healthcosts.net
M/phmtrc alys ishquant/semiq at University Hospitals St. John Medical Center
29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868
$435.00
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.
$580.00
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.
$56.00 with United Healthcare vs $735.44 with Cigna — 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 |
|---|---|---|---|
| United Healthcare | Nexus Commercial | $56.00 | ↓ -87% |
| United Healthcare | Commercial | $62.00 | ↓ -86% |
| Anthem | Commercial | $126.65 | ↓ -71% |
| Medical Mutual of Ohio | Northern Ohio Commercial | $142.10 | ↓ -67% |
| Molina | Medicare Advantage | $174.06 | ↓ -60% |
| Anthem | Medicare Advantage | $174.06 | ↓ -60% |
| Primetime Health Plan | Medicare Advantage | $174.06 | ↓ -60% |
| WellCare by AllWell | Medicare Advantage | $174.06 | ↓ -60% |
| Cigna | Medicare Advantage | $174.06 | ↓ -60% |
| SummaCare | Medicare Advantage | $174.06 | ↓ -60% |
| Devoted Health | Medicare Advantage | $174.06 | ↓ -60% |
| Aetna | Medicare Advantage | $174.06 | ↓ -60% |
| Humana | Medicare Advantage | $174.06 | ↓ -60% |
| United Healthcare | Medicare Advantage | $174.06 | ↓ -60% |
| The Health Plan | Medicare Advantage | $174.06 | ↓ -60% |
| Medical Mutual of Ohio | MedFlex Commercial | $176.32 | ↓ -59% |
| Paramount | Medicare Advantage | $179.28 | ↓ -59% |
| Valor Health Plans | Medicare Advantage | $182.76 | ↓ -58% |
| Perennial Advantage of Ohio | Medicare Advantage | $182.76 | ↓ -58% |
| Medical Mutual of Ohio | SuperMed Commercial | $196.04 | ↓ -55% |
| Medical Mutual of Ohio | NAS Commercial | $215.76 | ↓ -50% |
| University Health Employee Plan (Contigo) | Commercial | $232.00 | ↓ -47% |
| Amish Church Fund and Workers Aid Plan | Fund | $266.80 | ↓ -39% |
| Amish Aid Community Plan | Fund | $266.80 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $266.80 | ↓ -39% |
| JP Farley | Commercial | $272.60 | ↓ -37% |
| Immergrun | Commercial | $290.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $290.00 | ↓ -33% |
| Sunrise Plan Communities | Fund | $290.00 | ↓ -33% |
| Anthem | Traditional Commercial | $292.90 | ↓ -33% |
| SummaCare | Commercial | $295.80 | ↓ -32% |
| CareSource | Marketplace | $313.31 | ↓ -28% |
| Ambetter | Commercial | $313.31 | ↓ -28% |
| AultCare | Commercial | $319.00 | ↓ -27% |
| Cigna | PPO Commercial | $321.90 | ↓ -26% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $377.00 | ↓ -13% |
| HealthSmart | Commercial | $377.00 | ↓ -13% |
| The Health Plan | Commercial | $382.80 | ↓ -12% |
| Medical Mutual Traditional/Health Ohio | Commercial | $406.00 | ↓ -7% |
| Ohio Preferred Network | Commercial | $464.00 | ↑ +7% |
| Beech Street | Commercial | $464.00 | ↑ +7% |
| First Health | Commercial | $481.40 | ↑ +11% |
| Century Health Network | Commercial | $493.00 | ↑ +13% |
| Private Healthcare System | Commercial | $498.80 | ↑ +15% |
| Ohio Health Choice | Commercial | $522.00 | ↑ +20% |
| Fortified Provider Network | Commercial | $522.00 | ↑ +20% |
| MultiPlan | Commercial | $522.00 | ↑ +20% |
| Aetna | Commercial | $728.82 | ↑ +68% |
| Cigna | OAP Commercial | $735.44 | ↑ +69% |
| 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
M/phmtrc alys ishquant/semiq at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Geneva Medical Center | Geneva | $418.50 | $69.00 – $502.20 |