Control oropharyngeal hemorr/simp 42960 at University Hospitals St. John Medical Center
29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868
$638.25
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.
$851.00
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.
$208.50 with Medical Mutual of Ohio vs $1,844.00 with Medical Mutual of Ohio — 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 | $208.50 | ↓ -67% |
| United Healthcare | Nexus Commercial | $386.35 | ↓ -39% |
| Amish Church Fund and Workers Aid Plan | Fund | $391.46 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $391.46 | ↓ -39% |
| Amish Aid Community Plan | Fund | $391.46 | ↓ -39% |
| JP Farley | Commercial | $399.97 | ↓ -37% |
| Immergrun | Commercial | $425.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $425.50 | ↓ -33% |
| Sunrise Plan Communities | Fund | $425.50 | ↓ -33% |
| United Healthcare | Commercial | $428.90 | ↓ -33% |
| Anthem | Traditional Commercial | $429.76 | ↓ -33% |
| SummaCare | Commercial | $434.01 | ↓ -32% |
| AultCare | Commercial | $468.05 | ↓ -27% |
| Cigna | PPO Commercial | $472.31 | ↓ -26% |
| WellCare by AllWell | Medicare Advantage | $551.01 | ↓ -14% |
| Aetna | Medicare Advantage | $551.01 | ↓ -14% |
| Anthem | Medicare Advantage | $551.01 | ↓ -14% |
| Cigna | Medicare Advantage | $551.01 | ↓ -14% |
| Devoted Health | Medicare Advantage | $551.01 | ↓ -14% |
| Humana | Medicare Advantage | $551.01 | ↓ -14% |
| Molina | Medicare Advantage | $551.01 | ↓ -14% |
| Primetime Health Plan | Medicare Advantage | $551.01 | ↓ -14% |
| SummaCare | Medicare Advantage | $551.01 | ↓ -14% |
| The Health Plan | Medicare Advantage | $551.01 | ↓ -14% |
| United Healthcare | Medicare Advantage | $551.01 | ↓ -14% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $553.15 | ↓ -13% |
| HealthSmart | Commercial | $553.15 | ↓ -13% |
| The Health Plan | Commercial | $561.66 | ↓ -12% |
| Paramount | Medicare Advantage | $567.54 | ↓ -11% |
| Aetna | Commercial | $567.62 | ↓ -11% |
| Valor Health Plans | Medicare Advantage | $578.56 | ↓ -9% |
| Perennial Advantage of Ohio | Medicare Advantage | $578.56 | ↓ -9% |
| Medical Mutual Traditional/Health Ohio | Commercial | $595.70 | ↓ -7% |
| Ohio Preferred Network | Commercial | $680.80 | ↑ +7% |
| Beech Street | Commercial | $680.80 | ↑ +7% |
| First Health | Commercial | $706.33 | ↑ +11% |
| Century Health Network | Commercial | $723.35 | ↑ +13% |
| Private Healthcare System | Commercial | $731.86 | ↑ +15% |
| MultiPlan | Commercial | $765.90 | ↑ +20% |
| Ohio Health Choice | Commercial | $765.90 | ↑ +20% |
| Fortified Provider Network | Commercial | $765.90 | ↑ +20% |
| CareSource | Marketplace | $991.82 | ↑ +55% |
| Ambetter | Commercial | $991.82 | ↑ +55% |
| University Health Employee Plan (Contigo) | Commercial | $1,441.44 | ↑ +126% |
| Medical Mutual of Ohio | MedFlex Commercial | $1,508.00 | ↑ +136% |
| Cigna | OAP Commercial | $1,526.00 | ↑ +139% |
| Anthem | Commercial | $1,640.48 | ↑ +157% |
| Medical Mutual of Ohio | SuperMed Commercial | $1,676.00 | ↑ +163% |
| Medical Mutual of Ohio | NAS Commercial | $1,844.00 | ↑ +189% |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Control oropharyngeal hemorr/simp 42960 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $1,233.60 | not published |
| Trinity Medical Center East | Steubenville | $143.82 | $174.00 – $223.30 |
| cleveland clinic main campus | Cleveland | $1,522.95 | $0.01 – $2,108.70 |
| akron general | Akron | $1,522.95 | $1.10 – $2,108.70 |
| mercy hospital | Canton | $618.80 | $1.10 – $856.80 |
| University Hospitals Ahuja Medical Center | Beachwood | $638.25 | $188.07 – $1,441.44 |
| University Hospitals Beachwood Medical Center | Beachwood | $638.25 | $391.46 – $1,441.44 |
| University Hospitals Elyria Medical Center | Elyria | $638.25 | $510.25 – $918.44 |