Inj., emicizumab-kxwh 0.5 mg at University Hospitals Samaritan Medical Center
1025 Center St, Ashland, OH · University Hospitals · · NPI 1902882939
$58,842.17
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.
$78,456.22
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.
$55.64 with Molina vs $14,279.05 with SummaCare — 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 |
|---|---|---|---|
| Molina | Medicare Advantage | $55.64 | ↓ -100% |
| WellCare by AllWell | Medicare Advantage | $55.64 | ↓ -100% |
| Anthem | Medicare Advantage | $55.64 | ↓ -100% |
| United Healthcare | Medicare Advantage | $55.64 | ↓ -100% |
| Cigna | Medicare Advantage | $55.64 | ↓ -100% |
| The Health Plan | Medicare Advantage | $55.64 | ↓ -100% |
| SummaCare | Medicare Advantage | $55.64 | ↓ -100% |
| Primetime Health Plan | Medicare Advantage | $55.64 | ↓ -100% |
| Humana | Medicare Advantage | $55.64 | ↓ -100% |
| Devoted Health | Medicare Advantage | $55.64 | ↓ -100% |
| Aetna | Medicare Advantage | $55.64 | ↓ -100% |
| Paramount | Medicare Advantage | $57.31 | ↓ -100% |
| Perennial Advantage of Ohio | Medicare Advantage | $58.42 | ↓ -100% |
| Valor Health Plans | Medicare Advantage | $58.42 | ↓ -100% |
| Ambetter | Commercial | $100.15 | ↓ -100% |
| CareSource | Marketplace | $100.15 | ↓ -100% |
| Medical Mutual of Ohio | MedFlex Commercial | $139.78 | ↓ -100% |
| Medical Mutual of Ohio | SuperMed Commercial | $155.29 | ↓ -100% |
| Medical Mutual of Ohio | NAS Commercial | $170.80 | ↓ -100% |
| United Healthcare | Commercial | $455.85 | ↓ -99% |
| United Healthcare | Nexus Commercial | $455.85 | ↓ -99% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $5,382.10 | ↓ -91% |
| University Health Employee Plan (Contigo) | Commercial | $6,276.50 | ↓ -89% |
| Buckeye Plain Ministries | Fund | $7,217.98 | ↓ -88% |
| Amish Aid Community Plan | Fund | $7,217.98 | ↓ -88% |
| Amish Church Fund and Workers Aid Plan | Fund | $7,217.98 | ↓ -88% |
| Immergrun | Commercial | $7,845.63 | ↓ -87% |
| Christian Healthcare Ministries | Fund | $7,845.63 | ↓ -87% |
| Sunrise Plain Communities | Fund | $7,845.63 | ↓ -87% |
| Cigna | PPO Commercial | $8,708.65 | ↓ -85% |
| Medical Mutual Traditional/Health Ohio | Commercial | $10,983.88 | ↓ -81% |
| Ohio Preferred Network | Commercial | $12,553.01 | ↓ -79% |
| Beech Street | Commercial | $12,553.01 | ↓ -79% |
| Anthem | Pathway Commercial | $12,725.61 | ↓ -78% |
| First Health | Commercial | $13,023.75 | ↓ -78% |
| Century Health Network | Commercial | $13,337.57 | ↓ -77% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $13,337.57 | ↓ -77% |
| Aetna | Commercial | $13,368.95 | ↓ -77% |
| Aetna | OPN Commercial | $13,463.10 | ↓ -77% |
| Private Healthcare System | Commercial | $13,494.48 | ↓ -77% |
| Cigna | OAP Commercial | $13,588.63 | ↓ -77% |
| The Health Plan | Commercial | $13,808.31 | ↓ -77% |
| Ohio Health Choice | Commercial | $14,122.13 | ↓ -76% |
| MultiPlan | Commercial | $14,122.13 | ↓ -76% |
| Fortified Provider Network | Commercial | $14,122.13 | ↓ -76% |
| JP Farley | Commercial | $14,122.13 | ↓ -76% |
| AultCare | Commercial | $14,122.13 | ↓ -76% |
| HealthSmart | Commercial | $14,122.13 | ↓ -76% |
| Anthem | Commercial | $14,169.21 | ↓ -76% |
| SummaCare | Commercial | $14,279.05 | ↓ -76% |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Inj., emicizumab-kxwh 0.5 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $42,437.44 | $2.17 – $16,617.81 |
| avon hospital | Avon | $42,437.44 | $52.82 – $15,685.16 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $42,437.44 | $3,692.71 – $29,097.34 |
| euclid hospital | Euclid | $42,437.44 | $50.84 – $18,259.40 |
| fairview hospital | Cleveland | $42,437.44 | $2.17 – $17,153.79 |
| lutheran hospital | Cleveland | $42,437.44 | $52.82 – $16,330.97 |
| hillcrest hospital | Mayfield Heights | $42,437.44 | $2.17 – $17,871.56 |
| lodi hospital | Lodi | $42,437.44 | $52.82 – $27,881.30 |