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Kettering Medical Center

Troy, OH

Troy, OH

28

Beds

2,017

Inpatient discharges a year

$82.3M

Net patient revenue a year

34

In-network payers

About this hospital

Kettering Medical Center is a 28-bed hospital in Troy, OH. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 376 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
360368
NPI
1023587045
Teaching
No Medicare-funded residents
County
Miami County
Metro area
Dayton-Kettering-Beavercreek, OH MSA
Medicare contractor
Jurisdiction 15, CGS Administrators (15201)
In Medicare since
2019
Last CMS survey
2019

Prices for common services

The 24 services Kettering Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$7,552 - $21,804

from 4 insurers · median $18,242

Aetna$18,273
Insurer A*$7,552
Insurer B*$18,211
Insurer C*$21,804
Medicare $5,584Nearby hospitals $16,9488% above nearby hospitals

20 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$7,044 - $18,609

from 4 insurers · median $16,113

Blue Cross$7,044
Insurer A*$14,015
Insurer B*$18,211
Insurer C*$18,609
Medicare $5,584Nearby hospitals $14,68810% above nearby hospitals

20 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Urology

Shock-wave treatment of kidney stones

CPT 50590

$12,102 - $22,431

from 4 insurers · median $17,553

Blue Cross$12,102
Insurer A*$16,895
Insurer B*$18,211
Insurer C*$22,431
Medicare $3,256Nearby hospitals $12,03146% above nearby hospitals

36 Medicare claims in Level 4 Urology and Related Services (CMS 2024)

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$3,003 - $11,143

from 4 insurers · median $7,511

Blue Cross$3,003
Insurer A*$6,636
Insurer B*$8,387
Insurer C*$11,143
Medicare $838Nearby hospitals $4,22878% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Kettering Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*20
434%
37
Insurer B*24
296%
175
Insurer C*18
295%
180
Insurer D*23
245%
413

How we chose these services: 6 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 9 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Kettering Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Kettering Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
31-0621866Kettering Medical Center56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more1316966518 Kettering Medical Center1043233984 Kettering Medical Center1023587045 Kettering Medical Centerand 6 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

Frequently asked questions

About Kettering Medical Center's rates and hospital price transparency.

How much does a CT scan cost at Kettering Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Kettering Medical Center range from $523 to $1,198 across 2 insurers. Aetna's rate is $523. The median at nearby comparable hospitals is $771. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Kettering Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Kettering Medical Center range from $3,111 to $11,143 across 4 insurers. Blue Cross Blue Shield's rate is $3,111. The median at nearby comparable hospitals is $5,806. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Kettering Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Kettering Medical Center range from $195 to $288 across 2 insurers. Cigna's rate is $288. The median at nearby comparable hospitals is $207. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Kettering Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Kettering Medical Center for fiscal year 2027.

Does Medicare penalize Kettering Medical Center for readmissions?

No. Kettering Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Kettering Medical Center?

In 2024, the most common were heart failure and shock with mcc (63 discharges), septicemia or severe sepsis without mv >96 hours with mcc (39 discharges), pulmonary edema and respiratory failure (25 discharges).

What is Kettering Medical Center's case mix index?

Kettering Medical Center's Medicare case mix index is 1.24 for fiscal year 2027, higher than 8% of hospitals paid under the inpatient prospective payment system.

How many patients does Kettering Medical Center admit?

Kettering Medical Center reported 2,017 inpatient discharges and 5,525 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Kettering Medical Center have?

Kettering Medical Center reported 222 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Kettering Medical Center make?

Kettering Medical Center reported $82.3M in net patient revenue on $416.9M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 11.0%, and net income of $15.7M.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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