healthcosts.net

Inj, pegulicianine, 1 mg 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.

$37.51 with WellCare by AllWell vs $126.32 with Cigna — 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 $37.51
Molina Medicare Advantage $37.51
Primetime Health Plan Medicare Advantage $37.51
SummaCare Medicare Advantage $37.51
The Health Plan Medicare Advantage $37.51
United Healthcare Medicare Advantage $37.51
Aetna Medicare Advantage $37.51
Anthem Medicare Advantage $37.51
Cigna Medicare Advantage $37.51
Devoted Health Medicare Advantage $37.51
Humana Medicare Advantage $37.51
Medical Mutual of Ohio Medicare Advantage $37.51
Paramount Medicare Advantage $38.63
Perennial Advantage of Ohio Medicare Advantage $39.38
Valor Health Plans Medicare Advantage $39.38
Ambetter Commercial $67.51
CareSource Marketplace $67.51
Cigna OAP Commercial $126.32

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Inj, pegulicianine, 1 mg at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland not published $4.69 – $41.25
akron general Akron not published $19.83 – $41.25
avon hospital Avon not published $21.27 – $41.25
cleveland clinic childrens hospital for rehabilitation Cleveland not published $34.72 – $40.21
euclid hospital Euclid not published $21.79 – $41.25
fairview hospital Cleveland not published $20.47 – $41.25
lutheran hospital Cleveland not published $19.48 – $41.25
hillcrest hospital Mayfield Heights not published $21.33 – $41.25

All Ohio hospitals for this procedure →