Close tear system fistula at Soin Medical Center
3535 Pentagon Park Blvd, Beaver Creek, OH · Ketteringhealth · · NPI 1760764849
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,342.56 with Aetna vs $18,609.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $2,342.56 | — |
| Molina Healthcare | Medicare Managed Care Plan | $2,459.68 | — |
| Bcbs | Anthem Pathway Hmox Exchange | $3,502.60 | — |
| Caresource | Marketplace Exchange | $3,620.42 | — |
| Unitedhealthcare | Exchange | $3,634.95 | — |
| Molina Healthcare | Exchange | $4,863.62 | — |
| Buckeye Health Plan | Ambetter Exchange | $4,919.37 | — |
| Unitedhealthcare | Employee | $5,437.00 | — |
| Unitedhealthcare | All Commercial Plans | $5,437.00 | — |
| Custom Design Benefits Inc. | All Commercial Plans | $6,293.51 | — |
| Medical Mutual | New Business Other Commercial Plan | $7,642.00 | — |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $8,071.10 | — |
| Medical Mutual | Supermed Ppo | $10,917.00 | — |
| Aetna | All Commercial Plans | $14,014.53 | — |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $14,014.53 | — |
| Cigna | All Commercial Plans | $18,609.00 | — |
Visitor-reported prices
Comments
Close tear system fistula at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,155.40 | $1.10 – $2,984.40 |
| akron general | Akron | not published | $1,214.97 – $2,474.21 |
| avon hospital | Avon | not published | $1,303.04 – $2,474.21 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,127.40 – $2,463.31 |
| euclid hospital | Euclid | not published | $1,335.00 – $2,474.21 |
| fairview hospital | Cleveland | not published | $1,254.16 – $2,474.21 |
| lutheran hospital | Cleveland | not published | $1,194.01 – $2,474.21 |
| hillcrest hospital | Mayfield Heights | not published | $1,306.64 – $2,474.21 |