Aminolevulinic acid, 10% gel at Kettering Health Hamilton (Fort Hamilton)
630 Eaton Avenue, Hamilton, OH · Ketteringhealth · · NPI 1104867167
not published by hospital
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.
not published by hospital
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.
$1.79 with Caresource vs $4.97 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 |
|---|---|---|---|
| Caresource | Marketplace Exchange | $1.79 | — |
| Molina Healthcare | Medicare Managed Care Plan | $1.88 | — |
| Unitedhealthcare | All Commercial Plans | $2.10 | — |
| Unitedhealthcare | Employee | $2.10 | — |
| Medical Mutual | New Buisness Other Commercial Plan | $2.46 | — |
| Bcbs | Anthem Pathway Hmox Exchange | $2.67 | — |
| Custom Design Benefits Inc. | All Commercial Plans | $2.69 | — |
| Unitedhealthcare | Exchange | $2.78 | — |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $2.87 | — |
| Aetna | All Commercial Plans | $3.03 | — |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $3.03 | — |
| Molina Healthcare | Exchange | $3.72 | — |
| Buckeye Health Plan | Ambetter Exchange | $3.77 | — |
| Medical Mutual | Ppo | $4.11 | — |
| Cigna | All Commercial Plans | $4.97 | — |
Visitor-reported prices
Comments
Aminolevulinic acid, 10% gel at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | not published | $0.22 – $465.30 |
| University Hospitals Ahuja Medical Center | Beachwood | not published | $1.77 – $3.19 |
| University Hospitals Beachwood Medical Center | Beachwood | not published | $1.77 – $3.19 |
| University Hospitals Conneaut Medical Center | Conneaut | not published | $1.85 – $6.32 |
| University Hospitals Elyria Medical Center | Elyria | not published | $1.77 – $3.19 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | not published | $1.77 – $3.19 |
| University Hospitals Geneva Medical Center | Geneva | not published | $5.84 – $6.48 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | not published | $1.77 – $3.19 |