Dup scan/ue art/graft/bilat/comp 93930 at Kettering Health Greene Memorial
1141 North Monroe Drive, Xenia, OH · Ketteringhealth · · NPI 1255317848
$989.20
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.
$2,473.00
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.
$233.84 with Aetna vs $819.19 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 | $233.84 | ↓ -76% |
| Molina Healthcare | Medicare Managed Care Plan | $245.53 | ↓ -75% |
| Bcbs | Anthem Pathway Hmox Exchange | $355.50 | ↓ -64% |
| Aetna | All Commercial Plans | $359.54 | ↓ -64% |
| Aetna | New Business/Oh Ky Preferred Other Commercial Plan | $359.54 | ↓ -64% |
| Caresource | Marketplace Exchange | $361.40 | ↓ -63% |
| Unitedhealthcare | Exchange | $362.85 | ↓ -63% |
| Molina Healthcare | Exchange | $485.50 | ↓ -51% |
| Buckeye Health Plan | Ambetter Exchange | $491.06 | ↓ -50% |
| Custom Design Benefits Inc. | All Commercial Plans | $628.23 | ↓ -36% |
| Cigna | All Commercial Plans | $742.80 | ↓ -25% |
| Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $819.19 | ↓ -17% |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $581.24 | $611.40 – $784.63 |
| cleveland clinic main campus | Cleveland | $1,111.50 | $1.10 – $1,251.00 |
| akron general | Akron | $1,111.50 | $1.10 – $1,251.00 |
| avon hospital | Avon | $903.50 | $83.17 – $1,251.00 |
| euclid hospital | Euclid | $903.50 | $85.22 – $1,251.00 |
| fairview hospital | Cleveland | $903.50 | $80.06 – $1,251.00 |
| lutheran hospital | Cleveland | $903.50 | $76.22 – $1,251.00 |
| hillcrest hospital | Mayfield Heights | $903.50 | $83.41 – $1,251.00 |