Kettering Health Main Campus: charges and Medicare payments

Kettering Health Main Campus reported 4,152 Medicare inpatient stays across 125 DRGs in 2024. Across them it charged 5.23 times what it was paid — among the higher ratios in Ohio, number 10 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: 334 stays at an average charge of $79,864, 12% below the national average. It also billed 3,610 outpatient services, charging 8.89 times what Medicare paid.

1Medicare inpatient stays 4,152
2Charge ÷ paid, inpatient 5.23×
3Rank in OH (highest ratio = 1) 10 of 104
4CMS price-transparency actions 0

Average charge per stay at Kettering Health Main Campus, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 125 DRGs that can be compared with the national average, Kettering Health Main Campus charged more than the national average in 26 (21%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	334	$79,864	-12%	$15,930
291 Heart Failure and Shock with MCC	238	$50,204	-11%	$10,661
309 Cardiac Arrhythmia and Conduction Disorders with CC	132	$26,735	-26%	$6,944
274 Percutaneous and Other Intracardiac Procedures without MCC	110	$106,581	-32%	$25,878
378 Gastrointestinal Hemorrhage with CC	88	$48,614	0%	$8,709
683 Renal Failure with CC	83	$30,011	-26%	$7,510
189 Pulmonary Edema and Respiratory Failure	75	$49,124	-15%	$10,977
177 Respiratory Infections and Inflammations with MCC	74	$54,052	-23%	$12,758
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	73	$48,211	-13%	$8,479
853 Infectious and Parasitic Diseases with O.R. Procedures with...	69	$242,714	+6%	$39,566
682 Renal Failure with MCC	67	$60,854	-8%	$12,670
481 Hip and Femur Procedures except Major Joint with CC	66	$135,758	+35%	$16,219
552 Medical Back Problems without MCC	62	$48,748	0%	$8,328
698 Other Kidney and Urinary Tract Diagnoses with MCC	60	$62,678	-15%	$13,491
308 Cardiac Arrhythmia and Conduction Disorders with MCC	58	$44,001	-22%	$10,473
193 Simple Pneumonia and Pleurisy with MCC	55	$44,595	-25%	$10,990
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	55	$33,533	-17%	$6,932
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	53	$77,990	-22%	$16,162
280 Acute Myocardial Infarction, Discharged Alive with MCC	52	$57,320	-24%	$13,067
377 Gastrointestinal Hemorrhage with MCC	52	$81,462	-5%	$14,607
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	51	$46,149	-6%	$8,985
322 Percutaneous Cardiovascular Procedures with Intraluminal...	48	$97,758	-15%	$15,460
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	48	$42,147	-30%	$10,766
330 Major Small and Large Bowel Procedures with CC	47	$140,231	+18%	$18,406
267 Endovascular Cardiac Valve Replacement and Supplement...	46	$184,427	-17%	$37,338
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	44	$31,498	-15%	$6,861
690 Kidney and Urinary Tract Infections without MCC	42	$32,796	-13%	$6,755
025 Craniotomy and Endovascular Intracranial Procedures with MCC	41	$232,257	0%	$35,402
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	40	$21,150	-26%	$5,304
689 Kidney and Urinary Tract Infections with MCC	38	$36,648	-29%	$9,401
236 Coronary Bypass without Cardiac Catheterization without MCC	35	$234,174	+11%	$32,032
252 Other Vascular Procedures with MCC	34	$175,583	+3%	$26,643
253 Other Vascular Procedures with CC	34	$123,967	-6%	$23,658
243 Permanent Cardiac Pacemaker Implant with CC	32	$74,157	-33%	$17,129
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	32	$47,882	-22%	$11,446
083 Traumatic Stupor and Coma >1 Hour with CC	31	$64,093	-13%	$11,790
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	31	$45,444	-30%	$11,931
314 Other Circulatory System Diagnoses with MCC	31	$76,881	-19%	$18,205
329 Major Small and Large Bowel Procedures with MCC	31	$197,044	-8%	$36,266
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	30	$140,958	+38%	$16,965
516 Other Musculoskeletal System and Connective Tissue O.R....	29	$80,010	-21%	$15,718
435 Malignancy of Hepatobiliary System or Pancreas with MCC	28	$61,568	-35%	$16,850
287 Circulatory Disorders except AMI, with Cardiac...	27	$60,152	-6%	$9,023
023 Craniotomy with Major Device Implant or Acute Complex Cns...	26	$212,081	-25%	$48,980
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	26	$44,644	+5%	$7,259
637 Diabetes with MCC	26	$69,521	+5%	$13,222
699 Other Kidney and Urinary Tract Diagnoses with CC	26	$38,320	-19%	$7,867
180 Respiratory Neoplasms with MCC	25	$62,459	-29%	$13,983
312 Syncope and Collapse	25	$38,878	-15%	$7,482
638 Diabetes with CC	25	$36,709	-12%	$8,948
919 Complications of Treatment with MCC	25	$71,214	-20%	$15,849
039 Extracranial Procedures without CC/MCC	24	$90,992	+43%	$10,175
164 Major Chest Procedures with CC	24	$153,220	+20%	$22,016
393 Other Digestive System Diagnoses with MCC	24	$59,648	-22%	$13,918
480 Hip and Femur Procedures except Major Joint with MCC	24	$184,380	+33%	$22,947
086 Traumatic Stupor and Coma <1 Hour with CC	23	$50,187	-27%	$10,686
190 Chronic Obstructive Pulmonary Disease with MCC	23	$48,583	-4%	$8,965
300 Peripheral Vascular Disorders with CC	23	$34,394	-30%	$8,617
603 Cellulitis without MCC	23	$29,053	-22%	$7,669
038 Extracranial Procedures with CC	22	$101,841	+16%	$13,425

