Does Kettering Health Main Campus have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Kettering Health Main Campus. In a medical emergency, call 911.

Where is Kettering Health Main Campus?

3535 Southern Boulevard, Kettering, OH 45429, in Montgomery County, Ohio.

What is the phone number of Kettering Health Main Campus?

(937) 298-4331, as listed by Medicare (CMS).

What is the Medicare star rating of Kettering Health Main Campus?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Kettering Health Main Campus for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Kettering Health Main Campus under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.2154; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Kettering Health Main Campus — Phone & Address

Quick answers

Does Kettering Health Main Campus have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Kettering Health Main Campus. In a medical emergency, call 911.
Where is Kettering Health Main Campus?: 3535 Southern Boulevard, Kettering, OH 45429, in Montgomery County, Ohio.
What is the phone number of Kettering Health Main Campus?: (937) 298-4331, as listed by Medicare (CMS).
What is the Medicare star rating of Kettering Health Main Campus?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Kettering Health Main Campus for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Kettering Health Main Campus under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.2154; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[4]

Cancer care
Cardiovascular
Electrophysiology
Advanced heart failure
Cardiothoracic surgery
Brain and spine
Urology
General and colon & rectal surgery
Trauma surgery
Critical care
Maternity and maternal-fetal medicine
OB-GYN
Behavioral health
Pain management
Lifestyle medicine

Treatments^[4]

Medical oncology
Radiation oncology
Gynecologic oncology
Cardiac rehab
Pulmonary rehab

Procedures^[4]

Surgical oncology

Programs and centers^[4]

Sleep lab
Breast evaluation center

Emergency care (hospital website)^[4]

Stroke designation	Comprehensive Stroke Center (ACHC)

Visiting and practical information

Visiting	Open 24/7, may be restricted in some situations; main entrance closes 9 p.m., use garage or ER entrance 9 p.m.-6 a.m^[4]
Parking	Garage $3.99 pay-per-plate; other surface lots free; registration can validate parking^[4]
Patient portal	MyChart

Recognition^[4]

Comprehensive Stroke Center (ACHC)
Radiopharmaceutical Therapy Center of Excellence (SNMMI)
Modern Healthcare 50 Top Cardiovascular Hospitals 2026

Doctors and clinicians (1,349)

1,349 doctors and other clinicians list Kettering Health Main Campus as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 1,325 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Miami Valley Hospital3.1 mi · Dayton, OH · Acute Care Hospital
Dayton VA Medical Center4.8 mi · Dayton, OH · Federal/VA Acute Care Hospital
Kettering Health Dayton4.9 mi · Dayton, OH · Acute Care Hospital
Dayton Childrens Hospital5.3 mi · Dayton, OH · Children's Hospital
Kettering Health Miamisburg6.6 mi · Miamisburg, OH · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Kettering

Kindred Hospitals-Dayton3.3 mi · Dayton, OH · Long-Term Acute Care Hospital
The Rehabilitation Institute of Ohio3.4 mi · Dayton, OH · Inpatient Rehabilitation Hospital
PAM Health Specialty Hospital of Miamisburg5.2 mi · Miamisburg, OH · Long-Term Acute Care Hospital

Hospitals in Montgomery County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

The Oaks of West Kettering0.6 mi · Kettering, OH · 2 of 5 stars
The Laurels of Kettering1.7 mi · Kettering, OH · 2 of 5 stars
Walnut Creek Nursing Center1.8 mi · Kettering, OH · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Heartland Hospice1.8 mi · Kettering, OH · 2 of 5 stars
Caretenders Hospice2.1 mi · Moraine, OH
Hospice of Dayton3.5 mi · Dayton, OH · 4 of 5 stars

All hospice providers in the state →

Home health agencies

A&D Health Care Professionals, Inc1.6 mi · Dayton, OH
Home Care by Black Stone1.8 mi · Kettering, OH
Caretenders2.1 mi · Kettering, OH · 2.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Buckeye Dialysis1.6 mi · Kettering, OH · 3 of 5 stars
DaVita Home Dialysis of Dayton - South1.6 mi · Kettering, OH · 3 of 5 stars
DaVita Pike Place Dialysis1.6 mi · Kettering, OH

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Kunesh Eye Surgery Center1.6 mi · Dayton, OH
Fresenius Vascular Care Dayton ASC LLC2.1 mi · Moraine, OH
The Surgery Center of Southwest Ohio2.1 mi · Moraine, OH

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Southdale Elementary0.6 mi · Dayton, OH · Community health center
Moraine Community Health Center0.9 mi · Moraine, OH · Community health center
Montgomery County ESC - Learning Center West0.9 mi · Moraine, OH · Community health center

Clinics and urgent care

Miami Valley Urgent Care LLC6.2 mi · Dayton, OH · Urgent care center
Dayton Children's Hospital6.6 mi · Miamisburg, OH · Urgent care center
Alliance Physicians Inc7.2 mi · Beavercreek, OH · Urgent care center

Pharmacies

Fidelity Health Care Inc1.6 mi · Dayton, OH · Community/retail pharmacy
Pharmacy Operations Inc1.6 mi · Dayton, OH · Community/retail pharmacy
Walgreen Co1.6 mi · Dayton, OH · Pharmacy

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

Brookdale Oakwood1.6 mi · Dayton, OH
The Carlyle House1.8 mi · Kettering, OH
Walnut Creek Care Community2.1 mi · Kettering, OH
Laurelwood Senior Living3.5 mi · Dayton, OH

