Established Patient Office Visit (level 1) at Morrow County Hospital
651 W Marion Rd, Mount Gilead, OH · OhioHealth · · NPI 1790775161
$118.95
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.
$183.00
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.
$8.73 with UHC VA CCN vs $139.35 with MOLINA EXCHANGE - ALL OTHER 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 |
|---|---|---|---|
| UHC VA CCN | UHC VA CCN | $8.73 | ↓ -93% |
| MOLINA MEDICARE | MOLINA MEDICARE | $8.73 | ↓ -93% |
| UHC MEDICARE ADVANTAGE | UHC MEDICARE ADVANTAGE | $8.73 | ↓ -93% |
| ANTHEM MEDICARE ADV | ANTHEM MEDICARE ADV | $8.73 | ↓ -93% |
| DEVOTED MEDICARE ADV - ALL PLANS | DEVOTED MEDICARE ADV - ALL PLANS | $8.73 | ↓ -93% |
| HUMANA MEDICARE ADV | HUMANA MEDICARE ADV | $8.82 | ↓ -93% |
| BUCKEYE MEDICARE - ALL OTHER PLANS | BUCKEYE MEDICARE - ALL OTHER PLANS | $8.82 | ↓ -93% |
| AETNA MEDICARE ADV | AETNA MEDICARE ADV | $8.90 | ↓ -93% |
| MEDICAL MUTUAL OF OHIO - MEDICARE | MEDICAL MUTUAL OF OHIO - MEDICARE | $8.91 | ↓ -93% |
| CARESOURCE MARKETPLACE - ALL OTHER PLANS | CARESOURCE MARKETPLACE - ALL OTHER PLANS | $10.92 | ↓ -91% |
| OHIOHEALTHY PREFERRED | OHIOHEALTHY PREFERRED | $17.70 | ↓ -85% |
| OHIOHEALTHY NETWORK - ALL OTHER PLANS | OHIOHEALTHY NETWORK - ALL OTHER PLANS | $17.70 | ↓ -85% |
| MEDICAL MUTUAL OF OHIO MARKETPLACE | MEDICAL MUTUAL OF OHIO MARKETPLACE | $17.70 | ↓ -85% |
| ANTHEM - ALL OTHER PLANS | ANTHEM - ALL OTHER PLANS | $18.22 | ↓ -85% |
| MEDICAL MUTUAL OF OHIO COMM - ALL OTHER PLANS | MEDICAL MUTUAL OF OHIO COMM - ALL OTHER PLANS | $19.12 | ↓ -84% |
| UHC COMM - ALL OTHER PLANS | UHC COMM - ALL OTHER PLANS | $19.33 | ↓ -84% |
| MEDICAL MUTUAL OF OHIO - ADMIN SERV | MEDICAL MUTUAL OF OHIO - ADMIN SERV | $20.06 | ↓ -83% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $20.30 | ↓ -83% |
| PHCS - ALL PLANS | PHCS - ALL PLANS | $21.71 | ↓ -82% |
| HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $21.95 | ↓ -82% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $22.18 | ↓ -81% |
| MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $22.42 | ↓ -81% |
| HEALTHSTAR COMM - ALL PLANS | HEALTHSTAR COMM - ALL PLANS | $22.66 | ↓ -81% |
| BEECH STREET - ALL PLANS | BEECH STREET - ALL PLANS | $22.89 | ↓ -81% |
| CARESOURCE MEDICAID | CARESOURCE MEDICAID | $84.46 | ↓ -29% |
| BUCKEYE MEDICAID | BUCKEYE MEDICAID | $84.46 | ↓ -29% |
| PARAMOUNT MEDICAID - ALL PLANS | PARAMOUNT MEDICAID - ALL PLANS | $84.46 | ↓ -29% |
| UHC MEDICAID | UHC MEDICAID | $84.46 | ↓ -29% |
| ANTHEM MEDICAID | ANTHEM MEDICAID | $85.30 | ↓ -28% |
| MOLINA MEDICAID | MOLINA MEDICAID | $86.15 | ↓ -28% |
| AMERIHEALTH CARITAS - ALL PLANS | AMERIHEALTH CARITAS - ALL PLANS | $86.99 | ↓ -27% |
| HUMANA MEDICAID | HUMANA MEDICAID | $86.99 | ↓ -27% |
| MOLINA EXCHANGE - ALL OTHER PLANS | MOLINA EXCHANGE - ALL OTHER PLANS | $139.35 | ↑ +17% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $141.84 | $39.60 – $192.85 |
| cleveland clinic main campus | Cleveland | $115.05 | $0.01 – $135.00 |
| akron general | Akron | $97.50 | $0.01 – $135.00 |
| avon hospital | Avon | $97.50 | $0.01 – $135.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $97.50 | $0.01 – $135.00 |
| euclid hospital | Euclid | $97.50 | $0.01 – $135.00 |
| fairview hospital | Cleveland | $97.50 | $0.01 – $135.00 |
| lutheran hospital | Cleveland | $97.50 | $0.01 – $135.00 |