Supplies, drugs & other prices at Kettering Health Troy
Troy, OH · every code in this section with a posted price and a Medicare benchmark.
101 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $922.80 | $2,307 | 1.2× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,574.80 | $3,937 | 2.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $604.80 | $1,512 | 1.8× |
| Adm tocilizu covid-19 1st (M0249) | $831.20 | $2,078 | 1.9× |
| Admin hepatitis b vaccine (G0010) | $27.20 | $68 | 0.6× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$34.80–$35.60 | $87–$89 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$34.80–$35.60 | $87–$89 | varies |
| Ca screen;pelvic/breast exam (G0101) | $81.20 | $203 | 0.8× |
| Catheterize for urine spec (P9612) | $4.80 | $12 | 0.5× |
| Covid-19 lab test non-cdc (U0002) range across 3 matching MRF lines |
$20.52–$82.40 | $51.31–$206 | varies |
| Direct refer hospital observ (G0379) | $484.80 | $1,212 | 0.8× |
| Drug test def 1-7 classes (G0480) range across 90 matching MRF lines |
$46–$595.20 | $115–$1,488 | varies |
| Drug test def 8-14 classes (G0481) | $951.60 | $2,379 | 6.1× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) | $148 | $370 | 1.6× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) | $148 | $370 | 1.6× |
| Elec stim other than wound (G0283) | $250.40 | $626 | 19.7× |
| Elec stim unattend for press (G0281) | $246.40 | $616 | 21.1× |
| Fecal microbiota prep instil (G0455) | $340 | $850 | 0.4× |
| Hbot, full body chamber, 30m (G0277) | $506.80 | $1,267 | 3.8× |
| Home sleep test/type 2 porta (G0398) | $340 | $850 | 1.6× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$170–$340 | $425–$850 | varies |
| Home sleep test/type 4 porta (G0400) | $340 | $850 | 1.6× |
| Hospital outpt clinic visit (G0463) range across 29 matching MRF lines |
$90.80–$346.40 | $227–$866 | varies |
| Inj for sacroiliac jt anesth (G0260) | $1,403.60 | $3,509 | 2.0× |
| Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) | $22,747.60 | $56,869 | 2.1× |
| Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) | $22,747.60 | $56,869 | 2.1× |
| Mra w/cont, abd (C8900) | $1,226.40 | $3,066 | 3.6× |
| Mra w/cont, chest (C8909) | $1,215.60 | $3,039 | 3.6× |
| Mra w/cont, lwr ext (C8912) | $709.20 | $1,773 | 2.1× |
| Mra w/cont, pelvis (C8918) | $1,062.40 | $2,656 | 3.1× |
| Mra w/o cont, abd (C8901) | $962.40 | $2,406 | 4.1× |
| Mra w/o cont, chest (C8910) | $965.20 | $2,413 | 4.1× |
| Mra w/o cont, lwr ext (C8913) | $644.80 | $1,612 | 2.8× |
| Mra w/o cont, pelvis (C8919) | $938 | $2,345 | 4.0× |
| Mra w/o fol w/cont, abd (C8902) | $1,351.20 | $3,378 | 4.0× |
| Mra w/o fol w/cont, lwr ext (C8914) | $784.80 | $1,962 | 2.3× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,125.60 | $2,814 | 3.3× |
| Mra, w/dye, upper extremity (C8934) | $1,239.20 | $3,098 | 3.6× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,260.80 | $3,152 | 3.7× |
| Mri w/cont, breast, bi (C8906) | $2,501.60 | $6,254 | 7.3× |
| Mri w/cont, breast, uni (C8903) | $1,400.80 | $3,502 | 8.1× |
| Mri w/o fol w/cont, breast, (C8908) | $2,550 | $6,375 | 7.5× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,720.40 | $4,301 | 5.0× |
| Njx platelet plasma (0232T) | $1,288.40 | $3,221 | 2.9× |
| Obtaining screen pap smear (Q0091) | $85.20 | $213 | 3.0× |
| Oth resp proc, group (G0239) | $230.40 | $576 | 6.3× |
| Oth resp proc, indiv (G0238) | $303.20 | $758 | 10.7× |
| Pathogen test for platelets (P9100) | $77.60 | $194 | 1.3× |
| Perc d-e cor revasc chro sin (C9607) | $18,270 | $45,675 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $18,270 | $45,675 | 1.6× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$8,212.80 | $20,532 | 0.5× |
| Perc drug-el cor stent sing (C9600) | $7,919.60 | $19,799 | 0.7× |
