Pr biopsy skin punch single lesion at University Hospitals St. John Medical Center
29000 Center Ridge Road, Westlake OH, OH · University Hospitals · · NPI 1841264868
$311.25
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.
?
What you pay up front if you don't use insurance.
$415.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$101.68 with Medical Mutual of Ohio vs $2,623.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $101.68 | ↓ -67% |
| University Health Employee Plan (Contigo) | Commercial | $166.00 | ↓ -47% |
| Amish Aid Community Plan | Fund | $190.90 | ↓ -39% |
| Amish Church Fund and Workers Aid Plan | Fund | $190.90 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $190.90 | ↓ -39% |
| Anthem | Commercial | $195.05 | ↓ -37% |
| JP Farley | Commercial | $195.05 | ↓ -37% |
| Christian Healthcare Ministries | Fund | $207.50 | ↓ -33% |
| Immergrun | Commercial | $207.50 | ↓ -33% |
| Sunrise Plan Communities | Fund | $207.50 | ↓ -33% |
| Anthem | Traditional Commercial | $209.58 | ↓ -33% |
| SummaCare | Commercial | $211.65 | ↓ -32% |
| AultCare | Commercial | $228.25 | ↓ -27% |
| Cigna | PPO Commercial | $230.33 | ↓ -26% |
| HealthSmart | Commercial | $269.75 | ↓ -13% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $269.75 | ↓ -13% |
| The Health Plan | Commercial | $273.90 | ↓ -12% |
| Medical Mutual Traditional/Health Ohio | Commercial | $290.50 | ↓ -7% |
| Beech Street | Commercial | $332.00 | ↑ +7% |
| Ohio Preferred Network | Commercial | $332.00 | ↑ +7% |
| First Health | Commercial | $344.45 | ↑ +11% |
| Century Health Network | Commercial | $352.75 | ↑ +13% |
| Private Healthcare System | Commercial | $356.90 | ↑ +15% |
| Ohio Health Choice | Commercial | $373.50 | ↑ +20% |
| Fortified Provider Network | Commercial | $373.50 | ↑ +20% |
| MultiPlan | Commercial | $373.50 | ↑ +20% |
| WellCare by AllWell | Medicare Advantage | $415.32 | ↑ +33% |
| Aetna | Medicare Advantage | $415.32 | ↑ +33% |
| Anthem | Medicare Advantage | $415.32 | ↑ +33% |
| Cigna | Medicare Advantage | $415.32 | ↑ +33% |
| Devoted Health | Medicare Advantage | $415.32 | ↑ +33% |
| Humana | Medicare Advantage | $415.32 | ↑ +33% |
| Molina | Medicare Advantage | $415.32 | ↑ +33% |
| Primetime Health Plan | Medicare Advantage | $415.32 | ↑ +33% |
| SummaCare | Medicare Advantage | $415.32 | ↑ +33% |
| The Health Plan | Medicare Advantage | $415.32 | ↑ +33% |
| United Healthcare | Medicare Advantage | $415.32 | ↑ +33% |
| Paramount | Medicare Advantage | $427.78 | ↑ +37% |
| Valor Health Plans | Medicare Advantage | $436.09 | ↑ +40% |
| Perennial Advantage of Ohio | Medicare Advantage | $436.09 | ↑ +40% |
| United Healthcare | Nexus Commercial | $479.00 | ↑ +54% |
| United Healthcare | Commercial | $531.62 | ↑ +71% |
| Cigna | OAP Commercial | $600.00 | ↑ +93% |
| CareSource | Marketplace | $747.58 | ↑ +140% |
| Ambetter | Commercial | $747.58 | ↑ +140% |
| Medical Mutual of Ohio | MedFlex Commercial | $1,508.00 | ↑ +384% |
| Medical Mutual of Ohio | SuperMed Commercial | $1,676.00 | ↑ +438% |
| Medical Mutual of Ohio | NAS Commercial | $1,844.00 | ↑ +492% |
| Aetna | Commercial | $2,623.00 | ↑ +743% |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Humana | 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
Pr biopsy skin punch single lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $679.20 | $396.16 – $404.08 |
| Clermont Hospital | Batavia | $606.60 | not published |
| Kings Mills Hospital | Mason | $606.60 | not published |
| Mercy West Hospital | Cincinnati | $606.60 | not published |
| St Ritas Medical Center | Lima | $1,622.94 | $403.03 – $411.10 |
| Trinity Medical Center East | Steubenville | $305.50 | $369.60 – $492.80 |
| cleveland clinic main campus | Cleveland | $779.35 | $0.01 – $1,079.10 |
| akron general | Akron | $779.35 | $0.01 – $1,079.10 |