Nuclear rx IV admin at Kettering Health Troy
600 W. Main Street, Troy, OH · Ketteringhealth · · NPI 1023587045
$841.20
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.
$2,103.00
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.
$109.77 with Aetna vs $801.11 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 | All Commercial Plans | $109.77 | ↓ -87% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $109.77 | ↓ -87% |
| Aetna | Medicare Managed Care Plan | $228.68 | ↓ -73% |
| Molina Healthcare | Medicare Managed Care Plan | $240.11 | ↓ -71% |
| Bcbs | Anthem Pathway Hmox Exchange | $347.65 | ↓ -59% |
| Caresource | Marketplace Exchange | $353.42 | ↓ -58% |
| Unitedhealthcare | Exchange | $354.84 | ↓ -58% |
| Molina Healthcare | Exchange | $474.78 | ↓ -44% |
| Buckeye Health Plan | Ambetter Exchange | $480.22 | ↓ -43% |
| Custom Design Benefits Inc. | All Commercial Plans | $614.37 | ↓ -27% |
| Cigna | All Commercial Plans | $754.15 | ↓ -10% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $801.11 | ↓ -5% |
Visitor-reported prices
Comments
Nuclear rx IV admin at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $1,232.40 | not published |
| Mercy West Hospital | Cincinnati | $1,232.40 | not published |
| St Ritas Medical Center | Lima | $1,614.00 | not published |
| Trinity Medical Center East | Steubenville | $343.68 | $415.80 – $533.61 |
| cleveland clinic main campus | Cleveland | $1,514.50 | $1.10 – $1,391.40 |
| akron general | Akron | $1,514.50 | $0.87 – $1,391.40 |
| avon hospital | Avon | $1,004.90 | $0.87 – $1,391.40 |
| euclid hospital | Euclid | $1,004.90 | $0.87 – $1,391.40 |