KETTERING HEALTH MAIN CAMPUS
KETTERING, OH 45429 · Acute Care Hospitals
118 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
118
With CMS pricing data
Avg Charge-to-Medicare Ratio
6.5x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Church
Above 90th Percentile
1%
Compared to OH hospitals
Understanding Your Costs
When you receive a bill from KETTERING HEALTH MAIN CAMPUS, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, KETTERING HEALTH MAIN CAMPUS lists chargemaster rates that average 6.5x the corresponding Medicare reimbursement amount across 118 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in OH has a chargemaster-to-Medicare ratio of 4.7x, with ratios across the state ranging from 2.0x to 8.7x. At 6.5x, this facility’s average ratio is above the state median. 113 hospitals in OH report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at KETTERING HEALTH MAIN CAMPUS is Extracranial Procedures without Complications (DRG 039). The listed chargemaster rate is $76,385, while Medicare reimburses $6,225 for the same procedure — a ratio of 12.3x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
1 of 118 procedures (1%) at this facility have listed rates above the 90th percentile compared to other OH hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
KETTERING HEALTH MAIN CAMPUS is a voluntary non-profit - church acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| Extracranial Procedures without Complications | 039 | $76,385 | $6,225 | 12.3x | 1th | Compare your bill |
| Fractures of Hip and Pelvis without Major Complications | 536 | $50,075 | $4,458 | 11.2x | 1th | Compare your bill |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without Major Complications | 563 | $51,584 | $5,059 | 10.2x | 1th | Compare your bill |
| Seizures without Major Complications | 101 | $53,190 | $5,286 | 10.1x | 1th | Compare your bill |
| Hip and Femur Procedures Except Major Joint with Complications | 481 | $128,900 | $14,003 | 9.2x | 1th | Compare your bill |
| Other Digestive System Operating Room Procedures with Complications | 357 | $122,370 | $13,362 | 9.2x | 1th | Compare your bill |
| Intracranial Hemorrhage or Cerebral Infarction with Complications or Tpa in 24 Hours | 065 | $52,709 | $5,775 | 9.1x | 1th | Compare your bill |
| Extracranial Procedures with Complications | 038 | $94,753 | $10,398 | 9.1x | 1th | Compare your bill |
| Major Chest Trauma with Complications | 184 | $59,761 | $6,625 | 9.0x | 1th | Compare your bill |
| Acute Myocardial Infarction, Discharged Alive with Complications | 281 | $47,990 | $5,330 | 9.0x | 1th | Compare your bill |
| Coronary Bypass without Cardiac Catheterization without Major Complications | 236 | $239,790 | $27,351 | 8.8x | 1th | Compare your bill |
| Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications | 522 | $127,582 | $14,672 | 8.7x | 1th | Compare your bill |
| Major Small and Large Bowel Procedures with Complications | 330 | $132,071 | $15,305 | 8.6x | 1th | Compare your bill |
| Diabetes with Complications | 638 | $39,177 | $4,696 | 8.3x | 1th | Compare your bill |
| Laparoscopic Cholecystectomy without C.D.E. with Complications | 418 | $93,023 | $11,184 | 8.3x | 1th | Compare your bill |
| Red Blood Cell Disorders without Major Complications | 812 | $50,803 | $6,216 | 8.2x | 1th | Compare your bill |
| Respiratory Neoplasms with Major Complications or Comorbidities | 180 | $88,594 | $10,852 | 8.2x | 1th | Compare your bill |
| Pulmonary Embolism without Major Complications | 176 | $35,564 | $4,387 | 8.1x | 1th | Compare your bill |
| Other Digestive System Diagnoses with Complications | 394 | $47,261 | $5,858 | 8.1x | 1th | Compare your bill |
| Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with Major Complications or Comorbidities or 4 or More Arteries O | 246 | $152,021 | $19,089 | 8.0x | 1th | Compare your bill |
| Hip and Femur Procedures Except Major Joint with Major Complications or Comorbidities | 480 | $148,427 | $18,640 | 8.0x | 1th | Compare your bill |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications | 493 | $122,274 | $15,395 | 7.9x | 1th | Compare your bill |
| Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications | 234 | $274,377 | $34,638 | 7.9x | 1th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders without Complications | 310 | $22,645 | $2,878 | 7.9x | 0th | Compare your bill |
| Craniotomy and Endovascular Intracranial Procedures with Complications | 026 | $156,062 | $19,966 | 7.8x | 1th | Compare your bill |
| Circulatory Disorders Except Ami, with Cardiac Catheterization without Major Complications | 287 | $55,940 | $7,299 | 7.7x | 1th | Compare your bill |
