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 |
|---|---|---|---|---|
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $888.88 – $6,165.00 | 8 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $888.88 – $6,165.00 | 8 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $211.61 – $6,165.00 | 8 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $126.10 – $6,165.00 | 8 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $75.71 – $75.71 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $202.46 – $202.46 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $66.37 – $66.37 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $383.31 – $11,143.00 | 8 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,744.37 – $11,143.00 | 9 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $129.04 – $129.04 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $244.86 – $657.84 | 7 |
| Ear and throat examination CPT 92502 | not published | not published | $528.56 – $1,420.03 | 7 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,520.61 – $4,085.27 | 7 |
| Ear cartilage graft CPT 21235 | not published | not published | $5,801.65 – $24,389.00 | 9 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $57.81 – $11,143.00 | 8 |
| Ecallantide injection HCPCS J1290 | not published | not published | $579.96 – $1,575.35 | 9 |
| Ecg 12 lead tracing only CPT 93005 | $226.00 | $565.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $49.20 | $123.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $222.00 | $555.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $587.60 | $1,469.00 | $130.39 – $350.31 | 7 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $833.20 | $2,083.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $184.40 | $461.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $184.40 | $461.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,501.20 | $3,753.00 | $301.99 – $1,438.69 | 7 |
| Echocardiography doppler color flow mapping CPT 93325 | $346.00 | $865.00 | $49.13 – $11,143.00 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,501.20 | $3,753.00 | $768.27 – $2,064.04 | 7 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $378.40 | $946.00 | $170.58 – $628.23 | 7 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $604.80 | $1,512.00 | $341.91 – $918.57 | 7 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $289.20 | $723.00 | $43.76 – $11,143.00 | 2 |
| Echo exam of eye CPT 76516 | $95.60 | $239.00 | $49.96 – $333.26 | 8 |
| Echo exam of eye CPT 76519 | $95.60 | $239.00 | $75.94 – $333.26 | 8 |
| Echo exam of eye CPT 76529 | not published | not published | $85.29 – $275.46 | 8 |
| Echo exam of eye thickness CPT 76514 | $22.40 | $56.00 | $7.85 – $90.28 | 8 |
| Echo exam of fetal heart CPT 76825 | $904.80 | $2,262.00 | $402.71 – $1,672.33 | 8 |
| Echo exam of fetal heart CPT 76826 | $415.20 | $1,038.00 | $233.84 – $742.80 | 8 |
| Echo exam of fetal heart CPT 76827 | $212.80 | $532.00 | $94.18 – $333.26 | 8 |
| Echo exam of fetal heart CPT 76828 | $202.80 | $507.00 | $50.67 – $333.26 | 8 |
| Echo exam uterus 76831- CPT 76831 | $538.80 | $1,347.00 | $177.01 – $742.80 | 8 |
| Echograp trans r pros study CPT 76873 | not published | not published | $102.46 – $333.26 | 8 |
| Echo guidance radiotherapy CPT 76965 | $195.20 | $488.00 | $53.47 – $11,143.00 | 3 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $242.87 – $242.87 | 1 |
| Echo guide for amniocentesis CPT 76946 | $343.60 | $859.00 | $28.92 – $11,143.00 | 2 |
| Echo guide for artery repair CPT 76936 | $1,700.00 | $4,250.00 | $211.61 – $951.48 | 8 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $121.26 – $11,143.00 | 2 |
| Echo guide for transfusion CPT 76941 | not published | not published | $114.10 – $11,143.00 | 2 |
| Echo guide ova aspiration CPT 76948 | $625.60 | $1,564.00 | $98.41 – $11,143.00 | 2 |
| Echo guide villus sampling CPT 76945 | not published | not published | $119.72 – $11,143.00 | 2 |
| Echo stress CPT 93350 | $1,434.80 | $3,587.00 | $277.43 – $1,438.69 | 7 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $65.79 – $1,438.69 | 7 |
| Echo tee guidance CPT 93355 | $2,100.80 | $5,252.00 | $546.37 – $546.37 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,056.80 | $2,642.00 | $315.04 – $1,438.69 | 7 |
| Echo transesophageal CPT 93313 | not published | not published | $27.54 – $1,438.69 | 7 |
| Echo transesophageal CPT 93314 | not published | not published | $335.01 – $11,143.00 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $535.51 – $1,438.69 | 7 |
| Echo transesophageal CPT 93317 | not published | not published | $203.10 – $11,143.00 | 2 |
| Echo transesophageal intraop CPT 93318 | $1,784.80 | $4,462.00 | $535.51 – $1,438.69 | 7 |
| Echo transthoracic CPT 93303 | $1,274.00 | $3,185.00 | $385.66 – $1,438.69 | 7 |
| Echo transthoracic CPT 93304 | not published | not published | $285.88 – $1,438.69 | 7 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,448.80 | $3,622.00 | $223.68 – $628.23 | 7 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $2,760.00 | $6,900.00 | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $7,605.60 | $19,014.00 | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $7,605.60 | $19,014.00 | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $11,054.40 | $27,636.00 | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $7,605.60 | $19,014.00 | $3,086.00 – $12,096.23 | 2 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $5.92 – $26.59 | 9 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,261.75 – $11,143.00 | 9 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $44.82 – $125.02 | 9 |
| Eculizumab injection HCPCS J1300 | not published | not published | $273.48 – $273.48 | 1 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $6,408.38 – $18,023.48 | 9 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.39 – $3.54 | 3 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $296.00 | $740.00 | not published | 0 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $638.40 | $1,596.00 | not published | 0 |
| Eeg during surgery CPT 95955 | $566.40 | $1,416.00 | $11,143.00 – $11,143.00 | 1 |
| Eeg monitoring/function test CPT 95958 | $1,754.80 | $4,387.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $675.60 | $1,689.00 | not published | 0 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $334.40 | $836.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $465.20 | $1,163.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $662.80 | $1,657.00 | not published | 0 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $1,854.80 | $4,637.00 | not published | 0 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $1,854.80 | $4,637.00 | not published | 0 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $3,558.80 | $8,897.00 | not published | 0 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $3,558.80 | $8,897.00 | not published | 0 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $1,854.80 | $4,637.00 | not published | 0 |
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.