Kettering Health Greene Memorial
1141 North Monroe Drive, Xenia, OH · Ketteringhealth · · NPI 1255317848
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 |
|---|---|---|---|---|
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $130.39 – $11,143.00 | 8 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,143.60 | $5,359.00 | $1,618.63 – $14,364.00 | 8 |
| Drain cath image guided visceral pq CPT 49405 | $3,296.80 | $8,242.00 | $1,618.63 – $22,431.00 | 8 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $680.40 | $1,701.00 | $691.79 – $6,165.00 | 9 |
| Drain chest lesion CPT 21502 | not published | not published | $3,206.68 – $11,143.00 | 9 |
| Drain finger abscess;simple 26010 CPT 26010 | $103.20 | $258.00 | $196.63 – $11,143.00 | 8 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,206.68 – $11,143.00 | 9 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $2,846.73 – $11,143.00 | 9 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $2,846.73 – $11,143.00 | 9 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,172.50 – $8,523.25 | 8 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,172.50 – $14,364.00 | 9 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Drain penis lesion CPT 54015 | not published | not published | $1,618.63 – $18,609.00 | 9 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,575.89 – $14,364.00 | 9 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,846.73 – $14,364.00 | 9 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,846.73 – $7,648.02 | 9 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,846.73 – $14,364.00 | 9 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,520.61 – $6,165.00 | 9 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $316.00 | $790.00 | $196.63 – $11,143.00 | 9 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $304.40 | $761.00 | $196.63 – $6,165.00 | 8 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $790.00 | $1,975.00 | $398.40 – $11,143.00 | 9 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $724.32 – $11,143.00 | 8 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $54.70 – $327.66 | 9 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $110,901.76 – $297,948.67 | 6 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $3,958.00 – $11,143.00 | 4 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $3,958.00 – $11,143.00 | 4 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,206.68 – $11,143.00 | 9 |
| Drng of eyelid abscess 67700 CPT 67700 | $316.00 | $790.00 | $311.07 – $6,165.00 | 8 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $1,618.63 – $6,165.00 | 8 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $694.00 – $11,143.00 | 8 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $528.56 – $11,143.00 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,172.50 – $14,364.00 | 9 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,206.68 – $11,143.00 | 9 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,206.68 – $8,615.07 | 9 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,172.75 – $6,165.00 | 9 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,249.27 – $14,364.00 | 9 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,618.63 – $6,165.00 | 9 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $10,499.00 – $10,817.74 | 2 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $3,086.00 – $12,096.23 | 3 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,520.61 – $6,165.00 | 9 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $528.56 – $6,165.00 | 9 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $2.26 – $4.13 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $7.29 – $27.57 | 4 |
| Drop lock knee HCPCS L2182 | not published | not published | $140.43 – $377.28 | 6 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $36.42 – $97.85 | 6 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,128.53 | $2,821.32 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $15.23 – $327.66 | 9 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $14.73 – $327.66 | 9 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $3.37 – $327.66 | 9 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $109.70 – $422.04 | 8 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $36.51 – $327.66 | 8 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $63.93 – $327.66 | 9 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $98.26 – $573.90 | 8 |
| Drug admin & hemodynmic meas CPT 93463 | $242.40 | $606.00 | $4,802.00 – $4,802.00 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $15.43 – $81.00 | 9 |
| Drug assay posaconazole CPT 80187 | $169.20 | $423.00 | $10.84 – $56.93 | 9 |
| Drug assay rufinamide CPT 80210 | not published | not published | $10.84 – $56.93 | 9 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $15.43 – $81.00 | 9 |
| Drug assay voriconazole CPT 80285 | $66.80 | $167.00 | $10.84 – $56.93 | 9 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $7.46 – $39.14 | 9 |
| Drug of abuse screen urine CPT 80305 | $151.60 | $379.00 | $8.83 – $26.46 | 9 |
| Drug screening tapentadol CPT 80372 | not published | not published | $0.01 – $23.97 | 3 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $10.84 – $56.93 | 9 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $0.01 – $23.97 | 3 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $166.03 – $417.35 | 8 |
| Drug test def 1-7 classes HCPCS G0480 | $595.20 | $1,488.00 | $79.94 – $240.30 | 9 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $215.23 – $518.53 | 8 |
| Drug test def 8-14 classes HCPCS G0481 | $951.60 | $2,379.00 | $122.99 – $328.84 | 8 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $47.08 – $130.49 | 9 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $7.18 – $35.99 | 9 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $370.80 | $927.00 | $31.92 – $130.49 | 9 |
| Drvvt confirm - quest CPT 85597 | $205.60 | $514.00 | $8.88 – $37.76 | 9 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $3,852.92 – $10,351.24 | 9 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $1,913.74 – $6,165.00 | 9 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $398.40 – $6,165.00 | 8 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $398.40 – $11,143.00 | 8 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $724.32 – $6,165.00 | 8 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $724.32 – $11,143.00 | 8 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $539.02 – $6,165.00 | 8 |
| Ductogram sgl duct CPT 77053 | $458.00 | $1,145.00 | $78.05 – $742.80 | 8 |
| Duodenal exclusion CPT 48547 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Duodenal motility study CPT 91022 | not published | not published | $365.71 – $982.51 | 7 |
| Duplex scan bilateral study 93985 CPT 93985 | $733.60 | $1,834.00 | $233.84 – $742.80 | 8 |
| Duplex scan unilateral study 93986 CPT 93986 | $1,527.60 | $3,819.00 | $102.46 – $333.26 | 8 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $768.00 | $1,920.00 | $102.46 – $333.26 | 8 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $574.40 | $1,436.00 | $211.61 – $568.52 | 8 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $989.20 | $2,473.00 | $233.84 – $742.80 | 8 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $54.07 – $54.07 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $85.12 – $234.00 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | $167.60 | $419.00 | $77.34 – $333.26 | 8 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,744.37 – $11,143.00 | 9 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,744.37 – $11,143.00 | 9 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,744.37 – $6,165.00 | 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.