Clsd tx/metacarpal fx/sg without manip 26600 at Kettering Health Dayton (Grandview)
405 Grand Avenue, Dayton, OH · Ketteringhealth · · NPI 1053339507
$232.80
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.
?
What you pay up front if you don't use insurance.
$582.00
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.
$243.04 with Aetna vs $12,096.23 with Aetna — 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 | $243.04 | ↑ +4% |
| Molina Healthcare | Medicare Managed Care Plan | $255.20 | ↑ +10% |
| Bcbs | Anthem Pathway Hmox Exchange | $363.40 | ↑ +56% |
| Caresource | Marketplace Exchange | $375.62 | ↑ +61% |
| Unitedhealthcare | Exchange | $377.13 | ↑ +62% |
| Molina Healthcare | Exchange | $504.61 | ↑ +117% |
| Buckeye Health Plan | Ambetter Exchange | $510.39 | ↑ +119% |
| Custom Design Benefits Inc. | All Commercial Plans | $652.96 | ↑ +180% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $837.39 | ↑ +260% |
| Unitedhealthcare | Employee | $4,802.00 | ↑ +1963% |
| Unitedhealthcare | All Commercial Plans | $4,802.00 | ↑ +1963% |
| Cigna | All Commercial Plans | $11,143.00 | ↑ +4687% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $12,096.23 | ↑ +5096% |
| Aetna | All Commercial Plans | $12,096.23 | ↑ +5096% |
Visitor-reported prices
Comments
Clsd tx/metacarpal fx/sg without manip 26600 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Clermont Hospital | Batavia | $520.80 | not published |
| Kings Mills Hospital | Mason | $520.80 | not published |
| Trinity Medical Center East | Steubenville | $100.18 | $121.20 – $192.85 |
| cleveland clinic main campus | Cleveland | $743.60 | $0.01 – $1,029.60 |
| akron general | Akron | $743.60 | $0.01 – $1,029.60 |
| avon hospital | Avon | $716.95 | $0.01 – $992.70 |
| euclid hospital | Euclid | $716.95 | $0.01 – $992.70 |
| fairview hospital | Cleveland | $716.95 | $0.01 – $992.70 |