healthcosts.net
Ins tun cv cath wo subq prt/pm at University Hospitals Cleveland Medical Center
11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · University Hospitals · · NPI 1043397292
$4,564.50
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.
$6,086.00
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.
$1,643.22 with Medical Mutual of Ohio vs $5,527.65 with Perennial Advantage of Ohio — 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 |
|---|---|---|---|
| Medical Mutual of Ohio | Northern Ohio Commercial | $1,643.22 | ↓ -64% |
| University Health Employee Plan (Contigo) | Commercial | $1,857.44 | ↓ -59% |
| Amish Church Fund and Workers Aid Plan | Fund | $3,043.00 | ↓ -33% |
| Immergrun | Commercial | $3,043.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $3,043.00 | ↓ -33% |
| Amish Aid Community Plan | Fund | $3,043.00 | ↓ -33% |
| Buckeye Plain Ministries | Fund | $3,043.00 | ↓ -33% |
| Sunrise Plain Communities | Fund | $3,043.00 | ↓ -33% |
| Anthem | Tiered/Pathway Commercial | $3,213.41 | ↓ -30% |
| Anthem | Pathway Commercial | $3,213.41 | ↓ -30% |
| CareSource | Marketplace | $3,286.44 | ↓ -28% |
| JP Farley | Commercial | $3,408.16 | ↓ -25% |
| Ambetter | Commercial | $3,408.16 | ↓ -25% |
| Enterprise Group Planning | Commercial | $3,408.16 | ↓ -25% |
| Health Ohio Network | Commercial | $3,529.88 | ↓ -23% |
| Anthem | Blue Access Commercial | $3,596.83 | ↓ -21% |
| Anthem | Traditional Commercial | $3,596.83 | ↓ -21% |
| Medical Mutual of Ohio | MedFlex Commercial | $3,627.26 | ↓ -21% |
| Aetna | OPN Commercial | $3,633.34 | ↓ -20% |
| Immergrun | Fund | $3,651.60 | ↓ -20% |
| United Healthcare | Nexus Commercial | $3,730.72 | ↓ -18% |
| Cigna | PPO Commercial | $3,773.32 | ↓ -17% |
| AultCare | Commercial | $3,834.18 | ↓ -16% |
| Cigna | CSN Commercial | $3,852.44 | ↓ -16% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $3,955.90 | ↓ -13% |
| The Health Plan | Commercial | $3,955.90 | ↓ -13% |
| HealthSmart | Commercial | $3,955.90 | ↓ -13% |
| Medical Mutual of Ohio | SuperMed Commercial | $4,028.93 | ↓ -12% |
| Aetna | Commercial | $4,035.02 | ↓ -12% |
| Cigna | OAP Commercial | $4,114.14 | ↓ -10% |
| SummaCare | Commercial | $4,138.48 | ↓ -9% |
| United Healthcare | Commercial | $4,241.94 | ↓ -7% |
| Medical Mutual Traditional/Health Ohio | Commercial | $4,260.20 | ↓ -7% |
| Medical Mutual of Ohio | NAS Commercial | $4,430.61 | ↓ -3% |
| Aetna | NAP Commercial | $4,771.42 | ↑ +5% |
| Ohio Preferred Network | Commercial | $4,868.80 | ↑ +7% |
| Beech Street | Commercial | $4,868.80 | ↑ +7% |
| First Health | Commercial | $5,051.38 | ↑ +11% |
| Century Health Network | Commercial | $5,173.10 | ↑ +13% |
| Private Healthcare System | Commercial | $5,233.96 | ↑ +15% |
| Molina | Medicare Advantage | $5,264.43 | ↑ +15% |
| Anthem | Medicare Advantage | $5,264.43 | ↑ +15% |
| Primetime Health Plan | Medicare Advantage | $5,264.43 | ↑ +15% |
| WellCare by AllWell | Medicare Advantage | $5,264.43 | ↑ +15% |
| Cigna | Medicare Advantage | $5,264.43 | ↑ +15% |
| Medical Mutual of Ohio | Medicare Advantage | $5,264.43 | ↑ +15% |
| SummaCare | Medicare Advantage | $5,264.43 | ↑ +15% |
| Devoted Health | Medicare Advantage | $5,264.43 | ↑ +15% |
| Aetna | Medicare Advantage | $5,264.43 | ↑ +15% |
| Humana | Medicare Advantage | $5,264.43 | ↑ +15% |
| United Healthcare | Medicare Advantage | $5,264.43 | ↑ +15% |
| The Health Plan | Medicare Advantage | $5,264.43 | ↑ +15% |
| Paramount | Medicare Advantage | $5,422.37 | ↑ +19% |
| Ohio Health Choice | Commercial | $5,477.40 | ↑ +20% |
| Fortified Provider Network | Commercial | $5,477.40 | ↑ +20% |
| MultiPlan | Commercial | $5,477.40 | ↑ +20% |
| Valor Health Plans | Medicare Advantage | $5,527.65 | ↑ +21% |
| Perennial Advantage of Ohio | Medicare Advantage | $5,527.65 | ↑ +21% |
| 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
Ins tun cv cath wo subq prt/pm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals St. John Medical Center | Westlake OH | $4,564.50 | $1,491.07 – $10,233.02 |
| University Hospitals Samaritan Medical Center | Ashland | $6,372.00 | $5,396.44 – $9,713.59 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $4,564.50 | $5,264.43 – $9,475.98 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $4,564.50 | $5,264.43 – $9,475.98 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $4,564.50 | $5,685.01 – $10,233.02 |