healthcosts.net
Ins/rpl prph sac/gstr npg/r at University Hospitals Geneva Medical Center
870 West Main Street, Geneva, OH · University Hospitals · · NPI 1225128432
$20,321.25
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.
?
What you pay up front if you don't use insurance.
$27,095.00
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.
$900.00 with SummaCare vs $28,245.00 with United Healthcare — 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 |
|---|---|---|---|
| SummaCare | Commercial | $900.00 | ↓ -96% |
| University Health Employee Plan (Contigo) | Commercial | $1,857.44 | ↓ -91% |
| Cigna | OAP Commercial | $2,690.00 | ↓ -87% |
| Aetna | Commercial | $3,710.00 | ↓ -82% |
| Molina | Medicare Advantage | $5,419.00 | ↓ -73% |
| Anthem | Medicare Advantage | $5,419.00 | ↓ -73% |
| Primetime Health Plan | Medicare Advantage | $5,419.00 | ↓ -73% |
| Cigna | Medicare Advantage | $5,419.00 | ↓ -73% |
| Medical Mutual of Ohio | Medicare Advantage | $5,419.00 | ↓ -73% |
| SummaCare | Medicare Advantage | $5,419.00 | ↓ -73% |
| Wellcare by Allwell | Medicare Advantage | $5,419.00 | ↓ -73% |
| Devoted Health | Medicare Advantage | $5,419.00 | ↓ -73% |
| Aetna | Medicare Advantage | $5,419.00 | ↓ -73% |
| Humana | Medicare Advantage | $5,419.00 | ↓ -73% |
| United Healthcare | Medicare Advantage | $5,419.00 | ↓ -73% |
| The Health Plan | Medicare Advantage | $5,419.00 | ↓ -73% |
| Paramount | Medicare Advantage | $5,581.57 | ↓ -73% |
| Valor Health Plans | Medicare Advantage | $5,689.95 | ↓ -72% |
| Perennial Advantage of Ohio | Medicare Advantage | $5,689.95 | ↓ -72% |
| CareSource | Marketplace | $9,754.20 | ↓ -52% |
| Ambetter | Commercial | $9,754.20 | ↓ -52% |
| Amish Church Fund and Workers Aid Plan | Fund | $12,463.70 | ↓ -39% |
| Amish Aid Community Plan | Fund | $12,463.70 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $12,463.70 | ↓ -39% |
| JP Farley | Commercial | $12,734.65 | ↓ -37% |
| Immergrun | Commercial | $13,547.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $13,547.50 | ↓ -33% |
| Sunrise Plan Communities | Fund | $13,547.50 | ↓ -33% |
| AultCare | Commercial | $14,902.25 | ↓ -27% |
| Cigna | PPO Commercial | $15,037.73 | ↓ -26% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $17,611.75 | ↓ -13% |
| HealthSmart | Commercial | $17,611.75 | ↓ -13% |
| The Health Plan | Commercial | $17,882.70 | ↓ -12% |
| Medical Mutual of Ohio | Traditional/Health Ohio Commercial | $18,966.50 | ↓ -7% |
| Ohio Preferred Network | Commercial | $21,676.00 | ↑ +7% |
| Beech Street | Commercial | $21,676.00 | ↑ +7% |
| Medical Mutual of Ohio | MedFlex Commercial | $21,865.67 | ↑ +8% |
| First Health | Commercial | $22,488.85 | ↑ +11% |
| Century Health Network | Commercial | $23,030.75 | ↑ +13% |
| Anthem | Tiered/Pathway Commercial | $23,139.13 | ↑ +14% |
| Anthem | Traditional Commercial | $23,139.13 | ↑ +14% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $23,193.32 | ↑ +14% |
| Private Healthcare System | Commercial | $23,301.70 | ↑ +15% |
| Medical Mutual of Ohio | SuperMed Commercial | $23,762.32 | ↑ +17% |
| Ohio Health Choice | Commercial | $24,385.50 | ↑ +20% |
| Fortified Provider Network | Commercial | $24,385.50 | ↑ +20% |
| Medical Mutual of Ohio | NAS Commercial | $24,385.50 | ↑ +20% |
| MultiPlan | Commercial | $24,385.50 | ↑ +20% |
| Anthem | Blue Access Commercial | $25,686.06 | ↑ +26% |
| United Healthcare | Commercial | $28,245.00 | ↑ +39% |
| 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
Ins/rpl prph sac/gstr npg/r at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals St. John Medical Center | Westlake OH | $25,362.75 | $8,285.17 – $35,676.56 |
| University Hospitals Samaritan Medical Center | Ashland | $21,134.25 | $18,814.23 – $33,865.62 |