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Kettering Health Main Campus reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Restfulness of Environment	3 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	75%National average: 72%
Would definitely recommend the hospital	78%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	77%National average: 80%
“Always” got help as soon as they wanted	59%National average: 64%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	66%National average: 73%
Completed surveys	1,830Response rate: 25%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0.989No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.807No different from the national benchmark
Surgical site infections after colon surgery	0.934No different from the national benchmark
Surgical site infections after abdominal hysterectomy	2.334Worse than the national benchmark
MRSA bloodstream infections	0.78No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	1.148No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	13.1%
Deaths within 30 days: heart failure patients	12.1%
Deaths within 30 days: pneumonia patients	13.8%
Deaths within 30 days: COPD patients	6.6%
Deaths within 30 days: stroke patients	13.1%
Deaths within 30 days: coronary bypass surgery (CABG)	1.7%
Serious complications (patient safety indicator PSI-90)	0.81No different from the national rate
Too few cases to report	Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	16.3%
Readmitted within 30 days: heart attack	13.8%
Readmitted within 30 days: heart failure	22.8%
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	20.5%
Readmitted within 30 days: coronary bypass surgery	10.5%
Too few cases to report	Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	138 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	67%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Kettering Health Main Campus, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.2154Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack	0.9620Fewer readmissions than expected
Heart failure	1.1096More readmissions than expected
Pneumonia	0.8986Fewer readmissions than expected
COPD (chronic lung disease)	1.1175More readmissions than expected
Coronary bypass surgery (CABG)	1.1657More readmissions than expected
No result published	Hip or knee replacement (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	26.67 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	44.00 out of 100
Person and community engagement (patient survey)	36.00 out of 100
Safety (infections and sepsis care)	26.67 out of 100
Efficiency and cost reduction (Medicare spending)	0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	1.05Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Ohio Best hospitals in Ohio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 74 common services exactly as Kettering Health Main Campus lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 74 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: Hc Level Iii Emergency Room Visit	$2,115	$846	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: Hc Level Iv Emergency Room Visit	$3,130	$1,252	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: Hc Level V Emergency Room Visit	$4,745	$1,898	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$3.47 – $24.11
Basic metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $9.54 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $9.54 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $24.11 Bcbs — Anthem Pathway Hmox Exchange: $12.69 Bcbs — Anthem Traditional: $3.47 Buckeye Health Plan — Ambetter Exchange: $17.77 Caresource — Marketplace Exchange: $8.71 Cigna — All Commercial Plans: $9.63 Custom Design Benefits Inc. — All Commercial Plans: $8.46 Health Ohio Network — All Commercial Plans: $12.37
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Basic Metabolic Panel W/Calcium	$201	$80.40	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$5.99 – $30.10
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $11.91 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $11.91 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $30.10 Bcbs — Anthem Pathway Hmox Exchange: $15.84 Bcbs — Anthem Traditional: $5.99 Buckeye Health Plan — Ambetter Exchange: $22.18 Caresource — Marketplace Exchange: $10.88 Cigna — All Commercial Plans: $12.01 Custom Design Benefits Inc. — All Commercial Plans: $10.56 Health Ohio Network — All Commercial Plans: $15.59
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Comprehensive Metabolic Panel	$278	$111.20	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$23.61 – $136.26
Obstetric blood test panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $53.92 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $53.92 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $136.26 Bcbs — Anthem Pathway Hmox Exchange: $71.72 Bcbs — Anthem Traditional: $23.61 Buckeye Health Plan — Ambetter Exchange: $100.40 Caresource — Marketplace Exchange: $49.24 Cigna — All Commercial Plans: $54.39 Custom Design Benefits Inc. — All Commercial Plans: $47.81 Health Ohio Network — All Commercial Plans: $72.14
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Obstetric Panel	$252	$100.80	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$6.02 – $38.16
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $15.10 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $15.10 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $38.16 Bcbs — Anthem Pathway Hmox Exchange: $20.09 Bcbs — Anthem Traditional: $6.02 Buckeye Health Plan — Ambetter Exchange: $28.12 Caresource — Marketplace Exchange: $13.79 Cigna — All Commercial Plans: $15.23 Custom Design Benefits Inc. — All Commercial Plans: $13.39 Health Ohio Network — All Commercial Plans: $19.62
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lipid Profile	$250	$100	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lipid Panel, Lc	$69	$27.60	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$4.11 – $24.74
Kidney function panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $9.78 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $9.78 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $24.74 Bcbs — Anthem Pathway Hmox Exchange: $13.02 Bcbs — Anthem Traditional: $4.11 Buckeye Health Plan — Ambetter Exchange: $18.23 Caresource — Marketplace Exchange: $8.94 Cigna — All Commercial Plans: $9.87 Custom Design Benefits Inc. — All Commercial Plans: $8.68 Health Ohio Network — All Commercial Plans: $12.88
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Renal Chemistry Panel	$216	$86.40	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$4.04 – $23.28
