Removal of toe lesions at Jewish Hospital
4777 E GALBRAITH RD, Cincinnati, OH · Mercy · · NPI 1336478163
$12,336.96
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.
$20,561.60
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.
$1,567.02 with UHC MEDICARE [1011] vs $1,598.36 with CARESOURCE MYCARE OHIO [4236] — 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 |
|---|---|---|---|
| UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $1,567.02 | ↓ -87% |
| AETNA MEDICARE [1003] | AETNA MEDICARE-ADVANTAGE PPO [103002] | $1,567.02 | ↓ -87% |
| AETNA MEDICARE [1003] | AETNA MEDICARE ADVANTAGE HMO [103003] | $1,567.02 | ↓ -87% |
| HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $1,567.02 | ↓ -87% |
| HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $1,567.02 | ↓ -87% |
| UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $1,567.02 | ↓ -87% |
| UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $1,567.02 | ↓ -87% |
| CARESOURCE MYCARE OHIO [4236] | CARESOURCE MYCARE OHIO DUAL [4236001] | $1,598.36 | ↓ -87% |
Visitor-reported prices
Comments
Removal of toe lesions at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,785.30 | $0.01 – $6,625.80 |
| akron general | Akron | $982.80 | $1.10 – $1,612.93 |
| mercy hospital | Canton | $982.80 | $1.10 – $1,573.98 |
| Fairfield Hospital | Fairfield | $13,377.82 | $1,594.23 – $1,626.11 |
| St Anne Hospital | Toledo | $13,641.48 | $1,562.09 – $1,593.33 |
| Barnesville Hospital | Barnesville | $2,578.50 | not published |
| avon hospital | Avon | not published | $1,483.64 – $1,673.41 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,439.08 – $2,824.20 |