Kettering Health Main Campus
Kettering Health Main Campus in Kettering, OH charges 6.5x the Medicare reimbursement rate across 118 analyzed procedures, reflecting pricing patterns common among nonprofit-religious hospital systems.
Kettering, OH 45429 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
6.46x
Charge / Medicare rate
Max markup
12.27x
Worst procedure
Procedures analyzed
118
With pricing data
Outlier procedures
0.8%
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 | $76,385 | $38,193 | — | 12.3x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $50,075 | $25,037 | — | 11.2x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $51,584 | $25,792 | — | 10.2x |
| SEIZURES WITHOUT MCC | 101 | $53,190 | $26,595 | — | 10.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $128,900 | $64,450 | — | 9.2x |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | 357 | $122,370 | $61,185 | — | 9.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $52,709 | $26,354 | — | 9.1x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $94,753 | $47,377 | — | 9.1x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $59,761 | $29,881 | — | 9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $47,990 | $23,995 | — | 9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $239,790 | $119,895 | — | 8.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $127,582 | $63,791 | — | 8.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $132,071 | $66,035 | — | 8.6x |
| DIABETES WITH CC | 638 | $39,177 | $19,589 | — | 8.3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $93,023 | $46,511 | — | 8.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $50,803 | $25,402 | — | 8.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $88,594 | $44,297 | — | 8.2x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $35,564 | $17,782 | — | 8.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $47,261 | $23,630 | — | 8.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $152,021 | $76,010 | — | 8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $148,427 | $74,213 | — | 8x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $122,274 | $61,137 | — | 7.9x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $274,377 | $137,188 | — | 7.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,645 | $11,322 | — | 7.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $156,062 | $78,031 | — | 7.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $55,940 | $27,970 | — | 7.7x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $123,381 | $61,690 | — | 7.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $46,557 | $23,278 | — | 7.6x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $187,228 | $93,614 | — | 7.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $104,689 | $52,344 | — | 7.6x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $93,669 | $46,834 | — | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $96,609 | $48,304 | — | 7.6x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $152,395 | $76,197 | — | 7.5x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $285,315 | $142,657 | — | 7.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $32,964 | $16,482 | — | 7.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $45,157 | $22,579 | — | 7.1x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $118,088 | $59,044 | — | 7.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $50,055 | $25,027 | — | 7.1x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $71,881 | $35,941 | — | 7.1x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $83,416 | $41,708 | — | 7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $45,366 | $22,683 | — | 7x |
| CELLULITIS WITHOUT MCC | 603 | $33,033 | $16,517 | — | 6.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $202,728 | $101,364 | — | 6.8x |
| HYPERTENSION WITHOUT MCC | 305 | $30,505 | $15,252 | — | 6.8x |
| SYNCOPE AND COLLAPSE | 312 | $36,469 | $18,235 | — | 6.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $47,686 | $23,843 | — | 6.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,440 | $16,220 | — | 6.7x |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | 356 | $196,806 | $98,403 | — | 6.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $76,393 | $38,196 | — | 6.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $69,364 | $34,682 | — | 6.6x |
Showing 50 of 118 procedures
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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.
FAQ — nonprofit-religious hospital billing
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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