Chromogenic substrate assay at Kettering Health Miamisburg (Sycamore)
4000 Miamisburg-Centerville Road, Miamisburg, OH · Ketteringhealth · · NPI 1316966518
$194.80
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.
$487.00
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.
$5.87 with Bcbs vs $26.99 with Medical Mutual — 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 |
|---|---|---|---|
| Bcbs | Anthem Traditional | $5.87 | ↓ -97% |
| Bcbs | Anthem Pathway Hmox Exchange | $5.87 | ↓ -97% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $5.87 | ↓ -97% |
| Custom Design Benefits Inc. | All Commercial Plans | $11.89 | ↓ -94% |
| Unitedhealthcare | All Commercial Plans | $11.89 | ↓ -94% |
| Unitedhealthcare | Employee | $11.89 | ↓ -94% |
| Caresource | Marketplace Exchange | $12.25 | ↓ -94% |
| Molina Healthcare | Medicare Managed Care Plan | $12.48 | ↓ -94% |
| Aetna | All Commercial Plans | $13.41 | ↓ -93% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $13.41 | ↓ -93% |
| Cigna | All Commercial Plans | $13.53 | ↓ -93% |
| Health Ohio Network | All Commercial Plans | $15.10 | ↓ -92% |
| Unitedhealthcare | Exchange | $18.45 | ↓ -91% |
| Medical Mutual | New Business Other Commercial Plan | $22.59 | ↓ -88% |
| Molina Healthcare | Exchange | $24.69 | ↓ -87% |
| Buckeye Health Plan | Ambetter Exchange | $24.97 | ↓ -87% |
| Medical Mutual | Supermed Ppo | $26.99 | ↓ -86% |
Visitor-reported prices
Comments
Chromogenic substrate assay at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $25.80 | not published |
| Anderson Hospital | Cincinnati | $25.80 | not published |
| Clermont Hospital | Batavia | $25.80 | not published |
| Kings Mills Hospital | Mason | $25.80 | not published |
| Mercy West Hospital | Cincinnati | $25.80 | not published |
| Trinity Medical Center East | Steubenville | $242.02 | $5.87 – $326.96 |
| University Hospitals Ahuja Medical Center | Beachwood | $382.50 | $6.26 – $225.00 |
| University Hospitals Beachwood Medical Center | Beachwood | $382.50 | $5.61 – $225.00 |