Apl(pml-rara) quant - sendout at Morrow County Hospital
651 W Marion Rd, Mount Gilead, OH · OhioHealth · · NPI 1790775161
$585.65
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.
$901.00
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.
$102.38 with ANTHEM - ALL OTHER PLANS vs $873.97 with BEECH STREET - ALL PLANS — 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 - ALL OTHER PLANS | ANTHEM - ALL OTHER PLANS | $102.38 | ↓ -83% |
| PARAMOUNT MEDICAID - ALL PLANS | PARAMOUNT MEDICAID - ALL PLANS | $143.14 | ↓ -76% |
| CARESOURCE MEDICAID | CARESOURCE MEDICAID | $143.14 | ↓ -76% |
| UHC MEDICAID | UHC MEDICAID | $143.14 | ↓ -76% |
| BUCKEYE MEDICAID | BUCKEYE MEDICAID | $143.14 | ↓ -76% |
| ANTHEM MEDICAID | ANTHEM MEDICAID | $144.58 | ↓ -75% |
| MOLINA MEDICAID | MOLINA MEDICAID | $146.01 | ↓ -75% |
| AMERIHEALTH CARITAS - ALL PLANS | AMERIHEALTH CARITAS - ALL PLANS | $147.44 | ↓ -75% |
| HUMANA MEDICAID | HUMANA MEDICAID | $147.44 | ↓ -75% |
| MOLINA EXCHANGE - ALL OTHER PLANS | MOLINA EXCHANGE - ALL OTHER PLANS | $236.19 | ↓ -60% |
| UHC VA CCN | UHC VA CCN | $333.37 | ↓ -43% |
| ANTHEM MEDICARE ADV | ANTHEM MEDICARE ADV | $333.37 | ↓ -43% |
| DEVOTED MEDICARE ADV - ALL PLANS | DEVOTED MEDICARE ADV - ALL PLANS | $333.37 | ↓ -43% |
| MOLINA MEDICARE | MOLINA MEDICARE | $333.37 | ↓ -43% |
| UHC MEDICARE ADVANTAGE | UHC MEDICARE ADVANTAGE | $333.37 | ↓ -43% |
| HUMANA MEDICARE ADV | HUMANA MEDICARE ADV | $336.70 | ↓ -43% |
| BUCKEYE MEDICARE - ALL OTHER PLANS | BUCKEYE MEDICARE - ALL OTHER PLANS | $336.70 | ↓ -43% |
| AETNA MEDICARE ADV | AETNA MEDICARE ADV | $339.68 | ↓ -42% |
| MEDICAL MUTUAL OF OHIO - MEDICARE | MEDICAL MUTUAL OF OHIO - MEDICARE | $340.04 | ↓ -42% |
| CARESOURCE MARKETPLACE - ALL OTHER PLANS | CARESOURCE MARKETPLACE - ALL OTHER PLANS | $416.71 | ↓ -29% |
| OHIOHEALTHY NETWORK - ALL OTHER PLANS | OHIOHEALTHY NETWORK - ALL OTHER PLANS | $675.75 | ↑ +15% |
| MEDICAL MUTUAL OF OHIO MARKETPLACE | MEDICAL MUTUAL OF OHIO MARKETPLACE | $675.75 | ↑ +15% |
| OHIOHEALTHY PREFERRED | OHIOHEALTHY PREFERRED | $675.75 | ↑ +15% |
| MEDICAL MUTUAL OF OHIO COMM - ALL OTHER PLANS | MEDICAL MUTUAL OF OHIO COMM - ALL OTHER PLANS | $729.81 | ↑ +25% |
| UHC COMM - ALL OTHER PLANS | UHC COMM - ALL OTHER PLANS | $737.92 | ↑ +26% |
| MEDICAL MUTUAL OF OHIO - ADMIN SERV | MEDICAL MUTUAL OF OHIO - ADMIN SERV | $765.85 | ↑ +31% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $774.86 | ↑ +32% |
| PHCS - ALL PLANS | PHCS - ALL PLANS | $828.92 | ↑ +42% |
| HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $837.93 | ↑ +43% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $846.94 | ↑ +45% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $855.95 | ↑ +46% |
| HEALTHSTAR COMM - ALL PLANS | HEALTHSTAR COMM - ALL PLANS | $864.96 | ↑ +48% |
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $873.97 | ↑ +49% |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $427.00 | $102.38 – $576.87 |
| cleveland clinic main campus | Cleveland | $929.50 | $1.10 – $1,287.00 |
| akron general | Akron | $929.50 | $0.95 – $1,596.35 |
| avon hospital | Avon | $929.50 | $0.95 – $1,477.95 |
| euclid hospital | Euclid | $929.50 | $0.95 – $1,477.95 |
| fairview hospital | Cleveland | $929.50 | $0.95 – $1,477.95 |
| lutheran hospital | Cleveland | $929.50 | $0.95 – $1,477.95 |
| hillcrest hospital | Mayfield Heights | $929.50 | $0.95 – $1,477.95 |