Fixation of knee joint at University Hospitals Portage Medical Center
6847 N. Chestnut Street, Ravenna OH 44266, OH · University Hospitals · · NPI 1043641897
$1,863.75
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.
$2,485.00
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.
$586.46 with Medical Mutual of Ohio vs $3,348.00 with Medical Mutual of Ohio — 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 | Northern Ohio Commercial | $586.46 | ↓ -69% |
| SummaCare | Commercial | $900.00 | ↓ -52% |
| Amish Aid Community Plan | Fund | $1,143.10 | ↓ -39% |
| Amish Church Fund and Workers Aid Plan | Fund | $1,143.10 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $1,143.10 | ↓ -39% |
| JP Farley | Commercial | $1,192.80 | ↓ -36% |
| Immergrun | Commercial | $1,242.50 | ↓ -33% |
| Sunrise Plain Communities | Fund | $1,242.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $1,242.50 | ↓ -33% |
| AultCare | Commercial | $1,366.75 | ↓ -27% |
| Cigna | PPO Commercial | $1,379.18 | ↓ -26% |
| Cigna | OAP Commercial | $1,526.00 | ↓ -18% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $1,615.25 | ↓ -13% |
| HealthSmart | Commercial | $1,615.25 | ↓ -13% |
| The Health Plan | Commercial | $1,640.10 | ↓ -12% |
| United Healthcare | Medicare Advantage | $1,642.82 | ↓ -12% |
| Primetime Health Plan | Medicare Advantage | $1,642.82 | ↓ -12% |
| SummaCare | Medicare Advantage | $1,642.82 | ↓ -12% |
| Cigna | Medicare Advantage | $1,642.82 | ↓ -12% |
| Medical Mutual of Ohio | Medicare Advantage | $1,642.82 | ↓ -12% |
| Devoted Health | Medicare Advantage | $1,642.82 | ↓ -12% |
| Aetna | Medicare Advantage | $1,642.82 | ↓ -12% |
| Humana | Medicare Advantage | $1,642.82 | ↓ -12% |
| The Health Plan | Medicare Advantage | $1,642.82 | ↓ -12% |
| WellCare by AllWell | Medicare Advantage | $1,642.82 | ↓ -12% |
| Anthem | Medicare Advantage | $1,642.82 | ↓ -12% |
| Molina | Medicare Advantage | $1,642.82 | ↓ -12% |
| Paramount | Medicare Advantage | $1,692.10 | ↓ -9% |
| Valor Health Plans | Medicare Advantage | $1,724.96 | ↓ -7% |
| Perennial Advantage of Ohio | Medicare Advantage | $1,724.96 | ↓ -7% |
| Medical Mutual Traditional/Health Ohio | Commercial | $1,739.50 | ↓ -7% |
| Anthem | Traditional Commercial | $1,881.15 | ↑ +1% |
| Ohio Preferred Network | Commercial | $1,988.00 | ↑ +7% |
| Beech Street | Commercial | $1,988.00 | ↑ +7% |
| Anthem | Commercial | $1,996.00 | ↑ +7% |
| First Health | Commercial | $2,062.55 | ↑ +11% |
| Century Health Network | Commercial | $2,112.25 | ↑ +13% |
| Private Healthcare System | Commercial | $2,137.10 | ↑ +15% |
| Ohio Health Choice | Commercial | $2,236.50 | ↑ +20% |
| MultiPlan | Commercial | $2,236.50 | ↑ +20% |
| Fortified Provider Network | Commercial | $2,236.50 | ↑ +20% |
| Aetna | OPN Commercial | $2,292.78 | ↑ +23% |
| United Healthcare | Commercial | $2,562.00 | ↑ +37% |
| Aetna | Commercial | $2,623.00 | ↑ +41% |
| CareSource | Marketplace | $2,957.08 | ↑ +59% |
| Ambetter | Commercial | $2,957.08 | ↑ +59% |
| Medical Mutual of Ohio | NAS Commercial | $3,348.00 | ↑ +80% |
| Medical Mutual of Ohio | MedFlex Commercial | $3,348.00 | ↑ +80% |
| Medical Mutual of Ohio | SuperMed Commercial | $3,348.00 | ↑ +80% |
| CareSource | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Fixation of knee joint at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $8,604.30 | $1,567.02 – $1,598.36 |
| Kings Mills Hospital | Mason | $11,096.52 | $1,567.02 – $1,598.36 |
| Mercy West Hospital | Cincinnati | $7,587.96 | $1,594.23 – $1,626.11 |
| cleveland clinic main campus | Cleveland | $465.40 | $1.10 – $1,521.28 |
| akron general | Akron | $465.40 | $1.10 – $1,597.05 |
| mercy hospital | Canton | $465.40 | $1.10 – $1,566.92 |
| University Hospitals Ahuja Medical Center | Beachwood | $1,863.75 | $549.19 – $2,738.31 |
| University Hospitals Beachwood Medical Center | Beachwood | $1,863.75 | $900.00 – $3,852.98 |