Adrenal cortex & medulla img at Kettering Health Miamisburg (Sycamore)
4000 Miamisburg-Centerville Road, Miamisburg, OH · Ketteringhealth · · NPI 1316966518
$1,869.20
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.
$4,673.00
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.
$851.34 with Aetna vs $4,486.25 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 | All Commercial Plans | $851.34 | ↓ -54% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $851.34 | ↓ -54% |
| Aetna | Medicare Managed Care Plan | $1,283.56 | ↓ -31% |
| Molina Healthcare | Medicare Managed Care Plan | $1,347.74 | ↓ -28% |
| Bcbs | Anthem Pathway Hmox Exchange | $1,946.89 | ↑ +4% |
| Caresource | Marketplace Exchange | $1,983.75 | ↑ +6% |
| Unitedhealthcare | Exchange | $1,991.71 | ↑ +7% |
| Molina Healthcare | Exchange | $2,664.94 | ↑ +43% |
| Buckeye Health Plan | Ambetter Exchange | $2,695.49 | ↑ +44% |
| Custom Design Benefits Inc. | All Commercial Plans | $3,448.43 | ↑ +84% |
| Cigna | All Commercial Plans | $4,304.48 | ↑ +130% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $4,486.25 | ↑ +140% |
Visitor-reported prices
Comments
Adrenal cortex & medulla img at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $2,254.20 | not published |
| Clermont Hospital | Batavia | $2,254.20 | not published |
| Trinity Medical Center East | Steubenville | $946.24 | $1,144.80 – $1,469.16 |
| cleveland clinic main campus | Cleveland | $6,047.60 | $1.10 – $1,224.84 |
| akron general | Akron | $5,855.20 | $0.87 – $8,107.20 |
| Dublin Methodist Hospital | Dublin | $1,818.05 | $1,248.33 – $1,248.33 |
| Shelby Hospital | Shelby | $2,239.25 | not published |
| Berger Hospital | Circleville | $2,068.30 | $964.52 – $964.52 |