ER Visit (level 5, high severity) at Trinity Medical Center East
4000 Johnson Rd, Steubenville, OH · Trinity Health · · NPI 1285715144
$1,289.92
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.
$2,601.00
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.
$481.02 with The Health Plan vs $4,081.00 with Medical Mutual — 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 |
|---|---|---|---|
| The Health Plan | Medicare|All Plans | $481.02 | ↓ -63% |
| Humana | Medicare|All Plans | $481.02 | ↓ -63% |
| Centene | Medicare|All Plans | $566.49 | ↓ -56% |
| United | Medicare|All Plans | $566.49 | ↓ -56% |
| Highmark | Medicare|All Plans | $566.49 | ↓ -56% |
| BCBS - Anthem | Medicare|All Plans | $566.49 | ↓ -56% |
| Aetna | Medicare|All Plans | $566.49 | ↓ -56% |
| Molina | Medicare|All Plans | $566.49 | ↓ -56% |
| Medical Mutual | Medicare|All Plans | $566.49 | ↓ -56% |
| CareSource | Medicare|MyCare | $594.82 | ↓ -54% |
| The Health Plan | Commercial|All Plans | $785.50 | ↓ -39% |
| CareSource | Medicare|Just 4 Me | $1,027.56 | ↓ -20% |
| AultCare | Commercial|All Plans | $1,486.20 | ↑ +15% |
| Cigna | Commercial|All Other Plans | $1,659.59 | ↑ +29% |
| Cigna | Commercial|PPO | $1,659.59 | ↑ +29% |
| United | Commercial|Options | $1,857.75 | ↑ +44% |
| United | Commercial|Non-Options | $1,857.75 | ↑ +44% |
| Humana | Commercial|All Plans | $1,907.29 | ↑ +48% |
| BCBS - Anthem | Commercial|All Plans | $2,031.00 | ↑ +57% |
| Highmark | Commercial|Steel | $2,232.87 | ↑ +73% |
| Highmark | Commercial|All Other Plans | $2,477.26 | ↑ +92% |
| Medical Mutual | Commercial|All Plans | $4,081.00 | ↑ +216% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,749.50 | $1.10 – $3,807.00 |
| akron general | Akron | $2,749.50 | $1.10 – $3,807.00 |
| avon hospital | Avon | $2,749.50 | $58.51 – $3,807.00 |
| euclid hospital | Euclid | $2,749.50 | $59.95 – $3,807.00 |
| fairview hospital | Cleveland | $2,749.50 | $56.32 – $3,807.00 |
| lutheran hospital | Cleveland | $2,749.50 | $53.61 – $3,807.00 |
| hillcrest hospital | Mayfield Heights | $2,749.50 | $58.67 – $3,807.00 |
| lodi hospital | Lodi | $2,749.50 | $91.53 – $3,807.00 |