Ther nma rdctj intus/obstrcj at Kettering Health Miamisburg (Sycamore)
4000 Miamisburg-Centerville Road, Miamisburg, OH · Ketteringhealth · · NPI 1316966518
$337.20
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.
$843.00
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.
$173.90 with Aetna vs $607.80 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 | Medicare Managed Care Plan | $173.90 | ↓ -48% |
| Molina Healthcare | Medicare Managed Care Plan | $182.59 | ↓ -46% |
| Bcbs | Anthem Pathway Hmox Exchange | $263.77 | ↓ -22% |
| Caresource | Marketplace Exchange | $268.76 | ↓ -20% |
| Unitedhealthcare | Exchange | $269.84 | ↓ -20% |
| Aetna | All Commercial Plans | $335.63 | ↓ -0% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $335.63 | ↓ -0% |
| Molina Healthcare | Exchange | $361.05 | ↑ +7% |
| Buckeye Health Plan | Ambetter Exchange | $365.19 | ↑ +8% |
| Custom Design Benefits Inc. | All Commercial Plans | $467.20 | ↑ +39% |
| Cigna | All Commercial Plans | $556.96 | ↑ +65% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $607.80 | ↑ +80% |
Visitor-reported prices
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Ther nma rdctj intus/obstrcj at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $530.15 | $641.40 – $823.13 |
| cleveland clinic main campus | Cleveland | $1,323.40 | $1.10 – $1,105.20 |
| University Hospitals Ahuja Medical Center | Beachwood | $208.50 | $61.44 – $356.07 |
| University Hospitals Beachwood Medical Center | Beachwood | $208.50 | $127.88 – $420.29 |
| University Hospitals Conneaut Medical Center | Conneaut | $208.50 | $356.07 – $426.78 |
| University Hospitals Elyria Medical Center | Elyria | $208.50 | $165.94 – $356.07 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $208.50 | $165.94 – $356.07 |
| University Hospitals Geneva Medical Center | Geneva | $208.50 | $356.07 – $426.78 |