10 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $233.84 – $742.80 | 8 |
| Gi inhouse confirmation CPT 87045 | $116.00 | $290.00 | $4.66 – $19.82 | 10 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,249.27 – $8,729.50 | 7 |
| Gi protein loss CPT 78282 | not published | not published | $391.79 – $1,250.27 | 8 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,773.20 | $6,933.00 | $888.88 – $2,388.06 | 7 |
| Gi trc img intral colon i&r CPT 91113 | $1,715.20 | $4,288.00 | $911.39 – $2,448.55 | 7 |
| Gi trc img intral esophagus CPT 91111 | $1,508.00 | $3,770.00 | $888.88 – $2,388.06 | 7 |
| Gi wireless capsule measure CPT 91112 | $1,519.20 | $3,798.00 | $888.88 – $2,388.06 | 7 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $40.45 – $212.35 | 9 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $24.61 – $129.19 | 9 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $14.00 – $73.50 | 9 |
| Glassia injection HCPCS J0257 | not published | not published | $5.64 – $15.21 | 9 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,050.91 – $18,609.00 | 9 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,050.91 – $18,609.00 | 9 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,261.75 – $11,143.00 | 9 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,261.75 – $18,609.00 | 9 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $182.45 – $532.22 | 9 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $136.53 – $419.73 | 9 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $7.06 – $30.01 | 10 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $22.75 – $96.75 | 10 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $24.94 – $106.05 | 10 |
| Glucagon tolerance test CPT 82946 | not published | not published | $7.44 – $37.32 | 10 |
| Glucose 1 hr post dose CPT 82950 | $29.20 | $73.00 | $2.25 – $9.98 | 10 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $2.99 – $12.70 | 10 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $2.80 | $7.00 | $3.27 – $6.89 | 10 |
| Glucose blood quantitative CPT 82947 | $27.20 | $68.00 | $1.94 – $8.25 | 10 |
| Glucose body fluid CPT 82945 | $52.00 | $130.00 | $1.94 – $8.25 | 10 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $126.80 | $317.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $4.63 – $27.03 | 10 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | not published | not published | $1.80 – $8.23 | 10 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.59 – $1.42 | 5 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $16.18 – $84.12 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.04 – $30.05 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $95.20 | $238.00 | $8.79 – $39.02 | 10 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $73.29 – $311.66 | 10 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $108.00 | $270.00 | $8.76 – $38.89 | 10 |
| Gonioscopy CPT 92020 | $122.00 | $305.00 | $130.39 – $350.31 | 7 |
| Goniotomy CPT 65820 | not published | not published | $3,958.00 – $10,883.17 | 9 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $733.66 – $1,967.34 | 9 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $37.19 – $327.66 | 9 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $121.96 – $2,946.16 | 9 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $90.19 – $327.66 | 9 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,206.68 – $14,364.00 | 9 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $86.80 – $327.66 | 8 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $2,128.44 – $2,436.95 | 2 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $24,444.00 | $61,110.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $40,320.00 | $100,800.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $79.80 – $327.66 | 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.