Emg 2 ext w-w/o paraspinal area 95861 at University Hospitals Beachwood Medical Center
25501 Chagrin Boulevard, Beachwood, OH · University Hospitals · · NPI 1841789427
$725.25
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.
$967.00
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.
$125.87 with Humana vs $870.30 with MultiPlan — 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $125.87 | ↓ -83% |
| Medical Mutual of Ohio | Medicare Advantage | $125.87 | ↓ -83% |
| Aetna | Medicare Advantage | $125.87 | ↓ -83% |
| WellCare by AllWell | Medicare Advantage | $125.87 | ↓ -83% |
| Anthem | Medicare Advantage | $125.87 | ↓ -83% |
| United Healthcare | Medicare Advantage | $125.87 | ↓ -83% |
| The Health Plan | Medicare Advantage | $125.87 | ↓ -83% |
| SummaCare | Medicare Advantage | $125.87 | ↓ -83% |
| Primetime Health Plan | Medicare Advantage | $125.87 | ↓ -83% |
| Cigna | Medicare Advantage | $125.87 | ↓ -83% |
| Devoted Health | Medicare Advantage | $125.87 | ↓ -83% |
| Molina | Medicare Advantage | $125.87 | ↓ -83% |
| Paramount | Medicare Advantage | $129.65 | ↓ -82% |
| Valor Health Plans | Medicare Advantage | $132.17 | ↓ -82% |
| Perennial Advantage of Ohio | Medicare Advantage | $132.17 | ↓ -82% |
| CareSource | Marketplace | $226.57 | ↓ -69% |
| Ambetter | Commercial | $226.57 | ↓ -69% |
| Anthem | Commercial | $245.36 | ↓ -66% |
| Medical Mutual of Ohio | MedFlex Commercial | $286.93 | ↓ -60% |
| Cigna | Commercial | $288.48 | ↓ -60% |
| United Healthcare | Commercial | $318.22 | ↓ -56% |
| Medical Mutual of Ohio | SuperMed Commercial | $318.81 | ↓ -56% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $318.81 | ↓ -56% |
| Medical Mutual of Ohio Trad | Commercial | $318.81 | ↓ -56% |
| University Health Employee Plan (Contigo) | Commercial | $386.80 | ↓ -47% |
| Buckeye Plain Ministries | Fund | $444.82 | ↓ -39% |
| Amish Aid Community Plan | Fund | $444.82 | ↓ -39% |
| Amish Church Fund and Workers Aid Plan | Fund | $444.82 | ↓ -39% |
| JP Farley | Commercial | $464.16 | ↓ -36% |
| Immergrun | Commercial | $483.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $483.50 | ↓ -33% |
| Sunrise Plan Communities | Fund | $483.50 | ↓ -33% |
| SummaCare | Commercial | $493.17 | ↓ -32% |
| AultCare | Commercial | $531.85 | ↓ -27% |
| HealthSmart | Commercial | $628.55 | ↓ -13% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $628.55 | ↓ -13% |
| Aetna | Commercial | $642.09 | ↓ -11% |
| Beech Street | Commercial | $773.60 | ↑ +7% |
| Ohio Preferred Network | Commercial | $773.60 | ↑ +7% |
| First Health | Commercial | $802.61 | ↑ +11% |
| Century Health Network | Commercial | $821.95 | ↑ +13% |
| Private Healthcare System | Commercial | $831.62 | ↑ +15% |
| Fortified Provider Network | Commercial | $870.30 | ↑ +20% |
| Ohio Health Choice | Commercial | $870.30 | ↑ +20% |
| MultiPlan | Commercial | $870.30 | ↑ +20% |
| Molina | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Emg 2 ext w-w/o paraspinal area 95861 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Ahuja Medical Center | Beachwood | $725.25 | $125.87 – $870.30 |
| Trinity Medical Center East | Steubenville | $216.73 | $262.20 – $336.49 |
| cleveland clinic main campus | Cleveland | $978.25 | $1.10 – $800.10 |
| akron general | Akron | $978.25 | $1.10 – $800.10 |
| avon hospital | Avon | $577.85 | $119.50 – $800.10 |
| euclid hospital | Euclid | $577.85 | $110.82 – $800.10 |
| fairview hospital | Cleveland | $577.85 | $110.82 – $800.10 |
| lutheran hospital | Cleveland | $577.85 | $119.50 – $800.10 |