Valvuloplasty pulmonary at Kettering Health Main Campus (Kettering)
3535 Southern Boulevard, Kettering, OH · Ketteringhealth · · NPI 1043233984
$15,588.00
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.
$38,970.00
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.
$11,374.59 with Aetna vs $39,197.69 with Bcbs — 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 | $11,374.59 | ↓ -27% |
| Molina Healthcare | Medicare Managed Care Plan | $11,943.32 | ↓ -23% |
| Bcbs | Anthem Pathway Hmox Exchange | $17,010.52 | ↑ +9% |
| Caresource | Marketplace Exchange | $17,579.43 | ↑ +13% |
| Unitedhealthcare | Exchange | $17,649.95 | ↑ +13% |
| Unitedhealthcare | Employee | $18,211.00 | ↑ +17% |
| Unitedhealthcare | All Commercial Plans | $18,211.00 | ↑ +17% |
| Aetna | All Commercial Plans | $23,576.00 | ↑ +51% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $23,576.00 | ↑ +51% |
| Molina Healthcare | Exchange | $23,615.93 | ↑ +52% |
| Buckeye Health Plan | Ambetter Exchange | $23,886.64 | ↑ +53% |
| Custom Design Benefits Inc. | All Commercial Plans | $30,558.98 | ↑ +96% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $39,197.69 | ↑ +151% |
Visitor-reported prices
Comments
Valvuloplasty pulmonary at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $42,385.20 | $1.10 – $58,687.20 |
| akron general | Akron | $42,385.20 | $1,768.23 – $58,687.20 |
| University Hospitals Ahuja Medical Center | Beachwood | $14,701.50 | $900.00 – $19,659.05 |
| University Hospitals Beachwood Medical Center | Beachwood | $14,701.50 | $900.00 – $27,661.57 |
| University Hospitals Elyria Medical Center | Elyria | $14,701.50 | $10,921.69 – $19,659.05 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $14,701.50 | $10,921.69 – $19,659.05 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $14,701.50 | $10,921.69 – $19,659.05 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $14,701.50 | $10,921.69 – $19,659.05 |