healthcosts.net
Proctosigmoidoscopy dx 45300 at University Hospitals Beachwood Medical Center
25501 Chagrin Boulevard, Beachwood, OH · University Hospitals · · NPI 1841789427
$2,371.50
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.
$3,162.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$879.81 with Medical Mutual of Ohio vs $2,845.80 with Fortified Provider Network — 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 |
|---|---|---|---|
| Medical Mutual of Ohio | Medicare Advantage | $879.81 | ↓ -63% |
| Cigna | Medicare Advantage | $879.81 | ↓ -63% |
| Devoted Health | Medicare Advantage | $879.81 | ↓ -63% |
| The Health Plan | Medicare Advantage | $879.81 | ↓ -63% |
| SummaCare | Medicare Advantage | $879.81 | ↓ -63% |
| Primetime Health Plan | Medicare Advantage | $879.81 | ↓ -63% |
| Molina | Medicare Advantage | $879.81 | ↓ -63% |
| Humana | Medicare Advantage | $879.81 | ↓ -63% |
| Aetna | Medicare Advantage | $879.81 | ↓ -63% |
| WellCare by AllWell | Medicare Advantage | $879.81 | ↓ -63% |
| United Healthcare | Medicare Advantage | $879.81 | ↓ -63% |
| Anthem | Medicare Advantage | $879.81 | ↓ -63% |
| SummaCare | Commercial | $900.00 | ↓ -62% |
| Paramount | Medicare Advantage | $906.21 | ↓ -62% |
| Valor Health Plans | Medicare Advantage | $923.80 | ↓ -61% |
| Perennial Advantage of Ohio | Medicare Advantage | $923.80 | ↓ -61% |
| University Health Employee Plan (Contigo) | Commercial | $1,264.80 | ↓ -47% |
| Buckeye Plain Ministries | Fund | $1,454.52 | ↓ -39% |
| Amish Aid Community Plan | Fund | $1,454.52 | ↓ -39% |
| Amish Church Fund and Workers Aid Plan | Fund | $1,454.52 | ↓ -39% |
| JP Farley | Commercial | $1,517.76 | ↓ -36% |
| Sunrise Plan Communities | Fund | $1,581.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $1,581.00 | ↓ -33% |
| Immergrun | Commercial | $1,581.00 | ↓ -33% |
| Ambetter | Commercial | $1,583.66 | ↓ -33% |
| CareSource | Marketplace | $1,583.66 | ↓ -33% |
| Anthem | Commercial | $1,714.89 | ↓ -28% |
| AultCare | Commercial | $1,739.10 | ↓ -27% |
| Medical Mutual of Ohio | MedFlex Commercial | $2,005.49 | ↓ -15% |
| Cigna | Commercial | $2,016.30 | ↓ -15% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $2,055.30 | ↓ -13% |
| HealthSmart | Commercial | $2,055.30 | ↓ -13% |
| United Healthcare | Commercial | $2,224.17 | ↓ -6% |
| Medical Mutual of Ohio | SuperMed Commercial | $2,228.32 | ↓ -6% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $2,228.32 | ↓ -6% |
| Medical Mutual of Ohio Trad | Commercial | $2,228.32 | ↓ -6% |
| Aetna | Commercial | $2,246.00 | ↓ -5% |
| Beech Street | Commercial | $2,529.60 | ↑ +7% |
| Ohio Preferred Network | Commercial | $2,529.60 | ↑ +7% |
| First Health | Commercial | $2,624.46 | ↑ +11% |
| Century Health Network | Commercial | $2,687.70 | ↑ +13% |
| Private Healthcare System | Commercial | $2,719.32 | ↑ +15% |
| Ohio Health Choice | Commercial | $2,845.80 | ↑ +20% |
| MultiPlan | Commercial | $2,845.80 | ↑ +20% |
| Fortified Provider Network | Commercial | $2,845.80 | ↑ +20% |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Proctosigmoidoscopy dx 45300 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Ahuja Medical Center | Beachwood | $2,371.50 | $698.80 – $2,845.80 |
| cleveland clinic main campus | Cleveland | $2,726.10 | $1.10 – $3,774.60 |
| akron general | Akron | $208.00 | $1.10 – $909.79 |
| mercy hospital | Canton | $208.00 | $1.10 – $906.21 |
| University Hospitals Elyria Medical Center | Elyria | $2,371.50 | $879.81 – $1,583.66 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $2,371.50 | $879.81 – $1,583.66 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $2,371.50 | $879.81 – $1,583.66 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $2,371.50 | $879.81 – $1,583.66 |