Ex palate/uvula lesion without closure 42104 at University Hospitals Cleveland Medical Center
11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · University Hospitals · · NPI 1043397292
$3,629.25
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.
$4,839.00
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.
$1,306.53 with Medical Mutual of Ohio vs $4,355.10 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 |
|---|---|---|---|
| Medical Mutual of Ohio | Northern Ohio Commercial | $1,306.53 | ↓ -64% |
| University Health Employee Plan (Contigo) | Commercial | $1,935.60 | ↓ -47% |
| Buckeye Plain Ministries | Fund | $2,419.50 | ↓ -33% |
| Immergrun | Commercial | $2,419.50 | ↓ -33% |
| Amish Aid Community Plan | Fund | $2,419.50 | ↓ -33% |
| Amish Church Fund and Workers Aid Plan | Fund | $2,419.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $2,419.50 | ↓ -33% |
| Sunrise Plain Communities | Fund | $2,419.50 | ↓ -33% |
| Medical Mutual of Ohio | MedFlex Commercial | $2,492.09 | ↓ -31% |
| Anthem | Tiered/Pathway Commercial | $2,554.99 | ↓ -30% |
| Anthem | Pathway Commercial | $2,554.99 | ↓ -30% |
| CareSource | Marketplace | $2,613.06 | ↓ -28% |
| JP Farley | Commercial | $2,627.58 | ↓ -28% |
| Cigna | PPO Commercial | $2,685.65 | ↓ -26% |
| Ambetter | Commercial | $2,709.84 | ↓ -25% |
| Enterprise Group Planning | Commercial | $2,709.84 | ↓ -25% |
| Anthem | Traditional Commercial | $2,767.91 | ↓ -24% |
| Health Ohio Network | Commercial | $2,806.62 | ↓ -23% |
| Anthem | Blue Access Commercial | $2,859.85 | ↓ -21% |
| Aetna | OPN Commercial | $2,888.88 | ↓ -20% |
| Immergrun | Fund | $2,903.40 | ↓ -20% |
| United Healthcare | Nexus Commercial | $2,922.76 | ↓ -19% |
| Medical Mutual of Ohio | SuperMed Commercial | $3,043.73 | ↓ -16% |
| Medical Mutual of Ohio | NAS Commercial | $3,043.73 | ↓ -16% |
| AultCare | Commercial | $3,048.57 | ↓ -16% |
| Cigna | CSN Commercial | $3,063.09 | ↓ -16% |
| United Healthcare | Medicare Advantage | $3,136.68 | ↓ -14% |
| Molina | Medicare Advantage | $3,136.68 | ↓ -14% |
| Humana | Medicare Advantage | $3,136.68 | ↓ -14% |
| Medical Mutual of Ohio | Medicare Advantage | $3,136.68 | ↓ -14% |
| WellCare by AllWell | Medicare Advantage | $3,136.68 | ↓ -14% |
| Aetna | Medicare Advantage | $3,136.68 | ↓ -14% |
| Cigna | Medicare Advantage | $3,136.68 | ↓ -14% |
| SummaCare | Medicare Advantage | $3,136.68 | ↓ -14% |
| Anthem | Medicare Advantage | $3,136.68 | ↓ -14% |
| Devoted Health | Medicare Advantage | $3,136.68 | ↓ -14% |
| Primetime Health Plan | Medicare Advantage | $3,136.68 | ↓ -14% |
| The Health Plan | Medicare Advantage | $3,136.68 | ↓ -14% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $3,145.35 | ↓ -13% |
| The Health Plan | Commercial | $3,145.35 | ↓ -13% |
| HealthSmart | Commercial | $3,145.35 | ↓ -13% |
| Aetna | Commercial | $3,208.26 | ↓ -12% |
| Cigna | OAP Commercial | $3,227.61 | ↓ -11% |
| Paramount | Medicare Advantage | $3,230.78 | ↓ -11% |
| SummaCare | Commercial | $3,290.52 | ↓ -9% |
| Valor Health Plans | Medicare Advantage | $3,293.51 | ↓ -9% |
| Perennial Advantage of Ohio | Medicare Advantage | $3,293.51 | ↓ -9% |
| United Healthcare | Commercial | $3,319.55 | ↓ -9% |
| Medical Mutual Traditional/Health Ohio | Commercial | $3,387.30 | ↓ -7% |
| Aetna | NAP Commercial | $3,793.78 | ↑ +5% |
| Ohio Preferred Network | Commercial | $3,871.20 | ↑ +7% |
| Beech Street | Commercial | $3,871.20 | ↑ +7% |
| First Health | Commercial | $4,016.37 | ↑ +11% |
| Century Health Network | Commercial | $4,113.15 | ↑ +13% |
| Private Healthcare System | Commercial | $4,161.54 | ↑ +15% |
| Ohio Health Choice | Commercial | $4,355.10 | ↑ +20% |
| Fortified Provider Network | Commercial | $4,355.10 | ↑ +20% |
| MultiPlan | Commercial | $4,355.10 | ↑ +20% |
| Humana | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ex palate/uvula lesion without closure 42104 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy West Hospital | Cincinnati | $19,285.14 | $3,287.07 – $3,352.82 |
| cleveland clinic main campus | Cleveland | $9,696.70 | $0.01 – $13,426.20 |
| akron general | Akron | $439.40 | $1.10 – $3,236.25 |
| mercy hospital | Canton | $439.40 | $1.10 – $3,230.78 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,629.25 | $900.00 – $5,646.02 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,629.25 | $900.00 – $7,944.33 |
| University Hospitals Elyria Medical Center | Elyria | $3,629.25 | $3,136.68 – $5,646.02 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,629.25 | $3,136.68 – $5,646.02 |