Breast reconstruction 19357 at Kettering Health Main Campus (Kettering)
3535 Southern Boulevard, Kettering, OH · Ketteringhealth · · NPI 1043233984
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.
$9,806.00 with Medical Mutual vs $46,792.50 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 | $9,806.00 | — |
| Aetna | Medicare Managed Care Plan | $13,578.49 | — |
| Medical Mutual | Supermed Ppo | $14,008.00 | — |
| Molina Healthcare | Medicare Managed Care Plan | $14,257.42 | — |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $17,331.79 | — |
| Aetna | All Commercial Plans | $17,331.79 | — |
| Unitedhealthcare | All Commercial Plans | $18,211.00 | — |
| Unitedhealthcare | Employee | $18,211.00 | — |
| Bcbs | Anthem Pathway Hmox Exchange | $20,306.42 | — |
| Caresource | Marketplace Exchange | $20,985.56 | — |
| Unitedhealthcare | Exchange | $21,069.75 | — |
| Cigna | All Commercial Plans | $23,007.00 | — |
| Molina Healthcare | Exchange | $28,191.67 | — |
| Buckeye Health Plan | Ambetter Exchange | $28,514.84 | — |
| Custom Design Benefits Inc. | All Commercial Plans | $36,479.98 | — |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $46,792.50 | — |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $113,436.77 | $13,429.81 – $13,698.41 |
| Kings Mills Hospital | Mason | $41,936.33 | $13,429.81 – $13,698.41 |
| St Ritas Medical Center | Lima | $109,838.34 | $13,662.97 – $13,936.23 |
| cleveland clinic main campus | Cleveland | $4,244.50 | $1.10 – $16,128.97 |
| akron general | Akron | $4,244.50 | $1.10 – $16,075.73 |
| mercy hospital | Canton | $4,244.50 | $1.10 – $16,075.73 |
| Springfield Medical Center | Springfield | $73,352.73 | $13,227.92 – $13,227.92 |
| Lorain Hospital | Lorain | $34,204.05 | $13,037.84 – $13,037.84 |