Mastectomy form at Kettering Health Hamilton (Fort Hamilton)
630 Eaton Avenue, Hamilton, OH · Ketteringhealth · · NPI 1104867167
$147.00
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.
$367.50
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.
$278.40 with Aetna vs $747.95 with Custom Design Benefits Inc. — 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 | $278.40 | ↑ +89% |
| Molina Healthcare | Medicare Managed Care Plan | $292.32 | ↑ +99% |
| Caresource | Marketplace Exchange | $430.27 | ↑ +193% |
| Unitedhealthcare | Exchange | $431.99 | ↑ +194% |
| Molina Healthcare | Exchange | $578.01 | ↑ +293% |
| Buckeye Health Plan | Ambetter Exchange | $584.64 | ↑ +298% |
| Custom Design Benefits Inc. | All Commercial Plans | $747.95 | ↑ +409% |
Visitor-reported prices
Comments
Mastectomy form at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Shelby Hospital | Shelby | $71.88 | not published |
| Marion General Hospital | Marion | $74.54 | $278.40 – $289.54 |
| Mansfield Hospital | Mansfield | $71.88 | not published |
| O'Bleness Hospital | Athens | $74.54 | not published |
| Kettering Health Main Campus (Kettering) | Kettering | $147.00 | $278.40 – $747.95 |
| Kettering Health Dayton (Grandview) | Dayton | $147.00 | $278.40 – $747.95 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg | $147.00 | $278.40 – $747.95 |
| Soin Medical Center | Beaver Creek | $147.00 | $278.40 – $747.95 |