healthcosts.net
Drill hole implt ventricular cath/device 61107 at University Hospitals Cleveland Medical Center
11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · University Hospitals · · NPI 1043397292
$1,034.25
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.
?
What you pay up front if you don't use insurance.
$1,379.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$283.19 with Molina vs $1,241.10 with MultiPlan — 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 →
?
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 |
|---|---|---|---|
| Molina | Medicare Advantage | $283.19 | ↓ -73% |
| Anthem | Medicare Advantage | $283.19 | ↓ -73% |
| Primetime Health Plan | Medicare Advantage | $283.19 | ↓ -73% |
| WellCare by AllWell | Medicare Advantage | $283.19 | ↓ -73% |
| Cigna | Medicare Advantage | $283.19 | ↓ -73% |
| Medical Mutual of Ohio | Medicare Advantage | $283.19 | ↓ -73% |
| SummaCare | Medicare Advantage | $283.19 | ↓ -73% |
| Devoted Health | Medicare Advantage | $283.19 | ↓ -73% |
| Aetna | Medicare Advantage | $283.19 | ↓ -73% |
| Humana | Medicare Advantage | $283.19 | ↓ -73% |
| United Healthcare | Medicare Advantage | $283.19 | ↓ -73% |
| The Health Plan | Medicare Advantage | $283.19 | ↓ -73% |
| Paramount | Medicare Advantage | $291.68 | ↓ -72% |
| Valor Health Plans | Medicare Advantage | $297.35 | ↓ -71% |
| Perennial Advantage of Ohio | Medicare Advantage | $297.35 | ↓ -71% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $372.33 | ↓ -64% |
| Ambetter | Commercial | $509.74 | ↓ -51% |
| University Health Employee Plan (Contigo) | Commercial | $551.60 | ↓ -47% |
| Amish Church Fund and Workers Aid Plan | Fund | $689.50 | ↓ -33% |
| Immergrun | Commercial | $689.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $689.50 | ↓ -33% |
| Amish Aid Community Plan | Fund | $689.50 | ↓ -33% |
| Buckeye Plain Ministries | Fund | $689.50 | ↓ -33% |
| Sunrise Plain Communities | Fund | $689.50 | ↓ -33% |
| Anthem | Tiered/Pathway Commercial | $728.11 | ↓ -30% |
| Anthem | Pathway Commercial | $728.11 | ↓ -30% |
| CareSource | Marketplace | $744.66 | ↓ -28% |
| JP Farley | Commercial | $772.24 | ↓ -25% |
| Enterprise Group Planning | Commercial | $772.24 | ↓ -25% |
| Health Ohio Network | Commercial | $799.82 | ↓ -23% |
| Anthem | Blue Access Commercial | $814.99 | ↓ -21% |
| Anthem | Traditional Commercial | $814.99 | ↓ -21% |
| Medical Mutual of Ohio | MedFlex Commercial | $821.88 | ↓ -21% |
| Aetna | OPN Commercial | $823.26 | ↓ -20% |
| Immergrun | Fund | $827.40 | ↓ -20% |
| United Healthcare | Nexus Commercial | $845.33 | ↓ -18% |
| Cigna | PPO Commercial | $854.98 | ↓ -17% |
| AultCare | Commercial | $868.77 | ↓ -16% |
| Cigna | CSN Commercial | $872.91 | ↓ -16% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $896.35 | ↓ -13% |
| The Health Plan | Commercial | $896.35 | ↓ -13% |
| HealthSmart | Commercial | $896.35 | ↓ -13% |
| Medical Mutual of Ohio | SuperMed Commercial | $912.90 | ↓ -12% |
| Aetna | Commercial | $914.28 | ↓ -12% |
| Cigna | OAP Commercial | $932.20 | ↓ -10% |
| SummaCare | Commercial | $937.72 | ↓ -9% |
| United Healthcare | Commercial | $961.16 | ↓ -7% |
| Medical Mutual Traditional/Health Ohio | Commercial | $965.30 | ↓ -7% |
| Medical Mutual of Ohio | NAS Commercial | $1,003.91 | ↓ -3% |
| Aetna | NAP Commercial | $1,081.14 | ↑ +5% |
| Ohio Preferred Network | Commercial | $1,103.20 | ↑ +7% |
| Beech Street | Commercial | $1,103.20 | ↑ +7% |
| First Health | Commercial | $1,144.57 | ↑ +11% |
| Century Health Network | Commercial | $1,172.15 | ↑ +13% |
| Private Healthcare System | Commercial | $1,185.94 | ↑ +15% |
| Ohio Health Choice | Commercial | $1,241.10 | ↑ +20% |
| Fortified Provider Network | Commercial | $1,241.10 | ↑ +20% |
| MultiPlan | Commercial | $1,241.10 | ↑ +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
Comments
Drill hole implt ventricular cath/device 61107 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | not published | $283.19 – $509.74 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | not published | $283.19 – $509.74 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | not published | $283.19 – $509.74 |