Ohio / Kettering Health Miamisburg
CMS certification 360239 · Miamisburg, OH · 1 entry in CMS's price-transparency list
Kettering Health Miamisburg: charges and Medicare payments
Kettering Health Miamisburg reported 770 Medicare inpatient stays across 22 DRGs in 2024. Across them it charged 4.45 times what it was paid — mid-range in Ohio, number 36 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: 139 stays at an average charge of $64,167, 29% below the national average. It also billed 1,212 outpatient services, charging 9.05 times what Medicare paid.
- 1Medicare inpatient stays 770
- 2Charge ÷ paid, inpatient 4.45×
- 3Rank in OH (highest ratio = 1) 36 of 104
- 4CMS price-transparency actions 1
Inpatient stays
For the 22 DRGs that can be compared with the national average, Kettering Health Miamisburg charged more than the national average in 1 (5%). 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 | 139 | $64,167 | -29% | $14,640 |
| 885 Psychoses | 116 | $42,186 | -4% | $11,334 |
| 291 Heart Failure and Shock with MCC | 112 | $49,993 | -11% | $10,182 |
| 177 Respiratory Infections and Inflammations with MCC | 39 | $51,902 | -26% | $11,609 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $42,070 | -30% | $10,015 |
| 189 Pulmonary Edema and Respiratory Failure | 34 | $45,148 | -22% | $9,829 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 31 | $44,069 | -10% | $8,503 |
| 689 Kidney and Urinary Tract Infections with MCC | 28 | $36,424 | -29% | $8,830 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $39,544 | -2% | $7,776 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $33,922 | -10% | $6,428 |
| 683 Renal Failure with CC | 23 | $34,895 | -14% | $7,578 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $54,120 | -26% | $10,900 |
| 682 Renal Failure with MCC | 18 | $52,738 | -20% | $11,084 |
| 603 Cellulitis without MCC | 17 | $32,755 | -12% | $6,998 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $45,675 | -24% | $11,987 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $43,629 | -14% | $8,407 |
| 305 Hypertension without MCC | 16 | $29,932 | -25% | $6,120 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $94,738 | -59% | $26,606 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $37,112 | -34% | $9,951 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $44,559 | -20% | $6,698 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $36,523 | +1% | $6,048 |
| 638 Diabetes with CC | 11 | $33,402 | -20% | $6,872 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 248 | $23,339 | $2,441 |
| Level 5 Musculoskeletal Procedures | 247 | $86,684 | $11,714 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 141 | $10,616 | $1,442 |
| Level 1 Nerve Procedures | 126 | $17,762 | $1,733 |
| Level 4 Musculoskeletal Procedures | 92 | $39,624 | $6,365 |
| Level 4 Urology and Related Services | 79 | $26,844 | $3,109 |
| Level 6 Musculoskeletal Procedures | 57 | $94,905 | $16,200 |
| Level 3 Urology and Related Services | 53 | $24,224 | $1,828 |
| Level 1 Laparoscopy and Related Services | 44 | $40,273 | $5,179 |
| Level 3 Musculoskeletal Procedures | 35 | $31,051 | $2,839 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 28 | $23,611 | $2,550 |
| Level 2 Neurostimulator and Related Procedures | 21 | $25,615 | $6,138 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 18 | $38,871 | $2,968 |
| Level 5 Urology and Related Services | 12 | $37,062 | $4,644 |
| Level 3 Vascular Procedures | 11 | $32,501 | $2,861 |
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kettering Health Miamisburg charged $64,167 on average, 0% less than the Ohio average of $64,290, and was paid $14,640 against a state average of $15,664. For Psychoses (DRG 885), Kettering Health Miamisburg charged $42,186 on average, 38% more than the Ohio average of $30,516, and was paid $11,334 against a state average of $11,244. For Heart Failure and Shock with MCC (DRG 291), Kettering Health Miamisburg charged $49,993 on average, 16% more than the Ohio average of $42,986, and was paid $10,182 against a state average of $10,652. For Respiratory Infections and Inflammations with MCC (DRG 177), Kettering Health Miamisburg charged $51,902 on average, 3% more than the Ohio average of $50,577, and was paid $11,609 against a state average of $13,102. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,339 was 37% above the state average of $17,044. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $86,684 was 48% above the state average of $58,420. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,616 was 4% above the state average of $10,162. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $17,762 was 68% above the state average of $10,568.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Kettering Health Miamisburg in Miamisburg, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-03-10 (CMS case 7219)
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.