Tgsap so/hl 51/< rna alys at medina hospital
1000 East Washington Street, Medina, OH · Cleveland Clinic · · NPI 1083696710
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$536.91 with OPTUM vs $6,569.10 with UNITED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $536.91 | — |
| Paramount | Managed Medicaid | $582.13 | — |
| ANTHEM | Managed Medicaid | $593.43 | — |
| Buckeye | Managed Medicaid | $593.43 | — |
| MOLINA | Managed Medicaid | $593.43 | — |
| CARESOURCE | Managed Medicaid | $604.73 | — |
| UNITED | Managed Medicaid | $604.73 | — |
| AMERIHEALTH | Managed Medicaid | $621.69 | — |
| ANTHEM | PPO/HMO | $1,477.32 | — |
| ANTHEM | HPN | $1,826.85 | — |
| AETNA | MEDICARE ADVANTAGE | $2,919.60 | — |
| ANTHEM | MEDICARE ADVANTAGE | $2,919.60 | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,919.60 | — |
| HUMANA | Medicare Advantage HMO | $2,919.60 | — |
| MMO | Medicare Advantage HMO | $2,919.60 | — |
| OPTUM | Medicare Advantage Transplant | $2,919.60 | — |
| Summacare | MEDICARE ADVANTAGE | $2,919.60 | — |
| The Health Plan | MEDICARE ADVANTAGE | $2,919.60 | — |
| UNITED | MEDICARE ADVANTAGE | $2,919.60 | — |
| UPMC | MEDICARE ADVANTAGE | $2,919.60 | — |
| Valor | HMO & PPO | $2,919.60 | — |
| CIGNA | MEDICARE ADVANTAGE | $3,007.19 | — |
| MMO | Medicare Advantage PPO | $3,007.19 | — |
| CommuniCare | MEDICARE ADVANTAGE | $3,065.58 | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,153.17 | — |
| Perennial Health | MEDICARE ADVANTAGE | $3,153.17 | — |
| PPHP | ALL PRODUCTS | $3,211.56 | — |
| Zing Health | Medicare Advantage | $3,211.56 | — |
| MMO | ALL PRODUCTS | $5,118.06 | — |
| UNITED | ALL PRODUCTS | $6,569.10 | — |
Visitor-reported prices
Comments
Tgsap so/hl 51/< rna alys at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Ritas Medical Center | Lima | $6,600.00 | not published |
| Dublin Methodist Hospital | Dublin | $6,119.75 | $2,919.60 – $10,948.50 |
| Shelby Hospital | Shelby | $6,119.75 | not published |
| Berger Hospital | Circleville | $7,588.75 | $2,919.60 – $2,919.60 |
| Grant Medical Center | Columbus | $6,119.75 | $2,919.60 – $10,948.50 |
| Southeastern Medical Center | Cambridge | $6,119.75 | $2,919.60 – $3,036.38 |
| Doctors Hospital | Columbus | $6,119.75 | $2,919.60 – $10,948.50 |
| Hardin Memorial Hospital | Kenton | $6,294.60 | not published |