healthcosts.net
Colonoscopy w/balloon dilat at University Hospitals Geneva Medical Center
870 West Main Street, Geneva, OH · University Hospitals · · NPI 1225128432
$1,306.50
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.
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What you pay up front if you don't use insurance.
$1,742.00
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.
$348.40 with Molina vs $3,710.00 with Aetna — 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 | $348.40 | ↓ -73% |
| Anthem | Medicare Advantage | $348.40 | ↓ -73% |
| Primetime Health Plan | Medicare Advantage | $348.40 | ↓ -73% |
| Cigna | Medicare Advantage | $348.40 | ↓ -73% |
| Medical Mutual of Ohio | Medicare Advantage | $348.40 | ↓ -73% |
| SummaCare | Medicare Advantage | $348.40 | ↓ -73% |
| Wellcare by Allwell | Medicare Advantage | $348.40 | ↓ -73% |
| Devoted Health | Medicare Advantage | $348.40 | ↓ -73% |
| Aetna | Medicare Advantage | $348.40 | ↓ -73% |
| Humana | Medicare Advantage | $348.40 | ↓ -73% |
| United Healthcare | Medicare Advantage | $348.40 | ↓ -73% |
| The Health Plan | Medicare Advantage | $348.40 | ↓ -73% |
| Paramount | Medicare Advantage | $358.85 | ↓ -73% |
| Valor Health Plans | Medicare Advantage | $365.82 | ↓ -72% |
| Perennial Advantage of Ohio | Medicare Advantage | $365.82 | ↓ -72% |
| CareSource | Marketplace | $627.12 | ↓ -52% |
| Ambetter | Commercial | $627.12 | ↓ -52% |
| Amish Church Fund and Workers Aid Plan | Fund | $801.32 | ↓ -39% |
| Amish Aid Community Plan | Fund | $801.32 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $801.32 | ↓ -39% |
| JP Farley | Commercial | $818.74 | ↓ -37% |
| Immergrun | Commercial | $871.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $871.00 | ↓ -33% |
| Sunrise Plan Communities | Fund | $871.00 | ↓ -33% |
| SummaCare | Commercial | $888.42 | ↓ -32% |
| AultCare | Commercial | $958.10 | ↓ -27% |
| Cigna | PPO Commercial | $966.81 | ↓ -26% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $1,132.30 | ↓ -13% |
| HealthSmart | Commercial | $1,132.30 | ↓ -13% |
| The Health Plan | Commercial | $1,149.72 | ↓ -12% |
| Medical Mutual of Ohio | Traditional/Health Ohio Commercial | $1,219.40 | ↓ -7% |
| Ohio Preferred Network | Commercial | $1,393.60 | ↑ +7% |
| Beech Street | Commercial | $1,393.60 | ↑ +7% |
| Medical Mutual of Ohio | MedFlex Commercial | $1,405.79 | ↑ +8% |
| First Health | Commercial | $1,445.86 | ↑ +11% |
| Century Health Network | Commercial | $1,480.70 | ↑ +13% |
| Anthem | Tiered/Pathway Commercial | $1,487.67 | ↑ +14% |
| Anthem | Traditional Commercial | $1,487.67 | ↑ +14% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $1,491.15 | ↑ +14% |
| Private Healthcare System | Commercial | $1,498.12 | ↑ +15% |
| Medical Mutual of Ohio | SuperMed Commercial | $1,527.73 | ↑ +17% |
| Ohio Health Choice | Commercial | $1,567.80 | ↑ +20% |
| Fortified Provider Network | Commercial | $1,567.80 | ↑ +20% |
| Medical Mutual of Ohio | NAS Commercial | $1,567.80 | ↑ +20% |
| MultiPlan | Commercial | $1,567.80 | ↑ +20% |
| Anthem | Blue Access Commercial | $1,651.42 | ↑ +26% |
| University Health Employee Plan (Contigo) | Commercial | $1,857.44 | ↑ +42% |
| United Healthcare | Commercial | $2,307.17 | ↑ +77% |
| Cigna | OAP Commercial | $2,690.00 | ↑ +106% |
| Aetna | Commercial | $3,710.00 | ↑ +184% |
| 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
Colonoscopy w/balloon dilat at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals St. John Medical Center | Westlake OH | $1,413.00 | $461.58 – $2,200.61 |
| University Hospitals Samaritan Medical Center | Ashland | $1,146.75 | $1,160.50 – $2,088.91 |