Vaccine pneumococcal conjugate 13 valent (pcv13) im at University Hospitals Beachwood Medical Center
25501 Chagrin Boulevard, Beachwood, OH · University Hospitals · · NPI 1841789427
$793.01
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.
$1,057.34
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.
$121.77 with Cigna vs $464.38 with CareSource — 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 |
|---|---|---|---|
| Cigna | Commercial | $121.77 | ↓ -85% |
| University Health Employee Plan (Contigo) | Commercial | $140.00 | ↓ -82% |
| Amish Church Fund and Workers Aid Plan | Fund | $161.00 | ↓ -80% |
| Amish Aid Community Plan | Fund | $161.00 | ↓ -80% |
| Buckeye Plain Ministries | Fund | $161.00 | ↓ -80% |
| JP Farley | Commercial | $168.00 | ↓ -79% |
| Immergrun | Commercial | $175.00 | ↓ -78% |
| Christian Healthcare Ministries | Fund | $175.00 | ↓ -78% |
| Sunrise Plan Communities | Fund | $175.00 | ↓ -78% |
| SummaCare | Commercial | $178.50 | ↓ -77% |
| AultCare | Commercial | $192.50 | ↓ -76% |
| United Healthcare | Commercial | $223.41 | ↓ -72% |
| HealthSmart | Commercial | $227.50 | ↓ -71% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $227.50 | ↓ -71% |
| Aetna | Commercial | $232.40 | ↓ -71% |
| WellCare by AllWell | Medicare Advantage | $257.99 | ↓ -67% |
| Aetna | Medicare Advantage | $257.99 | ↓ -67% |
| Anthem | Commercial | $257.99 | ↓ -67% |
| Anthem | Medicare Advantage | $257.99 | ↓ -67% |
| Cigna | Medicare Advantage | $257.99 | ↓ -67% |
| Devoted Health | Medicare Advantage | $257.99 | ↓ -67% |
| Humana | Medicare Advantage | $257.99 | ↓ -67% |
| Medical Mutual of Ohio | Medicare Advantage | $257.99 | ↓ -67% |
| Molina | Medicare Advantage | $257.99 | ↓ -67% |
| Primetime Health Plan | Medicare Advantage | $257.99 | ↓ -67% |
| SummaCare | Medicare Advantage | $257.99 | ↓ -67% |
| The Health Plan | Medicare Advantage | $257.99 | ↓ -67% |
| United Healthcare | Medicare Advantage | $257.99 | ↓ -67% |
| Paramount | Medicare Advantage | $265.73 | ↓ -66% |
| Valor Health Plans | Medicare Advantage | $270.89 | ↓ -66% |
| Perennial Advantage of Ohio | Medicare Advantage | $270.89 | ↓ -66% |
| Beech Street | Commercial | $280.00 | ↓ -65% |
| Ohio Preferred Network | Commercial | $280.00 | ↓ -65% |
| First Health | Commercial | $290.50 | ↓ -63% |
| Century Health Network | Commercial | $297.50 | ↓ -62% |
| Private Healthcare System | Commercial | $301.00 | ↓ -62% |
| Fortified Provider Network | Commercial | $315.00 | ↓ -60% |
| MultiPlan | Commercial | $315.00 | ↓ -60% |
| Ohio Health Choice | Commercial | $315.00 | ↓ -60% |
| Medical Mutual of Ohio | MedFlex Commercial | $366.35 | ↓ -54% |
| Medical Mutual of Ohio Trad | Commercial | $407.62 | ↓ -49% |
| Medical Mutual of Ohio | SuperMed Commercial | $407.62 | ↓ -49% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $407.62 | ↓ -49% |
| Ambetter | Commercial | $464.38 | ↓ -41% |
| CareSource | Marketplace | $464.38 | ↓ -41% |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Ahuja Medical Center | Beachwood | $793.01 | $77.35 – $464.38 |
| Trinity Medical Center East | Steubenville | $264.83 | $149.52 – $320.40 |
| cleveland clinic main campus | Cleveland | $529.10 | $1.10 – $732.60 |
| akron general | Akron | $1,089.31 | $1.10 – $732.60 |
| avon hospital | Avon | $1,089.31 | $14.34 – $732.60 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1,089.31 | $23.42 – $1,462.40 |
| euclid hospital | Euclid | $1,089.31 | $14.70 – $732.60 |
| fairview hospital | Cleveland | $1,089.31 | $13.80 – $732.60 |