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 |
|---|---|---|---|---|
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $250.20 – $1,260.18 | 8 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $1,819.20 | $4,548.00 | $953.01 – $2,560.36 | 8 |
| I131 iodide cap, rx HCPCS A9517 | $59.20 | $148.00 | $24.07 – $227.08 | 8 |
| I131 iodide sol, rx HCPCS A9530 | $43.66 | $109.14 | $20.77 – $55.80 | 8 |
| I131 max 100uci HCPCS A9531 | $7.60 | $19.00 | $5.14 – $9.96 | 2 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $225.29 – $439.61 | 2 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $14.40 | $36.00 | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $5.92 – $28.18 | 9 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $74.80 | $187.00 | $17.33 – $73.69 | 9 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $6.12 – $37.99 | 9 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $72.80 | $182.00 | $18.11 – $95.09 | 9 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $30.94 – $61.99 | 4 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $979.42 – $5,141.98 | 9 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $3.62 – $8.31 | 4 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $172.31 – $866.60 | 8 |
| Icatibant injection HCPCS J1744 | not published | not published | $164.77 – $349.64 | 4 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $28,476.00 | $71,190.00 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $26,460.00 | $66,150.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $8,946.00 | $22,365.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $4,662.00 | $11,655.00 | not published | 0 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $7,111.36 – $19,105.38 | 7 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $3,249.27 – $8,729.50 | 9 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $50.39 – $121.39 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | $2,625.60 | $6,564.00 | $1,618.63 – $4,348.60 | 8 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $0.02 – $1,170,367.66 | 7 |
| Identify sperm tissue CPT 89264 | not published | not published | $51.07 – $137.21 | 8 |
| Idet 1 or more levels CPT 22527 | not published | not published | $10,499.00 – $22,431.00 | 3 |
| Idet single level CPT 22526 | not published | not published | $10,499.00 – $22,431.00 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $3,206.68 – $8,615.07 | 9 |
| Idh1 common variants CPT 81120 | $187.60 | $469.00 | $121.75 – $405.83 | 9 |
| Idh2 common variants CPT 81121 | $187.60 | $469.00 | $186.35 – $621.16 | 9 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,720.25 – $11,143.00 | 9 |
| I&d lacrimal gland CPT 68400 | not published | not published | $976.98 – $6,165.00 | 8 |
| I&d lacrimal sac CPT 68420 | not published | not published | $2,330.02 – $23,007.00 | 8 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $2,846.73 – $7,648.02 | 9 |
| Idursulfase injection HCPCS J1743 | not published | not published | $558.46 – $1,513.77 | 9 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $2,846.73 – $7,648.02 | 9 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,846.73 – $7,648.02 | 8 |
| Ifnl3 gene CPT 81283 | not published | not published | $47.53 – $154.08 | 9 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $30.59 – $68.69 | 4 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $82.92 – $435.35 | 9 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $27.42 – $143.96 | 9 |
| Igh gene rearrange amp meth CPT 81261 | $388.40 | $971.00 | $97.77 – $415.78 | 9 |
| Igh@ var region somatic mutation analy CPT 81263 | $576.00 | $1,440.00 | $145.44 – $618.49 | 9 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $73.74 – $362.73 | 9 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $348.80 | $872.00 | $13.42 – $71.14 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $350.80 | $877.00 | $24.63 – $943.78 | 8 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $364.00 | $910.00 | $28.87 – $448.58 | 8 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $15.71 – $39.03 | 2 |
| Ikbkap gene CPT 81260 | not published | not published | $15.72 – $82.55 | 9 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $7,111.36 – $19,105.38 | 7 |
| Iliac/fem angio cath insert HCPCS G0278 | $910.00 | $2,275.00 | $32.52 – $32.52 | 1 |
| Iliac revasc add-on 37222 CPT 37222 | $2,828.00 | $7,070.00 | $4,642.34 – $18,211.00 | 3 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $180.85 – $415.04 | 3 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $6.07 – $8.45 | 2 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $57.03 – $154.87 | 9 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $62.80 | $157.00 | not published | 0 |
| Immob elbow child sm HCPCS L3762 | $57.96 | $144.90 | $120.25 – $323.06 | 6 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $42.00 | $105.00 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $56.28 | $140.70 | $127.15 – $341.60 | 6 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $45.78 | $114.45 | $70.75 – $190.08 | 6 |
| Immobilizer shldr sling med HCPCS L3660 | $12.60 | $31.50 | $115.57 – $310.49 | 6 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $4,830.00 – $21,520.27 | 9 |
| Immune complex assay CPT 86332 | $54.00 | $135.00 | $12.04 – $51.18 | 9 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $45.31 – $125.91 | 9 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $78.80 – $226.02 | 9 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $47.52 – $134.09 | 9 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $72.88 – $297.11 | 2 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $99.20 | $248.00 | $10.28 – $43.70 | 9 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $91.60 | $229.00 | $10.28 – $43.70 | 9 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $10.26 – $53.70 | 9 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $71.60 | $179.00 | $5.92 – $25.16 | 9 |
| Immunodiffusion nes CPT 86329 | not published | not published | $6.94 – $29.51 | 9 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $8.50 – $34.04 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $169.20 | $423.00 | $7.49 – $46.91 | 9 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $135.60 | $339.00 | $17.63 – $96.09 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $154.00 | $385.00 | $30.64 – $448.58 | 8 |
| Immunoglobulin assay CPT 86023 | not published | not published | $6.15 – $26.17 | 9 |
| Immunology procedure CPT 86849 | $188.80 | $472.00 | $26.15 – $26.15 | 1 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $633.58 – $1,702.18 | 7 |
| Impedence cardiogram CPT 93701 | not published | not published | $130.39 – $350.31 | 7 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $14,014.53 – $46,165.97 | 7 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $3,086.00 – $10,817.74 | 2 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $1,051.71 – $2,825.52 | 6 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $13,471.00 – $43,340.82 | 7 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Implant brain electrodes CPT 61531 | not published | not published | $6,636.00 – $12,096.23 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Implant brain electrodes CPT 61760 | not published | not published | $6,636.00 – $12,096.23 | 2 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $1,354.50 | $3,386.25 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $15,624.00 – $86,814.53 | 9 |
| Implant cochlear osia osi300 HCPCS L8690 | $5,978.70 | $14,946.75 | not published | 0 |
| Implant eye drug system CPT 67027 | not published | not published | $7,642.00 – $36,737.68 | 9 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $437.81 – $11,143.00 | 8 |
| Implant nerve end CPT 64787 | not published | not published | $4,802.00 – $11,143.00 | 4 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $3,086.00 – $12,096.23 | 2 |
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.