Abdominal MRI (without contrast) at Kettering Health Troy
600 W. Main Street, Troy, OH · Ketteringhealth · · NPI 1023587045
$1,032.80
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.
?
What you pay up front if you don't use insurance.
$2,582.00
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.
$233.84 with Aetna vs $819.19 with Bcbs — 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 | $233.84 | ↓ -77% |
| Molina Healthcare | Medicare Managed Care Plan | $245.53 | ↓ -76% |
| Aetna | All Commercial Plans | $318.16 | ↓ -69% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $318.16 | ↓ -69% |
| Bcbs | Anthem Pathway Hmox Exchange | $355.50 | ↓ -66% |
| Caresource | Marketplace Exchange | $361.40 | ↓ -65% |
| Unitedhealthcare | Exchange | $362.85 | ↓ -65% |
| Molina Healthcare | Exchange | $485.50 | ↓ -53% |
| Buckeye Health Plan | Ambetter Exchange | $491.06 | ↓ -52% |
| Custom Design Benefits Inc. | All Commercial Plans | $628.23 | ↓ -39% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $819.19 | ↓ -21% |
Visitor-reported prices
Comments
Abdominal MRI (without contrast) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $1,203.63 | $1,146.00 – $2,407.00 |
| cleveland clinic main campus | Cleveland | $1,463.80 | $1.10 – $1,501.20 |
| akron general | Akron | $1,463.80 | $0.87 – $1,501.20 |
| avon hospital | Avon | $1,084.20 | $0.87 – $1,501.20 |
| euclid hospital | Euclid | $1,084.20 | $0.87 – $1,501.20 |
| fairview hospital | Cleveland | $1,084.20 | $0.87 – $1,501.20 |
| lutheran hospital | Cleveland | $1,084.20 | $0.87 – $1,501.20 |
| hillcrest hospital | Mayfield Heights | $1,084.20 | $0.87 – $1,501.20 |