Rpl tun-cvad w subq pump at Kettering Health Dayton (Grandview)
405 Grand Avenue, Dayton, OH · Ketteringhealth · · NPI 1053339507
$7,096.40
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.
$17,741.00
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.
$5,482.74 with Aetna vs $18,890.35 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 | Medicare Managed Care Plan | $5,482.74 | ↓ -23% |
| Molina Healthcare | Medicare Managed Care Plan | $5,756.87 | ↓ -19% |
| Medical Mutual | New Business Other Commercial Plan | $6,350.00 | ↓ -11% |
| Bcbs | Anthem Pathway Hmox Exchange | $8,197.80 | ↑ +16% |
| Caresource | Marketplace Exchange | $8,473.57 | ↑ +19% |
| Unitedhealthcare | Exchange | $8,507.56 | ↑ +20% |
| Medical Mutual | Supermed Ppo | $9,071.00 | ↑ +28% |
| Aetna | All Commercial Plans | $10,817.74 | ↑ +52% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $10,817.74 | ↑ +52% |
| Molina Healthcare | Exchange | $11,383.26 | ↑ +60% |
| Buckeye Health Plan | Ambetter Exchange | $11,513.75 | ↑ +62% |
| Cigna | All Commercial Plans | $14,364.00 | ↑ +102% |
| Custom Design Benefits Inc. | All Commercial Plans | $14,729.92 | ↑ +108% |
| Unitedhealthcare | Employee | $18,211.00 | ↑ +157% |
| Unitedhealthcare | All Commercial Plans | $18,211.00 | ↑ +157% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $18,890.35 | ↑ +166% |
Visitor-reported prices
Comments
Rpl tun-cvad w subq pump at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $6,742.67 | $8,157.60 – $10,876.80 |
| Lorain Hospital | Lorain | $10,773.60 | not published |
| Kettering Health Main Campus (Kettering) | Kettering | $7,096.40 | $5,482.74 – $14,729.92 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg | $7,096.40 | $5,516.85 – $14,821.56 |
| St Anne Hospital | Toledo | $12,002.40 | not published |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton | $7,096.40 | $5,516.85 – $14,821.56 |
| Soin Medical Center | Beaver Creek | $7,096.40 | $5,482.74 – $14,729.92 |
| Kettering Health Greene Memorial | Xenia | $7,096.40 | $5,453.40 – $14,651.11 |