Arthrd si jt perq/min nvas at Soin Medical Center
3535 Pentagon Park Blvd, Beaver Creek, OH · Ketteringhealth · · NPI 1760764849
$21,432.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$53,581.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$17,276.22 with Aetna vs $59,523.92 with Bcbs — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $17,276.22 | ↓ -19% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $17,331.79 | ↓ -19% |
| Aetna | All Commercial Plans | $17,331.79 | ↓ -19% |
| Molina Healthcare | Medicare Managed Care Plan | $18,140.04 | ↓ -15% |
| Unitedhealthcare | All Commercial Plans | $21,466.00 | ↑ +0% |
| Unitedhealthcare | Employee | $21,466.00 | ↑ +0% |
| Bcbs | Anthem Pathway Hmox Exchange | $25,831.44 | ↑ +21% |
| Caresource | Marketplace Exchange | $26,700.40 | ↑ +25% |
| Unitedhealthcare | Exchange | $26,807.52 | ↑ +25% |
| Molina Healthcare | Exchange | $35,868.90 | ↑ +67% |
| Buckeye Health Plan | Ambetter Exchange | $36,280.07 | ↑ +69% |
| Custom Design Benefits Inc. | All Commercial Plans | $46,414.30 | ↑ +117% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $59,523.92 | ↑ +178% |
Visitor-reported prices
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Arthrd si jt perq/min nvas at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Ritas Medical Center | Lima | $69,327.08 | $17,383.71 – $17,731.38 |
| cleveland clinic main campus | Cleveland | $3,153.80 | $1.10 – $17,048.31 |
| Dublin Methodist Hospital | Dublin | $98,961.20 | $16,906.49 – $63,079.00 |
| Shelby Hospital | Shelby | $48,165.00 | not published |
| Berger Hospital | Circleville | $47,299.20 | $2,208.60 – $16,177.00 |
| Grant Medical Center | Columbus | $98,961.20 | $16,906.49 – $63,079.00 |
| Southeastern Medical Center | Cambridge | $45,407.05 | $16,588.34 – $17,251.88 |
| Springfield Medical Center | Springfield | $49,172.63 | $16,830.18 – $16,830.18 |