Treat eyelid lesion 67850 at Kettering Health Miamisburg (Sycamore)
4000 Miamisburg-Centerville Road, Miamisburg, OH · Ketteringhealth · · NPI 1316966518
$913.20
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.
?
What you pay up front if you don't use insurance.
$2,283.00
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.
$988.34 with Aetna vs $6,636.00 with Unitedhealthcare — 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $988.34 | ↑ +8% |
| Molina Healthcare | Medicare Managed Care Plan | $1,037.76 | ↑ +14% |
| Bcbs | Anthem Pathway Hmox Exchange | $1,499.10 | ↑ +64% |
| Caresource | Marketplace Exchange | $1,527.49 | ↑ +67% |
| Unitedhealthcare | Exchange | $1,533.61 | ↑ +68% |
| Molina Healthcare | Exchange | $2,052.00 | ↑ +125% |
| Buckeye Health Plan | Ambetter Exchange | $2,075.52 | ↑ +127% |
| Custom Design Benefits Inc. | All Commercial Plans | $2,655.28 | ↑ +191% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $3,454.41 | ↑ +278% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $4,642.34 | ↑ +408% |
| Aetna | All Commercial Plans | $4,642.34 | ↑ +408% |
| Cigna | All Commercial Plans | $6,165.00 | ↑ +575% |
| Unitedhealthcare | Employee | $6,636.00 | ↑ +627% |
| Unitedhealthcare | All Commercial Plans | $6,636.00 | ↑ +627% |
Visitor-reported prices
Comments
Treat eyelid lesion 67850 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $452.40 | $1.10 – $943.12 |
| Kettering Health Main Campus (Kettering) | Kettering | $913.20 | $982.23 – $6,165.00 |
| Kettering Health Dayton (Grandview) | Dayton | $913.20 | $982.23 – $6,165.00 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton | $913.20 | $988.34 – $6,165.00 |
| Soin Medical Center | Beaver Creek | $913.20 | $982.23 – $6,165.00 |
| Kettering Health Greene Memorial | Xenia | $913.20 | $976.98 – $6,165.00 |
| Kettering Health Troy | Troy | $913.20 | $976.98 – $6,165.00 |
| akron general | Akron | not published | $157.33 – $1,037.44 |