| Red Blood Cell Disorders with Major Complications or Comorbidities | 811 | $123,381 | $16,179 | 7.6x | 1th | Compare your bill |
| Gastrointestinal Hemorrhage with Complications | 378 | $46,557 | $6,118 | 7.6x | 1th | Compare your bill |
| Spinal Fusion Except Cervical without Major Complications | 460 | $187,228 | $24,697 | 7.6x | 1th | Compare your bill |
| Infectious and Parasitic Diseases with Operating Room Procedures with Complications | 854 | $104,689 | $13,854 | 7.6x | 1th | Compare your bill |
| Back and Neck Procedures Except Spinal Fusion with Complications | 519 | $93,669 | $12,401 | 7.5x | 1th | Compare your bill |
| Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications | 247 | $96,609 | $12,801 | 7.5x | 0th | Compare your bill |
| Cervical Spinal Fusion with Complications | 472 | $152,395 | $20,380 | 7.5x | 1th | Compare your bill |
| Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization | 220 | $285,315 | $38,491 | 7.4x | 1th | Compare your bill |
| Gastrointestinal Obstruction with Complications | 389 | $32,964 | $4,614 | 7.1x | 1th | Compare your bill |
| Other Kidney and Urinary Tract Diagnoses with Complications | 699 | $45,157 | $6,327 | 7.1x | 1th | Compare your bill |
| Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications | 982 | $118,088 | $16,619 | 7.1x | 1th | Compare your bill |
| Pulmonary Embolism with Major Complications or Comorbidities or Acute Cor Pulmonale | 175 | $50,055 | $7,077 | 7.1x | 0th | Compare your bill |
| Peripheral Vascular Disorders with Major Complications or Comorbidities | 299 | $71,881 | $10,186 | 7.1x | 1th | Compare your bill |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major Complications or Comorbidities | 441 | $83,416 | $11,884 | 7.0x | 1th | Compare your bill |
| Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours without Major Complications | 872 | $45,366 | $6,528 | 7.0x | 1th | Compare your bill |
| Cellulitis without Major Complications | 603 | $33,033 | $4,809 | 6.9x | 1th | Compare your bill |
| Craniotomy and Endovascular Intracranial Procedures with Major Complications or Comorbidities | 025 | $202,728 | $29,930 | 6.8x | 1th | Compare your bill |
| Hypertension without Major Complications | 305 | $30,505 | $4,510 | 6.8x | 0th | Compare your bill |
| Syncope and Collapse | 312 | $36,469 | $5,423 | 6.7x | 1th | Compare your bill |
| Disorders of the Biliary Tract with Complications | 445 | $47,686 | $7,121 | 6.7x | 0th | Compare your bill |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complications | 641 | $32,440 | $4,860 | 6.7x | 1th | Compare your bill |
| Other Digestive System Operating Room Procedures with Major Complications or Comorbidities | 356 | $196,806 | $29,534 | 6.7x | 1th | Compare your bill |
| Gastrointestinal Hemorrhage with Major Complications or Comorbidities | 377 | $76,393 | $11,490 | 6.7x | 1th | Compare your bill |
| Acute Myocardial Infarction, Discharged Alive with Major Complications or Comorbidities | 280 | $69,364 | $10,449 | 6.6x | 1th | Compare your bill |
Showing 50 of 118 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across OH hospitals
113 hospitals in OH report pricing data to CMS. This facility's average ratio of 6.5x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About KETTERING HEALTH MAIN CAMPUS
How much does KETTERING HEALTH MAIN CAMPUS charge compared to Medicare?
According to CMS IPPS data, KETTERING HEALTH MAIN CAMPUS's listed chargemaster rates average 6.5x the Medicare reimbursement amount across 118 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at KETTERING HEALTH MAIN CAMPUS?
The procedure with the highest chargemaster-to-Medicare ratio at KETTERING HEALTH MAIN CAMPUS is Extracranial Procedures without Complications (DRG 039), with a listed charge of $76,385 compared to Medicare reimbursement of $6,225 — a ratio of 12.3x. Source: CMS IPPS Provider Summary.
Is KETTERING HEALTH MAIN CAMPUS expensive compared to other OH hospitals?
KETTERING HEALTH MAIN CAMPUS's average chargemaster-to-Medicare ratio is 6.5x. Ratios vary significantly across OH hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for KETTERING HEALTH MAIN CAMPUS come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from KETTERING HEALTH MAIN CAMPUS is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does KETTERING HEALTH MAIN CAMPUS in KETTERING, OH accept Medicare?
KETTERING HEALTH MAIN CAMPUS is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact KETTERING HEALTH MAIN CAMPUS directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.