Ins/rplcmt prq eltrd ra pn 1 at Kettering Health Dayton (Grandview)
405 Grand Avenue, Dayton, OH · Ketteringhealth · · NPI 1053339507
$22,747.60
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.
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What you pay up front if you don't use insurance.
$56,869.00
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.
$8,386.90 with Aetna vs $37,827.29 with Bcbs — 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 | All Commercial Plans | $8,386.90 | ↓ -63% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $8,386.90 | ↓ -63% |
| Aetna | Medicare Managed Care Plan | $10,979.00 | ↓ -52% |
| Molina Healthcare | Medicare Managed Care Plan | $11,527.95 | ↓ -49% |
| Bcbs | Anthem Pathway Hmox Exchange | $16,415.81 | ↓ -28% |
| Caresource | Marketplace Exchange | $16,968.04 | ↓ -25% |
| Unitedhealthcare | Exchange | $17,036.11 | ↓ -25% |
| Unitedhealthcare | Employee | $21,466.00 | ↓ -6% |
| Unitedhealthcare | All Commercial Plans | $21,466.00 | ↓ -6% |
| Medical Mutual | New Business Other Commercial Plan | $21,916.00 | ↓ -4% |
| Molina Healthcare | Exchange | $22,794.59 | ↑ +0% |
| Buckeye Health Plan | Ambetter Exchange | $23,055.89 | ↑ +1% |
| Custom Design Benefits Inc. | All Commercial Plans | $29,496.17 | ↑ +30% |
| Medical Mutual | Supermed Ppo | $31,307.00 | ↑ +38% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $37,827.29 | ↑ +66% |
Visitor-reported prices
Comments
Ins/rplcmt prq eltrd ra pn 1 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Ritas Medical Center | Lima | $28,614.85 | $11,047.30 – $11,268.25 |
| cleveland clinic main campus | Cleveland | $1,856.40 | $1.10 – $11,817.85 |
| akron general | Akron | $1,856.40 | $1.10 – $11,925.60 |
| mercy hospital | Canton | $1,856.40 | $1.10 – $11,522.32 |
| Kettering Health Main Campus (Kettering) | Kettering | $22,747.60 | $8,386.90 – $29,496.17 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg | $22,747.60 | $8,386.90 – $29,679.68 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton | $22,747.60 | $8,386.90 – $29,679.68 |
| Soin Medical Center | Beaver Creek | $22,747.60 | $8,386.90 – $29,496.17 |