Dup scan/ue art/graft/bilat/comp 93930 at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$782.25
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.
$1,043.00
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.
$225.74 with WellCare by AllWell vs $938.70 with Fortified Provider Network — 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 |
|---|---|---|---|
| WellCare by AllWell | Medicare Advantage | $225.74 | ↓ -71% |
| Aetna | Medicare Advantage | $225.74 | ↓ -71% |
| Anthem | Medicare Advantage | $225.74 | ↓ -71% |
| Cigna | Medicare Advantage | $225.74 | ↓ -71% |
| Devoted Health | Medicare Advantage | $225.74 | ↓ -71% |
| Humana | Medicare Advantage | $225.74 | ↓ -71% |
| Medical Mutual of Ohio | Medicare Advantage | $225.74 | ↓ -71% |
| Molina | Medicare Advantage | $225.74 | ↓ -71% |
| Primetime Health Plan | Medicare Advantage | $225.74 | ↓ -71% |
| SummaCare | Medicare Advantage | $225.74 | ↓ -71% |
| The Health Plan | Medicare Advantage | $225.74 | ↓ -71% |
| United Healthcare | Medicare Advantage | $225.74 | ↓ -71% |
| Paramount | Medicare Advantage | $232.51 | ↓ -70% |
| Valor Health Plans | Medicare Advantage | $237.02 | ↓ -70% |
| Perennial Advantage of Ohio | Medicare Advantage | $237.02 | ↓ -70% |
| CareSource | Marketplace | $406.32 | ↓ -48% |
| Ambetter | Commercial | $406.32 | ↓ -48% |
| University Health Employee Plan (Contigo) | Commercial | $417.20 | ↓ -47% |
| Anthem | Pathway HMO Commercial | $430.74 | ↓ -45% |
| Buckeye Plain Ministries | Fund | $479.78 | ↓ -39% |
| Amish Church Fund and Workers Aid Plan | Fund | $479.78 | ↓ -39% |
| Amish Aid Community Plan | Fund | $479.78 | ↓ -39% |
| Anthem | Pathway PPO Commercial | $480.15 | ↓ -39% |
| Sunrise Plan Communities | Fund | $521.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $521.50 | ↓ -33% |
| Immergrun | Commercial | $521.50 | ↓ -33% |
| Medical Mutual of Ohio | MedFlex Commercial | $524.87 | ↓ -33% |
| SummaCare | Commercial | $531.93 | ↓ -32% |
| Anthem | Blue Access Commercial | $538.39 | ↓ -31% |
| Cigna | Commercial | $570.65 | ↓ -27% |
| AultCare | Commercial | $573.65 | ↓ -27% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $577.05 | ↓ -26% |
| Medical Mutual of Ohio | SuperMed Commercial | $583.19 | ↓ -25% |
| Medical Mutual Traditional | Commercial | $588.89 | ↓ -25% |
| Anthem | Traditional Commercial | $615.40 | ↓ -21% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $677.95 | ↓ -13% |
| HealthSmart | Commercial | $677.95 | ↓ -13% |
| United Healthcare | Commercial | $685.32 | ↓ -12% |
| Ohio Preferred Network | Commercial | $834.40 | ↑ +7% |
| Beech Street | Commercial | $834.40 | ↑ +7% |
| First Health | Commercial | $865.69 | ↑ +11% |
| Aetna | Commercial | $869.86 | ↑ +11% |
| Century Health Network | Commercial | $886.55 | ↑ +13% |
| Private Healthcare System | Commercial | $896.98 | ↑ +15% |
| MultiPlan | Commercial | $938.70 | ↑ +20% |
| Ohio Health Choice | Commercial | $938.70 | ↑ +20% |
| Fortified Provider Network | Commercial | $938.70 | ↑ +20% |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $581.24 | $611.40 – $784.63 |
| cleveland clinic main campus | Cleveland | $1,111.50 | $1.10 – $1,251.00 |
| akron general | Akron | $1,111.50 | $1.10 – $1,251.00 |
| avon hospital | Avon | $903.50 | $83.17 – $1,251.00 |
| euclid hospital | Euclid | $903.50 | $85.22 – $1,251.00 |
| fairview hospital | Cleveland | $903.50 | $80.06 – $1,251.00 |
| lutheran hospital | Cleveland | $903.50 | $76.22 – $1,251.00 |
| hillcrest hospital | Mayfield Heights | $903.50 | $83.41 – $1,251.00 |