Ins/rplc spi npg/rcvr pocket at University Hospitals St. John Medical Center
29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868
$36,000.00
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.
$48,000.00
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.
$1,857.44 with University Health Employee Plan (Contigo) vs $56,746.91 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 |
|---|---|---|---|
| University Health Employee Plan (Contigo) | Commercial | $1,857.44 | ↓ -95% |
| Cigna | OAP Commercial | $2,018.00 | ↓ -94% |
| Aetna | Commercial | $3,710.00 | ↓ -90% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $11,760.00 | ↓ -67% |
| Medical Mutual of Ohio | MedFlex Commercial | $15,989.00 | ↓ -56% |
| Medical Mutual of Ohio | SuperMed Commercial | $17,765.00 | ↓ -51% |
| Medical Mutual of Ohio | NAS Commercial | $19,542.00 | ↓ -46% |
| Amish Church Fund and Workers Aid Plan | Fund | $22,080.00 | ↓ -39% |
| Amish Aid Community Plan | Fund | $22,080.00 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $22,080.00 | ↓ -39% |
| JP Farley | Commercial | $22,560.00 | ↓ -37% |
| United Healthcare | Nexus Commercial | $23,395.11 | ↓ -35% |
| Sunrise Plan Communities | Fund | $24,000.00 | ↓ -33% |
| Immergrun | Commercial | $24,000.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $24,000.00 | ↓ -33% |
| Anthem | Traditional Commercial | $24,240.00 | ↓ -33% |
| SummaCare | Commercial | $24,480.00 | ↓ -32% |
| United Healthcare | Commercial | $25,994.56 | ↓ -28% |
| AultCare | Commercial | $26,400.00 | ↓ -27% |
| Cigna | PPO Commercial | $26,640.00 | ↓ -26% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $31,200.00 | ↓ -13% |
| HealthSmart | Commercial | $31,200.00 | ↓ -13% |
| WellCare by AllWell | Medicare Advantage | $31,526.06 | ↓ -12% |
| Aetna | Medicare Advantage | $31,526.06 | ↓ -12% |
| Anthem | Medicare Advantage | $31,526.06 | ↓ -12% |
| Cigna | Medicare Advantage | $31,526.06 | ↓ -12% |
| Devoted Health | Medicare Advantage | $31,526.06 | ↓ -12% |
| Humana | Medicare Advantage | $31,526.06 | ↓ -12% |
| Molina | Medicare Advantage | $31,526.06 | ↓ -12% |
| Primetime Health Plan | Medicare Advantage | $31,526.06 | ↓ -12% |
| SummaCare | Medicare Advantage | $31,526.06 | ↓ -12% |
| The Health Plan | Medicare Advantage | $31,526.06 | ↓ -12% |
| United Healthcare | Medicare Advantage | $31,526.06 | ↓ -12% |
| The Health Plan | Commercial | $31,680.00 | ↓ -12% |
| Paramount | Medicare Advantage | $32,471.84 | ↓ -10% |
| Anthem | Commercial | $32,656.32 | ↓ -9% |
| Valor Health Plans | Medicare Advantage | $33,102.36 | ↓ -8% |
| Perennial Advantage of Ohio | Medicare Advantage | $33,102.36 | ↓ -8% |
| Medical Mutual Traditional/Health Ohio | Commercial | $33,600.00 | ↓ -7% |
| Beech Street | Commercial | $38,400.00 | ↑ +7% |
| Ohio Preferred Network | Commercial | $38,400.00 | ↑ +7% |
| First Health | Commercial | $39,840.00 | ↑ +11% |
| Century Health Network | Commercial | $40,800.00 | ↑ +13% |
| Private Healthcare System | Commercial | $41,280.00 | ↑ +15% |
| Fortified Provider Network | Commercial | $43,200.00 | ↑ +20% |
| Ohio Health Choice | Commercial | $43,200.00 | ↑ +20% |
| MultiPlan | Commercial | $43,200.00 | ↑ +20% |
| CareSource | Marketplace | $56,746.91 | ↑ +58% |
| Ambetter | Commercial | $56,746.91 | ↑ +58% |
| Buckeye | Managed Medicaid | not published by hospital | — |
| United Healthcare | 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 | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
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Ins/rplc spi npg/rcvr pocket at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $68,063.63 | $30,071.45 – $30,672.88 |
| Anderson Hospital | Cincinnati | $76,459.72 | $30,071.45 – $30,672.88 |
| St Ritas Medical Center | Lima | $111,458.28 | $30,593.52 – $30,593.52 |
| cleveland clinic main campus | Cleveland | $26,310.05 | $1.10 – $36,429.30 |
| akron general | Akron | $1,484.60 | $1.10 – $30,409.55 |
| mercy hospital | Canton | $1,484.60 | $1.10 – $30,069.57 |
| University Hospitals Ahuja Medical Center | Beachwood | $36,000.00 | $900.00 – $52,548.77 |
| University Hospitals Beachwood Medical Center | Beachwood | $36,000.00 | $900.00 – $73,939.59 |