Liver function panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $9.22 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $9.22 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $23.28 Bcbs — Anthem Pathway Hmox Exchange: $12.26 Bcbs — Anthem Traditional: $4.04 Buckeye Health Plan — Ambetter Exchange: $17.16 Caresource — Marketplace Exchange: $8.42 Cigna — All Commercial Plans: $9.29 Custom Design Benefits Inc. — All Commercial Plans: $8.17 Health Ohio Network — All Commercial Plans: $11.89
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Hepatic/Liver Function Panel	$216	$86.40	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $9.03
Urine test (automated, with microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $3.58 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $3.58 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $9.03 Bcbs — Anthem Pathway Hmox Exchange: $4.76 Bcbs — Anthem Traditional: $3.90 Buckeye Health Plan — Ambetter Exchange: $6.66 Caresource — Marketplace Exchange: $3.27 Cigna — All Commercial Plans: $3.61 Custom Design Benefits Inc. — All Commercial Plans: $3.17 Health Ohio Network — All Commercial Plans: $4.77
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis Routine With Micro	$66	$26.40	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$2.77 – $9.92
Urine test (manual, without microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $3.92 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $3.92 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $9.92 Bcbs — Anthem Pathway Hmox Exchange: $5.22 Bcbs — Anthem Traditional: $2.77 Buckeye Health Plan — Ambetter Exchange: $7.31 Caresource — Marketplace Exchange: $3.58 Cigna — All Commercial Plans: $3.96 Custom Design Benefits Inc. — All Commercial Plans: $3.48 Health Ohio Network — All Commercial Plans: $3.78
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urine Multistck	$16	$6.40	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$1.06 – $6.41
Urine test (automated, without microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $2.54 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $2.54 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $6.41 Bcbs — Anthem Pathway Hmox Exchange: $3.38 Bcbs — Anthem Traditional: $1.06 Buckeye Health Plan — Ambetter Exchange: $4.73 Caresource — Marketplace Exchange: $2.32 Cigna — All Commercial Plans: $2.56 Custom Design Benefits Inc. — All Commercial Plans: $2.25 Health Ohio Network — All Commercial Plans: $3.34
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis Routine W/O Micro	$48	$19.20	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ua, Lc	$26	$10.40	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$10.42 – $52.41
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $20.74 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $20.74 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $52.41 Bcbs — Anthem Pathway Hmox Exchange: $27.59 Bcbs — Anthem Traditional: $10.42 Buckeye Health Plan — Ambetter Exchange: $38.62 Caresource — Marketplace Exchange: $18.94 Cigna — All Commercial Plans: $20.91 Custom Design Benefits Inc. — All Commercial Plans: $18.39 Health Ohio Network — All Commercial Plans: $27.57
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psa Total	$255	$102	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$7.95 – $47.88
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $18.95 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $18.95 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $47.88 Bcbs — Anthem Pathway Hmox Exchange: $25.20 Bcbs — Anthem Traditional: $7.95 Buckeye Health Plan — Ambetter Exchange: $35.28 Caresource — Marketplace Exchange: $17.30 Cigna — All Commercial Plans: $19.11 Custom Design Benefits Inc. — All Commercial Plans: $16.80 Health Ohio Network — All Commercial Plans: $25.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Tsh (Thyroid Stimulat Hormone)	$188	$75.20	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$3.68 – $22.14
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $8.77 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $8.77 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $22.14 Bcbs — Anthem Pathway Hmox Exchange: $11.66 Bcbs — Anthem Traditional: $3.68 Buckeye Health Plan — Ambetter Exchange: $16.32 Caresource — Marketplace Exchange: $8 Cigna — All Commercial Plans: $8.84 Custom Design Benefits Inc. — All Commercial Plans: $7.77 Health Ohio Network — All Commercial Plans: $11.42
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Cbc/Complete Blood Count (Auto Diff)	$115	$46	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$3.06 – $18.44
Complete blood count (CBC), automated: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $7.30 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $7.30 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $18.44 Bcbs — Anthem Pathway Hmox Exchange: $9.71 Bcbs — Anthem Traditional: $3.06 Buckeye Health Plan — Ambetter Exchange: $13.59 Caresource — Marketplace Exchange: $6.66 Cigna — All Commercial Plans: $7.37 Custom Design Benefits Inc. — All Commercial Plans: $6.47 Health Ohio Network — All Commercial Plans: $9.53
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Hemogram W/Platelet	$71	$28.40	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $12.23
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $4.83 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $4.83 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $12.23 Bcbs — Anthem Pathway Hmox Exchange: $6.44 Bcbs — Anthem Traditional: $5.13 Buckeye Health Plan — Ambetter Exchange: $9.01 Caresource — Marketplace Exchange: $4.42 Cigna — All Commercial Plans: $4.88 Custom Design Benefits Inc. — All Commercial Plans: $4.29 Health Ohio Network — All Commercial Plans: $5.89
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Coagucheck Map	$52	$20.80	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Prothrombin Time	$89	$35.60	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$2.97 – $17.13
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $6.78 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $6.78 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $17.13 Bcbs — Anthem Pathway Hmox Exchange: $9.02 Bcbs — Anthem Traditional: $2.97 Buckeye Health Plan — Ambetter Exchange: $12.62 Caresource — Marketplace Exchange: $6.19 Cigna — All Commercial Plans: $6.84 Custom Design Benefits Inc. — All Commercial Plans: $6.01 Health Ohio Network — All Commercial Plans: $9
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ptt /Partial Thromboplast Time	$178	$71.20	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Thromboplastin Time, Partial (Ptt), Plasma Or Whole Blood, Lc	$45	$18	Not listed in the file

