Vaccine pneumococcal conjugate 13 valent (pcv13) im at University Hospitals Conneaut Medical Center
158 West Main Road, Conneaut, OH · University Hospitals · · NPI 1902996119
$793.01
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.
$1,057.34
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.
$320.98 with Humana vs $1,035.42 with Anthem — 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 |
|---|---|---|---|
| Humana | Medicare Advantage | $320.98 | ↓ -60% |
| Aetna | Medicare Advantage | $320.98 | ↓ -60% |
| WellCare by Allwell | Medicare Advantage | $320.98 | ↓ -60% |
| United Healthcare | Medicare Advantage | $320.98 | ↓ -60% |
| Anthem | Medicare Advantage | $320.98 | ↓ -60% |
| The Health Plan | Medicare Advantage | $320.98 | ↓ -60% |
| SummaCare | Medicare Advantage | $320.98 | ↓ -60% |
| Primetime Health Plan | Medicare Advantage | $320.98 | ↓ -60% |
| Cigna | Medicare Advantage | $320.98 | ↓ -60% |
| Molina | Medicare Advantage | $320.98 | ↓ -60% |
| Medical Mutual of Ohio | Medicare Advantage | $320.98 | ↓ -60% |
| Devoted | Medicare Advantage | $320.98 | ↓ -60% |
| Paramount | Medicare Advantage | $330.61 | ↓ -58% |
| Perennial Advantage of Ohio | Medicare Advantage | $337.03 | ↓ -57% |
| Valor Health Plans | Medicare Advantage | $337.03 | ↓ -57% |
| University Health Employee Plan (Contigo) | Commercial | $414.17 | ↓ -48% |
| Amish Church Fund and Workers Aid Plan | Fund | $476.29 | ↓ -40% |
| Amish Aid Community Plan | Fund | $476.29 | ↓ -40% |
| Buckeye Plain Ministries | Fund | $476.29 | ↓ -40% |
| JP Farley | Commercial | $486.65 | ↓ -39% |
| Immergrun | Commercial | $517.71 | ↓ -35% |
| Christian Healthcare Ministries | Fund | $517.71 | ↓ -35% |
| Sunrise Plan Communities | Fund | $517.71 | ↓ -35% |
| SummaCare | Commercial | $528.06 | ↓ -33% |
| AultCare | Commercial | $569.48 | ↓ -28% |
| Cigna | PPO Commercial | $574.66 | ↓ -28% |
| CareSource | Marketplace | $577.76 | ↓ -27% |
| Ambetter | Commercial | $577.76 | ↓ -27% |
| Cigna | OAP Commercial | $618.15 | ↓ -22% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $673.02 | ↓ -15% |
| HealthSmart | Commercial | $673.02 | ↓ -15% |
| The Health Plan | Commercial | $683.38 | ↓ -14% |
| Aetna | Commercial | $690.63 | ↓ -13% |
| Medical Mutual Traditional/Health Ohio | Commercial | $724.79 | ↓ -9% |
| Medical Mutual of Ohio | MedFlex Commercial | $776.57 | ↓ -2% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $823.16 | ↑ +4% |
| Ohio Preferred Network | Commercial | $828.34 | ↑ +4% |
| Beech Street | Commercial | $828.34 | ↑ +4% |
| First Health | Commercial | $859.40 | ↑ +8% |
| Medical Mutual of Ohio | SuperMed Commercial | $862.50 | ↑ +9% |
| United Healthcare | Commercial | $864.58 | ↑ +9% |
| Century Health Network | Commercial | $880.11 | ↑ +11% |
| Private Healthcare System | Commercial | $890.46 | ↑ +12% |
| MultiPlan | Commercial | $931.88 | ↑ +18% |
| Medical Mutual of Ohio | NAS Commercial | $931.88 | ↑ +18% |
| Ohio Health Choice | Commercial | $931.88 | ↑ +18% |
| Fortified Provider Network | Commercial | $931.88 | ↑ +18% |
| Anthem | Tiered/Pathway Commercial | $934.98 | ↑ +18% |
| Anthem | Traditional Commercial | $978.47 | ↑ +23% |
| Anthem | Blue Access Commercial | $1,035.42 | ↑ +31% |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $264.83 | $149.52 – $320.40 |
| cleveland clinic main campus | Cleveland | $529.10 | $1.10 – $732.60 |
| akron general | Akron | $1,089.31 | $1.10 – $732.60 |
| avon hospital | Avon | $1,089.31 | $14.34 – $732.60 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1,089.31 | $23.42 – $1,462.40 |
| euclid hospital | Euclid | $1,089.31 | $14.70 – $732.60 |
| fairview hospital | Cleveland | $1,089.31 | $13.80 – $732.60 |
| lutheran hospital | Cleveland | $1,089.31 | $13.14 – $732.60 |