X-ray sinus tract/fistula/abscess at University Hospitals Elyria Medical Center
630 East River Street, Elyria, OH · University Hospitals · · NPI 1841299039
$944.25
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.
$1,259.00
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.
$96.57 with Aetna vs $1,133.10 with Ohio Health Choice — 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 |
|---|---|---|---|
| Aetna | Commercial | $96.57 | ↓ -90% |
| University Health Employee Plan (Contigo) | Commercial | $327.29 | ↓ -65% |
| Medical Mutual of Ohio | MedFlex Commercial | $415.47 | ↓ -56% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $450.72 | ↓ -52% |
| Medical Mutual of Ohio | SuperMed PPO | $457.02 | ↓ -52% |
| Medical Mutual of Ohio | SuperMed HMO | $462.05 | ↓ -51% |
| Medical Mutual of Ohio | NAS Commercial | $508.64 | ↓ -46% |
| The Health Plan | Medicare Advantage | $516.95 | ↓ -45% |
| SummaCare | Medicare Advantage | $516.95 | ↓ -45% |
| Primetime Health Plan | Medicare Advantage | $516.95 | ↓ -45% |
| Molina | Medicare Advantage | $516.95 | ↓ -45% |
| Cigna | Medicare Advantage | $516.95 | ↓ -45% |
| Devoted Health | Medicare Advantage | $516.95 | ↓ -45% |
| Medical Mutual of Ohio | Medicare Advantage | $516.95 | ↓ -45% |
| Humana | Medicare Advantage | $516.95 | ↓ -45% |
| Aetna | Medicare Advantage | $516.95 | ↓ -45% |
| WellCare by AllWell | Medicare Advantage | $516.95 | ↓ -45% |
| Anthem | Medicare Advantage | $516.95 | ↓ -45% |
| United Healthcare | Medicare Advantage | $516.95 | ↓ -45% |
| Paramount | Medicare Advantage | $532.46 | ↓ -44% |
| Perennial Advantage of Ohio | Medicare Advantage | $542.80 | ↓ -43% |
| Valor Health Plans | Medicare Advantage | $542.80 | ↓ -43% |
| Anthem | Commercial | $579.14 | ↓ -39% |
| Amish Aid Community Plan | Fund | $579.14 | ↓ -39% |
| Amish Church Fund and Workers Aid Plan | Fund | $579.14 | ↓ -39% |
| Anthem | Traditional Commercial | $579.14 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $579.14 | ↓ -39% |
| JP Farley | Commercial | $591.73 | ↓ -37% |
| Christian Healthcare Ministries | Fund | $629.50 | ↓ -33% |
| Sunrise Plan Communities | Fund | $629.50 | ↓ -33% |
| Immergrun | Commercial | $629.50 | ↓ -33% |
| SummaCare | Commercial | $642.09 | ↓ -32% |
| United Healthcare | Nexus Commercial | $678.60 | ↓ -28% |
| AultCare | Commercial | $692.45 | ↓ -27% |
| Cigna | PPO Commercial | $698.75 | ↓ -26% |
| United Healthcare | Commercial | $754.14 | ↓ -20% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $818.35 | ↓ -13% |
| HealthSmart | Commercial | $818.35 | ↓ -13% |
| The Health Plan | Commercial | $830.94 | ↓ -12% |
| Medical Mutual Traditional/Health Ohio | HMO | $881.30 | ↓ -7% |
| Ambetter | Commercial | $930.51 | ↓ -1% |
| CareSource | Marketplace | $930.51 | ↓ -1% |
| Beech Street | Commercial | $1,007.20 | ↑ +7% |
| Ohio Preferred Network | Commercial | $1,007.20 | ↑ +7% |
| First Health | Commercial | $1,044.97 | ↑ +11% |
| Century Health Network | Commercial | $1,070.15 | ↑ +13% |
| Private Healthcare System | Commercial | $1,082.74 | ↑ +15% |
| Fortified Provider Network | Commercial | $1,133.10 | ↑ +20% |
| MultiPlan | Commercial | $1,133.10 | ↑ +20% |
| Ohio Health Choice | Commercial | $1,133.10 | ↑ +20% |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Cigna | OAP Commercial | 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 | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $845.40 | not published |
| Anderson Hospital | Cincinnati | $845.40 | not published |
| Clermont Hospital | Batavia | $563.40 | not published |
| Kings Mills Hospital | Mason | $845.40 | not published |
| Mercy West Hospital | Cincinnati | $845.40 | not published |
| St Ritas Medical Center | Lima | $636.60 | not published |
| Trinity Medical Center East | Steubenville | $268.80 | $325.20 – $417.34 |
| cleveland clinic main campus | Cleveland | $2,599.35 | $1.10 – $3,404.70 |