Excision of rectal prolapse at University Hospitals Ahuja Medical Center
3999 Richmond Road, Beachwood, OH · University Hospitals · · NPI 1609189604
not published by hospital
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.
not published by hospital
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.
$1,165.31 with Medical Mutual of Ohio vs $8,271.00 with Medical Mutual of Ohio — 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 | Medicare Advantage | $1,165.31 | — |
| Humana | Medicare Advantage | $1,165.31 | — |
| United Healthcare | Medicare Advantage | $1,165.31 | — |
| WellCare by AllWell | Medicare Advantage | $1,165.31 | — |
| The Health Plan | Medicare Advantage | $1,165.31 | — |
| Anthem | Medicare Advantage | $1,165.31 | — |
| Aetna | Medicare Advantage | $1,165.31 | — |
| Primetime Health Plan | Medicare Advantage | $1,165.31 | — |
| Molina | Medicare Advantage | $1,165.31 | — |
| SummaCare | Medicare Advantage | $1,165.31 | — |
| Cigna | Medicare Advantage | $1,165.31 | — |
| Devoted Health | Medicare Advantage | $1,165.31 | — |
| Paramount | Medicare Advantage | $1,200.27 | — |
| Valor Health Plans | Medicare Advantage | $1,223.57 | — |
| Perennial Advantage of Ohio | Medicare Advantage | $1,223.57 | — |
| United Healthcare | Nexus Commercial | $1,988.83 | — |
| Ambetter | Commercial | $2,097.55 | — |
| CareSource | Marketplace | $2,097.55 | — |
| United Healthcare | Commercial | $2,259.89 | — |
| Anthem | Commercial | $3,659.00 | — |
| Anthem | Pathway Commercial | $4,066.00 | — |
| Medical Mutual of Ohio | NAS Commercial | $8,271.00 | — |
| Medical Mutual of Ohio | MedFlex Commercial | $8,271.00 | — |
| Medical Mutual of Ohio | SuperMed Commercial | $8,271.00 | — |
Visitor-reported prices
Comments
Excision of rectal prolapse at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Beachwood Medical Center | Beachwood | not published | $1,165.31 – $2,097.55 |
| akron general | Akron | $5,813.60 | $1.10 – $8,049.60 |
| mercy hospital | Canton | $5,813.60 | $1.10 – $8,049.60 |
| cleveland clinic main campus | Cleveland | not published | $1,836.64 – $3,370.72 |
| avon hospital | Avon | not published | $1,563.54 – $1,593.33 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,552.71 – $2,955.77 |
| euclid hospital | Euclid | not published | $1,601.90 – $1,854.83 |
| fairview hospital | Cleveland | not published | $1,504.90 – $1,742.52 |