healthcosts.net
System cardiomems hosp electronics at University Hospitals Geneva Medical Center
870 West Main Street, Geneva, OH · University Hospitals · · NPI 1225128432
$53,437.50
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.
$71,250.00
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.
$900.00 with SummaCare vs $55,458.00 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 |
|---|---|---|---|
| SummaCare | Commercial | $900.00 | ↓ -98% |
| Molina | Medicare Advantage | $11,700.00 | ↓ -78% |
| Anthem | Medicare Advantage | $11,700.00 | ↓ -78% |
| Primetime Health Plan | Medicare Advantage | $11,700.00 | ↓ -78% |
| Cigna | Medicare Advantage | $11,700.00 | ↓ -78% |
| Medical Mutual of Ohio | Medicare Advantage | $11,700.00 | ↓ -78% |
| SummaCare | Medicare Advantage | $11,700.00 | ↓ -78% |
| Wellcare by Allwell | Medicare Advantage | $11,700.00 | ↓ -78% |
| Devoted Health | Medicare Advantage | $11,700.00 | ↓ -78% |
| Aetna | Medicare Advantage | $11,700.00 | ↓ -78% |
| Humana | Medicare Advantage | $11,700.00 | ↓ -78% |
| United Healthcare | Medicare Advantage | $11,700.00 | ↓ -78% |
| The Health Plan | Medicare Advantage | $11,700.00 | ↓ -78% |
| Paramount | Medicare Advantage | $12,051.00 | ↓ -77% |
| Valor Health Plans | Medicare Advantage | $12,285.00 | ↓ -77% |
| Perennial Advantage of Ohio | Medicare Advantage | $12,285.00 | ↓ -77% |
| The Health Plan | Commercial | $19,498.05 | ↓ -64% |
| University Health Employee Plan (Contigo) | Commercial | $20,475.00 | ↓ -62% |
| AultCare | Commercial | $20,475.00 | ↓ -62% |
| CareSource | Marketplace | $21,060.00 | ↓ -61% |
| Ambetter | Commercial | $21,060.00 | ↓ -61% |
| Aetna | Commercial | $21,645.00 | ↓ -59% |
| Amish Church Fund and Workers Aid Plan | Fund | $26,910.00 | ↓ -50% |
| Amish Aid Community Plan | Fund | $26,910.00 | ↓ -50% |
| Buckeye Plain Ministries | Fund | $26,910.00 | ↓ -50% |
| JP Farley | Commercial | $27,495.00 | ↓ -49% |
| Immergrun | Commercial | $29,250.00 | ↓ -45% |
| Christian Healthcare Ministries | Fund | $29,250.00 | ↓ -45% |
| Sunrise Plan Communities | Fund | $29,250.00 | ↓ -45% |
| Cigna | OAP Commercial | $30,420.00 | ↓ -43% |
| Cigna | PPO Commercial | $32,467.50 | ↓ -39% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $38,025.00 | ↓ -29% |
| HealthSmart | Commercial | $38,025.00 | ↓ -29% |
| Medical Mutual of Ohio | Traditional/Health Ohio Commercial | $40,950.00 | ↓ -23% |
| Ohio Preferred Network | Commercial | $46,800.00 | ↓ -12% |
| Beech Street | Commercial | $46,800.00 | ↓ -12% |
| Medical Mutual of Ohio | MedFlex Commercial | $47,209.50 | ↓ -12% |
| First Health | Commercial | $48,555.00 | ↓ -9% |
| Century Health Network | Commercial | $49,725.00 | ↓ -7% |
| Anthem | Tiered/Pathway Commercial | $49,959.00 | ↓ -7% |
| Anthem | Traditional Commercial | $49,959.00 | ↓ -7% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $50,076.00 | ↓ -6% |
| Private Healthcare System | Commercial | $50,310.00 | ↓ -6% |
| Medical Mutual of Ohio | SuperMed Commercial | $51,304.50 | ↓ -4% |
| Ohio Health Choice | Commercial | $52,650.00 | ↓ -1% |
| Fortified Provider Network | Commercial | $52,650.00 | ↓ -1% |
| Medical Mutual of Ohio | NAS Commercial | $52,650.00 | ↓ -1% |
| MultiPlan | Commercial | $52,650.00 | ↓ -1% |
| United Healthcare | Commercial | $53,118.00 | ↓ -1% |
| Anthem | Blue Access Commercial | $55,458.00 | ↑ +4% |
| 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
System cardiomems hosp electronics at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals St. John Medical Center | Westlake OH | $53,437.50 | $14,332.50 – $52,650.00 |
| University Hospitals Samaritan Medical Center | Ashland | $53,437.50 | not published |