Ercp lesion ablate w/dilate 43278 at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$5,948.25
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.
$7,931.00
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.
$900.00 with SummaCare vs $11,073.87 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 |
|---|---|---|---|
| SummaCare | Commercial | $900.00 | ↓ -85% |
| Aetna | Commercial | $2,971.00 | ↓ -50% |
| University Health Employee Plan (Contigo) | Commercial | $3,172.40 | ↓ -47% |
| WellCare by AllWell | Medicare Advantage | $3,647.57 | ↓ -39% |
| Aetna | Medicare Advantage | $3,647.57 | ↓ -39% |
| Anthem | Medicare Advantage | $3,647.57 | ↓ -39% |
| Cigna | Medicare Advantage | $3,647.57 | ↓ -39% |
| Devoted Health | Medicare Advantage | $3,647.57 | ↓ -39% |
| Humana | Medicare Advantage | $3,647.57 | ↓ -39% |
| Medical Mutual of Ohio | Medicare Advantage | $3,647.57 | ↓ -39% |
| Molina | Medicare Advantage | $3,647.57 | ↓ -39% |
| Primetime Health Plan | Medicare Advantage | $3,647.57 | ↓ -39% |
| SummaCare | Medicare Advantage | $3,647.57 | ↓ -39% |
| The Health Plan | Medicare Advantage | $3,647.57 | ↓ -39% |
| United Healthcare | Medicare Advantage | $3,647.57 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $3,648.26 | ↓ -39% |
| Amish Aid Community Plan | Fund | $3,648.26 | ↓ -39% |
| Amish Church Fund and Workers Aid Plan | Fund | $3,648.26 | ↓ -39% |
| Paramount | Medicare Advantage | $3,757.00 | ↓ -37% |
| Valor Health Plans | Medicare Advantage | $3,829.95 | ↓ -36% |
| Perennial Advantage of Ohio | Medicare Advantage | $3,829.95 | ↓ -36% |
| Immergrun | Commercial | $3,965.50 | ↓ -33% |
| Sunrise Plan Communities | Fund | $3,965.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $3,965.50 | ↓ -33% |
| AultCare | Commercial | $4,362.05 | ↓ -27% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $5,155.15 | ↓ -13% |
| HealthSmart | Commercial | $5,155.15 | ↓ -13% |
| Beech Street | Commercial | $6,344.80 | ↑ +7% |
| Ohio Preferred Network | Commercial | $6,344.80 | ↑ +7% |
| Ambetter | Commercial | $6,565.63 | ↑ +10% |
| CareSource | Marketplace | $6,565.63 | ↑ +10% |
| First Health | Commercial | $6,582.73 | ↑ +11% |
| Century Health Network | Commercial | $6,741.35 | ↑ +13% |
| Private Healthcare System | Commercial | $6,820.66 | ↑ +15% |
| Anthem | Pathway HMO Commercial | $6,960.17 | ↑ +17% |
| MultiPlan | Commercial | $7,137.90 | ↑ +20% |
| Ohio Health Choice | Commercial | $7,137.90 | ↑ +20% |
| Fortified Provider Network | Commercial | $7,137.90 | ↑ +20% |
| Anthem | Pathway PPO Commercial | $7,758.61 | ↑ +30% |
| Medical Mutual of Ohio | MedFlex Commercial | $8,481.21 | ↑ +43% |
| Anthem | Blue Access Commercial | $8,699.67 | ↑ +46% |
| Cigna | Commercial | $9,221.05 | ↑ +55% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $9,324.46 | ↑ +57% |
| Medical Mutual of Ohio | SuperMed Commercial | $9,423.56 | ↑ +58% |
| Medical Mutual Traditional | Commercial | $9,515.77 | ↑ +60% |
| Anthem | Traditional Commercial | $9,944.08 | ↑ +67% |
| United Healthcare | Commercial | $11,073.87 | ↑ +86% |
| Buckeye | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ercp lesion ablate w/dilate 43278 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $11,375.65 | $1.10 – $15,750.90 |
| akron general | Akron | $2,059.20 | $1.10 – $3,796.53 |
| mercy hospital | Canton | $2,059.20 | $1.10 – $3,757.00 |
| University Hospitals Ahuja Medical Center | Beachwood | $5,948.25 | $900.00 – $7,137.90 |
| University Hospitals Beachwood Medical Center | Beachwood | $5,948.25 | $900.00 – $9,238.28 |
| University Hospitals Elyria Medical Center | Elyria | $5,948.25 | $3,647.57 – $6,565.63 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $5,948.25 | $3,647.57 – $6,565.63 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $5,948.25 | $3,647.57 – $6,565.63 |