Factor ix complex at University Hospitals St. John Medical Center
29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868
$4,991.63
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.
$6,655.50
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.
$1.70 with WellCare by AllWell vs $2,994.98 with MultiPlan — 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 |
|---|---|---|---|
| WellCare by AllWell | Medicare Advantage | $1.70 | ↓ -100% |
| Aetna | Medicare Advantage | $1.70 | ↓ -100% |
| Anthem | Medicare Advantage | $1.70 | ↓ -100% |
| Cigna | Medicare Advantage | $1.70 | ↓ -100% |
| Devoted Health | Medicare Advantage | $1.70 | ↓ -100% |
| Humana | Medicare Advantage | $1.70 | ↓ -100% |
| Molina | Medicare Advantage | $1.70 | ↓ -100% |
| Primetime Health Plan | Medicare Advantage | $1.70 | ↓ -100% |
| SummaCare | Medicare Advantage | $1.70 | ↓ -100% |
| The Health Plan | Medicare Advantage | $1.70 | ↓ -100% |
| United Healthcare | Medicare Advantage | $1.70 | ↓ -100% |
| Paramount | Medicare Advantage | $1.76 | ↓ -100% |
| Valor Health Plans | Medicare Advantage | $1.79 | ↓ -100% |
| Perennial Advantage of Ohio | Medicare Advantage | $1.79 | ↓ -100% |
| Medical Mutual of Ohio | MedFlex Commercial | $2.86 | ↓ -100% |
| Ambetter | Commercial | $3.07 | ↓ -100% |
| CareSource | Marketplace | $3.07 | ↓ -100% |
| Medical Mutual of Ohio | SuperMed Commercial | $3.17 | ↓ -100% |
| Medical Mutual of Ohio | NAS Commercial | $3.49 | ↓ -100% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $815.30 | ↓ -84% |
| University Health Employee Plan (Contigo) | Commercial | $1,331.10 | ↓ -73% |
| United Healthcare | Nexus Commercial | $1,510.80 | ↓ -70% |
| Amish Church Fund and Workers Aid Plan | Fund | $1,530.77 | ↓ -69% |
| Amish Aid Community Plan | Fund | $1,530.77 | ↓ -69% |
| Buckeye Plain Ministries | Fund | $1,530.77 | ↓ -69% |
| JP Farley | Commercial | $1,564.04 | ↓ -69% |
| Anthem | Commercial | $1,564.04 | ↓ -69% |
| Christian Healthcare Ministries | Fund | $1,663.88 | ↓ -67% |
| Sunrise Plan Communities | Fund | $1,663.88 | ↓ -67% |
| Immergrun | Commercial | $1,663.88 | ↓ -67% |
| United Healthcare | Commercial | $1,677.19 | ↓ -66% |
| Anthem | Traditional Commercial | $1,680.51 | ↓ -66% |
| SummaCare | Commercial | $1,697.15 | ↓ -66% |
| AultCare | Commercial | $1,830.26 | ↓ -63% |
| Cigna | PPO Commercial | $1,846.90 | ↓ -63% |
| Cigna | OAP Commercial | $1,986.67 | ↓ -60% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $2,163.04 | ↓ -57% |
| HealthSmart | Commercial | $2,163.04 | ↓ -57% |
| The Health Plan | Commercial | $2,196.32 | ↓ -56% |
| Aetna | Commercial | $2,219.61 | ↓ -56% |
| Medical Mutual Traditional/Health Ohio | Commercial | $2,329.43 | ↓ -53% |
| Ohio Preferred Network | Commercial | $2,662.20 | ↓ -47% |
| Beech Street | Commercial | $2,662.20 | ↓ -47% |
| First Health | Commercial | $2,762.03 | ↓ -45% |
| Century Health Network | Commercial | $2,828.59 | ↓ -43% |
| Private Healthcare System | Commercial | $2,861.87 | ↓ -43% |
| Fortified Provider Network | Commercial | $2,994.98 | ↓ -40% |
| Ohio Health Choice | Commercial | $2,994.98 | ↓ -40% |
| MultiPlan | Commercial | $2,994.98 | ↓ -40% |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Humana | 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
Factor ix complex at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | not published | $0.21 – $5,653.60 |
| akron general | Akron | not published | $1.59 – $4,487.68 |
| avon hospital | Avon | not published | $1.65 – $4,235.82 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3.25 – $7,857.81 |
| euclid hospital | Euclid | not published | $1.61 – $4,930.99 |
| fairview hospital | Cleveland | not published | $1.61 – $4,632.42 |
| lutheran hospital | Cleveland | not published | $1.65 – $4,410.22 |
| hillcrest hospital | Mayfield Heights | not published | $1.61 – $4,826.26 |