Bx shoulder tissues supf 23065 at Soin Medical Center
3535 Pentagon Park Blvd, Beaver Creek, OH · Ketteringhealth · · NPI 1760764849
$3,645.20
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.
$9,113.00
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.
$1,627.33 with Aetna vs $6,165.00 with Cigna — 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 | $1,627.33 | ↓ -55% |
| Molina Healthcare | Medicare Managed Care Plan | $1,708.70 | ↓ -53% |
| Bcbs | Anthem Pathway Hmox Exchange | $2,433.19 | ↓ -33% |
| Caresource | Marketplace Exchange | $2,515.04 | ↓ -31% |
| Unitedhealthcare | Exchange | $2,525.13 | ↓ -31% |
| Molina Healthcare | Exchange | $3,378.67 | ↓ -7% |
| Buckeye Health Plan | Ambetter Exchange | $3,417.40 | ↓ -6% |
| Medical Mutual | New Business Other Commercial Plan | $3,958.00 | ↑ +9% |
| Custom Design Benefits Inc. | All Commercial Plans | $4,371.99 | ↑ +20% |
| Aetna | All Commercial Plans | $4,642.34 | ↑ +27% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $4,642.34 | ↑ +27% |
| Unitedhealthcare | All Commercial Plans | $5,437.00 | ↑ +49% |
| Unitedhealthcare | Employee | $5,437.00 | ↑ +49% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $5,606.85 | ↑ +54% |
| Medical Mutual | Supermed Ppo | $5,653.00 | ↑ +55% |
| Cigna | All Commercial Plans | $6,165.00 | ↑ +69% |
Visitor-reported prices
Comments
Bx shoulder tissues supf 23065 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy West Hospital | Cincinnati | $2,552.40 | not published |
| cleveland clinic main campus | Cleveland | $4,844.45 | $0.01 – $6,707.70 |
| akron general | Akron | $598.00 | $1.10 – $1,616.83 |
| mercy hospital | Canton | $598.00 | $1.10 – $1,609.41 |
| Dublin Methodist Hospital | Dublin | $8,924.50 | $1,592.51 – $9,206.00 |
| Shelby Hospital | Shelby | $3,859.70 | not published |
| Berger Hospital | Circleville | $5,664.10 | $408.51 – $2,583.00 |
| Grant Medical Center | Columbus | $8,924.50 | $1,592.51 – $9,206.00 |