Implant neuroelectrodes at Kettering Health Troy
600 W. Main Street, Troy, OH · Ketteringhealth · · NPI 1023587045
$9,771.60
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.
$24,429.00
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.
$3,958.00 with Medical Mutual vs $21,880.22 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 |
|---|---|---|---|
| Medical Mutual | New Business Other Commercial Plan | $3,958.00 | ↓ -59% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $4,642.34 | ↓ -52% |
| Aetna | All Commercial Plans | $4,642.34 | ↓ -52% |
| Medical Mutual | Supermed Ppo | $5,653.00 | ↓ -42% |
| Aetna | Medicare Managed Care Plan | $6,245.77 | ↓ -36% |
| Molina Healthcare | Medicare Managed Care Plan | $6,558.06 | ↓ -33% |
| Bcbs | Anthem Pathway Hmox Exchange | $9,495.30 | ↓ -3% |
| Caresource | Marketplace Exchange | $9,652.84 | ↓ -1% |
| Unitedhealthcare | Exchange | $9,691.56 | ↓ -1% |
| Molina Healthcare | Exchange | $12,967.47 | ↑ +33% |
| Buckeye Health Plan | Ambetter Exchange | $13,116.12 | ↑ +34% |
| Custom Design Benefits Inc. | All Commercial Plans | $16,779.89 | ↑ +72% |
| Unitedhealthcare | Employee | $18,211.00 | ↑ +86% |
| Unitedhealthcare | All Commercial Plans | $18,211.00 | ↑ +86% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $21,880.22 | ↑ +124% |
Visitor-reported prices
Comments
Implant neuroelectrodes at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $6,780.00 | not published |
| Kings Mills Hospital | Mason | $6,780.00 | not published |
| Mercy West Hospital | Cincinnati | $6,780.00 | not published |
| St Ritas Medical Center | Lima | $45,623.18 | $6,318.43 – $6,444.80 |
| Trinity Medical Center East | Steubenville | $4,521.40 | $5,470.20 – $7,293.60 |
| cleveland clinic main campus | Cleveland | $10,395.45 | $0.01 – $12,320.10 |
| akron general | Akron | $10,395.45 | $0.01 – $12,320.10 |
| avon hospital | Avon | $8,897.85 | $613.68 – $12,320.10 |