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 |
|---|---|---|---|---|
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $145.60 | $364.00 | $8.25 – $137.21 | 8 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $134.80 | $337.00 | $28.61 – $137.21 | 8 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $171.20 | $428.00 | $60.06 – $943.78 | 8 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $358.00 | $895.00 | $85.84 – $2,121.33 | 8 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Surgical revision intestine CPT 44680 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $121.96 – $327.66 | 8 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,720.25 – $7,308.22 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | $156.00 | $390.00 | $2.34 – $9.98 | 10 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $60.00 | $150.00 | $2.34 – $9.98 | 10 |
| Susceptibility mic per plate CPT 87186 | $2,317.60 | $5,794.00 | $4.27 – $18.17 | 10 |
| Suscept studies macrobroth dilution ea CPT 87188 | $323.20 | $808.00 | $3.28 – $13.94 | 10 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Suspension of testis CPT 54620 | not published | not published | $3,454.61 – $14,364.00 | 9 |
| Suspension of uterus CPT 58410 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $10,499.00 – $17,331.79 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Svc venogram s&i CPT 75827 | $1,709.20 | $4,273.00 | $148.94 – $4,854.89 | 8 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $1.44 – $137.21 | 8 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,913.74 – $11,143.00 | 9 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,913.74 – $5,141.46 | 7 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,206.68 – $11,143.00 | 8 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $7.63 – $23.52 | 4 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $7.95 – $25.81 | 9 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $180.40 | $451.00 | $2.18 – $9.24 | 10 |
| System cardiomems hosp electronics HCPCS C2624 | $26,428.50 | $66,071.25 | not published | 0 |
| System pacing micra av HCPCS C1786 | $15,435.00 | $38,587.50 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $5,796.00 | $14,490.00 | not published | 0 |
| System recell skin grafting/harvesting HCPCS C1832 | $8,410.50 | $21,026.25 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $441.00 | $1,102.50 | $12,096.23 – $12,096.23 | 1 |
| T3 (triiodothyronine) free CPT 84481 | $94.80 | $237.00 | $8.37 – $35.57 | 10 |
| T3 (triiodothyronine) total CPT 84480 | $16.00 | $40.00 | $7.00 – $29.78 | 10 |
| T4 (thyroxine) free CPT 84439 | $259.20 | $648.00 | $5.11 – $18.94 | 10 |
| T4 (thyroxine) total CPT 84436 | $82.80 | $207.00 | $3.39 – $14.43 | 10 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.70 – $1.59 | 4 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $2.20 – $5.05 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.21 – $0.53 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $263.15 – $711.62 | 9 |
| Tacrolimus therapeutic drug level CPT 80197 | $140.80 | $352.00 | $6.78 – $28.83 | 10 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.31 – $38.86 | 9 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $3,086.00 – $18,353.44 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $73.94 – $196.36 | 9 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $72.62 – $195.30 | 9 |
| Talymed HCPCS Q4127 | not published | not published | $83.56 – $327.66 | 9 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.39 – $0.56 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | $2,868.00 | $7,170.00 | $4,802.00 – $11,143.00 | 3 |
| Tap block uni by cont infusion 64487 CPT 64487 | $2,868.00 | $7,170.00 | $4,802.00 – $11,143.00 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,500.00 | $6,250.00 | $303.81 – $1,595.01 | 10 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,167.84 – $6,131.16 | 9 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $239.16 – $1,255.61 | 10 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,564.64 – $4,382.45 | 9 |
| Tas congenital car anomal CPT 33741 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $724.32 – $11,143.00 | 8 |
| Tavr perq femoral CPT 33361 | $21,400.80 | $53,502.00 | $3,086.00 – $12,096.23 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.28 – $1.03 | 9 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $54.80 – $287.70 | 9 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $82.62 – $82.62 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $21.64 – $21.64 | 1 |
| Tbs techl calculation only CPT 77091 | $150.80 | $377.00 | $56.11 – $275.46 | 8 |
| Tbs techl prep&transmis data CPT 77090 | $150.80 | $377.00 | $4.87 – $275.46 | 8 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $124.80 | $312.00 | $40.00 – $210.00 | 10 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $111.20 | $278.00 | $30.61 – $130.16 | 10 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $621.14 – $1,147.69 | 2 |
| Tc-99m arcitumomab HCPCS A9568 | $1,061.22 | $2,653.05 | $987.60 – $2,757.25 | 3 |
| Tc-99m bicisate HCPCS A9557 | $1,767.89 | $4,419.72 | $775.52 – $10,433.62 | 8 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $945.93 – $1,838.94 | 2 |
| Tc-99m disofenin HCPCS A9510 | $16.90 | $42.25 | $73.00 – $199.21 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $934.13 – $4,877.62 | 8 |
| Tc-99m exametazime diag HCPCS A9521 | $545.60 | $1,364.00 | $927.71 – $4,877.62 | 8 |
| Tc-99m fanolesomab diag HCPCS A9566 | $716.50 | $1,791.25 | not published | 0 |
| Tc-99m gluceptate HCPCS A9550 | $105.40 | $263.50 | not published | 0 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $882.82 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $136.18 | $340.45 | $128.65 – $265.80 | 2 |
| Tc-99m maa HCPCS A9540 | $384.00 | $960.00 | $35.92 – $85.37 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $38.40 | $96.00 | $138.42 – $157.41 | 2 |
| Tc-99m medronate HCPCS A9503 | $32.11 | $80.27 | $37.00 – $72.21 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $152.40 | $381.00 | $937.24 – $937.24 | 1 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $6.75 – $12.20 | 3 |
| Tc-99m oxidronate HCPCS A9561 | $72.83 | $182.08 | $61.56 – $125.22 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | $20.80 | $52.00 | $30.78 – $89.17 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $97.02 | $242.54 | $24.86 – $48.32 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $5.45 | $13.62 | $4.83 – $14.99 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $33.07 | $82.68 | $46.96 – $182.27 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $33.60 | $84.00 | $276.96 – $549.71 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $525.16 | $1,312.91 | $659.93 – $1,772.97 | 8 |
| Tc-99m sulfur colloid HCPCS A9541 | $94.71 | $236.78 | $760.86 – $916.71 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $48.83 | $122.07 | $192.58 – $242.67 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | $285.82 | $714.54 | $1,882.72 – $1,882.72 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $724.32 – $11,143.00 | 8 |
| Tcd emboli detect w/inj CPT 93893 | $504.40 | $1,261.00 | $102.46 – $275.27 | 7 |
| Tcd emboli detect without inj CPT 93892 | $504.40 | $1,261.00 | $102.46 – $275.27 | 7 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $432.37 – $6,165.00 | 8 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $218.00 | $545.00 | $23.20 – $98.66 | 10 |
| T cells absolute cd 4 count CPT 86361 | $102.80 | $257.00 | $13.22 – $56.24 | 10 |
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.