Ohio / Kettering Health Dayton

CMS certification 360133 · Dayton, OH · 1 entry in CMS's price-transparency list

Kettering Health Dayton: charges and Medicare payments

Kettering Health Dayton reported 1,708 Medicare inpatient stays across 64 DRGs in 2024. Across them it charged 5.07 times what it was paid — among the higher ratios in Ohio, number 11 of 104 hospitals with at least 100 stays (state median 4.01×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 189 stays at an average charge of $83,067, 8% below the national average. It also billed 2,390 outpatient services, charging 9.36 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,708
  2. 2Charge ÷ paid, inpatient 5.07×
  3. 3Rank in OH (highest ratio = 1) 11 of 104
  4. 4CMS price-transparency actions 1
DRG 871$83,067DRG 291$55,676DRG 177$72,298DRG 189$66,345DRG 193$53,524DRG 274$100,576DRG 481$114,088DRG 392$36,821DRG 309$31,610DRG 378$48,301
Average charge per stay at Kettering Health Dayton, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 64 DRGs that can be compared with the national average, Kettering Health Dayton charged more than the national average in 24 (38%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC189$83,067-8%$16,935
291 Heart Failure and Shock with MCC148$55,676-1%$11,879
177 Respiratory Infections and Inflammations with MCC61$72,298+2%$14,158
189 Pulmonary Edema and Respiratory Failure60$66,345+15%$11,439
193 Simple Pneumonia and Pleurisy with MCC58$53,524-10%$11,365
274 Percutaneous and Other Intracardiac Procedures without MCC48$100,576-36%$28,055
481 Hip and Femur Procedures except Major Joint with CC44$114,088+13%$17,571
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...38$36,821-8%$7,582
309 Cardiac Arrhythmia and Conduction Disorders with CC37$31,610-12%$7,488
378 Gastrointestinal Hemorrhage with CC36$48,301-1%$9,738
853 Infectious and Parasitic Diseases with O.R. Procedures with...34$239,616+5%$39,538
682 Renal Failure with MCC33$60,103-9%$13,341
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...32$48,183-20%$11,511
280 Acute Myocardial Infarction, Discharged Alive with MCC31$96,573+27%$14,092
683 Renal Failure with CC30$38,846-5%$8,327
377 Gastrointestinal Hemorrhage with MCC28$93,041+9%$16,199
689 Kidney and Urinary Tract Infections with MCC28$45,747-11%$10,724
698 Other Kidney and Urinary Tract Diagnoses with MCC28$97,320+33%$16,926
190 Chronic Obstructive Pulmonary Disease with MCC27$51,552+2%$10,462
552 Medical Back Problems without MCC26$40,230-18%$9,383
312 Syncope and Collapse25$37,145-18%$8,863
467 Revision of Hip or Knee Replacement with CC24$143,046-9%$25,590
322 Percutaneous Cardiovascular Procedures with Intraluminal...23$110,949-3%$18,768
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...23$39,121+6%$7,563
480 Hip and Femur Procedures except Major Joint with MCC22$145,580+5%$24,192
522 Hip Replacement with Principal Diagnosis of Hip Fracture...22$110,535+8%$19,912
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...21$42,422-24%$9,087
281 Acute Myocardial Infarction, Discharged Alive with CC21$46,197-9%$8,417
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC21$41,193-16%$9,809
194 Simple Pneumonia and Pleurisy with CC20$41,730+9%$8,011
690 Kidney and Urinary Tract Infections without MCC20$35,273-7%$7,615
286 Circulatory Disorders except AMI, with Cardiac...19$108,080-4%$19,990
321 Percutaneous Cardiovascular Procedures with Intraluminal...19$134,380-18%$25,677
253 Other Vascular Procedures with CC18$128,894-2%$22,813
300 Peripheral Vascular Disorders with CC18$33,833-32%$9,396
870 Septicemia or Severe Sepsis with MV >96 Hours17$215,038-33%$52,185
603 Cellulitis without MCC16$38,009+2%$9,557
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC15$30,387+6%$5,803
812 Red Blood Cell Disorders without MCC15$50,067+13%$9,133
299 Peripheral Vascular Disorders with MCC14$70,059-7%$13,938
057 Degenerative Nervous System Disorders without MCC13$41,395-27%$12,194
064 Intracranial Hemorrhage or Cerebral Infarction with MCC13$54,986-45%$15,770
074 Cranial and Peripheral Nerve Disorders without MCC13$33,936-37%$9,586
178 Respiratory Infections and Inflammations with CC13$41,936-7%$9,452
208 Respiratory System Diagnosis with Ventilator Support <=96...13$130,276-4%$22,357
236 Coronary Bypass without Cardiac Catheterization without MCC13$217,562+3%$33,912
252 Other Vascular Procedures with MCC13$128,520-25%$28,498
287 Circulatory Disorders except AMI, with Cardiac...13$72,341+13%$11,524
304 Hypertension with MCC13$50,973-11%$10,617
308 Cardiac Arrhythmia and Conduction Disorders with MCC13$52,583-7%$11,761
389 Gastrointestinal Obstruction with CC13$32,831-16%$8,330
394 Other Digestive System Diagnoses with CC13$41,959-11%$8,268
470 Major Hip and Knee Joint Replacement or Reattachment of...13$115,060+23%$16,180
493 Lower Extremity and Humerus Procedures except Hip, Foot and...13$127,830+7%$19,538
521 Hip Replacement with Principal Diagnosis of Hip Fracture...13$143,056+6%$24,042
038 Extracranial Procedures with CC12$96,129+10%$16,390
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...12$58,307-4%$12,783
637 Diabetes with MCC12$44,957-32%$15,219
811 Red Blood Cell Disorders with MCC12$73,039+7%$13,714
884 Organic Disturbances and Intellectual Disability12$57,304-8%$13,728

Showing the 60 most frequent of 64 DRGs.

Outpatient services

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kettering Health Dayton charged $83,067 on average, 29% more than the Ohio average of $64,290, and was paid $16,935 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Kettering Health Dayton charged $55,676 on average, 30% more than the Ohio average of $42,986, and was paid $11,879 against a state average of $10,652. For Respiratory Infections and Inflammations with MCC (DRG 177), Kettering Health Dayton charged $72,298 on average, 43% more than the Ohio average of $50,577, and was paid $14,158 against a state average of $13,102. For Pulmonary Edema and Respiratory Failure (DRG 189), Kettering Health Dayton charged $66,345 on average, 51% more than the Ohio average of $44,002, and was paid $11,439 against a state average of $10,477. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $87,357 was 50% above the state average of $58,420. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,969 was 46% above the state average of $17,044. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $28,048 was 38% above the state average of $20,370. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $38,715 was 66% above the state average of $23,255.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Kettering Health Dayton in Dayton, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.