healthcosts.net
5' nucleotidase - sendout at University Hospitals St. John Medical Center
29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868
$252.75
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.
$337.00
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.
$5.95 with Anthem vs $188.10 with MultiPlan — 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 |
|---|---|---|---|
| Anthem | Commercial | $5.95 | ↓ -98% |
| Molina | Medicare Advantage | $11.15 | ↓ -96% |
| Anthem | Medicare Advantage | $11.15 | ↓ -96% |
| Primetime Health Plan | Medicare Advantage | $11.15 | ↓ -96% |
| WellCare by AllWell | Medicare Advantage | $11.15 | ↓ -96% |
| Cigna | Medicare Advantage | $11.15 | ↓ -96% |
| SummaCare | Medicare Advantage | $11.15 | ↓ -96% |
| Devoted Health | Medicare Advantage | $11.15 | ↓ -96% |
| Aetna | Medicare Advantage | $11.15 | ↓ -96% |
| Humana | Medicare Advantage | $11.15 | ↓ -96% |
| United Healthcare | Medicare Advantage | $11.15 | ↓ -96% |
| The Health Plan | Medicare Advantage | $11.15 | ↓ -96% |
| Paramount | Medicare Advantage | $11.48 | ↓ -95% |
| Valor Health Plans | Medicare Advantage | $11.71 | ↓ -95% |
| Perennial Advantage of Ohio | Medicare Advantage | $11.71 | ↓ -95% |
| University Health Employee Plan (Contigo) | Commercial | $15.56 | ↓ -94% |
| CareSource | Marketplace | $20.07 | ↓ -92% |
| Ambetter | Commercial | $20.07 | ↓ -92% |
| Cigna | OAP Commercial | $23.56 | ↓ -91% |
| Aetna | Commercial | $26.76 | ↓ -89% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $51.21 | ↓ -80% |
| United Healthcare | Nexus Commercial | $56.00 | ↓ -78% |
| United Healthcare | Commercial | $62.00 | ↓ -75% |
| Medical Mutual of Ohio | MedFlex Commercial | $63.54 | ↓ -75% |
| Medical Mutual of Ohio | SuperMed Commercial | $70.64 | ↓ -72% |
| Medical Mutual of Ohio | NAS Commercial | $77.75 | ↓ -69% |
| Amish Church Fund and Workers Aid Plan | Fund | $96.14 | ↓ -62% |
| Amish Aid Community Plan | Fund | $96.14 | ↓ -62% |
| Buckeye Plain Ministries | Fund | $96.14 | ↓ -62% |
| JP Farley | Commercial | $98.23 | ↓ -61% |
| Immergrun | Commercial | $104.50 | ↓ -59% |
| Christian Healthcare Ministries | Fund | $104.50 | ↓ -59% |
| Sunrise Plan Communities | Fund | $104.50 | ↓ -59% |
| Anthem | Traditional Commercial | $105.55 | ↓ -58% |
| SummaCare | Commercial | $106.59 | ↓ -58% |
| AultCare | Commercial | $114.95 | ↓ -55% |
| Cigna | PPO Commercial | $116.00 | ↓ -54% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $135.85 | ↓ -46% |
| HealthSmart | Commercial | $135.85 | ↓ -46% |
| The Health Plan | Commercial | $137.94 | ↓ -45% |
| Medical Mutual Traditional/Health Ohio | Commercial | $146.30 | ↓ -42% |
| Ohio Preferred Network | Commercial | $167.20 | ↓ -34% |
| Beech Street | Commercial | $167.20 | ↓ -34% |
| First Health | Commercial | $173.47 | ↓ -31% |
| Century Health Network | Commercial | $177.65 | ↓ -30% |
| Private Healthcare System | Commercial | $179.74 | ↓ -29% |
| Ohio Health Choice | Commercial | $188.10 | ↓ -26% |
| Fortified Provider Network | Commercial | $188.10 | ↓ -26% |
| MultiPlan | Commercial | $188.10 | ↓ -26% |
| Humana | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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5' nucleotidase - sendout at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Geneva Medical Center | Geneva | $252.75 | $5.95 – $216.90 |
| University Hospitals Samaritan Medical Center | Ashland | $252.75 | $11.15 – $20.07 |