38/100
#1,646 nationally
Kettering Health Miamisburg
4000 Miamisburg-Centerville Road, Miamisburg, OH 45342 · (937) 384-8760
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Kettering Health Miamisburg billed $5.82 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.8x
- volume-weighted across all its priced work
- Procedures priced
- 37
- inpatient and outpatient combined
- Rank in OH
- #94
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 41% of U.S. hospitals.
Better than 34% of U.S. hospitals.
Better than 36% of U.S. hospitals.
Better than 44% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
248 | $23,339 | $2,441 | +20% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
247 | $86,684 | $11,714 | +39% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
141 | $10,616 | $1,442 | +5% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
139 | $64,167 | $14,640 | about average |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
126 | $17,762 | $1,733 | +57% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
116 | $42,186 | $11,334 | +17% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
112 | $49,993 | $10,182 | +15% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
92 | $39,624 | $6,365 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
79 | $26,844 | $3,109 | +30% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
57 | $94,905 | $16,200 | +14% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$24,224 | $1,828 | +87% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$32,501 | $2,861 | +70% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$38,871 | $2,968 | +67% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$17,762 | $1,733 | +57% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$31,051 | $2,839 | +52% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$86,684 | $11,714 | +39% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$37,062 | $4,644 | +35% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$23,611 | $2,550 | +34% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$94,739 | $26,606 | -47% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$37,112 | $9,951 | -22% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
$29,932 | $6,120 | -11% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$36,424 | $8,830 | -11% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$42,070 | $10,015 | -10% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$45,148 | $9,829 | -7% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$45,675 | $11,987 | -6% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$51,902 | $11,609 | -6% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.