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 |
|---|---|---|---|---|
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $2,022.09 – $14,364.00 | 9 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $4,802.00 – $11,143.00 | 4 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,472.98 – $14,364.00 | 9 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,022.09 – $14,364.00 | 9 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $4,802.00 – $11,143.00 | 4 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $6.17 – $76.15 | 8 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,410.15 – $2,878.19 | 3 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $110.13 – $367.10 | 9 |
| Sleep study attended CPT 95807 | $1,980.80 | $4,952.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $2,168.00 | $5,420.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $414.00 | $1,035.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $115.50 | $288.75 | not published | 0 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Sling suprapubic suburetheral HCPCS C1771 | $10,386.99 | $25,967.47 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,454.61 – $11,143.00 | 9 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,048.65 – $11,143.00 | 9 |
| Sm-153 lexidron ther HCPCS A9604 | $5,058.40 | $12,646.00 | $3,159.80 – $46,337.83 | 8 |
| Small animal inoculation CPT 87003 | not published | not published | $8.32 – $35.36 | 10 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,880.60 – $11,143.00 | 9 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,880.60 – $11,143.00 | 9 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,880.60 – $11,143.00 | 9 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,880.60 – $11,143.00 | 9 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,880.60 – $11,143.00 | 9 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,880.60 – $11,143.00 | 9 |
| Small bowel endoscopy CPT 44382 | not published | not published | $888.88 – $6,165.00 | 9 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,880.60 – $21,916.00 | 9 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,880.60 – $11,143.00 | 9 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,880.60 – $11,143.00 | 9 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,880.60 – $11,143.00 | 9 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,880.60 – $11,143.00 | 9 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $888.88 – $6,165.00 | 9 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,880.60 – $18,609.00 | 9 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $5,949.70 – $22,431.00 | 9 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $843.70 | 8 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $71.20 | $178.00 | $2.66 – $11.32 | 10 |
| Smear gram stain CPT 87205 | $70.80 | $177.00 | $2.11 – $8.97 | 10 |
| Smear nasal eosinophil CPT 89190 | $22.00 | $55.00 | $2.34 – $12.16 | 10 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $92.00 | $230.00 | $2.96 – $12.58 | 10 |
| Smear wet mount CPT 87210 | $16.40 | $41.00 | $5.54 – $12.22 | 10 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $120.54 – $632.84 | 9 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $74.08 – $388.92 | 9 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $18.80 – $98.70 | 9 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $20.43 – $107.25 | 9 |
| So cap design without jnts cf HCPCS L3671 | $487.20 | $1,218.00 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $19.74 | $49.35 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $31.20 | $78.00 | $2.40 – $10.63 | 10 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $3.05 – $6.89 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.53 – $3.46 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.77 – $1.73 | 4 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.11 – $0.47 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $2.43 – $5.41 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $89.10 – $206.35 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $27.20 | $68.00 | $2.38 – $10.10 | 10 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.88 – $2.37 | 8 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $239.16 – $2,825.15 | 8 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $239.16 – $2,511.24 | 8 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $239.16 – $6,905.87 | 8 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $239.16 – $2,197.34 | 8 |
| Somatosensory testing CPT 95927 | $446.00 | $1,115.00 | not published | 0 |
| Somatropin injection HCPCS J2941 | not published | not published | $59.68 – $442.38 | 4 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $239.16 – $6,278.06 | 8 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $239.16 – $1,883.43 | 8 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $25.05 – $68.72 | 8 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Special physics consult CPT 77370 | $1,733.60 | $4,334.00 | $131.73 – $411.33 | 8 |
| Special radiation dosimetry CPT 77331 | $221.20 | $553.00 | $131.73 – $411.33 | 8 |
| Special radiation treatment CPT 77470 | $2,562.80 | $6,407.00 | $541.51 – $1,784.46 | 8 |
| Special teletx port plan CPT 77321 | $1,197.60 | $2,994.00 | $366.96 – $1,120.07 | 8 |
| Specific gravity body fluid CPT 84315 | $22.00 | $55.00 | $1.31 – $6.89 | 10 |
| Specimen fat stain CPT 89125 | not published | not published | $2.35 – $12.35 | 10 |
| Speech evaluation complex CPT 70371 | not published | not published | $141.21 – $742.80 | 8 |
| Sperm antibody test CPT 89325 | not published | not published | $5.27 – $22.41 | 10 |
| Sperm evaluation test CPT 89329 | not published | not published | $9.67 – $41.14 | 10 |
| Sperm identification CPT 89257 | not published | not published | $42.34 – $137.21 | 8 |
| Sperm isolation complex CPT 89261 | not published | not published | $33.32 – $137.21 | 8 |
| Sperm isolation simple CPT 89260 | not published | not published | $32.40 – $137.21 | 8 |
| Sperm washing 58323 CPT 58323 | not published | not published | $17.34 – $6,165.00 | 8 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $5,801.65 – $18,609.00 | 9 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,720.25 – $14,364.00 | 9 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,276.80 | $5,692.00 | $691.79 – $6,165.00 | 9 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $12,582.38 – $33,803.83 | 9 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $184.80 | $462.00 | not published | 0 |
| Spleen imaging CPT 78185 | $628.80 | $1,572.00 | $321.31 – $1,250.27 | 8 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $240.24 | $600.60 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $30.24 | $75.60 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $51.66 | $129.15 | not published | 0 |
| Splint func pos polyflex ii med HCPCS L3999 | $32.34 | $80.85 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $52.92 | $132.30 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,612.00 | $11,530.00 | $3,472.98 – $11,143.00 | 9 |
| Split blood or products CPT 86985 | not published | not published | $0.84 – $448.58 | 8 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $4,802.00 – $11,143.00 | 4 |
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.