healthcosts.net
Factor viii fc fusion recomb at University Hospitals St. John Medical Center
29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868
$17,969.85
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.
$23,959.80
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.
$2.46 with Molina vs $8,086.44 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 |
|---|---|---|---|
| Molina | Medicare Advantage | $2.46 | ↓ -100% |
| Anthem | Medicare Advantage | $2.46 | ↓ -100% |
| Primetime Health Plan | Medicare Advantage | $2.46 | ↓ -100% |
| WellCare by AllWell | Medicare Advantage | $2.46 | ↓ -100% |
| Cigna | Medicare Advantage | $2.46 | ↓ -100% |
| SummaCare | Medicare Advantage | $2.46 | ↓ -100% |
| Devoted Health | Medicare Advantage | $2.46 | ↓ -100% |
| Aetna | Medicare Advantage | $2.46 | ↓ -100% |
| Humana | Medicare Advantage | $2.46 | ↓ -100% |
| United Healthcare | Medicare Advantage | $2.46 | ↓ -100% |
| The Health Plan | Medicare Advantage | $2.46 | ↓ -100% |
| Paramount | Medicare Advantage | $2.54 | ↓ -100% |
| Valor Health Plans | Medicare Advantage | $2.59 | ↓ -100% |
| Perennial Advantage of Ohio | Medicare Advantage | $2.59 | ↓ -100% |
| Medical Mutual of Ohio | MedFlex Commercial | $4.07 | ↓ -100% |
| CareSource | Marketplace | $4.43 | ↓ -100% |
| Ambetter | Commercial | $4.43 | ↓ -100% |
| Medical Mutual of Ohio | SuperMed Commercial | $4.52 | ↓ -100% |
| Medical Mutual of Ohio | NAS Commercial | $4.97 | ↓ -100% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $2,201.31 | ↓ -88% |
| University Health Employee Plan (Contigo) | Commercial | $3,593.97 | ↓ -80% |
| United Healthcare | Nexus Commercial | $4,079.16 | ↓ -77% |
| Amish Church Fund and Workers Aid Plan | Fund | $4,133.07 | ↓ -77% |
| Amish Aid Community Plan | Fund | $4,133.07 | ↓ -77% |
| Buckeye Plain Ministries | Fund | $4,133.07 | ↓ -77% |
| JP Farley | Commercial | $4,222.92 | ↓ -76% |
| Anthem | Commercial | $4,222.92 | ↓ -76% |
| Immergrun | Commercial | $4,492.47 | ↓ -75% |
| Christian Healthcare Ministries | Fund | $4,492.47 | ↓ -75% |
| Sunrise Plan Communities | Fund | $4,492.47 | ↓ -75% |
| United Healthcare | Commercial | $4,528.40 | ↓ -75% |
| Anthem | Traditional Commercial | $4,537.39 | ↓ -75% |
| SummaCare | Commercial | $4,582.31 | ↓ -75% |
| AultCare | Commercial | $4,941.71 | ↓ -72% |
| Cigna | PPO Commercial | $4,986.64 | ↓ -72% |
| Cigna | OAP Commercial | $5,364.00 | ↓ -70% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $5,840.20 | ↓ -68% |
| HealthSmart | Commercial | $5,840.20 | ↓ -68% |
| The Health Plan | Commercial | $5,930.05 | ↓ -67% |
| Aetna | Commercial | $5,992.95 | ↓ -67% |
| Medical Mutual Traditional/Health Ohio | Commercial | $6,289.45 | ↓ -65% |
| Ohio Preferred Network | Commercial | $7,187.94 | ↓ -60% |
| Beech Street | Commercial | $7,187.94 | ↓ -60% |
| First Health | Commercial | $7,457.49 | ↓ -58% |
| Century Health Network | Commercial | $7,637.19 | ↓ -57% |
| Private Healthcare System | Commercial | $7,727.04 | ↓ -57% |
| Ohio Health Choice | Commercial | $8,086.44 | ↓ -55% |
| Fortified Provider Network | Commercial | $8,086.44 | ↓ -55% |
| MultiPlan | Commercial | $8,086.44 | ↓ -55% |
| 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
Comments
Factor viii fc fusion recomb at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Geneva Medical Center | Geneva | $17,969.85 | $7.81 – $8,086.44 |
| University Hospitals Samaritan Medical Center | Ashland | $17,969.85 | $2.46 – $5.89 |