healthcosts.net
Puncture spinal lumbar diagnostic at University Hospitals Geneva Medical Center
870 West Main Street, Geneva, OH · University Hospitals · · NPI 1225128432
$1,186.50
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.
$1,582.00
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.
$316.40 with Molina vs $2,035.00 with Cigna — 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 | $316.40 | ↓ -73% |
| Anthem | Medicare Advantage | $316.40 | ↓ -73% |
| Primetime Health Plan | Medicare Advantage | $316.40 | ↓ -73% |
| Cigna | Medicare Advantage | $316.40 | ↓ -73% |
| Medical Mutual of Ohio | Medicare Advantage | $316.40 | ↓ -73% |
| SummaCare | Medicare Advantage | $316.40 | ↓ -73% |
| Wellcare by Allwell | Medicare Advantage | $316.40 | ↓ -73% |
| Devoted Health | Medicare Advantage | $316.40 | ↓ -73% |
| Aetna | Medicare Advantage | $316.40 | ↓ -73% |
| Humana | Medicare Advantage | $316.40 | ↓ -73% |
| United Healthcare | Medicare Advantage | $316.40 | ↓ -73% |
| The Health Plan | Medicare Advantage | $316.40 | ↓ -73% |
| Paramount | Medicare Advantage | $325.89 | ↓ -73% |
| Valor Health Plans | Medicare Advantage | $332.22 | ↓ -72% |
| Perennial Advantage of Ohio | Medicare Advantage | $332.22 | ↓ -72% |
| CareSource | Marketplace | $569.52 | ↓ -52% |
| Ambetter | Commercial | $569.52 | ↓ -52% |
| Amish Church Fund and Workers Aid Plan | Fund | $727.72 | ↓ -39% |
| Amish Aid Community Plan | Fund | $727.72 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $727.72 | ↓ -39% |
| JP Farley | Commercial | $743.54 | ↓ -37% |
| Immergrun | Commercial | $791.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $791.00 | ↓ -33% |
| Sunrise Plan Communities | Fund | $791.00 | ↓ -33% |
| SummaCare | Commercial | $806.82 | ↓ -32% |
| AultCare | Commercial | $870.10 | ↓ -27% |
| Cigna | PPO Commercial | $878.01 | ↓ -26% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $1,028.30 | ↓ -13% |
| HealthSmart | Commercial | $1,028.30 | ↓ -13% |
| The Health Plan | Commercial | $1,044.12 | ↓ -12% |
| Aetna | Commercial | $1,055.19 | ↓ -11% |
| Medical Mutual of Ohio | Traditional/Health Ohio Commercial | $1,107.40 | ↓ -7% |
| Ohio Preferred Network | Commercial | $1,265.60 | ↑ +7% |
| Beech Street | Commercial | $1,265.60 | ↑ +7% |
| Medical Mutual of Ohio | MedFlex Commercial | $1,276.67 | ↑ +8% |
| First Health | Commercial | $1,313.06 | ↑ +11% |
| United Healthcare | Commercial | $1,327.99 | ↑ +12% |
| Century Health Network | Commercial | $1,344.70 | ↑ +13% |
| Anthem | Tiered/Pathway Commercial | $1,351.03 | ↑ +14% |
| Anthem | Traditional Commercial | $1,351.03 | ↑ +14% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $1,354.19 | ↑ +14% |
| Private Healthcare System | Commercial | $1,360.52 | ↑ +15% |
| Medical Mutual of Ohio | SuperMed Commercial | $1,387.41 | ↑ +17% |
| Ohio Health Choice | Commercial | $1,423.80 | ↑ +20% |
| Fortified Provider Network | Commercial | $1,423.80 | ↑ +20% |
| Medical Mutual of Ohio | NAS Commercial | $1,423.80 | ↑ +20% |
| MultiPlan | Commercial | $1,423.80 | ↑ +20% |
| University Health Employee Plan (Contigo) | Commercial | $1,441.44 | ↑ +21% |
| Anthem | Blue Access Commercial | $1,499.74 | ↑ +26% |
| Cigna | OAP Commercial | $2,035.00 | ↑ +72% |
| 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
Puncture spinal lumbar diagnostic at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals St. John Medical Center | Westlake OH | $1,088.25 | $355.50 – $1,305.90 |
| University Hospitals Samaritan Medical Center | Ashland | $867.75 | $684.56 – $1,232.21 |