Dcm pq ndl dsk sgl/mlt lv lmbr w/guide at Soin Medical Center
3535 Pentagon Park Blvd, Beaver Creek, OH · Ketteringhealth · · NPI 1760764849
$8,388.00
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.
$20,970.00
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.
$1,924.04 with Aetna vs $31,307.00 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $1,924.04 | ↓ -77% |
| Molina Healthcare | Medicare Managed Care Plan | $2,020.24 | ↓ -76% |
| Bcbs | Anthem Pathway Hmox Exchange | $2,876.82 | ↓ -66% |
| Caresource | Marketplace Exchange | $2,973.60 | ↓ -65% |
| Unitedhealthcare | Exchange | $2,985.53 | ↓ -64% |
| Molina Healthcare | Exchange | $3,994.69 | ↓ -52% |
| Buckeye Health Plan | Ambetter Exchange | $4,040.48 | ↓ -52% |
| Custom Design Benefits Inc. | All Commercial Plans | $5,169.12 | ↓ -38% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $6,629.12 | ↓ -21% |
| Unitedhealthcare | Employee | $10,499.00 | ↑ +25% |
| Unitedhealthcare | All Commercial Plans | $10,499.00 | ↑ +25% |
| Aetna | All Commercial Plans | $17,331.79 | ↑ +107% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $17,331.79 | ↑ +107% |
| Medical Mutual | New Business Other Commercial Plan | $21,916.00 | ↑ +161% |
| Cigna | All Commercial Plans | $22,431.00 | ↑ +167% |
| Medical Mutual | Supermed Ppo | $31,307.00 | ↑ +273% |
Visitor-reported prices
Comments
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $5,121.00 | not published |
| Clermont Hospital | Batavia | $5,121.00 | not published |
| Mercy West Hospital | Cincinnati | $5,121.00 | not published |
| cleveland clinic main campus | Cleveland | $2,347.80 | $1.10 – $4,414.09 |
| akron general | Akron | $8,758.10 | $0.01 – $12,126.60 |
| University Hospitals Ahuja Medical Center | Beachwood | $2,238.00 | $659.46 – $6,786.00 |
| University Hospitals Beachwood Medical Center | Beachwood | $2,238.00 | $900.00 – $6,786.00 |
| University Hospitals Conneaut Medical Center | Conneaut | $1,739.25 | not published |