healthcosts.net
Pyruvate kinase at University Hospitals Cleveland Medical Center
11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · University Hospitals · · NPI 1043397292
$252.75
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.
$337.00
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.
$5.03 with Anthem vs $278.10 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 |
|---|---|---|---|
| Anthem | Tiered/Pathway Commercial | $5.03 | ↓ -98% |
| Anthem | Pathway Commercial | $5.03 | ↓ -98% |
| Anthem | Blue Access Commercial | $5.03 | ↓ -98% |
| Molina | Medicare Advantage | $9.44 | ↓ -96% |
| Anthem | Medicare Advantage | $9.44 | ↓ -96% |
| Primetime Health Plan | Medicare Advantage | $9.44 | ↓ -96% |
| WellCare by AllWell | Medicare Advantage | $9.44 | ↓ -96% |
| Cigna | Medicare Advantage | $9.44 | ↓ -96% |
| Medical Mutual of Ohio | Medicare Advantage | $9.44 | ↓ -96% |
| SummaCare | Medicare Advantage | $9.44 | ↓ -96% |
| Devoted Health | Medicare Advantage | $9.44 | ↓ -96% |
| Aetna | Medicare Advantage | $9.44 | ↓ -96% |
| Humana | Medicare Advantage | $9.44 | ↓ -96% |
| United Healthcare | Medicare Advantage | $9.44 | ↓ -96% |
| The Health Plan | Medicare Advantage | $9.44 | ↓ -96% |
| Paramount | Medicare Advantage | $9.72 | ↓ -96% |
| Valor Health Plans | Medicare Advantage | $9.91 | ↓ -96% |
| Perennial Advantage of Ohio | Medicare Advantage | $9.91 | ↓ -96% |
| University Health Employee Plan (Contigo) | Commercial | $13.18 | ↓ -95% |
| Ambetter | Commercial | $16.99 | ↓ -93% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $83.43 | ↓ -67% |
| Amish Church Fund and Workers Aid Plan | Fund | $154.50 | ↓ -39% |
| Immergrun | Commercial | $154.50 | ↓ -39% |
| Christian Healthcare Ministries | Fund | $154.50 | ↓ -39% |
| Amish Aid Community Plan | Fund | $154.50 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $154.50 | ↓ -39% |
| Sunrise Plain Communities | Fund | $154.50 | ↓ -39% |
| CareSource | Marketplace | $166.86 | ↓ -34% |
| JP Farley | Commercial | $173.04 | ↓ -32% |
| Enterprise Group Planning | Commercial | $173.04 | ↓ -32% |
| Health Ohio Network | Commercial | $179.22 | ↓ -29% |
| Anthem | Traditional Commercial | $182.62 | ↓ -28% |
| Medical Mutual of Ohio | MedFlex Commercial | $184.16 | ↓ -27% |
| Aetna | OPN Commercial | $184.47 | ↓ -27% |
| Immergrun | Fund | $185.40 | ↓ -27% |
| United Healthcare | Nexus Commercial | $189.42 | ↓ -25% |
| Cigna | PPO Commercial | $191.58 | ↓ -24% |
| AultCare | Commercial | $194.67 | ↓ -23% |
| Cigna | CSN Commercial | $195.60 | ↓ -23% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $200.85 | ↓ -21% |
| The Health Plan | Commercial | $200.85 | ↓ -21% |
| HealthSmart | Commercial | $200.85 | ↓ -21% |
| Medical Mutual of Ohio | SuperMed Commercial | $204.56 | ↓ -19% |
| Aetna | Commercial | $204.87 | ↓ -19% |
| Cigna | OAP Commercial | $208.88 | ↓ -17% |
| SummaCare | Commercial | $210.12 | ↓ -17% |
| United Healthcare | Commercial | $215.37 | ↓ -15% |
| Medical Mutual Traditional/Health Ohio | Commercial | $216.30 | ↓ -14% |
| Medical Mutual of Ohio | NAS Commercial | $224.95 | ↓ -11% |
| Aetna | NAP Commercial | $242.26 | ↓ -4% |
| Ohio Preferred Network | Commercial | $247.20 | ↓ -2% |
| Beech Street | Commercial | $247.20 | ↓ -2% |
| First Health | Commercial | $256.47 | ↑ +1% |
| Century Health Network | Commercial | $262.65 | ↑ +4% |
| Private Healthcare System | Commercial | $265.74 | ↑ +5% |
| Ohio Health Choice | Commercial | $278.10 | ↑ +10% |
| Fortified Provider Network | Commercial | $278.10 | ↑ +10% |
| MultiPlan | Commercial | $278.10 | ↑ +10% |
| 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
Pyruvate kinase at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Geneva Medical Center | Geneva | $252.75 | $5.03 – $257.40 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $252.75 | $5.38 – $16.99 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $252.75 | $5.03 – $16.99 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $252.75 | $5.03 – $16.99 |
| University Hospitals St. John Medical Center | Westlake OH | $252.75 | $5.03 – $242.10 |
| University Hospitals Samaritan Medical Center | Ashland | $252.75 | $9.44 – $16.99 |