Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at Kettering Health Miamisburg (Sycamore)
4000 Miamisburg-Centerville Road, Miamisburg, OH · Ketteringhealth · · NPI 1316966518
$966.40
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.
$2,416.00
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.
$732.74 with Aetna vs $8,386.90 with Aetna — 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 | Medicare Managed Care Plan | $732.74 | ↓ -24% |
| Molina Healthcare | Medicare Managed Care Plan | $769.38 | ↓ -20% |
| Bcbs | Anthem Pathway Hmox Exchange | $1,111.41 | ↑ +15% |
| Caresource | Marketplace Exchange | $1,132.46 | ↑ +17% |
| Unitedhealthcare | Exchange | $1,137.00 | ↑ +18% |
| Molina Healthcare | Exchange | $1,521.32 | ↑ +57% |
| Buckeye Health Plan | Ambetter Exchange | $1,538.76 | ↑ +59% |
| Custom Design Benefits Inc. | All Commercial Plans | $1,968.59 | ↑ +104% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $2,561.05 | ↑ +165% |
| Medical Mutual | New Business Other Commercial Plan | $3,958.00 | ↑ +310% |
| Medical Mutual | Supermed Ppo | $5,653.00 | ↑ +485% |
| Cigna | All Commercial Plans | $6,165.00 | ↑ +538% |
| Unitedhealthcare | All Commercial Plans | $6,636.00 | ↑ +587% |
| Unitedhealthcare | Employee | $6,636.00 | ↑ +587% |
| Aetna | All Commercial Plans | $8,386.90 | ↑ +768% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $8,386.90 | ↑ +768% |
Visitor-reported prices
Comments
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $12,060.31 | $720.24 – $734.65 |
| Clermont Hospital | Batavia | $7,723.88 | $720.24 – $734.65 |
| Kings Mills Hospital | Mason | $1,939.20 | not published |
| Mercy West Hospital | Cincinnati | $1,939.20 | not published |
| St Ritas Medical Center | Lima | $8,248.06 | $732.74 – $732.74 |
| Trinity Medical Center East | Steubenville | $1,144.61 | $1,384.80 – $1,846.40 |
| cleveland clinic main campus | Cleveland | $3,567.20 | $0.01 – $4,939.20 |
| akron general | Akron | $3,567.20 | $0.01 – $4,939.20 |