Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at University Hospitals Elyria Medical Center
630 East River Street, Elyria, OH · University Hospitals · · NPI 1841299039
$22,182.90
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.
$29,577.19
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.
$3.79 with Molina vs $24,308.73 with Fortified Provider Network — 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 |
|---|---|---|---|
| Molina | Medicare Advantage | $3.79 | ↓ -100% |
| Aetna | Medicare Advantage | $3.79 | ↓ -100% |
| WellCare by AllWell | Medicare Advantage | $3.79 | ↓ -100% |
| Anthem | Medicare Advantage | $3.79 | ↓ -100% |
| Medical Mutual of Ohio | Medicare Advantage | $3.79 | ↓ -100% |
| Humana | Medicare Advantage | $3.79 | ↓ -100% |
| SummaCare | Medicare Advantage | $3.79 | ↓ -100% |
| United Healthcare | Medicare Advantage | $3.79 | ↓ -100% |
| Primetime Health Plan | Medicare Advantage | $3.79 | ↓ -100% |
| Cigna | Medicare Advantage | $3.79 | ↓ -100% |
| The Health Plan | Medicare Advantage | $3.79 | ↓ -100% |
| Devoted Health | Medicare Advantage | $3.79 | ↓ -100% |
| Paramount | Medicare Advantage | $3.90 | ↓ -100% |
| Valor Health Plans | Medicare Advantage | $3.98 | ↓ -100% |
| Perennial Advantage of Ohio | Medicare Advantage | $3.98 | ↓ -100% |
| Ambetter | Commercial | $6.82 | ↓ -100% |
| CareSource | Marketplace | $6.82 | ↓ -100% |
| Medical Mutual of Ohio | MedFlex Commercial | $8.73 | ↓ -100% |
| Medical Mutual of Ohio | SuperMed HMO | $9.70 | ↓ -100% |
| Medical Mutual of Ohio | NAS Commercial | $10.68 | ↓ -100% |
| SummaCare | Commercial | $900.00 | ↓ -96% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $9,669.47 | ↓ -56% |
| Medical Mutual of Ohio | SuperMed PPO | $9,804.52 | ↓ -56% |
| University Health Employee Plan (Contigo) | Commercial | $10,803.88 | ↓ -51% |
| Buckeye Plain Ministries | Fund | $12,424.46 | ↓ -44% |
| Amish Aid Community Plan | Fund | $12,424.46 | ↓ -44% |
| Anthem | Traditional Commercial | $12,424.46 | ↓ -44% |
| Anthem | Commercial | $12,424.46 | ↓ -44% |
| Amish Church Fund and Workers Aid Plan | Fund | $12,424.46 | ↓ -44% |
| JP Farley | Commercial | $12,694.56 | ↓ -43% |
| Christian Healthcare Ministries | Fund | $13,504.85 | ↓ -39% |
| Sunrise Plan Communities | Fund | $13,504.85 | ↓ -39% |
| Immergrun | Commercial | $13,504.85 | ↓ -39% |
| United Healthcare | Nexus Commercial | $14,558.23 | ↓ -34% |
| AultCare | Commercial | $14,855.34 | ↓ -33% |
| Cigna | PPO Commercial | $14,990.38 | ↓ -32% |
| United Healthcare | Commercial | $16,178.81 | ↓ -27% |
| HealthSmart | Commercial | $17,556.31 | ↓ -21% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $17,556.31 | ↓ -21% |
| The Health Plan | Commercial | $17,826.40 | ↓ -20% |
| Aetna | Commercial | $18,015.47 | ↓ -19% |
| Medical Mutual Traditional/Health Ohio | HMO | $18,906.79 | ↓ -15% |
| Beech Street | Commercial | $21,607.76 | ↓ -3% |
| Ohio Preferred Network | Commercial | $21,607.76 | ↓ -3% |
| First Health | Commercial | $22,418.05 | ↑ +1% |
| Century Health Network | Commercial | $22,958.25 | ↑ +3% |
| Private Healthcare System | Commercial | $23,228.34 | ↑ +5% |
| Ohio Health Choice | Commercial | $24,308.73 | ↑ +10% |
| MultiPlan | Commercial | $24,308.73 | ↑ +10% |
| Fortified Provider Network | Commercial | $24,308.73 | ↑ +10% |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Cigna | OAP Commercial | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $21,957.96 | not published |
| Clermont Hospital | Batavia | $25,917.54 | not published |
| St Ritas Medical Center | Lima | $23,217.84 | not published |
| akron general | Akron | $18,718.23 | $2.17 – $19,438.16 |
| avon hospital | Avon | $18,718.23 | $3.86 – $19,438.16 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $18,718.23 | $3,996.33 – $19,438.16 |
| euclid hospital | Euclid | $18,718.23 | $3.86 – $19,438.16 |
| fairview hospital | Cleveland | $18,718.23 | $2.17 – $19,438.16 |