Kettering Health Dayton
KETTERING HEALTH DAYTON in Dayton, OH charges 6.2x the Medicare reimbursement rate across 54 analyzed procedures, reflecting the pricing patterns at this nonprofit-private hospital.
Dayton, OH 45405 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
6.22x
Charge / Medicare rate
Max markup
9.86x
Worst procedure
Procedures analyzed
54
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $83,713 | $41,856 | — | 9.9x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $130,492 | $65,246 | — | 8.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $61,307 | $30,653 | — | 8.3x |
| DIABETES WITH CC | 638 | $41,379 | $20,690 | — | 8.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $27,250 | $13,625 | — | 8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $99,510 | $49,755 | — | 7.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $99,200 | $49,600 | — | 7.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $205,117 | $102,559 | — | 7.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $41,797 | $20,899 | — | 7.4x |
| HYPERTENSION WITHOUT MCC | 305 | $37,998 | $18,999 | — | 7.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $160,876 | $80,438 | — | 7.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $106,921 | $53,460 | — | 7.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $57,554 | $28,777 | — | 7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $57,487 | $28,744 | — | 6.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $47,509 | $23,755 | — | 6.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $61,351 | $30,675 | — | 6.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $36,977 | $18,488 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $33,909 | $16,955 | — | 6.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $48,452 | $24,226 | — | 6.4x |
| RENAL FAILURE WITH MCC | 682 | $68,112 | $34,056 | — | 6.4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $39,203 | $19,602 | — | 6.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $72,170 | $36,085 | — | 6.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $39,283 | $19,641 | — | 6.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,404 | $16,202 | — | 6.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $42,574 | $21,287 | — | 6.3x |
| RENAL FAILURE WITH CC | 683 | $37,410 | $18,705 | — | 6.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $46,851 | $23,426 | — | 6.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $34,793 | $17,396 | — | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $83,081 | $41,540 | — | 6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $56,451 | $28,225 | — | 6x |
| SYNCOPE AND COLLAPSE | 312 | $37,454 | $18,727 | — | 6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $34,493 | $17,247 | — | 5.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $250,473 | $125,237 | — | 5.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $52,363 | $26,182 | — | 5.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $79,798 | $39,899 | — | 5.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $128,476 | $64,238 | — | 5.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $91,234 | $45,617 | — | 5.8x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $115,111 | $57,556 | — | 5.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $190,920 | $95,460 | — | 5.6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $113,031 | $56,516 | — | 5.6x |
| CELLULITIS WITHOUT MCC | 603 | $33,519 | $16,759 | — | 5.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $36,585 | $18,292 | — | 5.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $52,682 | $26,341 | — | 5.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $256,490 | $128,245 | — | 5.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $53,416 | $26,708 | — | 5.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $70,591 | $35,296 | — | 5.1x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $143,625 | $71,812 | — | 5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $58,202 | $29,101 | — | 4.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $55,544 | $27,772 | — | 4.7x |
| DIABETES WITH MCC | 637 | $43,497 | $21,749 | — | 4.6x |
Showing 50 of 54 procedures
How KETTERING HEALTH DAYTON compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use