healthcosts.net
Micafungin 100 mg intravenous solution at University Hospitals Geneva Medical Center
870 West Main Street, Geneva, OH · University Hospitals · · NPI 1225128432
$691.44
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.
$921.91
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.
$0.97 with Medical Mutual of Ohio vs $76.05 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 |
|---|---|---|---|
| Medical Mutual of Ohio | MedFlex Commercial | $0.97 | ↓ -100% |
| Medical Mutual of Ohio | SuperMed Commercial | $1.08 | ↓ -100% |
| Medical Mutual of Ohio | NAS Commercial | $1.18 | ↓ -100% |
| Molina | Medicare Advantage | $16.04 | ↓ -98% |
| Anthem | Medicare Advantage | $16.04 | ↓ -98% |
| Primetime Health Plan | Medicare Advantage | $16.04 | ↓ -98% |
| Cigna | Medicare Advantage | $16.04 | ↓ -98% |
| Medical Mutual of Ohio | Medicare Advantage | $16.04 | ↓ -98% |
| SummaCare | Medicare Advantage | $16.04 | ↓ -98% |
| Wellcare by Allwell | Medicare Advantage | $16.04 | ↓ -98% |
| Devoted Health | Medicare Advantage | $16.04 | ↓ -98% |
| Aetna | Medicare Advantage | $16.04 | ↓ -98% |
| Humana | Medicare Advantage | $16.04 | ↓ -98% |
| United Healthcare | Medicare Advantage | $16.04 | ↓ -98% |
| The Health Plan | Medicare Advantage | $16.04 | ↓ -98% |
| Paramount | Medicare Advantage | $16.53 | ↓ -98% |
| Valor Health Plans | Medicare Advantage | $16.85 | ↓ -98% |
| Perennial Advantage of Ohio | Medicare Advantage | $16.85 | ↓ -98% |
| CareSource | Marketplace | $28.88 | ↓ -96% |
| Ambetter | Commercial | $28.88 | ↓ -96% |
| University Health Employee Plan (Contigo) | Commercial | $32.09 | ↓ -95% |
| Amish Church Fund and Workers Aid Plan | Fund | $36.90 | ↓ -95% |
| Amish Aid Community Plan | Fund | $36.90 | ↓ -95% |
| Buckeye Plain Ministries | Fund | $36.90 | ↓ -95% |
| JP Farley | Commercial | $37.70 | ↓ -95% |
| Immergrun | Commercial | $40.11 | ↓ -94% |
| Christian Healthcare Ministries | Fund | $40.11 | ↓ -94% |
| Sunrise Plan Communities | Fund | $40.11 | ↓ -94% |
| SummaCare | Commercial | $40.91 | ↓ -94% |
| AultCare | Commercial | $44.12 | ↓ -94% |
| Cigna | PPO Commercial | $44.52 | ↓ -94% |
| Cigna | OAP Commercial | $47.89 | ↓ -93% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $52.14 | ↓ -92% |
| HealthSmart | Commercial | $52.14 | ↓ -92% |
| The Health Plan | Commercial | $52.95 | ↓ -92% |
| Aetna | Commercial | $53.51 | ↓ -92% |
| Medical Mutual of Ohio | Traditional/Health Ohio Commercial | $56.15 | ↓ -92% |
| Ohio Preferred Network | Commercial | $64.18 | ↓ -91% |
| Beech Street | Commercial | $64.18 | ↓ -91% |
| First Health | Commercial | $66.58 | ↓ -90% |
| Century Health Network | Commercial | $68.19 | ↓ -90% |
| Anthem | Tiered/Pathway Commercial | $68.51 | ↓ -90% |
| Anthem | Traditional Commercial | $68.51 | ↓ -90% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $68.67 | ↓ -90% |
| Private Healthcare System | Commercial | $68.99 | ↓ -90% |
| Ohio Health Choice | Commercial | $72.20 | ↓ -90% |
| Fortified Provider Network | Commercial | $72.20 | ↓ -90% |
| MultiPlan | Commercial | $72.20 | ↓ -90% |
| United Healthcare | Commercial | $72.84 | ↓ -89% |
| Anthem | Blue Access Commercial | $76.05 | ↓ -89% |
| 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 | — |