healthcosts.net

Biopsy of inestine 44100 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.

$858.08 with WellCare by AllWell vs $3,382.00 with Anthem — 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
WellCare by AllWell Medicare Advantage $858.08
Aetna Medicare Advantage $858.08
Anthem Medicare Advantage $858.08
Cigna Medicare Advantage $858.08
Devoted Health Medicare Advantage $858.08
Humana Medicare Advantage $858.08
Medical Mutual of Ohio Medicare Advantage $858.08
Molina Medicare Advantage $858.08
Primetime Health Plan Medicare Advantage $858.08
SummaCare Medicare Advantage $858.08
The Health Plan Medicare Advantage $858.08
United Healthcare Medicare Advantage $858.08
Paramount Medicare Advantage $883.82
Perennial Advantage of Ohio Medicare Advantage $900.98
Valor Health Plans Medicare Advantage $900.98
University Health Employee Plan (Contigo) Commercial $1,441.44
Ambetter Commercial $1,544.54
CareSource Marketplace $1,544.54
United Healthcare Nexus Commercial $1,815.48
Cigna OAP Commercial $2,035.00
United Healthcare Commercial $2,063.43
Aetna OPN Commercial $2,361.56
Aetna Commercial $2,623.00
Anthem Tiered/Pathway Commercial $3,043.00
Medical Mutual of Ohio MedFlex Commercial $3,219.00
Medical Mutual of Ohio NAS Commercial $3,219.00
Anthem Blue Access Commercial $3,382.00

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Biopsy of inestine 44100 at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland not published $786.42 – $1,030.79
akron general Akron not published $706.64 – $943.89
avon hospital Avon not published $757.85 – $943.89
cleveland clinic childrens hospital for rehabilitation Cleveland not published $1,237.30 – $1,432.66
euclid hospital Euclid not published $776.44 – $943.89
fairview hospital Cleveland not published $729.43 – $943.89
lutheran hospital Cleveland not published $694.44 – $943.89
hillcrest hospital Mayfield Heights not published $759.94 – $943.89

All Ohio hospitals for this procedure →