Repair retinal detach cplx at Kettering Health Miamisburg (Sycamore)
4000 Miamisburg-Centerville Road, Miamisburg, OH · Ketteringhealth · · NPI 1316966518
$13,739.60
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.
$34,349.00
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.
$5,275.75 with Aetna vs $22,431.00 with Cigna — 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 | $5,275.75 | ↓ -62% |
| Molina Healthcare | Medicare Managed Care Plan | $5,539.53 | ↓ -60% |
| Bcbs | Anthem Pathway Hmox Exchange | $8,002.16 | ↓ -42% |
| Caresource | Marketplace Exchange | $8,153.67 | ↓ -41% |
| Unitedhealthcare | Exchange | $8,186.38 | ↓ -40% |
| Molina Healthcare | Exchange | $10,953.50 | ↓ -20% |
| Buckeye Health Plan | Ambetter Exchange | $11,079.07 | ↓ -19% |
| Unitedhealthcare | Employee | $13,471.00 | ↓ -2% |
| Unitedhealthcare | All Commercial Plans | $13,471.00 | ↓ -2% |
| Custom Design Benefits Inc. | All Commercial Plans | $14,173.82 | ↑ +3% |
| Medical Mutual | New Business Other Commercial Plan | $15,624.00 | ↑ +14% |
| Aetna | All Commercial Plans | $17,331.79 | ↑ +26% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $17,331.79 | ↑ +26% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $18,439.53 | ↑ +34% |
| Medical Mutual | Supermed Ppo | $22,319.00 | ↑ +62% |
| Cigna | All Commercial Plans | $22,431.00 | ↑ +63% |
Visitor-reported prices
Comments
Repair retinal detach cplx at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,434.00 | $1.10 – $7,524.00 |
| Kettering Health Main Campus (Kettering) | Kettering | $13,739.60 | $5,243.13 – $22,431.00 |
| Kettering Health Dayton (Grandview) | Dayton | $13,739.60 | $5,243.13 – $22,431.00 |
| St Elizabeth Boardman Hospital | Youngstown | $16,877.49 | $5,034.36 – $5,135.05 |
| St Joseph Warren Hospital | Warren | $13,244.84 | $5,034.36 – $5,135.05 |
| St Anne Hospital | Toledo | $29,245.87 | $5,169.41 – $5,272.80 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton | $13,739.60 | $5,275.75 – $22,431.00 |
| Soin Medical Center | Beaver Creek | $13,739.60 | $5,243.13 – $22,431.00 |