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 |
|---|---|---|---|---|
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $3,206.68 – $11,143.00 | 9 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $4,830.00 – $19,105.38 | 9 |
| Serial tonometry CPT 92100 | not published | not published | $11,143.00 – $11,143.00 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1.57 – $5.02 | 3 |
| Serpina1 gene CPT 81332 | $1,413.20 | $3,533.00 | $21.56 – $91.66 | 10 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $0.01 – $23.97 | 3 |
| Set radiation therapy field CPT 77280 | $726.80 | $1,817.00 | $131.73 – $411.33 | 8 |
| Set radiation therapy field CPT 77285 | $1,749.60 | $4,374.00 | $366.96 – $1,120.07 | 8 |
| Set radiation therapy field CPT 77290 | $1,843.60 | $4,609.00 | $366.96 – $1,120.07 | 8 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $301.01 – $808.68 | 7 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $49.13 – $49.13 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.02 – $0.13 | 3 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.10 – $0.37 | 3 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,913.74 – $11,143.00 | 9 |
| Sex chromatin identification CPT 88130 | not published | not published | $8.88 – $37.76 | 10 |
| Sex chromatin identification CPT 88140 | not published | not published | $4.53 – $16.78 | 10 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,454.61 – $9,281.16 | 7 |
| Sex transformation m to f CPT 55970 | not published | not published | $4,902.59 – $13,171.29 | 7 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $77.30 – $405.83 | 9 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,172.75 – $18,609.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $196.63 – $11,143.00 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $196.63 – $11,143.00 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $398.40 – $11,143.00 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $398.40 – $11,143.00 | 8 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $196.63 – $11,143.00 | 8 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $196.63 – $11,143.00 | 8 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $196.63 – $11,143.00 | 8 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $398.40 – $11,143.00 | 8 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $398.40 – $11,143.00 | 8 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $196.63 – $11,143.00 | 8 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $196.63 – $11,143.00 | 8 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $4,151.70 | $10,379.25 | not published | 0 |
| Shigella antibody CPT 86771 | not published | not published | $9.79 – $51.41 | 10 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,206.68 – $14,364.00 | 9 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $7,111.36 – $22,431.00 | 9 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $6,350.00 – $19,105.38 | 9 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,206.68 – $14,364.00 | 9 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $3,206.68 – $14,364.00 | 9 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $3,206.68 – $14,364.00 | 9 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $6,350.00 – $19,105.38 | 9 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,206.68 – $14,364.00 | 9 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $6,350.00 – $19,105.38 | 9 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,206.68 – $14,364.00 | 9 |
| Shortening of hand tendon CPT 26479 | not published | not published | $3,206.68 – $8,615.07 | 9 |
| Shortening of thigh bone CPT 27465 | not published | not published | $7,111.36 – $19,105.38 | 7 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $17,331.79 – $18,211.00 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $6,350.00 – $19,105.38 | 9 |
| Shorten radius & ulna CPT 25392 | not published | not published | $6,350.00 – $19,105.38 | 9 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $7,111.36 – $23,007.00 | 9 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,274.40 | $3,186.00 | $341.91 – $918.57 | 7 |
| Shoulder MRI (with contrast) CPT 73222 | $1,146.80 | $2,867.00 | $598.33 – $2,064.04 | 7 |
| Shoulder MRI (without contrast) CPT 73221 | $974.00 | $2,435.00 | $233.84 – $628.23 | 7 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $3,958.00 – $22,431.00 | 9 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $7,111.36 – $19,105.38 | 7 |
| Shoulder X-ray CPT 73030 | $183.60 | $459.00 | $51.38 – $275.46 | 8 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,268.00 | $5,670.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $201.60 | $504.00 | $102.46 – $333.26 | 8 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Sialidase enzyme assay CPT 87905 | $42.40 | $106.00 | $12.22 – $25.66 | 10 |
| Sialography s&i CPT 70390 | $458.00 | $1,145.00 | $208.58 – $742.80 | 8 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $3,249.27 – $8,729.50 | 8 |
| Sickling rbc CPT 85660 | $43.20 | $108.00 | $2.72 – $11.57 | 10 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $911.39 – $6,165.00 | 9 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $911.39 – $6,165.00 | 9 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,172.75 – $6,165.00 | 9 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $911.39 – $6,165.00 | 9 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,172.75 – $18,609.00 | 9 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,172.75 – $6,165.00 | 9 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $3,958.00 – $18,609.00 | 9 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,720.25 – $18,609.00 | 9 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,172.75 – $6,165.00 | 9 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $911.39 – $6,165.00 | 9 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,172.75 – $6,165.00 | 9 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $911.39 – $6,165.00 | 9 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,172.75 – $6,165.00 | 9 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.55 – $0.75 | 2 |
| Sim ang w/prs cath rad emb HCPCS C8004 | $18,145.20 | $45,363.00 | not published | 0 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $244.86 – $6,165.00 | 8 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $139.56 – $399.70 | 4 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $53.52 – $275.27 | 7 |
| Single transfer toe-hand CPT 26553 | not published | not published | $7,111.36 – $19,105.38 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $894.00 | $2,235.00 | $171.90 – $461.82 | 7 |
| Sinus CT scan (with contrast) CPT 70487 | $868.80 | $2,172.00 | $171.90 – $461.82 | 7 |
| Sinus CT scan (without contrast) CPT 70486 | $724.80 | $1,812.00 | $102.46 – $275.27 | 7 |
| Sinus/juglr venogram s&i CPT 75860 | $1,454.80 | $3,637.00 | $162.96 – $9,662.55 | 8 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,249.27 – $11,143.00 | 9 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $5,801.65 – $18,609.00 | 9 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $4,830.00 – $15,586.72 | 9 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,272.32 – $159,077.71 | 8 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.29 – $3.18 | 4 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $84.57 – $328.19 | 9 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $0.01 – $23.97 | 3 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $0.01 – $4.75 | 2 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,472.98 – $18,609.00 | 9 |
| Skin Biopsy CPT 11102 | $642.80 | $1,607.00 | $398.40 – $11,143.00 | 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.