Explore/treat knee joint at University Hospitals St. John Medical Center
29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868
$4,723.50
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.
?
What you pay up front if you don't use insurance.
$6,298.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,543.01 with Medical Mutual of Ohio vs $6,742.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,543.01 | ↓ -67% |
| Anthem | Commercial | $2,372.22 | ↓ -50% |
| University Health Employee Plan (Contigo) | Commercial | $2,693.60 | ↓ -43% |
| Cigna | OAP Commercial | $2,775.00 | ↓ -41% |
| Buckeye Plain Ministries | Fund | $2,897.08 | ↓ -39% |
| Amish Aid Community Plan | Fund | $2,897.08 | ↓ -39% |
| Amish Church Fund and Workers Aid Plan | Fund | $2,897.08 | ↓ -39% |
| JP Farley | Commercial | $2,960.06 | ↓ -37% |
| Sunrise Plan Communities | Fund | $3,149.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $3,149.00 | ↓ -33% |
| Immergrun | Commercial | $3,149.00 | ↓ -33% |
| Anthem | Traditional Commercial | $3,180.49 | ↓ -33% |
| SummaCare | Commercial | $3,211.98 | ↓ -32% |
| WellCare by AllWell | Medicare Advantage | $3,342.87 | ↓ -29% |
| Aetna | Medicare Advantage | $3,342.87 | ↓ -29% |
| Anthem | Medicare Advantage | $3,342.87 | ↓ -29% |
| Cigna | Medicare Advantage | $3,342.87 | ↓ -29% |
| Devoted Health | Medicare Advantage | $3,342.87 | ↓ -29% |
| Humana | Medicare Advantage | $3,342.87 | ↓ -29% |
| Molina | Medicare Advantage | $3,342.87 | ↓ -29% |
| Primetime Health Plan | Medicare Advantage | $3,342.87 | ↓ -29% |
| SummaCare | Medicare Advantage | $3,342.87 | ↓ -29% |
| The Health Plan | Medicare Advantage | $3,342.87 | ↓ -29% |
| United Healthcare | Medicare Advantage | $3,342.87 | ↓ -29% |
| Paramount | Medicare Advantage | $3,443.16 | ↓ -27% |
| AultCare | Commercial | $3,463.90 | ↓ -27% |
| Cigna | PPO Commercial | $3,495.39 | ↓ -26% |
| Valor Health Plans | Medicare Advantage | $3,510.01 | ↓ -26% |
| Perennial Advantage of Ohio | Medicare Advantage | $3,510.01 | ↓ -26% |
| HealthSmart | Commercial | $4,093.70 | ↓ -13% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $4,093.70 | ↓ -13% |
| The Health Plan | Commercial | $4,156.68 | ↓ -12% |
| Medical Mutual Traditional/Health Ohio | Commercial | $4,408.60 | ↓ -7% |
| Ohio Preferred Network | Commercial | $5,038.40 | ↑ +7% |
| Beech Street | Commercial | $5,038.40 | ↑ +7% |
| Aetna | Commercial | $5,095.00 | ↑ +8% |
| First Health | Commercial | $5,227.34 | ↑ +11% |
| Century Health Network | Commercial | $5,353.30 | ↑ +13% |
| Private Healthcare System | Commercial | $5,416.28 | ↑ +15% |
| Medical Mutual of Ohio | MedFlex Commercial | $5,483.00 | ↑ +16% |
| Ohio Health Choice | Commercial | $5,668.20 | ↑ +20% |
| Fortified Provider Network | Commercial | $5,668.20 | ↑ +20% |
| MultiPlan | Commercial | $5,668.20 | ↑ +20% |
| Ambetter | Commercial | $6,017.17 | ↑ +27% |
| CareSource | Marketplace | $6,017.17 | ↑ +27% |
| United Healthcare | Nexus Commercial | $6,067.80 | ↑ +28% |
| Medical Mutual of Ohio | SuperMed Commercial | $6,092.00 | ↑ +29% |
| Medical Mutual of Ohio | NAS Commercial | $6,701.00 | ↑ +42% |
| United Healthcare | Commercial | $6,742.00 | ↑ +43% |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| United Healthcare | 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 | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Explore/treat knee joint at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,565.20 | $1.10 – $3,095.56 |
| akron general | Akron | $1,565.20 | $1.10 – $3,237.79 |
| mercy hospital | Canton | $1,565.20 | $1.10 – $3,188.43 |
| University Hospitals Ahuja Medical Center | Beachwood | $4,723.50 | $900.00 – $5,668.20 |
| University Hospitals Beachwood Medical Center | Beachwood | $4,723.50 | $900.00 – $7,840.20 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,228.00 | not published |
| University Hospitals Elyria Medical Center | Elyria | $4,723.50 | $3,095.56 – $5,572.02 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $4,723.50 | $3,095.56 – $5,572.02 |