healthcosts.net
Colonoscopy w/resection at medina hospital
1000 East Washington Street, Medina, OH · Cleveland Clinic · · NPI 1083696710
$8,199.75
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.
$12,615.00
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.
$415.14 with ANTHEM vs $12,615.00 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 |
|---|---|---|---|
| ANTHEM | HPN | $415.14 | ↓ -95% |
| MMO | Medicare Advantage HMO | $2,542.31 | ↓ -69% |
| OPTUM | All Products VA | $2,542.31 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $2,542.31 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $2,542.31 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $2,542.31 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $2,542.31 | ↓ -69% |
| MMO | Medicare Advantage PPO | $2,618.57 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $2,625.99 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,625.99 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $2,625.99 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $2,625.99 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $2,625.99 | ↓ -68% |
| Valor | HMO & PPO | $2,625.99 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $2,704.77 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $2,745.69 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $2,757.29 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,836.07 | ↓ -65% |
| Zing Health | Medicare Advantage | $2,888.59 | ↓ -65% |
| PPHP | ALL PRODUCTS | $2,888.59 | ↓ -65% |
| AETNA | Acop | $3,265.00 | ↓ -60% |
| AETNA | Asa_Whirlpool_Peia | $3,502.00 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $3,567.52 | ↓ -56% |
| AETNA | International | $3,971.00 | ↓ -52% |
| PHP | ALL PRODUCTS | $4,036.80 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $4,036.80 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $4,263.87 | ↓ -48% |
| UNITED | ALL PRODUCTS | $4,338.00 | ↓ -47% |
| Summacare | Preferred | $4,415.25 | ↓ -46% |
| Summacare | PREMIER | $4,806.32 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $5,676.75 | ↓ -31% |
| Aultcare | PPO/HMO | $5,714.60 | ↓ -30% |
| ANTHEM | PPO/HMO | $6,025.07 | ↓ -27% |
| MMO | ALL PRODUCTS | $6,031.90 | ↓ -26% |
| OHCP | ALL PRODUCTS | $6,130.89 | ↓ -25% |
| OMAS | ALL PRODUCTS | $6,307.50 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $6,565.00 | ↓ -20% |
| MMO | NASCO | $6,597.65 | ↓ -20% |
| MMO | TRADITIONAL | $6,597.65 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $6,812.10 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $6,938.25 | ↓ -15% |
| ANTHEM | TRADITIONAL | $7,035.39 | ↓ -14% |
| OPTUM | All Products Transplant | $7,140.09 | ↓ -13% |
| UPMC | ALL PRODUCTS | $7,569.00 | ↓ -8% |
| Quality Care Partners | ALL PRODUCTS | $8,830.50 | ↑ +8% |
| The Health Plan | Secure Care | $8,830.50 | ↑ +8% |
| GMS | ALL PRODUCTS | $8,830.50 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $8,830.50 | ↑ +8% |
| AETNA | ALL PRODUCTS | $9,461.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $9,461.25 | ↑ +15% |
| The Health Plan | ALL PRODUCTS | $11,101.20 | ↑ +35% |
| MULTIPLAN | ALL PRODUCTS | $11,353.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $11,353.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $11,353.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $11,353.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $12,615.00 | ↑ +54% |
| Paramount | Managed Medicaid | not published by hospital | — |
| CARESOURCE | Managed Medicaid | not published by hospital | — |
| ANTHEM | Managed Medicaid | not published by hospital | — |
| UNITED | Managed Medicaid | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| OPTUM | Managed Medicaid Transplant | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy w/resection at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $8,199.75 | $1.10 – $11,353.50 |
| akron general | Akron | $1,570.40 | $1.10 – $2,736.63 |
| avon hospital | Avon | $8,199.75 | $611.78 – $11,353.50 |
| euclid hospital | Euclid | $8,199.75 | $611.78 – $11,353.50 |
| fairview hospital | Cleveland | $8,199.75 | $522.57 – $11,353.50 |
| lutheran hospital | Cleveland | $8,199.75 | $611.78 – $11,353.50 |
| hillcrest hospital | Mayfield Heights | $8,199.75 | $522.57 – $11,353.50 |
| marymount hospital | Garfield Heights | $8,199.75 | $611.78 – $11,353.50 |