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$103.01 – $354.98
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $155.87 Aetna — Medicare Managed Care Plan: $103.01 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $155.87 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $354.98 Bcbs — Anthem Pathway Hmox Exchange: $154.05 Buckeye Health Plan — Ambetter Exchange: $216.32 Caresource — Marketplace Exchange: $159.20 Custom Design Benefits Inc. — All Commercial Plans: $276.75 Molina Healthcare — Exchange: $213.87 Molina Healthcare — Medicare Managed Care Plan: $108.16
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Hyperacute Head Wo/Con Stroke	$1,593	$637.20	Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Head Wo Contrast	$1,593	$637.20	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$343.75 – $1,184.58
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $523.77 Aetna — Medicare Managed Care Plan: $343.75 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $523.77 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $1,184.58 Bcbs — Anthem Pathway Hmox Exchange: $514.07 Buckeye Health Plan — Ambetter Exchange: $721.87 Caresource — Marketplace Exchange: $531.26 Custom Design Benefits Inc. — All Commercial Plans: $923.51 Molina Healthcare — Exchange: $713.69 Molina Healthcare — Medicare Managed Care Plan: $360.94
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Brain W & Wo Contrast	$3,254	$1,301.60	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Brain/Orbit W/Wo Contrast	$3,254	$1,301.60	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$47.16 – $295.49
Chest X-ray, 2 views: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $47.16 Aetna — Medicare Managed Care Plan: $85.75 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $47.16 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $295.49 Bcbs — Anthem Pathway Hmox Exchange: $128.23 Buckeye Health Plan — Ambetter Exchange: $180.07 Caresource — Marketplace Exchange: $132.52 Cigna — All Commercial Plans: $275.46 Custom Design Benefits Inc. — All Commercial Plans: $230.37 Molina Healthcare — Exchange: $178.03
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Chest Pa & Lat	$459	$183.60	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$78.05 – $354.98
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $78.05 Aetna — Medicare Managed Care Plan: $103.01 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $78.05 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $354.98 Bcbs — Anthem Pathway Hmox Exchange: $154.05 Buckeye Health Plan — Ambetter Exchange: $216.32 Caresource — Marketplace Exchange: $159.20 Cigna — All Commercial Plans: $333.26 Custom Design Benefits Inc. — All Commercial Plans: $276.75 Molina Healthcare — Exchange: $213.87
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lumbar Spine 4/5 Views	$554	$221.60	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$235.10 – $810.16
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $300.63 Aetna — Medicare Managed Care Plan: $235.10 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $300.63 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $810.16 Bcbs — Anthem Pathway Hmox Exchange: $351.58 Buckeye Health Plan — Ambetter Exchange: $493.70 Caresource — Marketplace Exchange: $363.34 Custom Design Benefits Inc. — All Commercial Plans: $631.61 Molina Healthcare — Exchange: $488.11 Molina Healthcare — Medicare Managed Care Plan: $246.85
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Lumbar Spine Wo Contrast	$2,413	$965.20	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$172.82 – $595.56
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $374.46 Aetna — Medicare Managed Care Plan: $172.82 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $374.46 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $595.56 Bcbs — Anthem Pathway Hmox Exchange: $258.46 Buckeye Health Plan — Ambetter Exchange: $362.93 Caresource — Marketplace Exchange: $267.10 Custom Design Benefits Inc. — All Commercial Plans: $464.31 Molina Healthcare — Exchange: $358.82 Molina Healthcare — Medicare Managed Care Plan: $181.47
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Pelvis W Contrast	$3,109	$1,243.60	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$235.10 – $810.16
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $338.80 Aetna — Medicare Managed Care Plan: $235.10 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $338.80 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $810.16 Bcbs — Anthem Pathway Hmox Exchange: $351.58 Buckeye Health Plan — Ambetter Exchange: $493.70 Caresource — Marketplace Exchange: $363.34 Custom Design Benefits Inc. — All Commercial Plans: $631.61 Molina Healthcare — Exchange: $488.11 Molina Healthcare — Medicare Managed Care Plan: $246.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: Hc Mri Lwr Ext Joint Wo Con Left	$2,533	$1,013.20	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: Hc Mri Lwr Ext Joint Wo Con Right	$2,533	$1,013.20	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$343.75 – $1,184.58
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $523.03 Aetna — Medicare Managed Care Plan: $343.75 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $523.03 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $1,184.58 Bcbs — Anthem Pathway Hmox Exchange: $514.07 Buckeye Health Plan — Ambetter Exchange: $721.87 Caresource — Marketplace Exchange: $531.26 Custom Design Benefits Inc. — All Commercial Plans: $923.51 Molina Healthcare — Exchange: $713.69 Molina Healthcare — Medicare Managed Care Plan: $360.94
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Abd/Pelvis W/Con	$4,011	$1,604.40	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$103.01 – $354.98
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $170.69 Aetna — Medicare Managed Care Plan: $103.01 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $170.69 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $354.98 Bcbs — Anthem Pathway Hmox Exchange: $154.05 Buckeye Health Plan — Ambetter Exchange: $216.32 Caresource — Marketplace Exchange: $159.20 Cigna — All Commercial Plans: $333.26 Custom Design Benefits Inc. — All Commercial Plans: $276.75 Molina Healthcare — Exchange: $213.87
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Abd Complete	$1,685	$674	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$103.01 – $354.98
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $189.65 Aetna — Medicare Managed Care Plan: $103.01 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $189.65 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $354.98 Bcbs — Anthem Pathway Hmox Exchange: $154.05 Buckeye Health Plan — Ambetter Exchange: $216.32 Caresource — Marketplace Exchange: $159.20 Cigna — All Commercial Plans: $333.26 Custom Design Benefits Inc. — All Commercial Plans: $276.75 Molina Healthcare — Exchange: $213.87
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Ob > 14 Weeks, Transabdominal, Single Gestation	$1,288	$515.20	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$103.01 – $354.98
