Repair av fistula ext 35190 at Trinity Medical Center East
4000 Johnson Rd, Steubenville, OH · Trinity Health · · NPI 1285715144
$2,062.08
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.
$4,158.00
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 $21,194.46 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% |
| The Health Plan | Commercial|All Plans | $192.85 | ↓ -91% |
| AultCare | Commercial|All Plans | $2,494.80 | ↑ +21% |
| Cigna | Commercial|PPO | $2,785.86 | ↑ +35% |
| Cigna | Commercial|All Other Plans | $2,785.86 | ↑ +35% |
| United | Commercial|Non-Options | $3,118.50 | ↑ +51% |
| United | Commercial|Options | $3,118.50 | ↑ +51% |
| Humana | Commercial|All Plans | $3,201.66 | ↑ +55% |
| Humana | Medicare|All Plans | $4,393.06 | ↑ +113% |
| The Health Plan | Medicare|All Plans | $4,393.06 | ↑ +113% |
| Aetna | Medicare|All Plans | $4,994.76 | ↑ +142% |
| Medical Mutual | Medicare|All Plans | $4,994.76 | ↑ +142% |
| Molina | Medicare|All Plans | $4,994.76 | ↑ +142% |
| BCBS - Anthem | Medicare|All Plans | $4,994.76 | ↑ +142% |
| Centene | Medicare|All Plans | $4,994.76 | ↑ +142% |
| Highmark | Medicare|All Plans | $4,994.76 | ↑ +142% |
| United | Medicare|All Plans | $4,994.76 | ↑ +142% |
| CareSource | Medicare|MyCare | $5,244.50 | ↑ +154% |
| CareSource | Medicare|Just 4 Me | $8,791.42 | ↑ +326% |
| BCBS - Anthem | Commercial|All Plans | $12,251.00 | ↑ +494% |
| Highmark | Commercial|Steel | $19,103.52 | ↑ +826% |
| Highmark | Commercial|All Other Plans | $21,194.46 | ↑ +928% |
Visitor-reported prices
Comments
Repair av fistula ext 35190 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,489.20 | $1.10 – $5,264.43 |
| akron general | Akron | $3,489.20 | $1.10 – $5,422.37 |
| mercy hospital | Canton | $3,489.20 | $1.10 – $5,422.37 |
| avon hospital | Avon | not published | $1,059.49 – $5,790.88 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,729.78 – $2,002.90 |
| euclid hospital | Euclid | not published | $1,085.48 – $5,790.88 |
| fairview hospital | Cleveland | not published | $1,019.76 – $5,790.88 |
| lutheran hospital | Cleveland | not published | $970.84 – $5,790.88 |