Icd reliance df4 ib 64cm 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

$6,463.81

Cash price

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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.

$8,618.40

Gross charge

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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.

$620.83 with Medical Mutual of Ohio vs $1,647.10 with United Healthcare — 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 →

Payer
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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
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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 $620.83 ↓ -90%
University Health Employee Plan (Contigo) Commercial $682.50 ↓ -89%
Buckeye Plain Ministries Fund $832.60 ↓ -87%
Amish Aid Community Plan Fund $832.60 ↓ -87%
Amish Church Fund and Workers Aid Plan Fund $832.60 ↓ -87%
Christian Healthcare Ministries Fund $905.00 ↓ -86%
Sunrise Plain Communities Fund $905.00 ↓ -86%
Immergrun Commercial $905.00 ↓ -86%
Cigna PPO Commercial $1,004.55 ↓ -84%
Medical Mutual Traditional/Health Ohio Commercial $1,267.00 ↓ -80%
Medical Mutual of Ohio MedFlex Commercial $1,442.57 ↓ -78%
Ohio Preferred Network Commercial $1,448.00 ↓ -78%
Beech Street Commercial $1,448.00 ↓ -78%
Anthem Pathway Commercial $1,467.91 ↓ -77%
First Health Commercial $1,502.30 ↓ -77%
Ohio Health Choice Preferred Health Choice Plus Commercial $1,538.50 ↓ -76%
Century Health Network Commercial $1,538.50 ↓ -76%
Aetna Commercial $1,542.12 ↓ -76%
Aetna OPN Commercial $1,552.98 ↓ -76%
Private Healthcare System Commercial $1,556.60 ↓ -76%
Cigna OAP Commercial $1,567.46 ↓ -76%
The Health Plan Commercial $1,592.80 ↓ -75%
Medical Mutual of Ohio SuperMed Commercial $1,601.85 ↓ -75%
Fortified Provider Network Commercial $1,629.00 ↓ -75%
HealthSmart Commercial $1,629.00 ↓ -75%
MultiPlan Commercial $1,629.00 ↓ -75%
AultCare Commercial $1,629.00 ↓ -75%
Ohio Health Choice Commercial $1,629.00 ↓ -75%
Medical Mutual of Ohio NAS Commercial $1,629.00 ↓ -75%
JP Farley Commercial $1,629.00 ↓ -75%
Anthem Commercial $1,634.43 ↓ -75%
United Healthcare Commercial $1,647.10 ↓ -75%
SummaCare Commercial $1,647.10 ↓ -75%
United Healthcare Nexus Commercial $1,647.10 ↓ -75%
Humana Medicare Advantage not published by hospital —
Molina Managed Medicaid not published by hospital —
Molina Medicare Advantage not published by hospital —
Humana Managed Medicaid not published by hospital —
Devoted Health Medicare Advantage not published by hospital —
Cigna Medicare Advantage not published by hospital —
Amerihealth Caritas Managed Medicaid not published by hospital —
Paramount Medicare Advantage not published by hospital —
Perennial Advantage of Ohio Medicare Advantage not published by hospital —
Primetime Health Plan Medicare Advantage not published by hospital —
CareSource Marketplace not published by hospital —
Valor Health Plans Medicare Advantage not published by hospital —
SummaCare Medicare Advantage not published by hospital —
CareSource Managed Medicaid not published by hospital —
Buckeye Managed Medicaid not published by hospital —
The Health Plan Medicare Advantage not published by hospital —
Anthem Medicare Advantage not published by hospital —
United Healthcare Managed Medicaid not published by hospital —
United Healthcare Medicare Advantage not published by hospital —
WellCare by AllWell Medicare Advantage not published by hospital —
Aetna Medicare Advantage not published by hospital —
Aetna (Ohio Rise) Managed Medicaid not published by hospital —
Ambetter Commercial not published by hospital —

Visitor-reported prices

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Icd reliance df4 ib 64cm at other Ohio hospitals

Hospital City Cash price Negotiated range
Jewish Hospital Cincinnati $71,315.80 not published
Anderson Hospital Cincinnati $71,315.80 not published
Clermont Hospital Batavia $71,315.80 not published
Kings Mills Hospital Mason $71,315.80 not published
Mercy West Hospital Cincinnati $71,315.80 not published
St Ritas Medical Center Lima $55,178.15 not published
Trinity Medical Center East Steubenville $6,306.75 $4,898.40 – $6,286.28
cleveland clinic main campus Cleveland $8,612.50 $70.85 – $292.50

All Ohio hospitals for this procedure →