Arthrp w/prostc dst rds&crps 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.
$15,624.00 with Medical Mutual vs $60,419.13 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 |
|---|---|---|---|
| Medical Mutual | New Buisness Other Commercial Plan | $15,624.00 | — |
| Aetna | Medicare Managed Care Plan | $17,383.71 | — |
| Molina Healthcare | Medicare Managed Care Plan | $18,252.89 | — |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $18,353.44 | — |
| Aetna | All Commercial Plans | $18,353.44 | — |
| Unitedhealthcare | All Commercial Plans | $21,466.00 | — |
| Unitedhealthcare | Employee | $21,466.00 | — |
| Medical Mutual | Ppo | $22,319.00 | — |
| Bcbs | Anthem Pathway Hmox Exchange | $26,219.94 | — |
| Caresource | Marketplace Exchange | $26,866.52 | — |
| Unitedhealthcare | Exchange | $26,974.30 | — |
| Molina Healthcare | Exchange | $36,092.05 | — |
| Buckeye Health Plan | Ambetter Exchange | $36,505.78 | — |
| Custom Design Benefits Inc. | All Commercial Plans | $46,703.06 | — |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $60,419.13 | — |
Visitor-reported prices
Comments
Arthrp w/prostc dst rds&crps at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,498.00 | $1.10 – $17,048.31 |
| akron general | Akron | $4,498.00 | $1.10 – $17,915.41 |
| mercy hospital | Canton | $4,498.00 | $1.10 – $17,085.99 |
| avon hospital | Avon | not published | $6,710.17 – $18,247.18 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $10,955.28 – $12,685.06 |
| euclid hospital | Euclid | not published | $6,874.74 – $18,247.18 |
| fairview hospital | Cleveland | not published | $6,458.47 – $18,247.18 |
| lutheran hospital | Cleveland | not published | $6,148.69 – $18,247.18 |