healthcosts.net
Pr egd flexible transoral w/placement percutaneous gastrostomy tube at University Hospitals Samaritan Medical Center
1025 Center St, Ashland, OH · University Hospitals · · NPI 1902882939
$2,492.25
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.
$3,323.00
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.
$1,139.79 with Medical Mutual of Ohio vs $3,349.72 with Ambetter — 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 |
|---|---|---|---|
| Medical Mutual of Ohio | Northern Ohio Commercial | $1,139.79 | ↓ -54% |
| Amish Church Fund and Workers Aid Plan | Fund | $1,528.58 | ↓ -39% |
| Amish Aid Community Plan | Fund | $1,528.58 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $1,528.58 | ↓ -39% |
| Immergrun | Commercial | $1,661.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $1,661.50 | ↓ -33% |
| Sunrise Plain Communities | Fund | $1,661.50 | ↓ -33% |
| University Health Employee Plan (Contigo) | Commercial | $1,786.00 | ↓ -28% |
| Cigna | PPO Commercial | $1,844.27 | ↓ -26% |
| Molina | Medicare Advantage | $1,860.96 | ↓ -25% |
| Anthem | Medicare Advantage | $1,860.96 | ↓ -25% |
| Primetime Health Plan | Medicare Advantage | $1,860.96 | ↓ -25% |
| WellCare by AllWell | Medicare Advantage | $1,860.96 | ↓ -25% |
| Cigna | Medicare Advantage | $1,860.96 | ↓ -25% |
| SummaCare | Medicare Advantage | $1,860.96 | ↓ -25% |
| Devoted Health | Medicare Advantage | $1,860.96 | ↓ -25% |
| Aetna | Medicare Advantage | $1,860.96 | ↓ -25% |
| Humana | Medicare Advantage | $1,860.96 | ↓ -25% |
| United Healthcare | Medicare Advantage | $1,860.96 | ↓ -25% |
| The Health Plan | Medicare Advantage | $1,860.96 | ↓ -25% |
| Paramount | Medicare Advantage | $1,916.79 | ↓ -23% |
| Valor Health Plans | Medicare Advantage | $1,954.00 | ↓ -22% |
| Perennial Advantage of Ohio | Medicare Advantage | $1,954.00 | ↓ -22% |
| Medical Mutual Traditional/Health Ohio | Commercial | $2,326.10 | ↓ -7% |
| Medical Mutual of Ohio | MedFlex Commercial | $2,648.43 | ↑ +6% |
| Ohio Preferred Network | Commercial | $2,658.40 | ↑ +7% |
| Beech Street | Commercial | $2,658.40 | ↑ +7% |
| Anthem | Pathway Commercial | $2,694.95 | ↑ +8% |
| First Health | Commercial | $2,758.09 | ↑ +11% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $2,824.55 | ↑ +13% |
| Century Health Network | Commercial | $2,824.55 | ↑ +13% |
| Aetna | Commercial | $2,831.20 | ↑ +14% |
| Aetna | OPN Commercial | $2,851.13 | ↑ +14% |
| Private Healthcare System | Commercial | $2,857.78 | ↑ +15% |
| Cigna | OAP Commercial | $2,877.72 | ↑ +15% |
| The Health Plan | Commercial | $2,924.24 | ↑ +17% |
| Medical Mutual of Ohio | SuperMed Commercial | $2,940.86 | ↑ +18% |
| JP Farley | Commercial | $2,990.70 | ↑ +20% |
| Ohio Health Choice | Commercial | $2,990.70 | ↑ +20% |
| HealthSmart | Commercial | $2,990.70 | ↑ +20% |
| Fortified Provider Network | Commercial | $2,990.70 | ↑ +20% |
| Medical Mutual of Ohio | NAS Commercial | $2,990.70 | ↑ +20% |
| MultiPlan | Commercial | $2,990.70 | ↑ +20% |
| AultCare | Commercial | $2,990.70 | ↑ +20% |
| Anthem | Commercial | $3,000.67 | ↑ +20% |
| United Healthcare | Nexus Commercial | $3,023.93 | ↑ +21% |
| SummaCare | Commercial | $3,023.93 | ↑ +21% |
| United Healthcare | Commercial | $3,023.93 | ↑ +21% |
| CareSource | Marketplace | $3,349.72 | ↑ +34% |
| Ambetter | Commercial | $3,349.72 | ↑ +34% |
| Humana | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Pr egd flexible transoral w/placement percutaneous gastrostomy tube at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Geneva Medical Center | Geneva | $2,795.25 | $745.40 – $3,354.30 |
| University Hospitals St. John Medical Center | Westlake OH | $3,061.50 | $1,000.09 – $3,673.80 |