Cyclosporine oral 100 mg at Berger Hospital
600 North Pickaway Street, Circleville, OH · OhioHealth · · NPI 1326020447
$272.42
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.
$419.10
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.
$3.74 with Caresource vs $14.30 with Bcbs — 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 |
|---|---|---|---|
| Caresource | Exchange | $3.74 | ↓ -99% |
| Aetna | All Commercial Plans | $5.69 | ↓ -98% |
| Bcbs | Traditional | $14.30 | ↓ -95% |
| Bcbs | Anthem Blue Access Hmo/Ppo | $14.30 | ↓ -95% |
| Bcbs | Pathway Exchange | $14.30 | ↓ -95% |
Visitor-reported prices
Comments
Cyclosporine oral 100 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $490.48 | $2.20 – $761.53 |
| Dublin Methodist Hospital | Dublin | $37.31 | $3.74 – $5.96 |
| Shelby Hospital | Shelby | $30.62 | $3.52 – $14.30 |
| Southeastern Medical Center | Cambridge | $30.62 | $3.74 – $14.30 |
| Doctors Hospital | Columbus | $272.42 | $3.74 – $5.96 |
| O'Bleness Hospital | Athens | $6.47 | $3.74 – $14.30 |
| Hardin Memorial Hospital | Kenton | not published | $3.74 – $14.30 |
| Van Wert Hospital | Van Wert | not published | $3.52 – $14.30 |