Revision of eyelid at Soin Medical Center
3535 Pentagon Park Blvd, Beaver Creek, OH · Ketteringhealth · · NPI 1760764849
$2,236.80
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.
$5,592.00
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.
$2,342.56 with Aetna vs $14,364.00 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 | $2,342.56 | ↑ +5% |
| Molina Healthcare | Medicare Managed Care Plan | $2,459.68 | ↑ +10% |
| Bcbs | Anthem Pathway Hmox Exchange | $3,502.60 | ↑ +57% |
| Caresource | Marketplace Exchange | $3,620.42 | ↑ +62% |
| Unitedhealthcare | Exchange | $3,634.95 | ↑ +63% |
| Molina Healthcare | Exchange | $4,863.62 | ↑ +117% |
| Buckeye Health Plan | Ambetter Exchange | $4,919.37 | ↑ +120% |
| Custom Design Benefits Inc. | All Commercial Plans | $6,293.51 | ↑ +181% |
| Medical Mutual | New Business Other Commercial Plan | $6,350.00 | ↑ +184% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $8,071.10 | ↑ +261% |
| Unitedhealthcare | All Commercial Plans | $8,725.00 | ↑ +290% |
| Unitedhealthcare | Employee | $8,725.00 | ↑ +290% |
| Medical Mutual | Supermed Ppo | $9,071.00 | ↑ +306% |
| Aetna | All Commercial Plans | $10,817.74 | ↑ +384% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $10,817.74 | ↑ +384% |
| Cigna | All Commercial Plans | $14,364.00 | ↑ +542% |
Visitor-reported prices
Comments
Revision of eyelid at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $6,975.80 | $0.01 – $9,658.80 |
| Kettering Health Main Campus (Kettering) | Kettering | $2,236.80 | $2,342.56 – $14,364.00 |
| Kettering Health Dayton (Grandview) | Dayton | $2,236.80 | $2,342.56 – $14,364.00 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg | $2,236.80 | $2,357.13 – $14,364.00 |
| Barnesville Hospital | Barnesville | $383.00 | not published |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton | $2,236.80 | $2,357.13 – $14,364.00 |
| Kettering Health Greene Memorial | Xenia | $2,236.80 | $2,330.02 – $14,364.00 |
| Kettering Health Troy | Troy | $2,236.80 | $2,330.02 – $14,364.00 |