Removal of heel bone at Kettering Health Dayton (Grandview)
405 Grand Avenue, Dayton, OH · Ketteringhealth · · NPI 1053339507
$6,298.80
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.
$15,747.00
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.
$3,223.93 with Aetna vs $18,609.00 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 | $3,223.93 | ↓ -49% |
| Molina Healthcare | Medicare Managed Care Plan | $3,385.13 | ↓ -46% |
| Bcbs | Anthem Pathway Hmox Exchange | $4,820.43 | ↓ -23% |
| Caresource | Marketplace Exchange | $4,982.58 | ↓ -21% |
| Unitedhealthcare | Exchange | $5,002.57 | ↓ -21% |
| Molina Healthcare | Exchange | $6,693.52 | ↑ +6% |
| Buckeye Health Plan | Ambetter Exchange | $6,770.25 | ↑ +7% |
| Medical Mutual | New Business Other Commercial Plan | $7,642.00 | ↑ +21% |
| Custom Design Benefits Inc. | All Commercial Plans | $8,661.41 | ↑ +38% |
| Unitedhealthcare | Employee | $8,725.00 | ↑ +39% |
| Unitedhealthcare | All Commercial Plans | $8,725.00 | ↑ +39% |
| Medical Mutual | Supermed Ppo | $10,917.00 | ↑ +73% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $11,107.81 | ↑ +76% |
| Aetna | All Commercial Plans | $14,014.53 | ↑ +122% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $14,014.53 | ↑ +122% |
| Cigna | All Commercial Plans | $18,609.00 | ↑ +195% |
Visitor-reported prices
Comments
Removal of heel bone at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $28,183.85 | $7,071.33 – $7,212.75 |
| Mercy West Hospital | Cincinnati | $32,071.48 | $7,194.09 – $7,337.97 |
| cleveland clinic main campus | Cleveland | $1,593.80 | $1.10 – $3,095.56 |
| akron general | Akron | $1,593.80 | $1.10 – $3,237.79 |
| mercy hospital | Canton | $1,593.80 | $1.10 – $3,188.43 |
| Fairfield Hospital | Fairfield | $28,331.26 | $3,243.99 – $3,308.87 |
| Lorain Hospital | Lorain | $36,608.85 | $6,864.94 – $7,002.24 |
| Kettering Health Main Campus (Kettering) | Kettering | $6,298.80 | $3,223.93 – $18,609.00 |