Gonioscopy at Kettering Health Troy
600 W. Main Street, Troy, OH · Ketteringhealth · · NPI 1023587045
$122.00
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.
$305.00
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.
$130.39 with Aetna vs $456.79 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 | $130.39 | ↑ +7% |
| Molina Healthcare | Medicare Managed Care Plan | $136.91 | ↑ +12% |
| Bcbs | Anthem Pathway Hmox Exchange | $198.23 | ↑ +62% |
| Caresource | Marketplace Exchange | $201.52 | ↑ +65% |
| Unitedhealthcare | Exchange | $202.33 | ↑ +66% |
| Molina Healthcare | Exchange | $270.72 | ↑ +122% |
| Buckeye Health Plan | Ambetter Exchange | $273.82 | ↑ +124% |
| Custom Design Benefits Inc. | All Commercial Plans | $350.31 | ↑ +187% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $456.79 | ↑ +274% |
Visitor-reported prices
Comments
Gonioscopy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $385.45 | $0.01 – $533.70 |
| Kettering Health Main Campus (Kettering) | Kettering | $122.00 | $131.09 – $352.20 |
| Kettering Health Dayton (Grandview) | Dayton | $122.00 | $131.09 – $352.20 |
| Kettering Health Miamisburg (Sycamore) | Miamisburg | $122.00 | $131.91 – $354.39 |
| Barnesville Hospital | Barnesville | $20.00 | not published |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton | $122.00 | $131.91 – $354.39 |
| Soin Medical Center | Beaver Creek | $122.00 | $131.09 – $352.20 |
| Kettering Health Greene Memorial | Xenia | $122.00 | $130.39 – $350.31 |