Colonoscopy w/resection at University Hospitals St. John Medical Center
29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868
$3,254.25
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.
$4,339.00
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.
$790.13 with Medical Mutual of Ohio vs $5,104.40 with Ambetter — 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 of Ohio | Northern Ohio Commercial | $790.13 | ↓ -76% |
| University Health Employee Plan (Contigo) | Commercial | $1,290.00 | ↓ -60% |
| Amish Church Fund and Workers Aid Plan | Fund | $1,483.50 | ↓ -54% |
| Amish Aid Community Plan | Fund | $1,483.50 | ↓ -54% |
| Buckeye Plain Ministries | Fund | $1,483.50 | ↓ -54% |
| JP Farley | Commercial | $1,515.75 | ↓ -53% |
| Immergrun | Commercial | $1,612.50 | ↓ -50% |
| Sunrise Plan Communities | Fund | $1,612.50 | ↓ -50% |
| Christian Healthcare Ministries | Fund | $1,612.50 | ↓ -50% |
| Anthem | Traditional Commercial | $1,628.63 | ↓ -50% |
| SummaCare | Commercial | $1,644.75 | ↓ -49% |
| AultCare | Commercial | $1,773.75 | ↓ -45% |
| Cigna | PPO Commercial | $1,789.88 | ↓ -45% |
| United Healthcare | Nexus Commercial | $1,910.70 | ↓ -41% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $2,096.25 | ↓ -36% |
| HealthSmart | Commercial | $2,096.25 | ↓ -36% |
| Anthem | Commercial | $2,118.64 | ↓ -35% |
| United Healthcare | Commercial | $2,123.00 | ↓ -35% |
| The Health Plan | Commercial | $2,128.50 | ↓ -35% |
| Medical Mutual Traditional/Health Ohio | Commercial | $2,257.50 | ↓ -31% |
| Medical Mutual of Ohio | MedFlex Commercial | $2,513.00 | ↓ -23% |
| Beech Street | Commercial | $2,580.00 | ↓ -21% |
| Ohio Preferred Network | Commercial | $2,580.00 | ↓ -21% |
| First Health | Commercial | $2,676.75 | ↓ -18% |
| Century Health Network | Commercial | $2,741.25 | ↓ -16% |
| Private Healthcare System | Commercial | $2,773.50 | ↓ -15% |
| Cigna | OAP Commercial | $2,775.00 | ↓ -15% |
| Medical Mutual of Ohio | SuperMed Commercial | $2,792.00 | ↓ -14% |
| WellCare by AllWell | Medicare Advantage | $2,835.78 | ↓ -13% |
| Aetna | Medicare Advantage | $2,835.78 | ↓ -13% |
| Anthem | Medicare Advantage | $2,835.78 | ↓ -13% |
| Cigna | Medicare Advantage | $2,835.78 | ↓ -13% |
| Devoted Health | Medicare Advantage | $2,835.78 | ↓ -13% |
| Humana | Medicare Advantage | $2,835.78 | ↓ -13% |
| Molina | Medicare Advantage | $2,835.78 | ↓ -13% |
| Primetime Health Plan | Medicare Advantage | $2,835.78 | ↓ -13% |
| SummaCare | Medicare Advantage | $2,835.78 | ↓ -13% |
| The Health Plan | Medicare Advantage | $2,835.78 | ↓ -13% |
| United Healthcare | Medicare Advantage | $2,835.78 | ↓ -13% |
| Fortified Provider Network | Commercial | $2,902.50 | ↓ -11% |
| MultiPlan | Commercial | $2,902.50 | ↓ -11% |
| Ohio Health Choice | Commercial | $2,902.50 | ↓ -11% |
| Paramount | Medicare Advantage | $2,920.85 | ↓ -10% |
| Perennial Advantage of Ohio | Medicare Advantage | $2,977.57 | ↓ -9% |
| Valor Health Plans | Medicare Advantage | $2,977.57 | ↓ -9% |
| Medical Mutual of Ohio | NAS Commercial | $3,071.00 | ↓ -6% |
| Aetna | Commercial | $3,710.00 | ↑ +14% |
| CareSource | Marketplace | $5,104.40 | ↑ +57% |
| Ambetter | Commercial | $5,104.40 | ↑ +57% |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy w/resection at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $11,011.55 | $2,704.94 – $2,759.04 |
| Anderson Hospital | Cincinnati | $18,668.23 | $2,704.94 – $2,759.04 |
| Clermont Hospital | Batavia | $18,778.27 | $2,704.94 – $2,759.04 |
| Kings Mills Hospital | Mason | $6,886.88 | $2,704.94 – $2,759.04 |
| cleveland clinic main campus | Cleveland | $8,199.75 | $1.10 – $11,353.50 |
| akron general | Akron | $1,570.40 | $1.10 – $2,736.63 |
| avon hospital | Avon | $8,199.75 | $611.78 – $11,353.50 |
| euclid hospital | Euclid | $8,199.75 | $611.78 – $11,353.50 |