Brain image w/flow 4 + views at Kettering Health Hamilton (Fort Hamilton)
630 Eaton Avenue, Hamilton, OH · Ketteringhealth · · NPI 1104867167
$1,047.60
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.
$2,619.00
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.
$538.32 with Aetna vs $1,871.00 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 | $538.32 | ↓ -49% |
| Molina Healthcare | Medicare Managed Care Plan | $565.24 | ↓ -46% |
| Aetna | All Commercial Plans | $622.54 | ↓ -41% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $622.54 | ↓ -41% |
| Bcbs | Anthem Pathway Hmox Exchange | $811.95 | ↓ -22% |
| Caresource | Marketplace Exchange | $831.98 | ↓ -21% |
| Unitedhealthcare | Exchange | $835.31 | ↓ -20% |
| Molina Healthcare | Exchange | $1,117.66 | ↑ +7% |
| Buckeye Health Plan | Ambetter Exchange | $1,130.47 | ↑ +8% |
| Custom Design Benefits Inc. | All Commercial Plans | $1,446.25 | ↑ +38% |
| Cigna | All Commercial Plans | $1,638.48 | ↑ +56% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $1,871.00 | ↑ +79% |
Visitor-reported prices
Comments
Brain image w/flow 4 + views at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $1,000.80 | not published |
| Clermont Hospital | Batavia | $1,000.80 | not published |
| Trinity Medical Center East | Steubenville | $739.93 | $895.20 – $1,148.84 |
| cleveland clinic main campus | Cleveland | $2,580.50 | $1.10 – $3,342.60 |
| akron general | Akron | $2,414.10 | $0.87 – $3,342.60 |
| avon hospital | Avon | $2,414.10 | $0.87 – $3,342.60 |
| euclid hospital | Euclid | $2,414.10 | $0.87 – $3,342.60 |
| fairview hospital | Cleveland | $2,414.10 | $0.87 – $3,342.60 |