34/100
#1,772 nationally
Kettering Health Troy
600 West Main Street, Troy, OH 45373 · (937) 980-7000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Kettering Health Troy 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
- 19
- inpatient and outpatient combined
- Rank in OH
- #100
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 36% of U.S. hospitals.
Better than 30% of U.S. hospitals.
Better than 36% of U.S. hospitals.
Better than 30% 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 |
110 | $21,406 | $2,324 | +10% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
63 | $45,730 | $9,040 | +5% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
61 | $11,261 | $1,357 | +12% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
42 | $18,674 | $1,651 | +65% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
39 | $54,830 | $12,510 | -16% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
36 | $26,670 | $2,981 | +29% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
25 | $42,260 | $9,816 | -13% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
25 | $21,984 | $1,742 | +70% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
23 | $41,706 | $9,249 | -10% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
20 | $71,944 | $4,738 | +105% |
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 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$71,944 | $4,738 | +105% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$21,984 | $1,742 | +70% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$18,674 | $1,651 | +65% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$26,334 | $2,430 | +49% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$26,670 | $2,981 | +29% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$35,962 | $5,877 | +21% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$11,261 | $1,357 | +12% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$21,406 | $2,324 | +10% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$54,830 | $12,510 | -16% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$96,850 | $26,480 | -14% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$42,260 | $9,816 | -13% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$50,262 | $12,385 | -12% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$27,063 | $5,585 | -11% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$41,706 | $9,249 | -10% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$36,684 | $7,996 | -6% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$51,635 | $10,844 | -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.