Showing the 60 most frequent of 125 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	733	$22,484	$2,438
Level 1 Endovascular Procedures	288	$40,719	$2,886
Level 2 Excision/ Biopsy/ Incision and Drainage	277	$14,458	$1,443
Level 3 Electrophysiologic Procedures	228	$111,654	$21,020
Level 3 Vascular Procedures	203	$25,311	$2,850
Level 3 Endovascular Procedures	165	$63,384	$9,669
Level 4 Vascular Procedures	158	$42,316	$3,734
Level 4 Musculoskeletal Procedures	135	$51,337	$6,269
Level 1 Laparoscopy and Related Services	122	$54,787	$4,980
Level 5 Musculoskeletal Procedures	101	$86,984	$11,696
Level 1 Breast/Lymphatic Surgery and Related Procedures	91	$31,362	$3,391
Level 2 Upper GI Procedures	79	$16,351	$1,708
Level 3 Excision/ Biopsy/ Incision and Drainage	74	$30,384	$2,523
Level 3 Pacemaker and Similar Procedures	67	$42,187	$9,577
Level 4 Urology and Related Services	62	$30,631	$3,089
Level 2 Laparoscopy and Related Services	60	$101,669	$9,107
Level 2 Breast/Lymphatic Surgery and Related Procedures	56	$67,338	$5,769
Level 6 Musculoskeletal Procedures	55	$121,127	$16,690
Level 4 Airway Endoscopy	55	$39,198	$3,361
Level 2 Vascular Procedures	46	$9,441	$1,437
Level 4 Gynecologic Procedures	44	$28,817	$2,806
Level 2 Endovascular Procedures	42	$42,700	$5,130
Level 4 Endovascular Procedures	40	$75,909	$14,962
Level 3 Urology and Related Services	35	$23,152	$1,828
Level 5 Neurostimulator and Related Procedures	35	$107,891	$27,789

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kettering Health Main Campus charged $79,864 on average, 24% more than the Ohio average of $64,290, and was paid $15,930 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Kettering Health Main Campus charged $50,204 on average, 17% more than the Ohio average of $42,986, and was paid $10,661 against a state average of $10,652. For Cardiac Arrhythmia and Conduction Disorders with CC (DRG 309), Kettering Health Main Campus charged $26,735 on average, 1% less than the Ohio average of $26,959, and was paid $6,944 against a state average of $6,533. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Kettering Health Main Campus charged $106,581 on average, 2% less than the Ohio average of $108,965, and was paid $25,878 against a state average of $25,887. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,484 was 32% above the state average of $17,044. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $40,719 was 75% above the state average of $23,255. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,458 was 42% above the state average of $10,162. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $111,654 was 1% above the state average of $110,148.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.