Inj. herceptin hylecta, 10mg at University Hospitals Samaritan Medical Center
1025 Center St, Ashland, OH · University Hospitals · · NPI 1902882939
$17,286.71
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.
$23,048.94
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.
$59.91 with Molina vs $20,974.54 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 | $59.91 | ↓ -100% |
| WellCare by AllWell | Medicare Advantage | $59.91 | ↓ -100% |
| Anthem | Medicare Advantage | $59.91 | ↓ -100% |
| United Healthcare | Medicare Advantage | $59.91 | ↓ -100% |
| Cigna | Medicare Advantage | $59.91 | ↓ -100% |
| The Health Plan | Medicare Advantage | $59.91 | ↓ -100% |
| SummaCare | Medicare Advantage | $59.91 | ↓ -100% |
| Primetime Health Plan | Medicare Advantage | $59.91 | ↓ -100% |
| Humana | Medicare Advantage | $59.91 | ↓ -100% |
| Devoted Health | Medicare Advantage | $59.91 | ↓ -100% |
| Aetna | Medicare Advantage | $59.91 | ↓ -100% |
| Paramount | Medicare Advantage | $61.71 | ↓ -100% |
| Perennial Advantage of Ohio | Medicare Advantage | $62.90 | ↓ -100% |
| Valor Health Plans | Medicare Advantage | $62.90 | ↓ -100% |
| Ambetter | Commercial | $107.84 | ↓ -99% |
| CareSource | Marketplace | $107.84 | ↓ -99% |
| Medical Mutual of Ohio | MedFlex Commercial | $153.27 | ↓ -99% |
| Medical Mutual of Ohio | SuperMed Commercial | $170.27 | ↓ -99% |
| Medical Mutual of Ohio | NAS Commercial | $187.27 | ↓ -99% |
| United Healthcare | Commercial | $594.18 | ↓ -97% |
| United Healthcare | Nexus Commercial | $594.18 | ↓ -97% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $7,905.79 | ↓ -54% |
| University Health Employee Plan (Contigo) | Commercial | $9,219.58 | ↓ -47% |
| Buckeye Plain Ministries | Fund | $10,602.51 | ↓ -39% |
| Amish Aid Community Plan | Fund | $10,602.51 | ↓ -39% |
| Amish Church Fund and Workers Aid Plan | Fund | $10,602.51 | ↓ -39% |
| Immergrun | Commercial | $11,524.47 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $11,524.47 | ↓ -33% |
| Sunrise Plain Communities | Fund | $11,524.47 | ↓ -33% |
| Cigna | PPO Commercial | $12,792.16 | ↓ -26% |
| Medical Mutual Traditional/Health Ohio | Commercial | $16,134.26 | ↓ -7% |
| Ohio Preferred Network | Commercial | $18,439.15 | ↑ +7% |
| Beech Street | Commercial | $18,439.15 | ↑ +7% |
| Anthem | Pathway Commercial | $18,692.69 | ↑ +8% |
| First Health | Commercial | $19,130.62 | ↑ +11% |
| Century Health Network | Commercial | $19,591.60 | ↑ +13% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $19,591.60 | ↑ +13% |
| Aetna | Commercial | $19,637.70 | ↑ +14% |
| Aetna | OPN Commercial | $19,775.99 | ↑ +14% |
| Private Healthcare System | Commercial | $19,822.09 | ↑ +15% |
| Cigna | OAP Commercial | $19,960.38 | ↑ +15% |
| The Health Plan | Commercial | $20,283.07 | ↑ +17% |
| Ohio Health Choice | Commercial | $20,744.05 | ↑ +20% |
| MultiPlan | Commercial | $20,744.05 | ↑ +20% |
| Fortified Provider Network | Commercial | $20,744.05 | ↑ +20% |
| JP Farley | Commercial | $20,744.05 | ↑ +20% |
| AultCare | Commercial | $20,744.05 | ↑ +20% |
| HealthSmart | Commercial | $20,744.05 | ↑ +20% |
| Anthem | Commercial | $20,813.19 | ↑ +20% |
| SummaCare | Commercial | $20,974.54 | ↑ +21% |
| 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. herceptin hylecta, 10mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Ritas Medical Center | Lima | $18,654.24 | not published |
| akron general | Akron | $2,917.36 | $2.17 – $4,487.68 |
| avon hospital | Avon | $2,917.36 | $61.06 – $4,235.82 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $2,917.36 | $1,269.27 – $7,857.81 |
| euclid hospital | Euclid | $2,917.36 | $61.06 – $4,930.99 |
| fairview hospital | Cleveland | $2,917.36 | $2.17 – $4,632.42 |
| lutheran hospital | Cleveland | $2,917.36 | $61.06 – $4,410.22 |
| hillcrest hospital | Mayfield Heights | $2,917.36 | $2.17 – $4,826.26 |