Pyruvate kinase at University Hospitals Ahuja Medical Center
3999 Richmond Road, Beachwood, OH · University Hospitals · · NPI 1609189604
$252.75
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.
$337.00
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.
$5.03 with Anthem vs $242.10 with Fortified Provider Network — 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 |
|---|---|---|---|
| Anthem | Pathway Commercial | $5.03 | ↓ -98% |
| Anthem | Commercial | $5.03 | ↓ -98% |
| WellCare by AllWell | Medicare Advantage | $9.44 | ↓ -96% |
| Medical Mutual of Ohio | Medicare Advantage | $9.44 | ↓ -96% |
| Humana | Medicare Advantage | $9.44 | ↓ -96% |
| Aetna | Medicare Advantage | $9.44 | ↓ -96% |
| Anthem | Medicare Advantage | $9.44 | ↓ -96% |
| United Healthcare | Medicare Advantage | $9.44 | ↓ -96% |
| The Health Plan | Medicare Advantage | $9.44 | ↓ -96% |
| SummaCare | Medicare Advantage | $9.44 | ↓ -96% |
| Primetime Health Plan | Medicare Advantage | $9.44 | ↓ -96% |
| Cigna | Medicare Advantage | $9.44 | ↓ -96% |
| Devoted Health | Medicare Advantage | $9.44 | ↓ -96% |
| Molina | Medicare Advantage | $9.44 | ↓ -96% |
| Paramount | Medicare Advantage | $9.72 | ↓ -96% |
| Valor Health Plans | Medicare Advantage | $9.91 | ↓ -96% |
| Perennial Advantage of Ohio | Medicare Advantage | $9.91 | ↓ -96% |
| University Health Employee Plan (Contigo) | Commercial | $13.18 | ↓ -95% |
| CareSource | Marketplace | $16.99 | ↓ -93% |
| Ambetter | Commercial | $16.99 | ↓ -93% |
| Aetna | OPN Commercial | $20.39 | ↓ -92% |
| Aetna | Commercial | $22.65 | ↓ -91% |
| United Healthcare | Nexus Commercial | $50.00 | ↓ -80% |
| United Healthcare | Commercial | $57.00 | ↓ -77% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $59.45 | ↓ -76% |
| Medical Mutual of Ohio | MedFlex Commercial | $109.21 | ↓ -57% |
| Medical Mutual of Ohio | SuperMed Commercial | $121.32 | ↓ -52% |
| Amish Church Fund and Workers Aid Plan | Fund | $123.74 | ↓ -51% |
| Amish Aid Community Plan | Fund | $123.74 | ↓ -51% |
| Buckeye Plain Ministries | Fund | $123.74 | ↓ -51% |
| JP Farley | Commercial | $129.12 | ↓ -49% |
| Medical Mutual of Ohio | NAS Commercial | $133.42 | ↓ -47% |
| Sunrise Plan Communities | Fund | $134.50 | ↓ -47% |
| Immergrun | Commercial | $134.50 | ↓ -47% |
| Christian Healthcare Ministries | Fund | $134.50 | ↓ -47% |
| SummaCare | Commercial | $137.19 | ↓ -46% |
| AultCare | Commercial | $147.95 | ↓ -41% |
| Cigna | PPO Commercial | $149.30 | ↓ -41% |
| Cigna | OAP Commercial | $160.59 | ↓ -36% |
| Anthem | Traditional | $171.08 | ↓ -32% |
| HealthSmart | Commercial | $174.85 | ↓ -31% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $174.85 | ↓ -31% |
| The Health Plan | Commercial | $177.54 | ↓ -30% |
| Medical Mutual Traditional/Health Ohio | Commercial | $188.30 | ↓ -25% |
| Ohio Preferred Network | Commercial | $215.20 | ↓ -15% |
| Beech Street | Commercial | $215.20 | ↓ -15% |
| First Health | Commercial | $223.27 | ↓ -12% |
| Century Health Network | Commercial | $228.65 | ↓ -10% |
| Private Healthcare System | Commercial | $231.34 | ↓ -8% |
| MultiPlan | Commercial | $242.10 | ↓ -4% |
| Ohio Health Choice | Commercial | $242.10 | ↓ -4% |
| Fortified Provider Network | Commercial | $242.10 | ↓ -4% |
| Buckeye | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Pyruvate kinase at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Beachwood Medical Center | Beachwood | $252.75 | $4.46 – $242.10 |
| Jewish Hospital | Cincinnati | $39.60 | not published |
| Anderson Hospital | Cincinnati | $39.60 | not published |
| Clermont Hospital | Batavia | $39.60 | not published |
| Kings Mills Hospital | Mason | $39.60 | not published |
| Mercy West Hospital | Cincinnati | $39.60 | not published |
| St Ritas Medical Center | Lima | $45.00 | not published |
| Trinity Medical Center East | Steubenville | $118.04 | $4.66 – $159.46 |