Tx atrial fib pulm vein isol at Kettering Health Miamisburg (Sycamore)
4000 Miamisburg-Centerville Road, Miamisburg, OH · Ketteringhealth · · NPI 1316966518
$21,833.20
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.
$54,583.00
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.
$18,353.44 with Aetna vs $90,573.65 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 | New Business/Oh Ky Preferred Other Commercial Plan | $18,353.44 | ↓ -16% |
| Aetna | All Commercial Plans | $18,353.44 | ↓ -16% |
| Unitedhealthcare | All Commercial Plans | $22,396.00 | ↑ +3% |
| Unitedhealthcare | Employee | $22,396.00 | ↑ +3% |
| Aetna | Medicare Managed Care Plan | $25,914.09 | ↑ +19% |
| Molina Healthcare | Medicare Managed Care Plan | $27,209.79 | ↑ +25% |
| Bcbs | Anthem Pathway Hmox Exchange | $39,306.01 | ↑ +80% |
| Caresource | Marketplace Exchange | $40,050.22 | ↑ +83% |
| Unitedhealthcare | Exchange | $40,210.89 | ↑ +84% |
| Molina Healthcare | Exchange | $53,802.83 | ↑ +146% |
| Buckeye Health Plan | Ambetter Exchange | $54,419.58 | ↑ +149% |
| Custom Design Benefits Inc. | All Commercial Plans | $69,620.78 | ↑ +219% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $90,573.65 | ↑ +315% |
Visitor-reported prices
Comments
Tx atrial fib pulm vein isol at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $19,298.64 | $23,348.40 – $29,963.78 |
| cleveland clinic main campus | Cleveland | $45,258.20 | $1.10 – $62,665.20 |
| akron general | Akron | $45,258.20 | $1.10 – $62,665.20 |
| avon hospital | Avon | $45,258.20 | $1,647.47 – $62,665.20 |
| euclid hospital | Euclid | $45,258.20 | $1,647.47 – $62,665.20 |
| fairview hospital | Cleveland | $45,258.20 | $1,407.23 – $62,665.20 |
| lutheran hospital | Cleveland | $45,258.20 | $1,647.47 – $62,665.20 |
| hillcrest hospital | Mayfield Heights | $45,258.20 | $1,407.23 – $62,665.20 |