Thorcscpy w/biop pleura at Kettering Health Hamilton (Fort Hamilton)
630 Eaton Avenue, Hamilton, OH · Ketteringhealth · · NPI 1104867167
$10,769.60
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.
$26,924.00
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.
$5,993.77 with Aetna vs $22,431.00 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $5,993.77 | ↓ -44% |
| Molina Healthcare | Medicare Managed Care Plan | $6,293.46 | ↓ -42% |
| Medical Mutual | New Buisness Other Commercial Plan | $6,350.00 | ↓ -41% |
| Bcbs | Anthem Pathway Hmox Exchange | $9,040.43 | ↓ -16% |
| Medical Mutual | Ppo | $9,071.00 | ↓ -16% |
| Caresource | Marketplace Exchange | $9,263.37 | ↓ -14% |
| Unitedhealthcare | Exchange | $9,300.53 | ↓ -14% |
| Aetna | All Commercial Plans | $10,817.74 | ↑ +0% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $10,817.74 | ↑ +0% |
| Molina Healthcare | Exchange | $12,444.27 | ↑ +16% |
| Buckeye Health Plan | Ambetter Exchange | $12,586.92 | ↑ +17% |
| Unitedhealthcare | Employee | $13,471.00 | ↑ +25% |
| Unitedhealthcare | All Commercial Plans | $13,471.00 | ↑ +25% |
| Custom Design Benefits Inc. | All Commercial Plans | $16,102.86 | ↑ +50% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $20,832.06 | ↑ +93% |
| Cigna | All Commercial Plans | $22,431.00 | ↑ +108% |
Visitor-reported prices
Comments
Thorcscpy w/biop pleura at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $17,444.70 | $0.01 – $24,154.20 |
| akron general | Akron | $1,190.80 | $1.10 – $5,891.12 |
| mercy hospital | Canton | $1,190.80 | $1.10 – $5,891.12 |
| Lorain Hospital | Lorain | $13,077.29 | $5,719.53 – $5,719.53 |
| Kettering Health Main Campus (Kettering) | Kettering | $10,769.60 | $5,956.71 – $22,431.00 |
| Kettering Health Dayton (Grandview) | Dayton | $10,769.60 | $5,956.71 – $22,431.00 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg | $10,769.60 | $5,993.77 – $22,431.00 |
| Soin Medical Center | Beaver Creek | $10,769.60 | $5,956.71 – $22,431.00 |