99394 periodic comp preventive med 12 to 17 years est at University Hospitals Samaritan Medical Center

1025 Center St, Ashland, OH · University Hospitals · · NPI 1902882939

Source: hospital's published price file ↗ · Published Jul 14, 2026 · Ingested Aug 13, 2026

$121.50

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.

Full explanation →

What you pay up front if you don't use insurance.

$162.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$55.57 with Medical Mutual of Ohio vs $205.48 with Ambetter — same scan, same building. Share

Negotiated rates by payer
?

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 of Ohio Northern Ohio Commercial $55.57 ↓ -54%
Buckeye Plain Ministries Fund $74.52 ↓ -39%
Amish Aid Community Plan Fund $74.52 ↓ -39%
Amish Church Fund and Workers Aid Plan Fund $74.52 ↓ -39%
Immergrun Commercial $81.00 ↓ -33%
Sunrise Plain Communities Fund $81.00 ↓ -33%
Christian Healthcare Ministries Fund $81.00 ↓ -33%
Cigna PPO Commercial $89.91 ↓ -26%
Medical Mutual Traditional/Health Ohio Commercial $113.40 ↓ -7%
Primetime Health Plan Medicare Advantage $114.16 ↓ -6%
Molina Medicare Advantage $114.16 ↓ -6%
United Healthcare Medicare Advantage $114.16 ↓ -6%
The Health Plan Medicare Advantage $114.16 ↓ -6%
Cigna Medicare Advantage $114.16 ↓ -6%
Devoted Health Medicare Advantage $114.16 ↓ -6%
Anthem Medicare Advantage $114.16 ↓ -6%
Aetna Medicare Advantage $114.16 ↓ -6%
Humana Medicare Advantage $114.16 ↓ -6%
SummaCare Medicare Advantage $114.16 ↓ -6%
WellCare by AllWell Medicare Advantage $114.16 ↓ -6%
Paramount Medicare Advantage $117.58 ↓ -3%
Valor Health Plans Medicare Advantage $119.86 ↓ -1%
Perennial Advantage of Ohio Medicare Advantage $119.86 ↓ -1%
Medical Mutual of Ohio MedFlex Commercial $129.11 ↑ +6%
Beech Street Commercial $129.60 ↑ +7%
Ohio Preferred Network Commercial $129.60 ↑ +7%
Anthem Pathway Commercial $131.38 ↑ +8%
First Health Commercial $134.46 ↑ +11%
Ohio Health Choice Preferred Health Choice Plus Commercial $137.70 ↑ +13%
Century Health Network Commercial $137.70 ↑ +13%
Aetna Commercial $138.02 ↑ +14%
Aetna OPN Commercial $139.00 ↑ +14%
Private Healthcare System Commercial $139.32 ↑ +15%
Cigna OAP Commercial $140.29 ↑ +15%
The Health Plan Commercial $142.56 ↑ +17%
Medical Mutual of Ohio SuperMed Commercial $143.37 ↑ +18%
Ohio Health Choice Commercial $145.80 ↑ +20%
AultCare Commercial $145.80 ↑ +20%
Fortified Provider Network Commercial $145.80 ↑ +20%
HealthSmart Commercial $145.80 ↑ +20%
JP Farley Commercial $145.80 ↑ +20%
Medical Mutual of Ohio NAS Commercial $145.80 ↑ +20%
MultiPlan Commercial $145.80 ↑ +20%
Anthem Commercial $146.29 ↑ +20%
SummaCare Commercial $147.42 ↑ +21%
United Healthcare Commercial $147.42 ↑ +21%
United Healthcare Nexus Commercial $147.42 ↑ +21%
CareSource Marketplace $205.48 ↑ +69%
Ambetter Commercial $205.48 ↑ +69%
United Healthcare Managed Medicaid not published by hospital —
CareSource Managed Medicaid not published by hospital —
Buckeye Managed Medicaid not published by hospital —
University Health Employee Plan (Contigo) Commercial not published by hospital —
Amerihealth Caritas Managed Medicaid not published by hospital —
Humana Managed Medicaid not published by hospital —
Aetna (Ohio Rise) Managed Medicaid not published by hospital —
Molina Managed Medicaid not published by hospital —

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

99394 periodic comp preventive med 12 to 17 years est at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland $442.00 $0.01 – $612.00
akron general Akron $442.00 $0.01 – $612.00
avon hospital Avon $137.15 $0.01 – $189.90
euclid hospital Euclid $137.15 $0.01 – $189.90
fairview hospital Cleveland $137.15 $0.01 – $189.90
lutheran hospital Cleveland $137.15 $0.01 – $189.90
hillcrest hospital Mayfield Heights $137.15 $0.01 – $189.90
lodi hospital Lodi $137.15 $0.01 – $189.90

All Ohio hospitals for this procedure →