Removal of eye lesion at Soin Medical Center
3535 Pentagon Park Blvd, Beaver Creek, OH · Ketteringhealth · · NPI 1760764849
$3,113.60
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.
$7,784.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$982.23 with Aetna vs $6,636.00 with Unitedhealthcare — 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 | $982.23 | ↓ -68% |
| Molina Healthcare | Medicare Managed Care Plan | $1,031.34 | ↓ -67% |
| Bcbs | Anthem Pathway Hmox Exchange | $1,468.64 | ↓ -53% |
| Caresource | Marketplace Exchange | $1,518.04 | ↓ -51% |
| Unitedhealthcare | Exchange | $1,524.13 | ↓ -51% |
| Molina Healthcare | Exchange | $2,039.31 | ↓ -35% |
| Buckeye Health Plan | Ambetter Exchange | $2,062.69 | ↓ -34% |
| Custom Design Benefits Inc. | All Commercial Plans | $2,638.87 | ↓ -15% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $3,384.21 | ↑ +9% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $4,642.34 | ↑ +49% |
| Aetna | All Commercial Plans | $4,642.34 | ↑ +49% |
| Cigna | All Commercial Plans | $6,165.00 | ↑ +98% |
| Unitedhealthcare | Employee | $6,636.00 | ↑ +113% |
| Unitedhealthcare | All Commercial Plans | $6,636.00 | ↑ +113% |
Visitor-reported prices
Comments
Removal of eye lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,895.75 | $0.01 – $4,009.50 |
| Kettering Health Main Campus (Kettering) | Kettering | $3,113.60 | $982.23 – $6,165.00 |
| Kettering Health Dayton (Grandview) | Dayton | $3,113.60 | $982.23 – $6,165.00 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg | $3,113.60 | $988.34 – $6,165.00 |
| Barnesville Hospital | Barnesville | $626.50 | not published |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton | $3,113.60 | $988.34 – $6,165.00 |
| Kettering Health Greene Memorial | Xenia | $3,113.60 | $976.98 – $6,165.00 |
| Kettering Health Troy | Troy | $3,113.60 | $976.98 – $6,165.00 |