Perc drug-el cor stent sing at Kettering Health Troy
600 W. Main Street, Troy, OH · Ketteringhealth · · NPI 1023587045
$7,919.60
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.
$19,799.00
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.
$10,672.27 with Aetna vs $39,634.33 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 | $10,672.27 | ↑ +35% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $10,672.27 | ↑ +35% |
| Aetna | Medicare Managed Care Plan | $11,313.73 | ↑ +43% |
| Molina Healthcare | Medicare Managed Care Plan | $11,879.42 | ↑ +50% |
| Bcbs | Anthem Pathway Hmox Exchange | $17,200.01 | ↑ +117% |
| Caresource | Marketplace Exchange | $17,485.37 | ↑ +121% |
| Unitedhealthcare | Exchange | $17,555.52 | ↑ +122% |
| Unitedhealthcare | Employee | $21,466.00 | ↑ +171% |
| Unitedhealthcare | All Commercial Plans | $21,466.00 | ↑ +171% |
| Molina Healthcare | Exchange | $23,489.57 | ↑ +197% |
| Buckeye Health Plan | Ambetter Exchange | $23,758.84 | ↑ +200% |
| Custom Design Benefits Inc. | All Commercial Plans | $30,395.48 | ↑ +284% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $39,634.33 | ↑ +400% |
Visitor-reported prices
Comments
Perc drug-el cor stent sing at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $10,029.60 | not published |
| Trinity Medical Center East | Steubenville | $11,158.44 | $7,639.20 – $9,803.64 |
| cleveland clinic main campus | Cleveland | $27,071.85 | $5,870.61 – $37,484.10 |
| akron general | Akron | $27,071.85 | $4,659.93 – $37,484.10 |
| avon hospital | Avon | $27,071.85 | $4,997.70 – $37,484.10 |
| euclid hospital | Euclid | $27,071.85 | $5,120.26 – $37,484.10 |
| fairview hospital | Cleveland | $27,071.85 | $4,810.23 – $37,484.10 |
| lutheran hospital | Cleveland | $27,071.85 | $4,579.50 – $37,484.10 |