healthcosts.net
Biliary endoscopy thru skin at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$4,690.50
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.
$6,254.00
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.
$900.00 with SummaCare vs $30,531.52 with United Healthcare — 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 |
|---|---|---|---|
| SummaCare | Commercial | $900.00 | ↓ -81% |
| University Health Employee Plan (Contigo) | Commercial | $2,453.36 | ↓ -48% |
| Amish Church Fund and Workers Aid Plan | Fund | $2,876.84 | ↓ -39% |
| Amish Aid Community Plan | Fund | $2,876.84 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $2,876.84 | ↓ -39% |
| Aetna | Commercial | $2,971.00 | ↓ -37% |
| Immergrun | Commercial | $3,127.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $3,127.00 | ↓ -33% |
| Sunrise Plan Communities | Fund | $3,127.00 | ↓ -33% |
| AultCare | Commercial | $3,439.70 | ↓ -27% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $4,065.10 | ↓ -13% |
| HealthSmart | Commercial | $4,065.10 | ↓ -13% |
| Ohio Preferred Network | Commercial | $5,003.20 | ↑ +7% |
| Beech Street | Commercial | $5,003.20 | ↑ +7% |
| First Health | Commercial | $5,190.82 | ↑ +11% |
| Century Health Network | Commercial | $5,315.90 | ↑ +13% |
| Private Healthcare System | Commercial | $5,378.44 | ↑ +15% |
| Ohio Health Choice | Commercial | $5,628.60 | ↑ +20% |
| Fortified Provider Network | Commercial | $5,628.60 | ↑ +20% |
| MultiPlan | Commercial | $5,628.60 | ↑ +20% |
| Molina | Medicare Advantage | $10,056.64 | ↑ +114% |
| Anthem | Medicare Advantage | $10,056.64 | ↑ +114% |
| Primetime Health Plan | Medicare Advantage | $10,056.64 | ↑ +114% |
| WellCare by AllWell | Medicare Advantage | $10,056.64 | ↑ +114% |
| Cigna | Medicare Advantage | $10,056.64 | ↑ +114% |
| Medical Mutual of Ohio | Medicare Advantage | $10,056.64 | ↑ +114% |
| SummaCare | Medicare Advantage | $10,056.64 | ↑ +114% |
| Devoted Health | Medicare Advantage | $10,056.64 | ↑ +114% |
| Aetna | Medicare Advantage | $10,056.64 | ↑ +114% |
| Humana | Medicare Advantage | $10,056.64 | ↑ +114% |
| United Healthcare | Medicare Advantage | $10,056.64 | ↑ +114% |
| The Health Plan | Medicare Advantage | $10,056.64 | ↑ +114% |
| Paramount | Medicare Advantage | $10,358.34 | ↑ +121% |
| Valor Health Plans | Medicare Advantage | $10,559.47 | ↑ +125% |
| Perennial Advantage of Ohio | Medicare Advantage | $10,559.47 | ↑ +125% |
| CareSource | Marketplace | $18,101.96 | ↑ +286% |
| Ambetter | Commercial | $18,101.96 | ↑ +286% |
| Anthem | Pathway HMO Commercial | $19,189.72 | ↑ +309% |
| Anthem | Pathway PPO Commercial | $21,391.07 | ↑ +356% |
| Medical Mutual of Ohio | MedFlex Commercial | $23,383.34 | ↑ +399% |
| Anthem | Blue Access Commercial | $23,985.66 | ↑ +411% |
| Cigna | Commercial | $25,423.14 | ↑ +442% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $25,708.26 | ↑ +448% |
| Medical Mutual of Ohio | SuperMed Commercial | $25,981.49 | ↑ +454% |
| Medical Mutual Traditional | Commercial | $26,235.73 | ↑ +459% |
| Anthem | Traditional Commercial | $27,416.59 | ↑ +485% |
| United Healthcare | Commercial | $30,531.52 | ↑ +551% |
| 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
Biliary endoscopy thru skin at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Geneva Medical Center | Geneva | $4,336.50 | $1,156.40 – $5,203.80 |
| University Hospitals St. John Medical Center | Westlake OH | $4,690.50 | $1,532.23 – $19,548.13 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $4,690.50 | $10,056.64 – $18,101.96 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $4,690.50 | $10,860.07 – $19,548.13 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $4,690.50 | $10,056.64 – $18,101.96 |