Consult comp w/report rfrd material at Southeastern Medical Center
1341 North Clark Street, Cambridge, OH · OhioHealth · · NPI 1053342816
$124.15
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.
$191.00
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.
$161.18 with Aetna vs $167.63 with Allwell — 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $161.18 | ↑ +30% |
| Caresource | Medicare Managed Care Plan | $162.79 | ↑ +31% |
| Allwell | Medicare Managed Care Plan | $167.63 | ↑ +35% |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $815.10 | $1.10 – $1,128.60 |
| University Hospitals Ahuja Medical Center | Beachwood | $777.75 | $50.00 – $933.30 |
| University Hospitals Beachwood Medical Center | Beachwood | $777.75 | $161.18 – $933.30 |
| University Hospitals Elyria Medical Center | Elyria | $777.75 | $138.32 – $290.13 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $777.75 | $52.00 – $290.13 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $777.75 | $127.80 – $290.13 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $777.75 | $88.51 – $290.13 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $777.75 | $69.19 – $313.31 |