healthcosts.net

Bartholin gland cyst/marsupializat 56440 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.

$1,857.44 with University Health Employee Plan (Contigo) vs $5,512.63 with Ambetter — 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
University Health Employee Plan (Contigo) Commercial $1,857.44
Cigna OAP Commercial $2,690.00
WellCare by AllWell Medicare Advantage $3,062.57
Aetna Medicare Advantage $3,062.57
Anthem Medicare Advantage $3,062.57
Cigna Medicare Advantage $3,062.57
Devoted Health Medicare Advantage $3,062.57
Humana Medicare Advantage $3,062.57
Medical Mutual of Ohio Medicare Advantage $3,062.57
Molina Medicare Advantage $3,062.57
Primetime Health Plan Medicare Advantage $3,062.57
SummaCare Medicare Advantage $3,062.57
The Health Plan Medicare Advantage $3,062.57
United Healthcare Medicare Advantage $3,062.57
Paramount Medicare Advantage $3,154.45
Valor Health Plans Medicare Advantage $3,215.70
Perennial Advantage of Ohio Medicare Advantage $3,215.70
Aetna OPN Commercial $3,338.65
United Healthcare Nexus Commercial $3,626.76
Anthem Tiered/Pathway Commercial $3,705.00
Aetna Commercial $3,710.00
Anthem Blue Access Commercial $4,117.00
United Healthcare Commercial $4,121.61
Medical Mutual of Ohio NAS Commercial $5,490.00
Medical Mutual of Ohio MedFlex Commercial $5,490.00
CareSource Marketplace $5,512.63
Ambetter Commercial $5,512.63

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Bartholin gland cyst/marsupializat 56440 at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland $9,506.90 $0.01 – $13,163.40
akron general Akron $751.40 $1.10 – $3,172.85
avon hospital Avon $9,506.90 $0.01 – $13,163.40
euclid hospital Euclid $9,506.90 $0.01 – $13,163.40
fairview hospital Cleveland $9,506.90 $0.01 – $13,163.40
lutheran hospital Cleveland $9,506.90 $0.01 – $13,163.40
hillcrest hospital Mayfield Heights $9,506.90 $0.01 – $13,163.40
marymount hospital Garfield Heights $9,506.90 $0.01 – $13,163.40

All Ohio hospitals for this procedure →