Established Patient Office Visit (level 3) at University Hospitals Cleveland Medical Center
11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · University Hospitals · · NPI 1043397292
$276.75
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.
?
What you pay up front if you don't use insurance.
$369.00
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.
$32.00 with AultCare vs $154.80 with Ohio Health Choice — 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 |
|---|---|---|---|
| AultCare | Commercial | $32.00 | ↓ -88% |
| Cigna | OAP Commercial | $35.00 | ↓ -87% |
| JP Farley | Commercial | $42.00 | ↓ -85% |
| United Healthcare | Nexus Commercial | $44.00 | ↓ -84% |
| Aetna | OPN Commercial | $44.23 | ↓ -84% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $46.44 | ↓ -83% |
| Aetna | Commercial | $48.90 | ↓ -82% |
| United Healthcare | Commercial | $50.00 | ↓ -82% |
| SummaCare | Commercial | $51.00 | ↓ -82% |
| Amish Church Fund and Workers Aid Plan | Fund | $86.00 | ↓ -69% |
| Amish Aid Community Plan | Fund | $86.00 | ↓ -69% |
| Buckeye Plain Ministries | Fund | $86.00 | ↓ -69% |
| Christian Healthcare Ministries | Fund | $86.00 | ↓ -69% |
| Immergrun | Commercial | $86.00 | ↓ -69% |
| Sunrise Plain Communities | Fund | $86.00 | ↓ -69% |
| University Health Employee Plan (Contigo) | Commercial | $86.00 | ↓ -69% |
| Medical Mutual of Ohio | MedFlex Commercial | $88.58 | ↓ -68% |
| Anthem | Pathway Commercial | $90.82 | ↓ -67% |
| Anthem | Tiered/Pathway Commercial | $90.82 | ↓ -67% |
| United Healthcare | Medicare Advantage | $90.97 | ↓ -67% |
| Aetna | Medicare Advantage | $90.97 | ↓ -67% |
| SummaCare | Medicare Advantage | $90.97 | ↓ -67% |
| Cigna | Medicare Advantage | $90.97 | ↓ -67% |
| Molina | Medicare Advantage | $90.97 | ↓ -67% |
| Medical Mutual of Ohio | Medicare Advantage | $90.97 | ↓ -67% |
| Devoted Health | Medicare Advantage | $90.97 | ↓ -67% |
| WellCare by AllWell | Medicare Advantage | $90.97 | ↓ -67% |
| Primetime Health Plan | Medicare Advantage | $90.97 | ↓ -67% |
| Anthem | Medicare Advantage | $90.97 | ↓ -67% |
| Humana | Medicare Advantage | $90.97 | ↓ -67% |
| The Health Plan | Medicare Advantage | $90.97 | ↓ -67% |
| CareSource | Marketplace | $92.88 | ↓ -66% |
| Paramount | Medicare Advantage | $93.70 | ↓ -66% |
| Cigna | PPO Commercial | $95.46 | ↓ -66% |
| Valor Health Plans | Medicare Advantage | $95.52 | ↓ -65% |
| Perennial Advantage of Ohio | Medicare Advantage | $95.52 | ↓ -65% |
| Enterprise Group Planning | Commercial | $96.32 | ↓ -65% |
| Ambetter | Commercial | $96.32 | ↓ -65% |
| Anthem | Traditional Commercial | $98.38 | ↓ -64% |
| Health Ohio Network | Commercial | $99.76 | ↓ -64% |
| Anthem | Blue Access Commercial | $101.65 | ↓ -63% |
| Immergrun | Fund | $103.20 | ↓ -63% |
| Medical Mutual of Ohio | SuperMed Commercial | $108.19 | ↓ -61% |
| Medical Mutual of Ohio | NAS Commercial | $108.19 | ↓ -61% |
| Cigna | CSN Commercial | $108.88 | ↓ -61% |
| The Health Plan | Commercial | $111.80 | ↓ -60% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $111.80 | ↓ -60% |
| HealthSmart | Commercial | $111.80 | ↓ -60% |
| Medical Mutual Traditional/Health Ohio | Commercial | $120.40 | ↓ -56% |
| Aetna | NAP Commercial | $134.85 | ↓ -51% |
| Beech Street | Commercial | $137.60 | ↓ -50% |
| Ohio Preferred Network | Commercial | $137.60 | ↓ -50% |
| First Health | Commercial | $142.76 | ↓ -48% |
| Century Health Network | Commercial | $146.20 | ↓ -47% |
| Private Healthcare System | Commercial | $147.92 | ↓ -47% |
| MultiPlan | Commercial | $154.80 | ↓ -44% |
| Fortified Provider Network | Commercial | $154.80 | ↓ -44% |
| Ohio Health Choice | Commercial | $154.80 | ↓ -44% |
| CareSource | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $723.07 | $20.40 – $27.20 |
| cleveland clinic main campus | Cleveland | $338.00 | $0.01 – $135.00 |
| akron general | Akron | $338.00 | $0.01 – $135.00 |
| avon hospital | Avon | $97.50 | $0.01 – $135.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $97.50 | $0.01 – $135.00 |
| euclid hospital | Euclid | $97.50 | $0.01 – $135.00 |
| fairview hospital | Cleveland | $97.50 | $0.01 – $135.00 |
| lutheran hospital | Cleveland | $97.50 | $0.01 – $135.00 |