healthcosts.net

Assay of PSA complexed at University Hospitals Regional Hospitals - Geauga Medical Center

13207 Ravenna Road, Chardon, OH · · · NPI 1669562864

Source: hospital's published price file ↗ · Published unknown · Ingested unknown

not published by hospital

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.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$8.70 with Anthem vs $44.13 with Aetna — 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 →

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
Anthem Tiered/Pathway Commercial $8.70
Anthem Blue Access Commercial $8.70
WellCare by AllWell Medicare Advantage $18.39
Aetna Medicare Advantage $18.39
Humana Medicare Advantage $18.39
Medical Mutual of Ohio Medicare Advantage $18.39
Molina Medicare Advantage $18.39
Primetime Health Plan Medicare Advantage $18.39
SummaCare Medicare Advantage $18.39
The Health Plan Medicare Advantage $18.39
United Healthcare Medicare Advantage $18.39
Anthem Medicare Advantage $18.39
Cigna Medicare Advantage $18.39
Devoted Health Medicare Advantage $18.39
Paramount Medicare Advantage $18.94
Valor Health Plans Medicare Advantage $19.31
Perennial Advantage of Ohio Medicare Advantage $19.31
CareSource Marketplace $33.10
Ambetter Commercial $33.10
Aetna OPN Commercial $39.72
Aetna Commercial $44.13

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Assay of PSA complexed at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland not published $9.08 – $81.13
akron general Akron not published $14.40 – $81.13
avon hospital Avon not published $15.45 – $75.11
cleveland clinic childrens hospital for rehabilitation Cleveland not published $25.22 – $29.21
euclid hospital Euclid not published $15.83 – $75.11
fairview hospital Cleveland not published $14.87 – $75.11
lutheran hospital Cleveland not published $14.16 – $75.11
hillcrest hospital Mayfield Heights not published $15.49 – $75.11

All Ohio hospitals for this procedure →