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 |
|---|---|---|---|---|
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $35.93 – $96.53 | 6 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $51.54 – $138.47 | 6 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $160.11 – $430.15 | 6 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $497.56 – $1,336.74 | 6 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $112.41 – $349.59 | 9 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $201.60 | $504.00 | $398.43 – $1,070.42 | 6 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $536.34 | $1,340.85 | $1,109.16 – $2,979.87 | 6 |
| Oscillation chest wall mechanical per session CPT 94669 | $146.40 | $366.00 | not published | 0 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $39.08 – $104.99 | 6 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $28.11 – $75.52 | 6 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $104.74 – $281.39 | 6 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $79.70 – $214.12 | 6 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $10.99 – $29.53 | 6 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $65.66 – $176.40 | 6 |
| Osmolality blood CPT 83930 | $42.40 | $106.00 | $3.26 – $13.88 | 9 |
| Osmolality urine CPT 83935 | $42.40 | $106.00 | $3.37 – $14.32 | 9 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $3,206.68 – $14,364.00 | 9 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,206.68 – $18,609.00 | 9 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $4,642.34 – $11,143.00 | 3 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $10,817.74 – $33,803.83 | 8 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $7,111.36 – $22,431.00 | 9 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $6,350.00 – $22,431.00 | 9 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $163.20 | $408.00 | not published | 0 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $505.20 | $1,263.00 | not published | 0 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $30.40 | $76.00 | not published | 0 |
| Osteoplasty humerus CPT 24420 | not published | not published | $6,350.00 – $19,105.38 | 9 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $7,111.36 – $19,105.38 | 7 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $4,642.34 – $4,802.00 | 2 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $7,111.36 – $19,105.38 | 7 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $7,111.36 – $19,105.38 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $7,111.36 – $19,105.38 | 9 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $12,582.38 – $33,803.83 | 8 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $6,350.00 – $19,105.38 | 9 |
| Ot evaluation high complexity patient/family CPT 97167 | $272.80 | $682.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $232.40 | $581.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $241.60 | $604.00 | not published | 0 |
| Other bone graft microvasc CPT 20962 | not published | not published | $7,111.36 – $19,105.38 | 7 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $7.49 – $48.57 | 9 |
| Oth resp proc, group HCPCS G0239 | $230.40 | $576.00 | not published | 0 |
| Oth resp proc, indiv HCPCS G0238 | $303.20 | $758.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $56.40 | $141.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $70.00 | $175.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $107.20 | $268.00 | not published | 0 |
| Otoplasty 69300 CPT 69300 | not published | not published | $3,249.27 – $14,364.00 | 9 |
| Ot re-evaluation patient/family CPT 97168 | $152.80 | $382.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $104.00 | $260.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $84.40 | $211.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $155.20 | $388.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $84.00 | $210.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $98.00 | $245.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $91.60 | $229.00 | not published | 0 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Outrigger HCPCS L1080 | not published | not published | $64.30 – $172.75 | 6 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $215.27 – $578.34 | 6 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $4,902.59 – $13,171.29 | 8 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $129.83 – $384.46 | 3 |
| Ovulation tests CPT 84830 | not published | not published | $5.23 – $26.67 | 9 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $1.09 – $1.79 | 4 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.09 – $0.14 | 4 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.76 – $7.95 | 3 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $1.88 – $2.62 | 2 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $2.45 – $3.99 | 3 |
| P-32 chromic phos ther per mci HCPCS A9564 | $120.54 | $301.34 | $184.68 – $594.19 | 3 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $68.44 | $171.11 | $218.53 – $867.61 | 8 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $54.80 – $287.70 | 9 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.13 – $0.36 | 4 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $10.54 – $36.44 | 9 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $113.15 – $1,420.65 | 9 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $120.54 – $632.84 | 9 |
| Palifermin injection HCPCS J2425 | not published | not published | $35.55 – $94.83 | 9 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $121.96 – $1,005.82 | 9 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $1,758.63 – $3,543.02 | 2 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $15.11 – $41.12 | 9 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $436.75 – $5,689.20 | 8 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.61 – $1.34 | 4 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $15.18 – $38.73 | 4 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Pancreatectomy CPT 48146 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Pancreatectomy CPT 48152 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Pancreatectomy CPT 48154 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $173.03 – $460.13 | 9 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | not published | not published | $9.31 – $12.95 | 3 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $56.05 – $106.72 | 3 |
| Parathormone (pth) intact CPT 83970 | $193.60 | $484.00 | $20.38 – $86.69 | 9 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $3,086.00 – $12,096.23 | 2 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,490.40 | $3,726.00 | $532.13 – $1,638.48 | 8 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $4,802.00 – $15,624.00 | 4 |
| Parathyroid planar imaging CPT 78070 | $707.60 | $1,769.00 | $391.79 – $1,250.27 | 8 |
| Parathyroid planar img w/tomo spect CPT 78071 | $868.40 | $2,171.00 | $391.79 – $1,250.27 | 8 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $4,902.59 – $13,171.29 | 8 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $6,507.61 – $24,389.00 | 9 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.91 – $2.26 | 4 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $232.80 | $582.00 | $196.63 – $11,143.00 | 8 |
| Parotid duct diversion CPT 42507 | not published | not published | $5,801.65 – $15,586.72 | 9 |
| Parotid duct diversion CPT 42509 | not published | not published | $5,801.65 – $18,609.00 | 9 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,249.27 – $18,609.00 | 9 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,111.36 – $32,957.00 | 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.