healthcosts.net
Knee Arthroscopy (Meniscus Repair) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,693.60 with University Health Employee Plan (Contigo) vs $9,707.00 with Medical Mutual of Ohio — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| University Health Employee Plan (Contigo) | Commercial | $2,693.60 | — |
| Aetna | Medicare Advantage | $3,095.56 | — |
| Anthem | Medicare Advantage | $3,095.56 | — |
| Cigna | Medicare Advantage | $3,095.56 | — |
| Devoted Health | Medicare Advantage | $3,095.56 | — |
| Humana | Medicare Advantage | $3,095.56 | — |
| Medical Mutual of Ohio | Medicare Advantage | $3,095.56 | — |
| Molina | Medicare Advantage | $3,095.56 | — |
| Primetime Health Plan | Medicare Advantage | $3,095.56 | — |
| SummaCare | Medicare Advantage | $3,095.56 | — |
| The Health Plan | Medicare Advantage | $3,095.56 | — |
| United Healthcare | Medicare Advantage | $3,095.56 | — |
| WellCare by AllWell | Medicare Advantage | $3,095.56 | — |
| Paramount | Medicare Advantage | $3,188.43 | — |
| Perennial Advantage of Ohio | Medicare Advantage | $3,250.34 | — |
| Valor Health Plans | Medicare Advantage | $3,250.34 | — |
| Cigna | OAP Commercial | $3,500.00 | — |
| Aetna | OPN Commercial | $4,452.69 | — |
| Aetna | Commercial | $5,095.00 | — |
| Ambetter | Commercial | $5,572.02 | — |
| CareSource | Marketplace | $5,572.02 | — |
| Anthem | Commercial | $6,252.00 | — |
| Anthem | Pathway Commercial | $6,946.00 | — |
| United Healthcare | Nexus Commercial | $8,076.15 | — |
| United Healthcare | Commercial | $9,177.21 | — |
| Medical Mutual of Ohio | MedFlex Commercial | $9,707.00 | — |
| Medical Mutual of Ohio | NAS Commercial | $9,707.00 | — |
| Medical Mutual of Ohio | SuperMed Commercial | $9,707.00 | — |
Visitor-reported prices
Comments
Knee Arthroscopy (Meniscus Repair) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Beachwood Medical Center | Beachwood | not published | $2,693.60 – $7,840.20 |
| cleveland clinic main campus | Cleveland | $2,010.45 | $1.10 – $3,095.56 |
| mercy hospital | Canton | $2,010.45 | $1.10 – $3,188.43 |
| akron general | Akron | $2,010.45 | $1.10 – $3,237.79 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,545.51 – $2,947.43 |
| avon hospital | Avon | not published | $1,559.13 – $3,405.12 |
| euclid hospital | Euclid | not published | $1,597.38 – $3,405.12 |
| fairview hospital | Cleveland | not published | $1,500.65 – $3,405.12 |