Breast punct aspir cyst, bil at Trinity Medical Center East
4000 Johnson Rd, Steubenville, OH · Trinity Health · · NPI 1285715144
$627.36
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.
$1,265.00
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 $2,713.55 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 | $492.60 | ↓ -21% |
| Cigna | Commercial|PPO | $550.07 | ↓ -12% |
| Cigna | Commercial|All Other Plans | $550.07 | ↓ -12% |
| United | Commercial|Non-Options | $558.28 | ↓ -11% |
| United | Commercial|Options | $558.28 | ↓ -11% |
| Humana | Medicare|All Plans | $573.27 | ↓ -9% |
| The Health Plan | Medicare|All Plans | $573.27 | ↓ -9% |
| Humana | Commercial|All Plans | $632.17 | ↑ +1% |
| Medical Mutual | Medicare|All Plans | $650.10 | ↑ +4% |
| United | Medicare|All Plans | $650.10 | ↑ +4% |
| Molina | Medicare|All Plans | $650.10 | ↑ +4% |
| Aetna | Medicare|All Plans | $650.10 | ↑ +4% |
| BCBS - Anthem | Medicare|All Plans | $650.10 | ↑ +4% |
| Centene | Medicare|All Plans | $650.10 | ↑ +4% |
| Highmark | Medicare|All Plans | $650.10 | ↑ +4% |
| The Health Plan | Commercial|All Plans | $656.80 | ↑ +5% |
| CareSource | Medicare|MyCare | $682.61 | ↑ +9% |
| CareSource | Medicare|Just 4 Me | $1,125.58 | ↑ +79% |
| Highmark | Commercial|Steel | $2,445.85 | ↑ +290% |
| BCBS - Anthem | Commercial|All Plans | $2,522.00 | ↑ +302% |
| Highmark | Commercial|All Other Plans | $2,713.55 | ↑ +333% |
Visitor-reported prices
Comments
Breast punct aspir cyst, bil at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,372.15 | $0.01 – $1,899.90 |
| akron general | Akron | $1,372.15 | $0.01 – $1,899.90 |
| avon hospital | Avon | $1,372.15 | $0.01 – $1,899.90 |
| euclid hospital | Euclid | $1,372.15 | $0.01 – $1,899.90 |
| fairview hospital | Cleveland | $1,372.15 | $0.01 – $1,899.90 |
| lutheran hospital | Cleveland | $1,372.15 | $0.01 – $1,899.90 |
| hillcrest hospital | Mayfield Heights | $1,372.15 | $0.01 – $1,899.90 |
| lodi hospital | Lodi | $1,372.15 | $512.33 – $1,899.90 |