MRI w/cont, breast, bi at Kettering Health Troy
600 W. Main Street, Troy, OH · Ketteringhealth · · NPI 1023587045
$2,501.60
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.
$6,254.00
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.
$341.91 with Aetna vs $1,197.78 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 | $341.91 | ↓ -86% |
| Molina Healthcare | Medicare Managed Care Plan | $359.00 | ↓ -86% |
| Aetna | All Commercial Plans | $514.63 | ↓ -79% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $514.63 | ↓ -79% |
| Bcbs | Anthem Pathway Hmox Exchange | $519.80 | ↓ -79% |
| Caresource | Marketplace Exchange | $528.42 | ↓ -79% |
| Unitedhealthcare | Exchange | $530.54 | ↓ -79% |
| Molina Healthcare | Exchange | $709.87 | ↓ -72% |
| Buckeye Health Plan | Ambetter Exchange | $718.01 | ↓ -71% |
| Custom Design Benefits Inc. | All Commercial Plans | $918.57 | ↓ -63% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $1,197.78 | ↓ -52% |
Visitor-reported prices
Comments
MRI w/cont, breast, bi at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Allen Hospital | Oberlin | $2,266.20 | not published |
| Kettering Health Main Campus (Kettering) | Kettering | $2,501.60 | $343.75 – $923.51 |
| Kettering Health Dayton (Grandview) | Dayton | $2,501.60 | $343.75 – $923.51 |
| Defiance Hospital | Defiance | $4,474.80 | not published |
| Kettering Health Miamisburg (Sycamore) | Miamisburg | $2,501.60 | $345.89 – $929.26 |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton | $2,501.60 | $345.89 – $929.26 |
| Soin Medical Center | Beaver Creek | $2,501.60 | $343.75 – $923.51 |
| Kettering Health Greene Memorial | Xenia | $2,501.60 | $341.91 – $918.57 |