2d tte w or without fol w/con,co at Kettering Health Troy
600 W. Main Street, Troy, OH · Ketteringhealth · · NPI 1023587045
$1,574.80
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.
$3,937.00
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.
$768.27 with Aetna vs $2,691.41 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 | $768.27 | ↓ -51% |
| Molina Healthcare | Medicare Managed Care Plan | $806.68 | ↓ -49% |
| Bcbs | Anthem Pathway Hmox Exchange | $1,167.99 | ↓ -26% |
| Caresource | Marketplace Exchange | $1,187.36 | ↓ -25% |
| Unitedhealthcare | Exchange | $1,192.13 | ↓ -24% |
| Molina Healthcare | Exchange | $1,595.08 | ↑ +1% |
| Buckeye Health Plan | Ambetter Exchange | $1,613.37 | ↑ +2% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $1,724.76 | ↑ +10% |
| Aetna | All Commercial Plans | $1,724.76 | ↑ +10% |
| Custom Design Benefits Inc. | All Commercial Plans | $2,064.04 | ↑ +31% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $2,691.41 | ↑ +71% |
Visitor-reported prices
Comments
2d tte w or without fol w/con,co at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $581.24 | $703.20 – $902.44 |
| cleveland clinic main campus | Cleveland | $2,952.95 | $353.35 – $4,088.70 |
| avon hospital | Avon | $2,952.95 | $300.80 – $4,088.70 |
| euclid hospital | Euclid | $2,952.95 | $308.19 – $4,088.70 |
| fairview hospital | Cleveland | $2,952.95 | $289.52 – $4,088.70 |
| lutheran hospital | Cleveland | $2,952.95 | $275.64 – $4,088.70 |
| hillcrest hospital | Mayfield Heights | $2,952.95 | $301.64 – $4,088.70 |
| marymount hospital | Garfield Heights | $2,952.95 | $272.16 – $4,088.70 |