Autoimmune rheumatoid arthr anl 12 mrk ia at Soin Medical Center
3535 Pentagon Park Blvd, Beaver Creek, OH · Ketteringhealth · · NPI 1760764849
$989.00
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.
$2,472.50
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.
$336.26 with Bcbs vs $1,908.28 with Medical Mutual — 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 |
|---|---|---|---|
| Bcbs | Anthem Pathway Hmox Exchange | $336.26 | ↓ -66% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $336.26 | ↓ -66% |
| Bcbs | Anthem Traditional | $336.26 | ↓ -66% |
| Health Ohio Network | All Commercial Plans | $649.67 | ↓ -34% |
| Unitedhealthcare | All Commercial Plans | $840.65 | ↓ -15% |
| Custom Design Benefits Inc. | All Commercial Plans | $840.65 | ↓ -15% |
| Unitedhealthcare | Employee | $840.65 | ↓ -15% |
| Caresource | Marketplace Exchange | $865.87 | ↓ -12% |
| Molina Healthcare | Medicare Managed Care Plan | $882.68 | ↓ -11% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $947.98 | ↓ -4% |
| Aetna | All Commercial Plans | $947.98 | ↓ -4% |
| Cigna | All Commercial Plans | $956.24 | ↓ -3% |
| Unitedhealthcare | Exchange | $1,304.44 | ↑ +32% |
| Medical Mutual | New Business Other Commercial Plan | $1,597.24 | ↑ +62% |
| Molina Healthcare | Exchange | $1,745.36 | ↑ +76% |
| Buckeye Health Plan | Ambetter Exchange | $1,765.36 | ↑ +78% |
| Medical Mutual | Supermed Ppo | $1,908.28 | ↑ +93% |
Visitor-reported prices
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Autoimmune rheumatoid arthr anl 12 mrk ia at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $1,398.60 | not published |
| Anderson Hospital | Cincinnati | $1,398.60 | not published |
| Clermont Hospital | Batavia | $1,398.60 | not published |
| Mercy West Hospital | Cincinnati | $1,398.60 | not published |
| St Ritas Medical Center | Lima | $1,323.60 | not published |
| University Hospitals Ahuja Medical Center | Beachwood | $802.50 | $50.00 – $1,513.17 |
| University Hospitals Beachwood Medical Center | Beachwood | $802.50 | $396.79 – $1,513.17 |
| University Hospitals Conneaut Medical Center | Conneaut | $771.75 | $59.00 – $2,017.56 |