Plcmnt biliary drainage cath w/img ext at Kettering Health Main Campus (Kettering)
3535 Southern Boulevard, Kettering, OH · Ketteringhealth · · NPI 1043233984
$4,900.80
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.
?
What you pay up front if you don't use insurance.
$12,252.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3,527.80 with Aetna vs $22,431.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $3,527.80 | ↓ -28% |
| Molina Healthcare | Medicare Managed Care Plan | $3,704.19 | ↓ -24% |
| Medical Mutual | New Buisness Other Commercial Plan | $4,830.00 | ↓ -1% |
| Bcbs | Anthem Pathway Hmox Exchange | $5,275.77 | ↑ +8% |
| Caresource | Marketplace Exchange | $5,452.22 | ↑ +11% |
| Unitedhealthcare | Exchange | $5,474.09 | ↑ +12% |
| Medical Mutual | Supermed Ppo | $6,900.00 | ↑ +41% |
| Molina Healthcare | Exchange | $7,324.42 | ↑ +49% |
| Buckeye Health Plan | Ambetter Exchange | $7,408.38 | ↑ +51% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $8,386.90 | ↑ +71% |
| Aetna | All Commercial Plans | $8,386.90 | ↑ +71% |
| Custom Design Benefits Inc. | All Commercial Plans | $9,477.79 | ↑ +93% |
| Unitedhealthcare | Employee | $10,499.00 | ↑ +114% |
| Unitedhealthcare | All Commercial Plans | $10,499.00 | ↑ +114% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $12,157.06 | ↑ +148% |
| Cigna | All Commercial Plans | $22,431.00 | ↑ +358% |
Visitor-reported prices
Comments
Plcmnt biliary drainage cath w/img ext at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $4,116.00 | not published |
| Anderson Hospital | Cincinnati | $5,062.80 | not published |
| Clermont Hospital | Batavia | $4,116.00 | not published |
| Kings Mills Hospital | Mason | $4,116.00 | not published |
| Mercy West Hospital | Cincinnati | $5,062.80 | not published |
| St Ritas Medical Center | Lima | $6,622.80 | not published |
| Trinity Medical Center East | Steubenville | $2,860.53 | $3,460.80 – $4,614.40 |
| cleveland clinic main campus | Cleveland | $10,552.10 | $1.10 – $14,610.60 |