| Perq Sacral Augmt Bilat Inj (0201T) | $15,918.40 | $39,796 | 2.2× |
| Perq Sacral Augmt Unilat Inj (0200T) | $11,605.60 | $29,014 | 1.6× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $9,122.80 | $22,807 | 0.8× |
| Pet not otherwise specified (G0235) | $1,070.40 | $2,676 | 2.7× |
| Place device/marker, non pro (C9728) | $5,920.80 | $14,802 | 4.4× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $57.60 | $144 | 1.6× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $57.60 | $144 | 1.6× |
| Prostate biopsy, any mthd (G0416) | $803.60 | $2,009 | 2.3× |
| Psa screening (G0103) | $113.20 | $283 | 5.9× |
| Relocation pg wcs lv pacg battery component only (0862T) | $2,783.20 | $6,958 | 1.4× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $2,783.20 | $6,958 | 1.4× |
| Removal pg wcs lv pacing both components (0861T) | $5,993.20 | $14,983 | 1.6× |
| Revasc intra lithotrip-ather (C9766) | $26,244 | $65,610 | 1.5× |
| Revasc intra lithotrip-stent (C9765) | $26,244 | $65,610 | 1.5× |
| Revasc intravasc lithotripsy (C9764) | $16,413.60 | $41,034 | 1.5× |
| Revasc lith-sten-ath tib/per (C9775) | $26,244 | $65,610 | 1.5× |
| Revasc lithotr-ather tib/per (C9774) | $26,244 | $65,610 | 1.5× |
| Revasc lithotr-stent tib/per (C9773) | $26,244 | $65,610 | 1.5× |
| Revasc lithotrip tibi/perone (C9772) | $16,413.60 | $41,034 | 1.5× |
| Revasc lithotrip-stent-ather (C9767) | $26,244 | $65,610 | 1.5× |
| Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) | $5,682.40 | $14,206 | 1.7× |
| Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) | $5,682.40 | $14,206 | 1.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $164.80 | $412 | 6.2× |
| Sim ang w/prs cath rad emb (C8004) | $18,145.20 | $45,363 | 1.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $29,735.60 | $74,339 | 1.6× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $29,735.60 | $74,339 | 1.6× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $29,735.60 | $74,339 | 1.6× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $29,735.60 | $74,339 | 1.6× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $4,864.40 | $12,161 | 1.6× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $4,864.40 | $12,161 | 1.6× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $4,864.40 | $12,161 | 1.6× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $4,864.40 | $12,161 | 1.6× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $29,735.60 | $74,339 | 1.6× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $29,735.60 | $74,339 | 1.6× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $29,735.60 | $74,339 | 1.6× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $29,735.60 | $74,339 | 1.6× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $8,099.20 | $20,248 | 1.5× |
| Therapeutic procd strg endur (G0237) | $297.60 | $744 | 10.5× |
| Therapeutic ultrafiltration (0692T) | $648.80 | $1,622 | 0.4× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$48.40–$96.40 | $121–$241 | varies |
| Trauma respons w/hosp criti (G0390) range across 6 matching MRF lines |
$3,421.60–$12,724.80 | $8,554–$31,812 | varies |
| Trluml perip athrc abd aorta (0236T) | $45,631.60 | $114,079 | 4.0× |
| Trluml Perip Athrc Brchiocph (0237T) | $45,631.60 | $114,079 | 4.0× |
| Trluml Perip Athrc Iliac Art (0238T) | $45,631.60 | $114,079 | 2.5× |
| Tte w or w/o contr, cont ecg (C8930) | $2,234 | $5,585 | 2.9× |
| Tte w or w/o fol w/con,stres (C8928) | $1,519.60 | $3,799 | 2.0× |
| Tte w or wo fol wcon,doppler (C8929) | $1,501.20 | $3,753 | 2.0× |
| Unsched dialysis esrd pt hos (G0257) | $2,296 | $5,740 | 3.4× |
| Vasc emb/occ w/prs cath (C9797) | $28,730.80 | $71,827 | 1.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.