healthcosts.net
Blood Culture Test at University Hospitals Cleveland Medical Center
11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · · · NPI 1043397292
$161.25
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.
$215.00
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.
$4.88 with Anthem vs $193.50 with MultiPlan — 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 |
|---|---|---|---|
| Anthem | Tiered/Pathway Commercial | $4.88 | ↓ -97% |
| Anthem | Pathway Commercial | $4.88 | ↓ -97% |
| Anthem | Blue Access Commercial | $4.88 | ↓ -97% |
| Molina | Medicare Advantage | $10.32 | ↓ -94% |
| Anthem | Medicare Advantage | $10.32 | ↓ -94% |
| Primetime Health Plan | Medicare Advantage | $10.32 | ↓ -94% |
| WellCare by AllWell | Medicare Advantage | $10.32 | ↓ -94% |
| Cigna | Medicare Advantage | $10.32 | ↓ -94% |
| Medical Mutual of Ohio | Medicare Advantage | $10.32 | ↓ -94% |
| SummaCare | Medicare Advantage | $10.32 | ↓ -94% |
| Devoted Health | Medicare Advantage | $10.32 | ↓ -94% |
| Aetna | Medicare Advantage | $10.32 | ↓ -94% |
| Humana | Medicare Advantage | $10.32 | ↓ -94% |
| United Healthcare | Medicare Advantage | $10.32 | ↓ -94% |
| The Health Plan | Medicare Advantage | $10.32 | ↓ -94% |
| Paramount | Medicare Advantage | $10.63 | ↓ -93% |
| Valor Health Plans | Medicare Advantage | $10.84 | ↓ -93% |
| Perennial Advantage of Ohio | Medicare Advantage | $10.84 | ↓ -93% |
| University Health Employee Plan (Contigo) | Commercial | $14.40 | ↓ -91% |
| CareSource | Marketplace | $18.58 | ↓ -88% |
| Ambetter | Commercial | $18.58 | ↓ -88% |
| AultCare | Commercial | $20.64 | ↓ -87% |
| United Healthcare | Nexus Commercial | $52.25 | ↓ -68% |
| United Healthcare | Commercial | $52.25 | ↓ -68% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $58.05 | ↓ -64% |
| Amish Church Fund and Workers Aid Plan | Fund | $107.50 | ↓ -33% |
| Immergrun | Commercial | $107.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $107.50 | ↓ -33% |
| Amish Aid Community Plan | Fund | $107.50 | ↓ -33% |
| Buckeye Plain Ministries | Fund | $107.50 | ↓ -33% |
| Sunrise Plain Communities | Fund | $107.50 | ↓ -33% |
| Medical Mutual of Ohio | MedFlex Commercial | $110.73 | ↓ -31% |
| JP Farley | Commercial | $116.75 | ↓ -28% |
| Cigna | PPO Commercial | $119.33 | ↓ -26% |
| Enterprise Group Planning | Commercial | $120.40 | ↓ -25% |
| Anthem | Traditional Commercial | $122.98 | ↓ -24% |
| Health Ohio Network | Commercial | $124.70 | ↓ -23% |
| Aetna | OPN Commercial | $128.36 | ↓ -20% |
| Immergrun | Fund | $129.00 | ↓ -20% |
| Medical Mutual of Ohio | SuperMed Commercial | $135.24 | ↓ -16% |
| Medical Mutual of Ohio | NAS Commercial | $135.24 | ↓ -16% |
| Cigna | CSN Commercial | $136.10 | ↓ -16% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $139.75 | ↓ -13% |
| The Health Plan | Commercial | $139.75 | ↓ -13% |
| HealthSmart | Commercial | $139.75 | ↓ -13% |
| Aetna | Commercial | $142.55 | ↓ -12% |
| Cigna | OAP Commercial | $143.41 | ↓ -11% |
| SummaCare | Commercial | $146.20 | ↓ -9% |
| Medical Mutual Traditional/Health Ohio | Commercial | $150.50 | ↓ -7% |
| Aetna | NAP Commercial | $168.56 | ↑ +5% |
| Ohio Preferred Network | Commercial | $172.00 | ↑ +7% |
| Beech Street | Commercial | $172.00 | ↑ +7% |
| First Health | Commercial | $178.45 | ↑ +11% |
| Century Health Network | Commercial | $182.75 | ↑ +13% |
| Private Healthcare System | Commercial | $184.90 | ↑ +15% |
| Ohio Health Choice | Commercial | $193.50 | ↑ +20% |
| Fortified Provider Network | Commercial | $193.50 | ↑ +20% |
| MultiPlan | Commercial | $193.50 | ↑ +20% |
| 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
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Blood Culture Test at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $46.15 | $1.10 – $63.90 |
| akron general | Akron | $46.15 | $0.95 – $63.90 |
| avon hospital | Avon | $46.15 | $0.95 – $63.90 |
| euclid hospital | Euclid | $46.15 | $0.95 – $63.90 |
| fairview hospital | Cleveland | $46.15 | $0.95 – $63.90 |
| lutheran hospital | Cleveland | $46.15 | $0.95 – $63.90 |
| hillcrest hospital | Mayfield Heights | $46.15 | $0.95 – $63.90 |
| lodi hospital | Lodi | $46.15 | $5.32 – $63.90 |