Transvaginal ultrasound: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $186.83 Aetna — Medicare Managed Care Plan: $103.01 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $186.83 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $354.98 Bcbs — Anthem Pathway Hmox Exchange: $154.05 Buckeye Health Plan — Ambetter Exchange: $216.32 Caresource — Marketplace Exchange: $159.20 Cigna — All Commercial Plans: $333.26 Custom Design Benefits Inc. — All Commercial Plans: $276.75 Molina Healthcare — Exchange: $213.87
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Transvag Non Ob	$1,380	$552	Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Transvaginal	$209	$83.60	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$78.71 – $272.65
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $184.03 Aetna — Medicare Managed Care Plan: $78.71 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $184.03 Buckeye Health Plan — Ambetter Exchange: $165.29 Caresource — Marketplace Exchange: $121.65 Cigna — All Commercial Plans: $272.65 Custom Design Benefits Inc. — All Commercial Plans: $211.46 Medical Mutual — New Buisness Other Commercial Plan: $92.88 Molina Healthcare — Exchange: $163.42 Molina Healthcare — Medicare Managed Care Plan: $82.65
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Dx Mammo, Incl Cad, Unilateral	$351	$140.40	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$101 – $349.76
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $235.25 Aetna — Medicare Managed Care Plan: $101 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $235.25 Buckeye Health Plan — Ambetter Exchange: $212.10 Caresource — Marketplace Exchange: $156.10 Cigna — All Commercial Plans: $349.76 Custom Design Benefits Inc. — All Commercial Plans: $271.35 Medical Mutual — New Buisness Other Commercial Plan: $119.18 Molina Healthcare — Exchange: $209.70 Molina Healthcare — Medicare Managed Care Plan: $106.05
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Dx Mammo, Incl Cad, Bilateral	$544	$217.60	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$83.28 – $288.26
Screening mammogram, both breasts: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $194.56 Aetna — Medicare Managed Care Plan: $83.28 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $194.56 Buckeye Health Plan — Ambetter Exchange: $174.89 Caresource — Marketplace Exchange: $128.71 Cigna — All Commercial Plans: $288.26 Custom Design Benefits Inc. — All Commercial Plans: $223.74 Medical Mutual — New Buisness Other Commercial Plan: $98.27 Molina Healthcare — Exchange: $172.91 Molina Healthcare — Medicare Managed Care Plan: $87.44
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Screen Mammo, Incl Cad, Bilateral	$401	$160.40	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,194.30 – $23,576
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $23,576 Aetna — Medicare Managed Care Plan: $3,194.30 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $23,576 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $11,007.81 Bcbs — Anthem Pathway Hmox Exchange: $4,777.03 Buckeye Health Plan — Ambetter Exchange: $6,708.04 Caresource — Marketplace Exchange: $4,936.80 Custom Design Benefits Inc. — All Commercial Plans: $8,581.82 Molina Healthcare — Exchange: $6,632.01 Molina Healthcare — Medicare Managed Care Plan: $3,354.02
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lt Heart Cath W/Inj Ventrcgrphy	$31,142	$12,456.80	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$7,685.08 – $26,483.35
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $18,353.44 Aetna — Medicare Managed Care Plan: $7,685.08 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $18,353.44 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $26,483.35 Bcbs — Anthem Pathway Hmox Exchange: $11,492.91 Buckeye Health Plan — Ambetter Exchange: $16,138.66 Caresource — Marketplace Exchange: $11,877.29 Custom Design Benefits Inc. — All Commercial Plans: $20,646.73 Molina Healthcare — Exchange: $15,955.76 Molina Healthcare — Medicare Managed Care Plan: $8,069.33
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Comprehensive Ep Evaluation-Wo	$17,468	$6,987.20	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$18,353.44 – $88,749.73
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $18,353.44 Aetna — Medicare Managed Care Plan: $25,753.86 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $18,353.44 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $88,749.73 Bcbs — Anthem Pathway Hmox Exchange: $38,514.49 Buckeye Health Plan — Ambetter Exchange: $54,083.11 Caresource — Marketplace Exchange: $39,802.59 Custom Design Benefits Inc. — All Commercial Plans: $69,190.33 Molina Healthcare — Exchange: $53,470.17 Molina Healthcare — Medicare Managed Care Plan: $27,041.56
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ep & Ablate Af By Pulm Vein Isol W/Transseptal Include Map	$54,583	$21,833.20	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Polysomnogram 4+ Parameters	$5,420	$2,168	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee · modifier 52 In the file: Hc Polysominogram-Partial	$3,889	$1,555.60	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Bte/Biodex Procedure 15 Min	$210	$84	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt P Ther Exercise 15 Min	$210	$84	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: Hc Ot Bte/Biodex Procedure 15 Min	$210	$84	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Low Complex 20 Min	$581	$232.40	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Mod Complex 30 Min	$604	$241.60	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval High Complex 45 Min	$627	$250.80	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Iop Ind Psychotherapy 16-37 Min	$329	$131.60	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Php Ind Psychotherapy 16-37 Min	$329	$131.60	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Iop Ind Psychotherapy 38-52 Min	$550	$220	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Php Ind Psychotherapy 38-52 Min	$550	$220	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Iop Ind Psychotherapy 53-60 Min	$615	$246	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Php Ind Psychotherapy 53-60 Min	$615	$246	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Iop Fam Psychothery W/O Pt 50 Minutes (>26 Mins)	$655	$262	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Php Fam Psychothery W/O Pt 50 Minutes (>26 Mins)	$655	$262	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Iop Family Psychotherapy W/Pt 50 Minutes (>26 Mins)	$564	$225.60	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Php Family Psychotherapy W/Pt 50 Minutes (>26 Mins)	$564	$225.60	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Iop Group Psychotherapy Not Multifamily Group	$514	$205.60	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$3,857.91 – $14,364
