Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at Kettering Health Troy
600 W. Main Street, Troy, OH · Ketteringhealth · · NPI 1023587045
$29,412.40
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.
$73,531.00
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.
$18,353.44 with Aetna vs $107,766.48 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 | All Commercial Plans | $18,353.44 | ↓ -38% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $18,353.44 | ↓ -38% |
| Aetna | Medicare Managed Care Plan | $30,762.25 | ↑ +5% |
| Molina Healthcare | Medicare Managed Care Plan | $32,300.36 | ↑ +10% |
| Bcbs | Anthem Pathway Hmox Exchange | $46,767.14 | ↑ +59% |
| Caresource | Marketplace Exchange | $47,543.06 | ↑ +62% |
| Unitedhealthcare | Exchange | $47,733.78 | ↑ +62% |
| Unitedhealthcare | Employee | $50,273.00 | ↑ +71% |
| Unitedhealthcare | All Commercial Plans | $50,273.00 | ↑ +71% |
| Molina Healthcare | Exchange | $63,868.58 | ↑ +117% |
| Buckeye Health Plan | Ambetter Exchange | $64,600.72 | ↑ +120% |
| Custom Design Benefits Inc. | All Commercial Plans | $82,645.86 | ↑ +181% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $107,766.48 | ↑ +266% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $51,769.20 | not published |
| Trinity Medical Center East | Steubenville | $20,342.57 | $24,611.40 – $32,815.20 |
| cleveland clinic main campus | Cleveland | $36,428.60 | $1.10 – $50,439.60 |
| akron general | Akron | $36,428.60 | $1.10 – $50,439.60 |
| avon hospital | Avon | $36,428.60 | $1,598.82 – $50,439.60 |
| euclid hospital | Euclid | $36,428.60 | $1,100.65 – $50,439.60 |
| fairview hospital | Cleveland | $36,428.60 | $1,090.37 – $50,439.60 |
| lutheran hospital | Cleveland | $36,428.60 | $1,090.37 – $50,439.60 |