healthcosts.net
Breast punct aspir cyst, bil at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$542.25
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.
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What you pay up front if you don't use insurance.
$723.00
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.
$289.20 with University Health Employee Plan (Contigo) vs $2,033.92 with United Healthcare — 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 |
|---|---|---|---|
| University Health Employee Plan (Contigo) | Commercial | $289.20 | ↓ -47% |
| Amish Church Fund and Workers Aid Plan | Fund | $332.58 | ↓ -39% |
| Amish Aid Community Plan | Fund | $332.58 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $332.58 | ↓ -39% |
| Immergrun | Commercial | $361.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $361.50 | ↓ -33% |
| Sunrise Plan Communities | Fund | $361.50 | ↓ -33% |
| SummaCare | Commercial | $368.73 | ↓ -32% |
| AultCare | Commercial | $397.65 | ↓ -27% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $469.95 | ↓ -13% |
| HealthSmart | Commercial | $469.95 | ↓ -13% |
| Ohio Preferred Network | Commercial | $578.40 | ↑ +7% |
| Beech Street | Commercial | $578.40 | ↑ +7% |
| First Health | Commercial | $600.09 | ↑ +11% |
| Century Health Network | Commercial | $614.55 | ↑ +13% |
| Private Healthcare System | Commercial | $621.78 | ↑ +15% |
| Ohio Health Choice | Commercial | $650.70 | ↑ +20% |
| Fortified Provider Network | Commercial | $650.70 | ↑ +20% |
| MultiPlan | Commercial | $650.70 | ↑ +20% |
| Molina | Medicare Advantage | $669.95 | ↑ +24% |
| Anthem | Medicare Advantage | $669.95 | ↑ +24% |
| Primetime Health Plan | Medicare Advantage | $669.95 | ↑ +24% |
| WellCare by AllWell | Medicare Advantage | $669.95 | ↑ +24% |
| Cigna | Medicare Advantage | $669.95 | ↑ +24% |
| Medical Mutual of Ohio | Medicare Advantage | $669.95 | ↑ +24% |
| SummaCare | Medicare Advantage | $669.95 | ↑ +24% |
| Devoted Health | Medicare Advantage | $669.95 | ↑ +24% |
| Aetna | Medicare Advantage | $669.95 | ↑ +24% |
| Humana | Medicare Advantage | $669.95 | ↑ +24% |
| United Healthcare | Medicare Advantage | $669.95 | ↑ +24% |
| The Health Plan | Medicare Advantage | $669.95 | ↑ +24% |
| Paramount | Medicare Advantage | $690.05 | ↑ +27% |
| Valor Health Plans | Medicare Advantage | $703.45 | ↑ +30% |
| Perennial Advantage of Ohio | Medicare Advantage | $703.45 | ↑ +30% |
| CareSource | Marketplace | $1,205.91 | ↑ +122% |
| Ambetter | Commercial | $1,205.91 | ↑ +122% |
| Anthem | Pathway HMO Commercial | $1,278.36 | ↑ +136% |
| Anthem | Pathway PPO Commercial | $1,425.01 | ↑ +163% |
| Medical Mutual of Ohio | MedFlex Commercial | $1,557.73 | ↑ +187% |
| Anthem | Blue Access Commercial | $1,597.86 | ↑ +195% |
| Cigna | Commercial | $1,693.62 | ↑ +212% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $1,712.61 | ↑ +216% |
| Medical Mutual of Ohio | SuperMed Commercial | $1,730.81 | ↑ +219% |
| Medical Mutual Traditional | Commercial | $1,747.75 | ↑ +222% |
| Anthem | Traditional Commercial | $1,826.42 | ↑ +237% |
| Aetna | Commercial | $1,910.00 | ↑ +252% |
| United Healthcare | Commercial | $2,033.92 | ↑ +275% |
| 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
Breast punct aspir cyst, bil at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals St. John Medical Center | Westlake OH | $542.25 | $177.14 – $1,302.25 |
| University Hospitals Samaritan Medical Center | Ashland | $1,611.00 | $686.75 – $1,236.14 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $542.25 | $669.95 – $1,205.91 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $542.25 | $723.47 – $1,302.25 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $868.50 | $669.95 – $1,205.91 |