Insj stablj dev without dcmprn at Kettering Health Troy
600 W. Main Street, Troy, OH · Ketteringhealth · · NPI 1023587045
$20,836.00
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.
$52,090.00
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.
$7,642.00 with Medical Mutual vs $44,078.67 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 | $7,642.00 | ↓ -63% |
| Aetna | All Commercial Plans | $8,386.90 | ↓ -60% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $8,386.90 | ↓ -60% |
| Medical Mutual | Supermed Ppo | $10,917.00 | ↓ -48% |
| Aetna | Medicare Managed Care Plan | $12,582.38 | ↓ -40% |
| Molina Healthcare | Medicare Managed Care Plan | $13,211.50 | ↓ -37% |
| Unitedhealthcare | All Commercial Plans | $18,211.00 | ↓ -13% |
| Unitedhealthcare | Employee | $18,211.00 | ↓ -13% |
| Bcbs | Anthem Pathway Hmox Exchange | $19,128.71 | ↓ -8% |
| Caresource | Marketplace Exchange | $19,446.07 | ↓ -7% |
| Unitedhealthcare | Exchange | $19,524.08 | ↓ -6% |
| Molina Healthcare | Exchange | $26,123.54 | ↑ +25% |
| Buckeye Health Plan | Ambetter Exchange | $26,423.00 | ↑ +27% |
| Custom Design Benefits Inc. | All Commercial Plans | $33,803.83 | ↑ +62% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $44,078.67 | ↑ +112% |
Visitor-reported prices
Comments
Insj stablj dev without dcmprn at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,827.80 | $1.10 – $12,146.38 |
| University Hospitals Ahuja Medical Center | Beachwood | $15,258.00 | $900.00 – $21,863.49 |
| University Hospitals Beachwood Medical Center | Beachwood | $15,258.00 | $900.00 – $30,763.38 |
| University Hospitals Conneaut Medical Center | Conneaut | $12,226.50 | not published |
| University Hospitals Elyria Medical Center | Elyria | $15,258.00 | $12,146.38 – $21,863.49 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $15,258.00 | $12,146.38 – $21,863.49 |
| University Hospitals Geneva Medical Center | Geneva | $12,226.50 | not published |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $15,258.00 | $12,146.38 – $21,863.49 |