Team conf w/pat by hc prof at University Hospitals Parma Medical Center
7007 Powers Boulevard, Parma OH 44129|7007 Powers Boulevard, OH · University Hospitals · · NPI 1164481677
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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$40.97 with Medical Mutual of Ohio vs $73.74 with Ambetter — 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 |
|---|---|---|---|
| Medical Mutual of Ohio | Medicare Advantage | $40.97 | — |
| Humana | Medicare Advantage | $40.97 | — |
| United Healthcare | Medicare Advantage | $40.97 | — |
| WellCare by AllWell | Medicare Advantage | $40.97 | — |
| The Health Plan | Medicare Advantage | $40.97 | — |
| Anthem | Medicare Advantage | $40.97 | — |
| Primetime Health Plan | Medicare Advantage | $40.97 | — |
| Molina | Medicare Advantage | $40.97 | — |
| SummaCare | Medicare Advantage | $40.97 | — |
| Cigna | Medicare Advantage | $40.97 | — |
| Devoted Health | Medicare Advantage | $40.97 | — |
| Aetna | Medicare Advantage | $40.97 | — |
| Paramount | Medicare Advantage | $42.19 | — |
| Perennial Advantage of Ohio | Medicare Advantage | $43.01 | — |
| Valor Health Plans | Medicare Advantage | $43.01 | — |
| CareSource | Marketplace | $73.74 | — |
| Ambetter | Commercial | $73.74 | — |
Visitor-reported prices
Comments
Team conf w/pat by hc prof at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $213.20 | $1.10 – $295.20 |
| Dublin Methodist Hospital | Dublin | $120.25 | not published |
| Shelby Hospital | Shelby | $102.70 | not published |
| Berger Hospital | Circleville | $95.55 | $84.42 – $84.42 |
| Grant Medical Center | Columbus | $120.25 | not published |
| Southeastern Medical Center | Cambridge | $94.25 | not published |
| Doctors Hospital | Columbus | $120.25 | not published |
| Mansfield Hospital | Mansfield | $102.70 | not published |