Gamunex-c/gammaked at medina hospital
1000 East Washington Street, Medina, OH · Cleveland Clinic · · NPI 1083696710
$35.84
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.
$55.14
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.
$15.59 with OSCAR vs $2,659.84 with AMERIHEALTH — 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 |
|---|---|---|---|
| OSCAR | ALL PRODUCTS | $15.59 | ↓ -57% |
| PHP | ALL PRODUCTS | $17.64 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $17.64 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $18.64 | ↓ -48% |
| Summacare | Preferred | $19.30 | ↓ -46% |
| Summacare | PREMIER | $21.01 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $24.81 | ↓ -31% |
| Aultcare | PPO/HMO | $24.98 | ↓ -30% |
| OHCP | ALL PRODUCTS | $26.80 | ↓ -25% |
| OMAS | ALL PRODUCTS | $27.57 | ↓ -23% |
| MMO | TRADITIONAL | $28.84 | ↓ -20% |
| MMO | NASCO | $28.84 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $29.78 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $30.33 | ↓ -15% |
| ANTHEM | TRADITIONAL | $30.75 | ↓ -14% |
| OPTUM | All Products Transplant | $31.21 | ↓ -13% |
| UPMC | ALL PRODUCTS | $33.08 | ↓ -8% |
| Quality Care Partners | ALL PRODUCTS | $38.60 | ↑ +8% |
| The Health Plan | Secure Care | $38.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $38.60 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $38.60 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $41.36 | ↑ +15% |
| AETNA | ALL PRODUCTS | $41.36 | ↑ +15% |
| The Health Plan | ALL PRODUCTS | $48.52 | ↑ +35% |
| The Health Plan | MEDICARE ADVANTAGE | $48.81 | ↑ +36% |
| HUMANA | Medicare Advantage HMO | $48.81 | ↑ +36% |
| MMO | Medicare Advantage HMO | $48.81 | ↑ +36% |
| OPTUM | All Products VA | $48.81 | ↑ +36% |
| OPTUM | Medicare Advantage Transplant | $48.81 | ↑ +36% |
| UNITED | MEDICARE ADVANTAGE | $48.81 | ↑ +36% |
| AETNA | MEDICARE ADVANTAGE | $49.07 | ↑ +37% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $49.07 | ↑ +37% |
| UPMC | MEDICARE ADVANTAGE | $49.07 | ↑ +37% |
| Valor | HMO & PPO | $49.07 | ↑ +37% |
| ANTHEM | MEDICARE ADVANTAGE | $49.07 | ↑ +37% |
| Summacare | MEDICARE ADVANTAGE | $49.07 | ↑ +37% |
| Tertiary Care Network | TRANSPLANT | $49.63 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $49.63 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $49.63 | ↑ +38% |
| FrontPath | TRANSPLANT | $49.63 | ↑ +38% |
| MMO | Medicare Advantage PPO | $50.27 | ↑ +40% |
| CIGNA | MEDICARE ADVANTAGE | $50.54 | ↑ +41% |
| CommuniCare | MEDICARE ADVANTAGE | $51.52 | ↑ +44% |
| Perennial Health | MEDICARE ADVANTAGE | $52.71 | ↑ +47% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $53.00 | ↑ +48% |
| PPHP | ALL PRODUCTS | $53.98 | ↑ +51% |
| Zing Health | Medicare Advantage | $53.98 | ↑ +51% |
| AETNA | Qhp/Ipf | $55.14 | ↑ +54% |
| CIGNA | ALL PRODUCTS | $55.14 | ↑ +54% |
| MMO | ALL PRODUCTS | $86.02 | ↑ +140% |
| AETNA | Acop | $87.36 | ↑ +144% |
| ANTHEM | HPN | $90.29 | ↑ +152% |
| ANTHEM | PPO/HMO | $103.56 | ↑ +189% |
| UNITED | ALL PRODUCTS | $105.37 | ↑ +194% |
| AETNA | Asa_Whirlpool_Peia | $106.35 | ↑ +197% |
| AETNA | International | $111.90 | ↑ +212% |
| OPTUM | Managed Medicaid Transplant | $2,297.14 | ↑ +6309% |
| Paramount | Managed Medicaid | $2,490.58 | ↑ +6849% |
| MOLINA | Managed Medicaid | $2,538.94 | ↑ +6984% |
| ANTHEM | Managed Medicaid | $2,538.94 | ↑ +6984% |
| Buckeye | Managed Medicaid | $2,538.94 | ↑ +6984% |
| CARESOURCE | Managed Medicaid | $2,587.30 | ↑ +7119% |
| UNITED | Managed Medicaid | $2,587.30 | ↑ +7119% |
| AMERIHEALTH | Managed Medicaid | $2,659.84 | ↑ +7321% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $10,887.78 | not published |
| Anderson Hospital | Cincinnati | $12,851.16 | not published |
| Kings Mills Hospital | Mason | $12,851.16 | not published |
| Mercy West Hospital | Cincinnati | $12,851.16 | not published |
| St Ritas Medical Center | Lima | $23,025.00 | not published |
| Trinity Medical Center East | Steubenville | $1,949.01 | $49.01 – $79.31 |
| University Hospitals Ahuja Medical Center | Beachwood | $8,519.04 | $49.73 – $2,555.71 |
| University Hospitals Beachwood Medical Center | Beachwood | $8,519.04 | $23.47 – $2,555.71 |