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 |
|---|---|---|---|---|
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $121.96 – $327.66 | 9 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $121.96 – $380.47 | 9 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $59.11 – $327.66 | 9 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $121.96 – $452.20 | 8 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $104.63 – $327.66 | 9 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $24,793.02 | $61,982.55 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $4,626.72 | $11,566.80 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $6.14 – $62.95 | 3 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.28 – $0.73 | 4 |
| Great toe-hand transfer CPT 26551 | not published | not published | $7,111.36 – $19,105.38 | 8 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $241.74 – $11,143.00 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,022.09 – $22,431.00 | 9 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,472.98 – $22,431.00 | 9 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,472.98 – $22,431.00 | 9 |
| Growth hormone antibody CPT 86277 | not published | not published | $7.77 – $33.05 | 10 |
| Growth hormone panel CPT 80428 | not published | not published | $32.94 – $140.07 | 10 |
| Growth hormone panel CPT 80430 | not published | not published | $51.73 – $271.59 | 10 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $30.24 – $158.76 | 10 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $12,096.23 – $13,471.00 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,880.60 – $5,052.42 | 7 |
| G-tube reposition CPT 43761 | $1,041.60 | $2,604.00 | $244.86 – $6,165.00 | 9 |
| Gu dilat ureter/urethra s&i CPT 74485 | $816.00 | $2,040.00 | $165.78 – $6,174.41 | 8 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,311.60 | $3,279.00 | $694.00 – $11,143.00 | 9 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,665.91 | $6,664.77 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $902.16 | $2,255.40 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $535.60 | $1,339.00 | $318.41 – $318.41 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,520.61 – $4,085.27 | 7 |
| Gw stiffened micro access kit HCPCS C1894 | $7,084.98 | $17,712.45 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,837.27 – $18,609.00 | 9 |
| Hair analysis HCPCS P2031 | not published | not published | $2.20 – $9.41 | 4 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $724.32 – $11,143.00 | 8 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $398.40 – $14,364.00 | 9 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $398.40 – $14,364.00 | 9 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $6.37 – $12.86 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $1.14 – $2.18 | 4 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.33 – $5.33 | 1 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $4,305.70 | $10,764.26 | not published | 0 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,206.68 – $14,364.00 | 9 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $6,636.00 – $19,105.38 | 9 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,206.68 – $18,609.00 | 9 |
| Hand X-ray CPT 73130 | $201.60 | $504.00 | $56.98 – $275.46 | 8 |
| Haptoglobin quantitative CPT 83010 | $108.40 | $271.00 | $6.21 – $26.42 | 10 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $4,802.00 – $4,802.00 | 1 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,526.34 – $4,100.65 | 7 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $2,022.09 – $11,143.00 | 9 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,330.02 – $11,143.00 | 9 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $4,802.00 – $12,096.23 | 3 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $432.37 – $6,165.00 | 8 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $4,802.00 – $12,096.23 | 3 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $130.39 – $350.31 | 7 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $130.39 – $350.31 | 7 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $378.00 – $1,260.00 | 9 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $127.51 – $425.04 | 9 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $236.41 – $788.02 | 9 |
| Hbb full gene sequence CPT 81364 | not published | not published | $204.49 – $681.62 | 9 |
| Hbb gene com variants CPT 81361 | not published | not published | $110.13 – $367.10 | 9 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $127.51 – $425.04 | 9 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $236.41 – $788.02 | 9 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $6.98 – $20.39 | 10 |
| Hbot, full body chamber, 30m HCPCS G0277 | $506.80 | $1,267.00 | not published | 0 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $171.90 – $556.96 | 8 |
| Hcg free betachain test CPT 84704 | not published | not published | $7.44 – $32.11 | 10 |
| Hcg qualitative CPT 84703 | $78.00 | $195.00 | $3.55 – $15.79 | 10 |
| Hcg quantitative CPT 84702 | $113.20 | $283.00 | $7.44 – $31.61 | 10 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $143.69 | $359.22 | $115.23 – $224.01 | 2 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,575.89 – $6,165.00 | 9 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $724.32 – $6,165.00 | 8 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $724.32 – $6,165.00 | 8 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $270.78 – $1,638.48 | 8 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $391.79 – $1,250.27 | 8 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $391.79 – $1,250.27 | 8 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $820.40 | $2,051.00 | $365.51 – $1,638.48 | 8 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $3,840.40 | $9,601.00 | $1,268.80 – $4,304.48 | 8 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $7,371.20 | $18,428.00 | $4,642.34 – $11,143.00 | 3 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,931.20 | $7,328.00 | $682.57 – $2,173.45 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $3,312.40 | $8,281.00 | $682.57 – $2,173.45 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $3,694.80 | $9,237.00 | $682.57 – $2,173.45 | 8 |
| Hdr rdncl skn surf brachytx CPT 77767 | $2,931.20 | $7,328.00 | $378.00 – $1,015.53 | 8 |
| Hdr rdncl skn surf brachytx CPT 77768 | $3,694.80 | $9,237.00 | $378.00 – $1,015.53 | 8 |
| Head CT scan (with and without contrast) CPT 70470 | $908.80 | $2,272.00 | $171.90 – $461.82 | 7 |
| Head CT scan (with contrast) CPT 70460 | $795.20 | $1,988.00 | $171.90 – $461.82 | 7 |
| Head CT scan (without contrast) CPT 70450 | $637.20 | $1,593.00 | $102.46 – $275.27 | 7 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $271.83 – $1,427.10 | 9 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $650.00 – $3,412.50 | 9 |
| Heart first pass add-on CPT 78496 | not published | not published | $39.45 – $11,143.00 | 2 |
| Heart first pass multiple CPT 78483 | not published | not published | $357.09 – $1,638.48 | 8 |
| Heart image spect CPT 78494 | not published | not published | $355.69 – $1,250.27 | 8 |
| Heart infarct image CPT 78466 | $552.00 | $1,380.00 | $338.84 – $1,250.27 | 8 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $330.42 – $1,638.48 | 8 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $3,086.00 – $12,096.23 | 2 |
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.