healthcosts.net
Clean out mastoid cavity at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$579.00
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.
$772.00
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.
$308.80 with University Health Employee Plan (Contigo) vs $1,549.09 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 | $308.80 | ↓ -47% |
| Amish Church Fund and Workers Aid Plan | Fund | $355.12 | ↓ -39% |
| Amish Aid Community Plan | Fund | $355.12 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $355.12 | ↓ -39% |
| Immergrun | Commercial | $386.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $386.00 | ↓ -33% |
| Sunrise Plan Communities | Fund | $386.00 | ↓ -33% |
| SummaCare | Commercial | $393.72 | ↓ -32% |
| AultCare | Commercial | $424.60 | ↓ -27% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $501.80 | ↓ -13% |
| HealthSmart | Commercial | $501.80 | ↓ -13% |
| Molina | Medicare Advantage | $510.25 | ↓ -12% |
| Anthem | Medicare Advantage | $510.25 | ↓ -12% |
| Primetime Health Plan | Medicare Advantage | $510.25 | ↓ -12% |
| WellCare by AllWell | Medicare Advantage | $510.25 | ↓ -12% |
| Cigna | Medicare Advantage | $510.25 | ↓ -12% |
| Medical Mutual of Ohio | Medicare Advantage | $510.25 | ↓ -12% |
| SummaCare | Medicare Advantage | $510.25 | ↓ -12% |
| Devoted Health | Medicare Advantage | $510.25 | ↓ -12% |
| Aetna | Medicare Advantage | $510.25 | ↓ -12% |
| Humana | Medicare Advantage | $510.25 | ↓ -12% |
| United Healthcare | Medicare Advantage | $510.25 | ↓ -12% |
| The Health Plan | Medicare Advantage | $510.25 | ↓ -12% |
| Paramount | Medicare Advantage | $525.55 | ↓ -9% |
| Valor Health Plans | Medicare Advantage | $535.76 | ↓ -7% |
| Perennial Advantage of Ohio | Medicare Advantage | $535.76 | ↓ -7% |
| Ohio Preferred Network | Commercial | $617.60 | ↑ +7% |
| Beech Street | Commercial | $617.60 | ↑ +7% |
| First Health | Commercial | $640.76 | ↑ +11% |
| Aetna | Commercial | $643.85 | ↑ +11% |
| Century Health Network | Commercial | $656.20 | ↑ +13% |
| Private Healthcare System | Commercial | $663.92 | ↑ +15% |
| Ohio Health Choice | Commercial | $694.80 | ↑ +20% |
| Fortified Provider Network | Commercial | $694.80 | ↑ +20% |
| MultiPlan | Commercial | $694.80 | ↑ +20% |
| CareSource | Marketplace | $918.44 | ↑ +59% |
| Ambetter | Commercial | $918.44 | ↑ +59% |
| Anthem | Pathway HMO Commercial | $973.64 | ↑ +68% |
| Anthem | Pathway PPO Commercial | $1,085.33 | ↑ +87% |
| Medical Mutual of Ohio | MedFlex Commercial | $1,186.41 | ↑ +105% |
| Anthem | Blue Access Commercial | $1,216.97 | ↑ +110% |
| Cigna | Commercial | $1,289.91 | ↑ +123% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $1,304.37 | ↑ +125% |
| Medical Mutual of Ohio | SuperMed Commercial | $1,318.24 | ↑ +128% |
| Medical Mutual Traditional | Commercial | $1,331.14 | ↑ +130% |
| Anthem | Traditional Commercial | $1,391.05 | ↑ +140% |
| United Healthcare | Commercial | $1,549.09 | ↑ +168% |
| 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
Clean out mastoid cavity at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals St. John Medical Center | Westlake OH | $579.00 | $189.14 – $991.82 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $579.00 | $510.25 – $918.44 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $579.00 | $551.01 – $991.82 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $2,988.75 | $510.25 – $918.44 |