Biopsy of prostate at Trinity Medical Center East
4000 Johnson Rd, Steubenville, OH · Trinity Health · · NPI 1285715144
$1,254.21
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.
$2,529.00
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.
$0.58 with Medical Mutual vs $7,855.58 with Highmark — 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 | Commercial|All Plans | $0.58 | ↓ -100% |
| AultCare | Commercial|All Plans | $1,517.40 | ↑ +21% |
| The Health Plan | Medicare|All Plans | $1,649.48 | ↑ +32% |
| Humana | Medicare|All Plans | $1,649.48 | ↑ +32% |
| Cigna | Commercial|PPO | $1,694.43 | ↑ +35% |
| Cigna | Commercial|All Other Plans | $1,694.43 | ↑ +35% |
| United | Commercial|Non-Options | $1,719.72 | ↑ +37% |
| United | Commercial|Options | $1,719.72 | ↑ +37% |
| Medical Mutual | Medicare|All Plans | $1,892.78 | ↑ +51% |
| Aetna | Medicare|All Plans | $1,892.78 | ↑ +51% |
| Molina | Medicare|All Plans | $1,892.78 | ↑ +51% |
| United | Medicare|All Plans | $1,892.78 | ↑ +51% |
| BCBS - Anthem | Medicare|All Plans | $1,892.78 | ↑ +51% |
| Centene | Medicare|All Plans | $1,892.78 | ↑ +51% |
| Highmark | Medicare|All Plans | $1,892.78 | ↑ +51% |
| Humana | Commercial|All Plans | $1,947.33 | ↑ +55% |
| CareSource | Medicare|MyCare | $1,987.42 | ↑ +58% |
| The Health Plan | Commercial|All Plans | $2,023.20 | ↑ +61% |
| CareSource | Medicare|Just 4 Me | $3,258.48 | ↑ +160% |
| BCBS - Anthem | Commercial|All Plans | $4,296.00 | ↑ +243% |
| Highmark | Commercial|Steel | $7,080.59 | ↑ +465% |
| Highmark | Commercial|All Other Plans | $7,855.58 | ↑ +526% |
Visitor-reported prices
Comments
Biopsy of prostate at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Dublin Methodist Hospital | Dublin | $1,394.90 | $9,206.00 – $9,206.00 |
| Shelby Hospital | Shelby | $1,457.95 | not published |
| Berger Hospital | Circleville | $2,536.30 | $337.43 – $3,729.00 |
| Grant Medical Center | Columbus | $1,394.90 | $9,206.00 – $9,206.00 |
| Southeastern Medical Center | Cambridge | $874.25 | not published |
| Doctors Hospital | Columbus | $1,394.90 | $9,206.00 – $9,206.00 |
| Hardin Memorial Hospital | Kenton | $456.95 | not published |
| Marion General Hospital | Marion | $297.05 | not published |