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Breast reconstruction 19357 at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
not published by hospital
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.
not published by hospital
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.
$4,118.40 with University Health Employee Plan (Contigo) vs $39,582.29 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 | $4,118.40 | — |
| Aetna | Medicare Advantage | $13,037.84 | — |
| Anthem | Medicare Advantage | $13,037.84 | — |
| Cigna | Medicare Advantage | $13,037.84 | — |
| Devoted Health | Medicare Advantage | $13,037.84 | — |
| Humana | Medicare Advantage | $13,037.84 | — |
| Medical Mutual of Ohio | Medicare Advantage | $13,037.84 | — |
| Molina | Medicare Advantage | $13,037.84 | — |
| Primetime Health Plan | Medicare Advantage | $13,037.84 | — |
| SummaCare | Medicare Advantage | $13,037.84 | — |
| The Health Plan | Medicare Advantage | $13,037.84 | — |
| United Healthcare | Medicare Advantage | $13,037.84 | — |
| WellCare by AllWell | Medicare Advantage | $13,037.84 | — |
| Paramount | Medicare Advantage | $13,428.98 | — |
| Perennial Advantage of Ohio | Medicare Advantage | $13,689.74 | — |
| Valor Health Plans | Medicare Advantage | $13,689.74 | — |
| Ambetter | Commercial | $23,468.12 | — |
| CareSource | Marketplace | $23,468.12 | — |
| Anthem | Pathway HMO Commercial | $24,878.32 | — |
| Anthem | Pathway PPO Commercial | $27,732.25 | — |
| Medical Mutual of Ohio | MedFlex Commercial | $30,315.11 | — |
| Anthem | Blue Access Commercial | $31,095.97 | — |
| Cigna | Commercial | $32,959.57 | — |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $33,329.21 | — |
| Medical Mutual of Ohio | SuperMed Commercial | $33,683.45 | — |
| Medical Mutual Traditional | Commercial | $34,013.05 | — |
| Anthem | Traditional Commercial | $35,543.97 | — |
| United Healthcare | Commercial | $39,582.29 | — |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | not published | $13,037.84 – $23,468.12 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | not published | $14,079.44 – $25,342.99 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | not published | $13,037.84 – $23,468.12 |