Removal of breast growth (open surgery): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $10,817.74 Aetna — Medicare Managed Care Plan: $3,857.91 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $10,817.74 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $13,294.65 Bcbs — Anthem Pathway Hmox Exchange: $5,769.45 Buckeye Health Plan — Ambetter Exchange: $8,101.61 Caresource — Marketplace Exchange: $5,962.40 Cigna — All Commercial Plans: $14,364 Custom Design Benefits Inc. — All Commercial Plans: $10,364.66 Medical Mutual — New Buisness Other Commercial Plan: $6,350
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$12,650.07 – $43,593.07
Total hip replacement: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $21,749.39 Aetna — Medicare Managed Care Plan: $12,650.07 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $21,749.39 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $43,593.07 Bcbs — Anthem Pathway Hmox Exchange: $18,917.97 Buckeye Health Plan — Ambetter Exchange: $26,565.14 Caresource — Marketplace Exchange: $19,550.68 Custom Design Benefits Inc. — All Commercial Plans: $33,985.67 Molina Healthcare — Exchange: $26,264.07 Molina Healthcare — Medicare Managed Care Plan: $13,282.57
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$12,650.07 – $43,593.07
Total knee replacement: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $21,749.39 Aetna — Medicare Managed Care Plan: $12,650.07 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $21,749.39 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $43,593.07 Bcbs — Anthem Pathway Hmox Exchange: $18,917.97 Buckeye Health Plan — Ambetter Exchange: $26,565.14 Caresource — Marketplace Exchange: $19,550.68 Custom Design Benefits Inc. — All Commercial Plans: $33,985.67 Molina Healthcare — Exchange: $26,264.07 Molina Healthcare — Medicare Managed Care Plan: $13,282.57
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$4,802 – $14,364
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans Aetna — All Commercial Plans: $10,817.74 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $10,817.74 Cigna — All Commercial Plans: $14,364 Medical Mutual — New Buisness Other Commercial Plan: $6,350 Medical Mutual — Supermed Ppo: $9,071 Unitedhealthcare — All Commercial Plans: $4,802 Unitedhealthcare — Employee: $4,802
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$3,223.93 – $18,609
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $14,014.53 Aetna — Medicare Managed Care Plan: $3,223.93 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $14,014.53 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $11,109.91 Bcbs — Anthem Pathway Hmox Exchange: $4,821.34 Buckeye Health Plan — Ambetter Exchange: $6,770.25 Caresource — Marketplace Exchange: $4,982.58 Cigna — All Commercial Plans: $18,609 Custom Design Benefits Inc. — All Commercial Plans: $8,661.41 Medical Mutual — New Buisness Other Commercial Plan: $7,642
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$5,832.86 – $20,100.47
Removal of tonsils and adenoids (under age 12): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $10,817.74 Aetna — Medicare Managed Care Plan: $5,832.86 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $10,817.74 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $20,100.47 Bcbs — Anthem Pathway Hmox Exchange: $8,722.95 Buckeye Health Plan — Ambetter Exchange: $12,249.01 Caresource — Marketplace Exchange: $9,014.69 Cigna — All Commercial Plans: $14,364 Custom Design Benefits Inc. — All Commercial Plans: $15,670.56 Medical Mutual — New Buisness Other Commercial Plan: $6,350
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$893.66 – $6,636
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $4,642.34 Aetna — Medicare Managed Care Plan: $893.66 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $4,642.34 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $3,079.62 Bcbs — Anthem Pathway Hmox Exchange: $1,336.46 Buckeye Health Plan — Ambetter Exchange: $1,876.69 Caresource — Marketplace Exchange: $1,381.15 Cigna — All Commercial Plans: $6,165 Custom Design Benefits Inc. — All Commercial Plans: $2,400.91 Medical Mutual — New Buisness Other Commercial Plan: $3,958
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$893.66 – $11,143
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $8,386.90 Aetna — Medicare Managed Care Plan: $893.66 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $8,386.90 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $3,079.62 Bcbs — Anthem Pathway Hmox Exchange: $1,336.46 Buckeye Health Plan — Ambetter Exchange: $1,876.69 Caresource — Marketplace Exchange: $1,381.15 Cigna — All Commercial Plans: $11,143 Custom Design Benefits Inc. — All Commercial Plans: $2,400.91 Medical Mutual — New Buisness Other Commercial Plan: $4,830
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$778 – $11,143
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $8,386.90 Aetna — Medicare Managed Care Plan: $916.30 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $8,386.90 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $3,157.62 Bcbs — Anthem Pathway Hmox Exchange: $1,370.31 Buckeye Health Plan — Ambetter Exchange: $1,924.22 Caresource — Marketplace Exchange: $1,416.13 Cigna — All Commercial Plans: $11,143 Custom Design Benefits Inc. — All Commercial Plans: $2,461.72 Medical Mutual — New Buisness Other Commercial Plan: $4,830
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$778 – $11,143
Colonoscopy with biopsy: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $8,386.90 Aetna — Medicare Managed Care Plan: $1,179.06 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $8,386.90 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $4,063.13 Bcbs — Anthem Pathway Hmox Exchange: $1,763.27 Buckeye Health Plan — Ambetter Exchange: $2,476.03 Caresource — Marketplace Exchange: $1,822.24 Cigna — All Commercial Plans: $11,143 Custom Design Benefits Inc. — All Commercial Plans: $3,167.67 Medical Mutual — New Buisness Other Commercial Plan: $4,830
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$778 – $11,143
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $8,386.90 Aetna — Medicare Managed Care Plan: $1,179.06 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $8,386.90 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $4,063.13 Bcbs — Anthem Pathway Hmox Exchange: $1,763.27 Buckeye Health Plan — Ambetter Exchange: $2,476.03 Caresource — Marketplace Exchange: $1,822.24 Cigna — All Commercial Plans: $11,143 Custom Design Benefits Inc. — All Commercial Plans: $3,167.67 Medical Mutual — New Buisness Other Commercial Plan: $4,830
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,179.06 – $11,143
Ultrasound of the lower bowel by endoscope: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $8,386.90 Aetna — Medicare Managed Care Plan: $1,179.06 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $8,386.90 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $4,063.13 Bcbs — Anthem Pathway Hmox Exchange: $1,763.27 Buckeye Health Plan — Ambetter Exchange: $2,476.03 Caresource — Marketplace Exchange: $1,822.24 Cigna — All Commercial Plans: $11,143 Custom Design Benefits Inc. — All Commercial Plans: $3,167.67 Medical Mutual — New Buisness Other Commercial Plan: $4,830
