Ustekinumab 45 mg/0.5 ml subcutaneous solution at University Hospitals Ahuja Medical Center
3999 Richmond Road, Beachwood, OH · University Hospitals · · NPI 1609189604
$109,781.59
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.
$146,375.45
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.
$351.51 with Medical Mutual of Ohio vs $65,869.00 with Ohio Health Choice — 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 | MedFlex Commercial | $351.51 | ↓ -100% |
| Medical Mutual of Ohio | SuperMed Commercial | $390.64 | ↓ -100% |
| Medical Mutual of Ohio | NAS Commercial | $429.76 | ↓ -100% |
| SummaCare | Commercial | $900.00 | ↓ -99% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $16,174.50 | ↓ -85% |
| University Health Employee Plan (Contigo) | Commercial | $29,275.11 | ↓ -73% |
| Buckeye Plain Ministries | Fund | $33,666.38 | ↓ -69% |
| Amish Aid Community Plan | Fund | $33,666.38 | ↓ -69% |
| Amish Church Fund and Workers Aid Plan | Fund | $33,666.38 | ↓ -69% |
| JP Farley | Commercial | $35,130.13 | ↓ -68% |
| Sunrise Plan Communities | Fund | $36,593.89 | ↓ -67% |
| Christian Healthcare Ministries | Fund | $36,593.89 | ↓ -67% |
| Immergrun | Commercial | $36,593.89 | ↓ -67% |
| Anthem | Pathway Commercial | $39,301.84 | ↓ -64% |
| AultCare | Commercial | $40,253.28 | ↓ -63% |
| Cigna | PPO Commercial | $40,619.22 | ↓ -63% |
| Anthem | Commercial | $43,327.17 | ↓ -61% |
| United Healthcare | Nexus Commercial | $43,473.54 | ↓ -60% |
| Cigna | OAP Commercial | $43,693.10 | ↓ -60% |
| Aetna | OPN Commercial | $43,912.67 | ↓ -60% |
| Anthem | Traditional | $46,547.43 | ↓ -58% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $47,572.06 | ↓ -57% |
| HealthSmart | Commercial | $47,572.06 | ↓ -57% |
| The Health Plan | Commercial | $48,303.93 | ↓ -56% |
| Aetna | Commercial | $48,816.25 | ↓ -56% |
| United Healthcare | Commercial | $49,401.75 | ↓ -55% |
| Medical Mutual Traditional/Health Ohio | Commercial | $51,231.45 | ↓ -53% |
| Ohio Preferred Network | Commercial | $58,550.22 | ↓ -47% |
| Beech Street | Commercial | $58,550.22 | ↓ -47% |
| First Health | Commercial | $60,745.86 | ↓ -45% |
| Century Health Network | Commercial | $62,209.61 | ↓ -43% |
| Private Healthcare System | Commercial | $62,941.49 | ↓ -43% |
| Fortified Provider Network | Commercial | $65,869.00 | ↓ -40% |
| MultiPlan | Commercial | $65,869.00 | ↓ -40% |
| Ohio Health Choice | Commercial | $65,869.00 | ↓ -40% |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Medical Mutual of Ohio | Medicare Advantage | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Molina | Medicare Advantage | not published by hospital | — |
| Valor Health Plans | Medicare Advantage | not published by hospital | — |
| WellCare by AllWell | Medicare Advantage | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| Devoted Health | Medicare Advantage | not published by hospital | — |
| Paramount | Medicare Advantage | not published by hospital | — |
| Perennial Advantage of Ohio | Medicare Advantage | not published by hospital | — |
| Primetime Health Plan | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| SummaCare | Medicare Advantage | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Ambetter | Commercial | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| CareSource | Marketplace | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ustekinumab 45 mg/0.5 ml subcutaneous solution at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Beachwood Medical Center | Beachwood | $109,781.59 | $900.00 – $65,869.00 |
| Jewish Hospital | Cincinnati | $53,347.20 | not published |
| St Ritas Medical Center | Lima | $56,408.16 | not published |
| akron general | Akron | $68,214.47 | $1.10 – $94,450.73 |
| avon hospital | Avon | $68,214.47 | $159.91 – $94,450.73 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $68,214.47 | $10,602.44 – $94,450.73 |
| euclid hospital | Euclid | $68,214.47 | $152.57 – $94,450.73 |
| fairview hospital | Cleveland | $68,214.47 | $2.17 – $94,450.73 |