Bronchoscopy bronch stents 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.
$4,830.00 with Medical Mutual vs $24,319.04 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 | $4,830.00 | — |
| Medical Mutual | Ppo | $6,900.00 | — |
| Aetna | Medicare Managed Care Plan | $6,997.04 | — |
| Molina Healthcare | Medicare Managed Care Plan | $7,346.89 | — |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $8,386.90 | — |
| Aetna | All Commercial Plans | $8,386.90 | — |
| Unitedhealthcare | All Commercial Plans | $10,499.00 | — |
| Unitedhealthcare | Employee | $10,499.00 | — |
| Bcbs | Anthem Pathway Hmox Exchange | $10,553.67 | — |
| Caresource | Marketplace Exchange | $10,813.92 | — |
| Unitedhealthcare | Exchange | $10,857.31 | — |
| Cigna | All Commercial Plans | $11,143.00 | — |
| Molina Healthcare | Exchange | $14,527.25 | — |
| Buckeye Health Plan | Ambetter Exchange | $14,693.78 | — |
| Custom Design Benefits Inc. | All Commercial Plans | $18,798.24 | — |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $24,319.04 | — |
Visitor-reported prices
Comments
Bronchoscopy bronch stents at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Ritas Medical Center | Lima | $48,055.51 | $6,997.04 – $6,997.04 |
| cleveland clinic main campus | Cleveland | $20,697.95 | $0.01 – $28,658.70 |
| akron general | Akron | $1,118.00 | $1.10 – $6,907.92 |
| mercy hospital | Canton | $1,118.00 | $1.10 – $6,877.21 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $5,169.75 | $6,676.90 – $13,353.80 |
| Dublin Methodist Hospital | Dublin | $4,290.00 | $6,804.96 – $30,765.00 |
| Shelby Hospital | Shelby | $3,988.40 | not published |
| Berger Hospital | Circleville | $5,053.10 | $557.57 – $10,169.00 |