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Biliary endoscopy thru skin at University Hospitals Cleveland Medical Center
11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · University Hospitals · · NPI 1043397292
$5,037.75
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.
$6,717.00
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.
$1,813.59 with Medical Mutual of Ohio vs $10,559.47 with Perennial Advantage of Ohio — 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 |
|---|---|---|---|
| Medical Mutual of Ohio | Northern Ohio Commercial | $1,813.59 | ↓ -64% |
| Amish Church Fund and Workers Aid Plan | Fund | $3,358.50 | ↓ -33% |
| University Health Employee Plan (Contigo) | Commercial | $3,358.50 | ↓ -33% |
| Immergrun | Commercial | $3,358.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $3,358.50 | ↓ -33% |
| Amish Aid Community Plan | Fund | $3,358.50 | ↓ -33% |
| Buckeye Plain Ministries | Fund | $3,358.50 | ↓ -33% |
| Sunrise Plain Communities | Fund | $3,358.50 | ↓ -33% |
| Anthem | Tiered/Pathway Commercial | $3,546.58 | ↓ -30% |
| Anthem | Pathway Commercial | $3,546.58 | ↓ -30% |
| CareSource | Marketplace | $3,627.18 | ↓ -28% |
| JP Farley | Commercial | $3,761.52 | ↓ -25% |
| Ambetter | Commercial | $3,761.52 | ↓ -25% |
| Enterprise Group Planning | Commercial | $3,761.52 | ↓ -25% |
| Health Ohio Network | Commercial | $3,895.86 | ↓ -23% |
| Anthem | Blue Access Commercial | $3,969.75 | ↓ -21% |
| Anthem | Traditional Commercial | $3,969.75 | ↓ -21% |
| Medical Mutual of Ohio | MedFlex Commercial | $4,003.33 | ↓ -21% |
| Aetna | OPN Commercial | $4,010.05 | ↓ -20% |
| Immergrun | Fund | $4,030.20 | ↓ -20% |
| United Healthcare | Nexus Commercial | $4,117.52 | ↓ -18% |
| Cigna | PPO Commercial | $4,164.54 | ↓ -17% |
| AultCare | Commercial | $4,231.71 | ↓ -16% |
| Cigna | CSN Commercial | $4,251.86 | ↓ -16% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $4,366.05 | ↓ -13% |
| The Health Plan | Commercial | $4,366.05 | ↓ -13% |
| HealthSmart | Commercial | $4,366.05 | ↓ -13% |
| Medical Mutual of Ohio | SuperMed Commercial | $4,446.65 | ↓ -12% |
| Aetna | Commercial | $4,453.37 | ↓ -12% |
| Cigna | OAP Commercial | $4,540.69 | ↓ -10% |
| SummaCare | Commercial | $4,567.56 | ↓ -9% |
| United Healthcare | Commercial | $4,681.75 | ↓ -7% |
| Medical Mutual Traditional/Health Ohio | Commercial | $4,701.90 | ↓ -7% |
| Medical Mutual of Ohio | NAS Commercial | $4,889.98 | ↓ -3% |
| Aetna | NAP Commercial | $5,266.13 | ↑ +5% |
| Ohio Preferred Network | Commercial | $5,373.60 | ↑ +7% |
| Beech Street | Commercial | $5,373.60 | ↑ +7% |
| First Health | Commercial | $5,575.11 | ↑ +11% |
| Century Health Network | Commercial | $5,709.45 | ↑ +13% |
| Private Healthcare System | Commercial | $5,776.62 | ↑ +15% |
| Ohio Health Choice | Commercial | $6,045.30 | ↑ +20% |
| Fortified Provider Network | Commercial | $6,045.30 | ↑ +20% |
| MultiPlan | Commercial | $6,045.30 | ↑ +20% |
| Molina | Medicare Advantage | $10,056.64 | ↑ +100% |
| Anthem | Medicare Advantage | $10,056.64 | ↑ +100% |
| Primetime Health Plan | Medicare Advantage | $10,056.64 | ↑ +100% |
| WellCare by AllWell | Medicare Advantage | $10,056.64 | ↑ +100% |
| Cigna | Medicare Advantage | $10,056.64 | ↑ +100% |
| Medical Mutual of Ohio | Medicare Advantage | $10,056.64 | ↑ +100% |
| SummaCare | Medicare Advantage | $10,056.64 | ↑ +100% |
| Devoted Health | Medicare Advantage | $10,056.64 | ↑ +100% |
| Aetna | Medicare Advantage | $10,056.64 | ↑ +100% |
| Humana | Medicare Advantage | $10,056.64 | ↑ +100% |
| United Healthcare | Medicare Advantage | $10,056.64 | ↑ +100% |
| The Health Plan | Medicare Advantage | $10,056.64 | ↑ +100% |
| Paramount | Medicare Advantage | $10,358.34 | ↑ +106% |
| Valor Health Plans | Medicare Advantage | $10,559.47 | ↑ +110% |
| Perennial Advantage of Ohio | Medicare Advantage | $10,559.47 | ↑ +110% |
| Humana | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals St. John Medical Center | Westlake OH | $10,884.75 | $3,555.69 – $19,548.13 |
| University Hospitals Samaritan Medical Center | Ashland | $10,884.75 | $10,308.81 – $18,555.86 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $10,884.75 | $10,056.64 – $18,101.96 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $10,884.75 | $10,056.64 – $18,101.96 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $10,884.75 | $10,860.07 – $19,548.13 |