healthcosts.net
Excision addl breast lesion 19126 at University Hospitals Regional Hospitals - Geauga Medical Center
13207 Ravenna Road, Chardon, OH · · · NPI 1669562864
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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$142.06 with United Healthcare vs $4,208.00 with Aetna — 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 |
|---|---|---|---|
| United Healthcare | Medicare Advantage | $142.06 | — |
| Anthem | Medicare Advantage | $142.06 | — |
| Cigna | Medicare Advantage | $142.06 | — |
| Devoted Health | Medicare Advantage | $142.06 | — |
| Humana | Medicare Advantage | $142.06 | — |
| Aetna | Medicare Advantage | $142.06 | — |
| Medical Mutual of Ohio | Medicare Advantage | $142.06 | — |
| Molina | Medicare Advantage | $142.06 | — |
| Primetime Health Plan | Medicare Advantage | $142.06 | — |
| SummaCare | Medicare Advantage | $142.06 | — |
| The Health Plan | Medicare Advantage | $142.06 | — |
| WellCare by AllWell | Medicare Advantage | $142.06 | — |
| Paramount | Medicare Advantage | $146.32 | — |
| Perennial Advantage of Ohio | Medicare Advantage | $149.16 | — |
| Valor Health Plans | Medicare Advantage | $149.16 | — |
| Ambetter | Commercial | $255.71 | — |
| CareSource | Marketplace | $255.71 | — |
| United Healthcare | Nexus Commercial | $455.97 | — |
| United Healthcare | Commercial | $517.95 | — |
| Anthem | Tiered/Pathway Commercial | $2,248.00 | — |
| University Health Employee Plan (Contigo) | Commercial | $2,453.36 | — |
| Anthem | Blue Access Commercial | $2,499.00 | — |
| Medical Mutual of Ohio | NAS Commercial | $2,501.00 | — |
| Medical Mutual of Ohio | MedFlex Commercial | $2,501.00 | — |
| Aetna | OPN Commercial | $3,786.35 | — |
| Aetna | Commercial | $4,208.00 | — |
Visitor-reported prices
Comments
Excision addl breast lesion 19126 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $761.80 | $1.10 – $1,194.71 |
| akron general | Akron | $761.80 | $1.10 – $1,054.80 |
| mercy hospital | Canton | $761.80 | $1.10 – $1,054.80 |
| avon hospital | Avon | not published | $878.38 – $895.11 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,434.07 – $1,660.51 |
| euclid hospital | Euclid | not published | $899.92 – $1,042.01 |
| fairview hospital | Cleveland | not published | $845.42 – $978.91 |
| lutheran hospital | Cleveland | not published | $804.88 – $931.96 |