Consultation pathology during surgery cytological exam initial site at Soin Medical Center
3535 Pentagon Park Blvd, Beaver Creek, OH · Ketteringhealth · · NPI 1760764849
$397.20
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.
$993.00
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.
$15.21 with Bcbs vs $2,132.74 with Custom Design Benefits Inc. — 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 - Blue Access/Blue Preferred Hmo/Ppo | $15.21 | ↓ -96% |
| Bcbs | Anthem Pathway Hmox Exchange | $15.21 | ↓ -96% |
| Bcbs | Anthem Traditional | $15.21 | ↓ -96% |
| Unitedhealthcare | Employee | $31.96 | ↓ -92% |
| Unitedhealthcare | All Commercial Plans | $31.96 | ↓ -92% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $34.92 | ↓ -91% |
| Aetna | All Commercial Plans | $34.92 | ↓ -91% |
| Cigna | All Commercial Plans | $35.75 | ↓ -91% |
| Aetna | Medicare Managed Care Plan | $793.84 | ↑ +100% |
| Molina Healthcare | Medicare Managed Care Plan | $833.54 | ↑ +110% |
| Caresource | Marketplace Exchange | $1,226.88 | ↑ +209% |
| Unitedhealthcare | Exchange | $1,231.81 | ↑ +210% |
| Molina Healthcare | Exchange | $1,648.18 | ↑ +315% |
| Buckeye Health Plan | Ambetter Exchange | $1,667.07 | ↑ +320% |
| Custom Design Benefits Inc. | All Commercial Plans | $2,132.74 | ↑ +437% |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $1,356.60 | not published |
| Anderson Hospital | Cincinnati | $1,356.60 | not published |
| Clermont Hospital | Batavia | $1,356.60 | not published |
| Kings Mills Hospital | Mason | $1,356.60 | not published |
| Mercy West Hospital | Cincinnati | $1,356.60 | not published |
| St Ritas Medical Center | Lima | $1,348.20 | not published |
| Trinity Medical Center East | Steubenville | $67.95 | $14.84 – $105.49 |
| cleveland clinic main campus | Cleveland | $3,664.05 | $1.10 – $5,073.30 |