Open thrombectomy of av fistula without revision 36831 at Kettering Health Miamisburg (Sycamore)
4000 Miamisburg-Centerville Road, Miamisburg, OH · Ketteringhealth · · NPI 1316966518
$2,222.00
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.
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What you pay up front if you don't use insurance.
$5,555.00
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.
$5,516.85 with Aetna vs $31,307.00 with Medical Mutual — 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 | $5,516.85 | ↑ +148% |
| Molina Healthcare | Medicare Managed Care Plan | $5,792.69 | ↑ +161% |
| Bcbs | Anthem Pathway Hmox Exchange | $8,367.85 | ↑ +277% |
| Caresource | Marketplace Exchange | $8,526.29 | ↑ +284% |
| Unitedhealthcare | Exchange | $8,560.49 | ↑ +285% |
| Molina Healthcare | Exchange | $11,454.08 | ↑ +415% |
| Buckeye Health Plan | Ambetter Exchange | $11,585.38 | ↑ +421% |
| Custom Design Benefits Inc. | All Commercial Plans | $14,821.56 | ↑ +567% |
| Unitedhealthcare | All Commercial Plans | $18,211.00 | ↑ +720% |
| Unitedhealthcare | Employee | $18,211.00 | ↑ +720% |
| Aetna | All Commercial Plans | $18,353.44 | ↑ +726% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $18,353.44 | ↑ +726% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $19,282.22 | ↑ +768% |
| Medical Mutual | New Business Other Commercial Plan | $21,916.00 | ↑ +886% |
| Cigna | All Commercial Plans | $22,431.00 | ↑ +909% |
| Medical Mutual | Supermed Ppo | $31,307.00 | ↑ +1309% |
Visitor-reported prices
Comments
Open thrombectomy of av fistula without revision 36831 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,860.00 | $1.10 – $5,264.43 |
| akron general | Akron | $2,860.00 | $1.10 – $5,422.37 |
| mercy hospital | Canton | $2,860.00 | $1.10 – $5,422.37 |
| Kettering Health Main Campus (Kettering) | Kettering | $2,222.00 | $5,482.74 – $22,431.00 |
| Kettering Health Dayton (Grandview) | Dayton | $2,222.00 | $5,482.74 – $22,431.00 |
| St Elizabeth Youngstown Hospital | Youngstown | $13,843.87 | $5,382.45 – $5,490.10 |
| St Anne Hospital | Toledo | $52,677.42 | $5,405.65 – $5,513.76 |
| Barnesville Hospital | Barnesville | $695.00 | not published |