Exome sequence analysis 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.
$4,800.00 with Bcbs vs $27,240.00 with Medical Mutual — 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 |
|---|---|---|---|
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $4,800.00 | — |
| Bcbs | Anthem Pathway Hmox Exchange | $4,800.00 | — |
| Bcbs | Anthem Traditional | $4,800.00 | — |
| Custom Design Benefits Inc. | All Commercial Plans | $12,000.00 | — |
| Unitedhealthcare | All Commercial Plans | $12,000.00 | — |
| Unitedhealthcare | Employee | $12,000.00 | — |
| Caresource | Marketplace Exchange | $12,360.00 | — |
| Molina Healthcare | Medicare Managed Care Plan | $12,600.00 | — |
| Aetna | All Commercial Plans | $13,532.16 | — |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $13,532.16 | — |
| Cigna | All Commercial Plans | $13,650.00 | — |
| Unitedhealthcare | Exchange | $18,620.40 | — |
| Medical Mutual | New Buisness Other Commercial Plan | $22,800.00 | — |
| Molina Healthcare | Exchange | $24,914.40 | — |
| Buckeye Health Plan | Ambetter Exchange | $25,200.00 | — |
| Medical Mutual | Supermed Ppo | $27,240.00 | — |
Visitor-reported prices
Comments
Exome sequence analysis at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Ahuja Medical Center | Beachwood | $7,002.00 | $50.00 – $21,600.00 |
| University Hospitals Beachwood Medical Center | Beachwood | $7,002.00 | $900.00 – $21,600.00 |
| University Hospitals Conneaut Medical Center | Conneaut | $7,002.00 | $59.00 – $28,800.00 |
| University Hospitals Elyria Medical Center | Elyria | $7,002.00 | $12,000.00 – $21,600.00 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $7,002.00 | $52.00 – $21,600.00 |
| University Hospitals Geneva Medical Center | Geneva | $7,002.00 | $69.00 – $28,800.00 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $7,002.00 | $6,840.00 – $21,600.00 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $7,002.00 | $800.00 – $21,600.00 |