Ghs closed tx bimalleolar fracture w/manip at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$1,198.50
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.
$1,598.00
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.
$735.08 with Amish Church Fund and Workers Aid Plan vs $4,618.55 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 |
|---|---|---|---|
| Amish Church Fund and Workers Aid Plan | Fund | $735.08 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $735.08 | ↓ -39% |
| Amish Aid Community Plan | Fund | $735.08 | ↓ -39% |
| Christian Healthcare Ministries | Fund | $799.00 | ↓ -33% |
| Sunrise Plan Communities | Fund | $799.00 | ↓ -33% |
| Immergrun | Commercial | $799.00 | ↓ -33% |
| SummaCare | Commercial | $814.98 | ↓ -32% |
| AultCare | Commercial | $878.90 | ↓ -27% |
| HealthSmart | Commercial | $1,038.70 | ↓ -13% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $1,038.70 | ↓ -13% |
| Ohio Preferred Network | Commercial | $1,278.40 | ↑ +7% |
| Beech Street | Commercial | $1,278.40 | ↑ +7% |
| First Health | Commercial | $1,326.34 | ↑ +11% |
| Aetna | Commercial | $1,332.73 | ↑ +11% |
| Century Health Network | Commercial | $1,358.30 | ↑ +13% |
| Private Healthcare System | Commercial | $1,374.28 | ↑ +15% |
| MultiPlan | Commercial | $1,438.20 | ↑ +20% |
| Fortified Provider Network | Commercial | $1,438.20 | ↑ +20% |
| Ohio Health Choice | Commercial | $1,438.20 | ↑ +20% |
| University Health Employee Plan (Contigo) | Commercial | $1,441.44 | ↑ +20% |
| WellCare by AllWell | Medicare Advantage | $1,521.28 | ↑ +27% |
| Aetna | Medicare Advantage | $1,521.28 | ↑ +27% |
| Anthem | Medicare Advantage | $1,521.28 | ↑ +27% |
| Cigna | Medicare Advantage | $1,521.28 | ↑ +27% |
| Devoted Health | Medicare Advantage | $1,521.28 | ↑ +27% |
| Humana | Medicare Advantage | $1,521.28 | ↑ +27% |
| Medical Mutual of Ohio | Medicare Advantage | $1,521.28 | ↑ +27% |
| Molina | Medicare Advantage | $1,521.28 | ↑ +27% |
| Primetime Health Plan | Medicare Advantage | $1,521.28 | ↑ +27% |
| SummaCare | Medicare Advantage | $1,521.28 | ↑ +27% |
| The Health Plan | Medicare Advantage | $1,521.28 | ↑ +27% |
| United Healthcare | Medicare Advantage | $1,521.28 | ↑ +27% |
| Paramount | Medicare Advantage | $1,566.92 | ↑ +31% |
| Valor Health Plans | Medicare Advantage | $1,597.35 | ↑ +33% |
| Perennial Advantage of Ohio | Medicare Advantage | $1,597.35 | ↑ +33% |
| Ambetter | Commercial | $2,738.31 | ↑ +128% |
| CareSource | Marketplace | $2,738.31 | ↑ +128% |
| Anthem | Pathway HMO Commercial | $2,902.86 | ↑ +142% |
| Anthem | Pathway PPO Commercial | $3,235.86 | ↑ +170% |
| Medical Mutual of Ohio | MedFlex Commercial | $3,537.23 | ↑ +195% |
| Anthem | Blue Access Commercial | $3,628.34 | ↑ +203% |
| Cigna | Commercial | $3,845.79 | ↑ +221% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $3,888.92 | ↑ +224% |
| Medical Mutual of Ohio | SuperMed Commercial | $3,930.26 | ↑ +228% |
| Medical Mutual Traditional | Commercial | $3,968.72 | ↑ +231% |
| Anthem | Traditional Commercial | $4,147.35 | ↑ +246% |
| United Healthcare | Commercial | $4,618.55 | ↑ +285% |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ghs closed tx bimalleolar fracture w/manip at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Clermont Hospital | Batavia | $3,579.60 | not published |
| Kings Mills Hospital | Mason | $3,579.60 | not published |
| Trinity Medical Center East | Steubenville | $243.01 | $192.85 – $377.30 |
| cleveland clinic main campus | Cleveland | $4,785.30 | $0.01 – $6,625.80 |
| akron general | Akron | $4,785.30 | $1.10 – $6,625.80 |
| avon hospital | Avon | $4,785.30 | $0.01 – $6,625.80 |
| euclid hospital | Euclid | $4,785.30 | $0.01 – $6,625.80 |
| fairview hospital | Cleveland | $4,785.30 | $0.01 – $6,625.80 |