Nasal/sinus endoscopy surg w/bx 31237 at University Hospitals St. John Medical Center
29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868
$4,086.00
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.
$5,448.00
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.
$1,334.76 with Medical Mutual of Ohio vs $4,903.20 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 |
|---|---|---|---|
| Medical Mutual of Ohio | Northern Ohio Commercial | $1,334.76 | ↓ -67% |
| Aetna | Medicare Advantage | $1,818.45 | ↓ -55% |
| WellCare by AllWell | Medicare Advantage | $1,818.45 | ↓ -55% |
| Anthem | Medicare Advantage | $1,818.45 | ↓ -55% |
| Cigna | Medicare Advantage | $1,818.45 | ↓ -55% |
| Devoted Health | Medicare Advantage | $1,818.45 | ↓ -55% |
| Humana | Medicare Advantage | $1,818.45 | ↓ -55% |
| Molina | Medicare Advantage | $1,818.45 | ↓ -55% |
| Primetime Health Plan | Medicare Advantage | $1,818.45 | ↓ -55% |
| SummaCare | Medicare Advantage | $1,818.45 | ↓ -55% |
| The Health Plan | Medicare Advantage | $1,818.45 | ↓ -55% |
| United Healthcare | Medicare Advantage | $1,818.45 | ↓ -55% |
| University Health Employee Plan (Contigo) | Commercial | $1,857.44 | ↓ -55% |
| Paramount | Medicare Advantage | $1,873.00 | ↓ -54% |
| Perennial Advantage of Ohio | Medicare Advantage | $1,909.37 | ↓ -53% |
| Valor Health Plans | Medicare Advantage | $1,909.37 | ↓ -53% |
| United Healthcare | Nexus Commercial | $1,910.70 | ↓ -53% |
| Cigna | OAP Commercial | $2,018.00 | ↓ -51% |
| Anthem | Commercial | $2,118.64 | ↓ -48% |
| United Healthcare | Commercial | $2,123.00 | ↓ -48% |
| Amish Church Fund and Workers Aid Plan | Fund | $2,506.08 | ↓ -39% |
| Amish Aid Community Plan | Fund | $2,506.08 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $2,506.08 | ↓ -39% |
| Medical Mutual of Ohio | MedFlex Commercial | $2,513.00 | ↓ -38% |
| JP Farley | Commercial | $2,560.56 | ↓ -37% |
| Immergrun | Commercial | $2,724.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $2,724.00 | ↓ -33% |
| Sunrise Plan Communities | Fund | $2,724.00 | ↓ -33% |
| Anthem | Traditional Commercial | $2,751.24 | ↓ -33% |
| SummaCare | Commercial | $2,778.48 | ↓ -32% |
| Medical Mutual of Ohio | SuperMed Commercial | $2,792.00 | ↓ -32% |
| AultCare | Commercial | $2,996.40 | ↓ -27% |
| Cigna | PPO Commercial | $3,023.64 | ↓ -26% |
| Medical Mutual of Ohio | NAS Commercial | $3,071.00 | ↓ -25% |
| Ambetter | Commercial | $3,273.21 | ↓ -20% |
| CareSource | Marketplace | $3,273.21 | ↓ -20% |
| HealthSmart | Commercial | $3,541.20 | ↓ -13% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $3,541.20 | ↓ -13% |
| The Health Plan | Commercial | $3,595.68 | ↓ -12% |
| Aetna | Commercial | $3,633.82 | ↓ -11% |
| Medical Mutual Traditional/Health Ohio | Commercial | $3,813.60 | ↓ -7% |
| Ohio Preferred Network | Commercial | $4,358.40 | ↑ +7% |
| Beech Street | Commercial | $4,358.40 | ↑ +7% |
| First Health | Commercial | $4,521.84 | ↑ +11% |
| Century Health Network | Commercial | $4,630.80 | ↑ +13% |
| Private Healthcare System | Commercial | $4,685.28 | ↑ +15% |
| Ohio Health Choice | Commercial | $4,903.20 | ↑ +20% |
| Fortified Provider Network | Commercial | $4,903.20 | ↑ +20% |
| MultiPlan | Commercial | $4,903.20 | ↑ +20% |
| CareSource | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Nasal/sinus endoscopy surg w/bx 31237 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $20,371.97 | $3,230.98 – $3,295.60 |
| Mercy West Hospital | Cincinnati | $19,040.35 | $1,764.66 – $1,799.95 |
| cleveland clinic main campus | Cleveland | $5,156.45 | $0.01 – $7,139.70 |
| akron general | Akron | $743.60 | $1.10 – $1,734.44 |
| avon hospital | Avon | $5,156.45 | $0.01 – $7,139.70 |
| euclid hospital | Euclid | $5,156.45 | $0.01 – $7,139.70 |
| fairview hospital | Cleveland | $5,156.45 | $0.01 – $7,139.70 |
| lutheran hospital | Cleveland | $5,156.45 | $0.01 – $7,139.70 |