Opn mpltj hpglsl nstm ary pg 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.
$8,386.90 with Aetna vs $104,775.70 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 |
|---|---|---|---|
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $8,386.90 | — |
| Aetna | All Commercial Plans | $8,386.90 | — |
| Unitedhealthcare | All Commercial Plans | $30,111.00 | — |
| Unitedhealthcare | Employee | $30,111.00 | — |
| Aetna | Medicare Managed Care Plan | $30,404.36 | — |
| Molina Healthcare | Medicare Managed Care Plan | $31,924.58 | — |
| Bcbs | Anthem Pathway Hmox Exchange | $45,469.24 | — |
| Caresource | Marketplace Exchange | $46,989.94 | — |
| Unitedhealthcare | Exchange | $47,178.45 | — |
| Molina Healthcare | Exchange | $63,125.54 | — |
| Buckeye Health Plan | Ambetter Exchange | $63,849.16 | — |
| Custom Design Benefits Inc. | All Commercial Plans | $81,684.36 | — |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $104,775.70 | — |
Visitor-reported prices
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Opn mpltj hpglsl nstm ary pg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $90,710.17 | $30,071.45 – $30,672.88 |
| Clermont Hospital | Batavia | $91,960.25 | $30,071.45 – $30,672.88 |
| Mercy West Hospital | Cincinnati | $101,185.86 | $30,593.52 – $31,205.39 |
| St Ritas Medical Center | Lima | $106,285.84 | $30,593.52 – $31,205.39 |
| cleveland clinic main campus | Cleveland | $3,640.00 | $1.10 – $29,193.76 |
| akron general | Akron | $3,640.00 | $1.10 – $30,409.55 |
| mercy hospital | Canton | $3,640.00 | $1.10 – $30,069.57 |
| Fairfield Hospital | Fairfield | $101,635.58 | $30,593.52 – $31,205.39 |