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$778 – $11,143
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $8,386.90 Aetna — Medicare Managed Care Plan: $916.30 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $8,386.90 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $3,157.62 Bcbs — Anthem Pathway Hmox Exchange: $1,370.31 Buckeye Health Plan — Ambetter Exchange: $1,924.22 Caresource — Marketplace Exchange: $1,416.13 Cigna — All Commercial Plans: $11,143 Custom Design Benefits Inc. — All Commercial Plans: $2,461.72 Medical Mutual — New Buisness Other Commercial Plan: $4,830
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$5,956.71 – $22,319
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $18,272.76 Aetna — Medicare Managed Care Plan: $5,956.71 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $18,272.76 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $20,527.27 Bcbs — Anthem Pathway Hmox Exchange: $8,908.17 Buckeye Health Plan — Ambetter Exchange: $12,509.09 Caresource — Marketplace Exchange: $9,206.10 Cigna — All Commercial Plans: $21,804 Custom Design Benefits Inc. — All Commercial Plans: $16,003.30 Medical Mutual — New Buisness Other Commercial Plan: $15,624
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,527.80 – $18,609
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $14,014.53 Aetna — Medicare Managed Care Plan: $3,527.80 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $14,014.53 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $12,157.06 Bcbs — Anthem Pathway Hmox Exchange: $5,275.77 Buckeye Health Plan — Ambetter Exchange: $7,408.38 Caresource — Marketplace Exchange: $5,452.22 Cigna — All Commercial Plans: $18,609 Custom Design Benefits Inc. — All Commercial Plans: $9,477.79 Medical Mutual — New Buisness Other Commercial Plan: $7,642
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$4,830 – $11,143
Prostate biopsy: rates for 7 insurance plans Aetna — All Commercial Plans: $8,386.90 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $8,386.90 Cigna — All Commercial Plans: $11,143 Medical Mutual — New Buisness Other Commercial Plan: $4,830 Medical Mutual — Supermed Ppo: $6,900 Unitedhealthcare — All Commercial Plans: $6,636 Unitedhealthcare — Employee: $6,636
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Biopsy Needle Prostate	$3,359	$1,343.60	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$10,473.67 – $36,093.04
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $17,331.79 Aetna — Medicare Managed Care Plan: $10,473.67 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $17,331.79 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $36,093.04 Bcbs — Anthem Pathway Hmox Exchange: $15,663.21 Buckeye Health Plan — Ambetter Exchange: $21,994.70 Caresource — Marketplace Exchange: $16,187.05 Custom Design Benefits Inc. — All Commercial Plans: $28,138.56 Molina Healthcare — Exchange: $21,745.43 Molina Healthcare — Medicare Managed Care Plan: $10,997.35
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$3,189.57 – $14,364
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $10,817.74 Aetna — Medicare Managed Care Plan: $3,189.57 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $10,817.74 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $10,991.49 Bcbs — Anthem Pathway Hmox Exchange: $4,769.95 Buckeye Health Plan — Ambetter Exchange: $6,698.09 Caresource — Marketplace Exchange: $4,929.48 Cigna — All Commercial Plans: $14,364 Custom Design Benefits Inc. — All Commercial Plans: $8,569.09 Medical Mutual — New Buisness Other Commercial Plan: $6,350
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$695.51 – $6,165
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $4,642.34 Aetna — Medicare Managed Care Plan: $695.51 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $4,642.34 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $2,396.78 Bcbs — Anthem Pathway Hmox Exchange: $1,040.13 Buckeye Health Plan — Ambetter Exchange: $1,460.57 Caresource — Marketplace Exchange: $1,074.91 Cigna — All Commercial Plans: $6,165 Custom Design Benefits Inc. — All Commercial Plans: $1,868.56 Medical Mutual — New Buisness Other Commercial Plan: $3,958
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Dx Or Therap, Interlaminar Lmbr/Sac W Image Guidance	$3,952	$1,580.80	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$871.48 – $6,165
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $4,642.34 Aetna — Medicare Managed Care Plan: $871.48 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $4,642.34 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $3,003.18 Bcbs — Anthem Pathway Hmox Exchange: $1,303.28 Buckeye Health Plan — Ambetter Exchange: $1,830.11 Caresource — Marketplace Exchange: $1,346.87 Cigna — All Commercial Plans: $6,165 Custom Design Benefits Inc. — All Commercial Plans: $2,341.32 Medical Mutual — New Buisness Other Commercial Plan: $3,958
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Transfor Epi Lum/Sacral Single Lvl	$2,585	$1,034	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,924.04 – $11,143
Carpal tunnel release: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $8,386.90 Aetna — Medicare Managed Care Plan: $1,924.04 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $8,386.90 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $6,630.38 Bcbs — Anthem Pathway Hmox Exchange: $2,877.37 Buckeye Health Plan — Ambetter Exchange: $4,040.48 Caresource — Marketplace Exchange: $2,973.60 Cigna — All Commercial Plans: $11,143 Custom Design Benefits Inc. — All Commercial Plans: $5,169.12 Medical Mutual — New Buisness Other Commercial Plan: $4,830
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$541.92 – $11,143
Laser treatment of clouding after cataract surgery: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $8,386.90 Aetna — Medicare Managed Care Plan: $541.92 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $8,386.90 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $1,867.49 Bcbs — Anthem Pathway Hmox Exchange: $810.43 Buckeye Health Plan — Ambetter Exchange: $1,138.03 Caresource — Marketplace Exchange: $837.53 Cigna — All Commercial Plans: $11,143 Custom Design Benefits Inc. — All Commercial Plans: $1,455.91 Medical Mutual — New Buisness Other Commercial Plan: $4,830
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Eye Laser Posterior Capsulotomy	$1,463	$585.20	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,273.92 – $23,288
Cataract removal with lens implant: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $17,331.79 Aetna — Medicare Managed Care Plan: $2,273.92 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $17,331.79 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $7,836.10 Bcbs — Anthem Pathway Hmox Exchange: $3,400.61 Buckeye Health Plan — Ambetter Exchange: $4,775.23 Caresource — Marketplace Exchange: $3,514.34 Cigna — All Commercial Plans: $14,168 Custom Design Benefits Inc. — All Commercial Plans: $6,109.11 Medical Mutual — New Buisness Other Commercial Plan: $16,302

