Ghs IV thrombolytics - cerebral at Kettering Health Troy
600 W. Main Street, Troy, OH · Ketteringhealth · · NPI 1023587045
$472.80
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.
$1,182.00
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.
$323.71 with Aetna vs $12,096.23 with Aetna — 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 | $323.71 | ↓ -32% |
| Molina Healthcare | Medicare Managed Care Plan | $339.90 | ↓ -28% |
| Bcbs | Anthem Pathway Hmox Exchange | $492.13 | ↑ +4% |
| Caresource | Marketplace Exchange | $500.30 | ↑ +6% |
| Unitedhealthcare | Exchange | $502.30 | ↑ +6% |
| Molina Healthcare | Exchange | $672.09 | ↑ +42% |
| Buckeye Health Plan | Ambetter Exchange | $679.79 | ↑ +44% |
| Custom Design Benefits Inc. | All Commercial Plans | $869.68 | ↑ +84% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $1,134.03 | ↑ +140% |
| Unitedhealthcare | Employee | $4,802.00 | ↑ +916% |
| Unitedhealthcare | All Commercial Plans | $4,802.00 | ↑ +916% |
| Cigna | All Commercial Plans | $6,165.00 | ↑ +1204% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $12,096.23 | ↑ +2458% |
| Aetna | All Commercial Plans | $12,096.23 | ↑ +2458% |
Visitor-reported prices
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Ghs IV thrombolytics - cerebral at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $794.40 | not published |
| Trinity Medical Center East | Steubenville | $313.93 | $192.85 – $487.41 |
| cleveland clinic main campus | Cleveland | $1,348.75 | $1.10 – $1,867.50 |
| akron general | Akron | $1,348.75 | $1.10 – $1,867.50 |
| avon hospital | Avon | $1,239.55 | $236.30 – $1,716.30 |
| euclid hospital | Euclid | $1,239.55 | $242.10 – $1,716.30 |
| fairview hospital | Cleveland | $1,239.55 | $227.44 – $1,716.30 |
| lutheran hospital | Cleveland | $1,239.55 | $216.52 – $1,716.30 |