Assay of silica at Marion General Hospital
1000 Mckinley Park Drive, Marion, OH · OhioHealth · · NPI 1215935366
$332.15
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.
$511.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$25.21 with Caresource vs $26.22 with Molina Healthcare — 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 |
|---|---|---|---|
| Caresource | Exchange | $25.21 | ↓ -92% |
| Caresource | Medicare Managed Care Plan | $25.46 | ↓ -92% |
| Molina Healthcare | Medicare Managed Care Plan | $26.22 | ↓ -92% |
Visitor-reported prices
Comments
Assay of silica at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $118.53 | $11.62 – $160.13 |
| cleveland clinic main campus | Cleveland | $113.10 | $1.10 – $156.60 |
| akron general | Akron | $113.10 | $0.95 – $156.60 |
| lodi hospital | Lodi | $113.10 | $12.12 – $156.60 |
| Dublin Methodist Hospital | Dublin | $372.45 | $25.21 – $94.54 |
| Shelby Hospital | Shelby | $425.10 | not published |
| Berger Hospital | Circleville | $234.65 | $25.21 – $25.21 |
| Grant Medical Center | Columbus | $372.45 | $25.21 – $94.54 |