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$77,344.97 – $203,054.07
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 28 insurance plan rates Aetna — All Commercial Plans: $168,154.17 Aetna — Medicare Managed Care Plan: $77,344.97 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $168,154.17 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $178,754.36 Bcbs — Anthem Pathway Hmox Exchange: $123,698.83 Bcbs — Anthem Senior Advantage Medicare Managed Care Plan: $77,344.97 Buckeye Health Plan — Ambetter Exchange: $131,486.45 Buckeye Health Plan — Medicare Managed Care Plan: $77,344.97 Caresource — Dual Advantage D-Snp Medicare/Medicaid Managed Care Plan: $77,344.97 Caresource — Marketplace Exchange: $119,536.65
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	$46,886.96 – $76,965.87
Spinal fusion (not neck), without major complications: rates for 9 insurance plans Aetna — All Commercial Plans: $63,737.37 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $63,737.37 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $67,755.28 Bcbs — Anthem Pathway Hmox Exchange: $46,886.96 Cigna — All Commercial Plans: $74,174.90 Medical Mutual — New Buisness Other Commercial Plan: $62,056.27 Medical Mutual — Supermed Ppo: $76,237.95 Unitedhealthcare — All Commercial Plans: $76,965.87 Unitedhealthcare — Employee: $76,965.87
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$15,693.95 – $39,672.81
Hip or knee replacement (major joint of the leg), without major complications: 10 of 28 insurance plan rates Aetna — All Commercial Plans: $32,854.05 Aetna — Medicare Managed Care Plan: $15,693.95 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $32,854.05 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $34,925.12 Bcbs — Anthem Pathway Hmox Exchange: $24,168.34 Bcbs — Anthem Senior Advantage Medicare Managed Care Plan: $15,693.95 Buckeye Health Plan — Ambetter Exchange: $26,679.72 Buckeye Health Plan — Medicare Managed Care Plan: $15,693.95 Caresource — Dual Advantage D-Snp Medicare/Medicaid Managed Care Plan: $15,693.95 Caresource — Marketplace Exchange: $24,255
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$19,716.15 – $49,808.26
Neck (cervical) spinal fusion, without complications: 10 of 28 insurance plan rates Aetna — All Commercial Plans: $41,247.47 Aetna — Medicare Managed Care Plan: $19,716.15 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $41,247.47 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $43,847.65 Bcbs — Anthem Pathway Hmox Exchange: $30,342.77 Bcbs — Anthem Senior Advantage Medicare Managed Care Plan: $19,716.15 Buckeye Health Plan — Ambetter Exchange: $33,517.46 Buckeye Health Plan — Medicare Managed Care Plan: $19,716.15 Caresource — Dual Advantage D-Snp Medicare/Medicaid Managed Care Plan: $19,716.15 Caresource — Marketplace Exchange: $30,471.31
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$10,291.76 – $25,219.74
Uterus and ovary surgery (not for cancer), without complications: 10 of 28 insurance plan rates Aetna — All Commercial Plans: $20,885.10 Aetna — Medicare Managed Care Plan: $10,291.76 Aetna — New Business/Oh Ky Preferred Other Commercial Plan: $20,885.10 Bcbs — Anthem - Blue Access/Blue Preferred Hmo/Ppo: $22,201.67 Bcbs — Anthem Pathway Hmox Exchange: $15,363.65 Bcbs — Anthem Senior Advantage Medicare Managed Care Plan: $10,291.76 Buckeye Health Plan — Ambetter Exchange: $17,495.99 Buckeye Health Plan — Medicare Managed Care Plan: $10,291.76 Caresource — Dual Advantage D-Snp Medicare/Medicaid Managed Care Plan: $10,291.76 Caresource — Marketplace Exchange: $15,905.92

Source: Kettering Health Main Campus’s standard charges file (ketteringhealth.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	3535 Southern Boulevard, Kettering, OH 45429
County	Montgomery County
State	Ohio
Phone	(937) 298‑4331
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	360079
Name in Medicare records	KETTERING HEALTH MAIN CAMPUS
Profile level	Medicare data + hospital website
Official website	ketteringhealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Kettering Health Main Campus — ketteringhealth.org

Kettering Health Main Campus

Summary

Profile from official sources

At a glance