Membrane collgn porcine maci w/autologous cult chondrocytes at University Hospitals St. John Medical Center
29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868
$235,134.00
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.
$313,512.00
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.
$44,588.78 with Medical Mutual of Ohio vs $234,984.54 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 |
|---|---|---|---|
| Medical Mutual of Ohio | Northern Ohio Commercial | $44,588.78 | ↓ -81% |
| Medical Mutual of Ohio | MedFlex Commercial | $55,326.48 | ↓ -76% |
| Medical Mutual of Ohio | SuperMed Commercial | $61,514.31 | ↓ -74% |
| Medical Mutual of Ohio | NAS Commercial | $67,702.14 | ↓ -71% |
| University Health Employee Plan (Contigo) | Commercial | $72,798.00 | ↓ -69% |
| United Healthcare | Nexus Commercial | $82,625.73 | ↓ -65% |
| Amish Aid Community Plan | Fund | $83,717.70 | ↓ -64% |
| Buckeye Plain Ministries | Fund | $83,717.70 | ↓ -64% |
| Amish Church Fund and Workers Aid Plan | Fund | $83,717.70 | ↓ -64% |
| Anthem | Commercial | $85,537.65 | ↓ -64% |
| JP Farley | Commercial | $85,537.65 | ↓ -64% |
| Christian Healthcare Ministries | Fund | $90,997.50 | ↓ -61% |
| Immergrun | Commercial | $90,997.50 | ↓ -61% |
| Sunrise Plan Communities | Fund | $90,997.50 | ↓ -61% |
| United Healthcare | Commercial | $91,725.48 | ↓ -61% |
| Anthem | Traditional Commercial | $91,907.48 | ↓ -61% |
| SummaCare | Commercial | $92,817.45 | ↓ -61% |
| AultCare | Commercial | $100,097.25 | ↓ -57% |
| Cigna | PPO Commercial | $101,007.23 | ↓ -57% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $118,296.75 | ↓ -50% |
| HealthSmart | Commercial | $118,296.75 | ↓ -50% |
| The Health Plan | Commercial | $120,116.70 | ↓ -49% |
| Aetna | Commercial | $121,390.67 | ↓ -48% |
| Medical Mutual Traditional/Health Ohio | Commercial | $127,396.50 | ↓ -46% |
| Ohio Preferred Network | Commercial | $145,596.00 | ↓ -38% |
| Beech Street | Commercial | $145,596.00 | ↓ -38% |
| First Health | Commercial | $151,055.85 | ↓ -36% |
| Century Health Network | Commercial | $154,695.75 | ↓ -34% |
| Private Healthcare System | Commercial | $156,515.70 | ↓ -33% |
| MultiPlan | Commercial | $163,795.50 | ↓ -30% |
| Fortified Provider Network | Commercial | $163,795.50 | ↓ -30% |
| Ohio Health Choice | Commercial | $163,795.50 | ↓ -30% |
| Cigna | OAP Commercial | $234,984.54 | ↓ -0% |
| WellCare by AllWell | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Ambetter | Commercial | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| CareSource | Marketplace | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| Devoted Health | Medicare Advantage | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Molina | Medicare Advantage | not published by hospital | — |
| Paramount | Medicare Advantage | not published by hospital | — |
| Perennial Advantage of Ohio | Medicare Advantage | not published by hospital | — |
| Primetime Health Plan | Medicare Advantage | not published by hospital | — |
| SummaCare | Medicare Advantage | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| United Healthcare | Medicare Advantage | not published by hospital | — |
| Valor Health Plans | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Membrane collgn porcine maci w/autologous cult chondrocytes at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Ahuja Medical Center | Beachwood | $235,134.00 | $900.00 – $163,795.50 |
| University Hospitals Beachwood Medical Center | Beachwood | $235,134.00 | $900.00 – $163,795.50 |
| University Hospitals Conneaut Medical Center | Conneaut | $235,134.00 | not published |
| University Hospitals Elyria Medical Center | Elyria | $235,134.00 | not published |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $235,134.00 | not published |
| University Hospitals Geneva Medical Center | Geneva | $235,134.00 | not published |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $235,134.00 | not published |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $235,134.00 | not published |