healthcosts.net
Cath combo lt&rt heart w/inj/s at University Hospitals Regional Hospitals - Geauga Medical Center
13207 Ravenna Road, Chardon, OH · · · NPI 1669562864
$13,146.00
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.
$17,528.00
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.
$900.00 with SummaCare vs $17,103.00 with AultCare — 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 |
|---|---|---|---|
| SummaCare | Commercial | $900.00 | ↓ -93% |
| Aetna | Medicare Advantage | $3,067.12 | ↓ -77% |
| WellCare by AllWell | Medicare Advantage | $3,067.12 | ↓ -77% |
| Medical Mutual of Ohio | Medicare Advantage | $3,067.12 | ↓ -77% |
| Anthem | Medicare Advantage | $3,067.12 | ↓ -77% |
| United Healthcare | Medicare Advantage | $3,067.12 | ↓ -77% |
| The Health Plan | Medicare Advantage | $3,067.12 | ↓ -77% |
| SummaCare | Medicare Advantage | $3,067.12 | ↓ -77% |
| Primetime Health Plan | Medicare Advantage | $3,067.12 | ↓ -77% |
| Cigna | Medicare Advantage | $3,067.12 | ↓ -77% |
| Molina | Medicare Advantage | $3,067.12 | ↓ -77% |
| Devoted Health | Medicare Advantage | $3,067.12 | ↓ -77% |
| Humana | Medicare Advantage | $3,067.12 | ↓ -77% |
| Paramount | Medicare Advantage | $3,159.13 | ↓ -76% |
| Perennial Advantage of Ohio | Medicare Advantage | $3,220.47 | ↓ -76% |
| Valor Health Plans | Medicare Advantage | $3,220.47 | ↓ -76% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $4,574.81 | ↓ -65% |
| Ambetter | Commercial | $5,520.81 | ↓ -58% |
| CareSource | Marketplace | $5,520.81 | ↓ -58% |
| United Healthcare | Nexus Commercial | $5,765.83 | ↓ -56% |
| United Healthcare | Commercial | $6,551.70 | ↓ -50% |
| Aetna | OPN Commercial | $7,450.70 | ↓ -43% |
| Amish Church Fund and Workers Aid Plan | Fund | $8,062.88 | ↓ -39% |
| Amish Aid Community Plan | Fund | $8,062.88 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $8,062.88 | ↓ -39% |
| Aetna | Commercial | $8,278.00 | ↓ -37% |
| JP Farley | Commercial | $8,413.44 | ↓ -36% |
| Christian Healthcare Ministries | Fund | $8,764.00 | ↓ -33% |
| Sunrise Plan Communities | Fund | $8,764.00 | ↓ -33% |
| Immergrun | Commercial | $8,764.00 | ↓ -33% |
| Medical Mutual of Ohio | SuperMed Commercial | $9,396.00 | ↓ -29% |
| Medical Mutual of Ohio | MedFlex Commercial | $9,396.00 | ↓ -29% |
| Medical Mutual of Ohio | NAS Commercial | $9,396.00 | ↓ -29% |
| Cigna | PPO Commercial | $9,728.04 | ↓ -26% |
| Anthem | Traditional Commercial | $9,885.79 | ↓ -25% |
| Cigna | OAP Commercial | $10,464.22 | ↓ -20% |
| HealthSmart | Commercial | $11,393.20 | ↓ -13% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $11,393.20 | ↓ -13% |
| The Health Plan | Commercial | $11,568.48 | ↓ -12% |
| Medical Mutual of Ohio | Traditional/Health Ohio Commercial | $12,269.60 | ↓ -7% |
| Ohio Preferred Network | Commercial | $14,022.40 | ↑ +7% |
| Beech Street | Commercial | $14,022.40 | ↑ +7% |
| University Health Employee Plan (Contigo) | Commercial | $14,352.00 | ↑ +9% |
| First Health | Commercial | $14,548.24 | ↑ +11% |
| Anthem | Tiered/Pathway Commercial | $14,637.00 | ↑ +11% |
| Century Health Network | Commercial | $14,898.80 | ↑ +13% |
| Private Healthcare System | Commercial | $15,074.08 | ↑ +15% |
| Ohio Health Choice | Commercial | $15,775.20 | ↑ +20% |
| Fortified Provider Network | Commercial | $15,775.20 | ↑ +20% |
| MultiPlan | Commercial | $15,775.20 | ↑ +20% |
| Anthem | Blue Access Commercial | $16,262.00 | ↑ +24% |
| AultCare | Commercial | $17,103.00 | ↑ +30% |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | 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
Cath combo lt&rt heart w/inj/s at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $13,734.50 | $1.10 – $16,644.60 |
| akron general | Akron | $13,734.50 | $1.10 – $16,644.60 |
| avon hospital | Avon | $12,021.10 | $1,658.19 – $16,644.60 |
| euclid hospital | Euclid | $12,021.10 | $1,490.27 – $16,644.60 |
| fairview hospital | Cleveland | $12,021.10 | $1,422.14 – $16,644.60 |
| lutheran hospital | Cleveland | $12,021.10 | $1,422.14 – $16,644.60 |
| hillcrest hospital | Mayfield Heights | $12,021.10 | $1,422.14 – $16,644.60 |
| marymount hospital | Garfield Heights | $12,021.10 | $1,422.14 – $16,644.60 |