Hysteroscopy biopsy at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$5,110.50
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.
?
What you pay up front if you don't use insurance.
$6,814.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$900.00 with SummaCare vs $9,297.82 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | ↓ -82% |
| University Health Employee Plan (Contigo) | Commercial | $2,453.36 | ↓ -52% |
| WellCare by AllWell | Medicare Advantage | $3,062.57 | ↓ -40% |
| Aetna | Medicare Advantage | $3,062.57 | ↓ -40% |
| Anthem | Medicare Advantage | $3,062.57 | ↓ -40% |
| Cigna | Medicare Advantage | $3,062.57 | ↓ -40% |
| Devoted Health | Medicare Advantage | $3,062.57 | ↓ -40% |
| Humana | Medicare Advantage | $3,062.57 | ↓ -40% |
| Medical Mutual of Ohio | Medicare Advantage | $3,062.57 | ↓ -40% |
| Molina | Medicare Advantage | $3,062.57 | ↓ -40% |
| Primetime Health Plan | Medicare Advantage | $3,062.57 | ↓ -40% |
| SummaCare | Medicare Advantage | $3,062.57 | ↓ -40% |
| The Health Plan | Medicare Advantage | $3,062.57 | ↓ -40% |
| United Healthcare | Medicare Advantage | $3,062.57 | ↓ -40% |
| Amish Church Fund and Workers Aid Plan | Fund | $3,134.44 | ↓ -39% |
| Amish Aid Community Plan | Fund | $3,134.44 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $3,134.44 | ↓ -39% |
| Paramount | Medicare Advantage | $3,154.45 | ↓ -38% |
| Valor Health Plans | Medicare Advantage | $3,215.70 | ↓ -37% |
| Perennial Advantage of Ohio | Medicare Advantage | $3,215.70 | ↓ -37% |
| Immergrun | Commercial | $3,407.00 | ↓ -33% |
| Sunrise Plan Communities | Fund | $3,407.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $3,407.00 | ↓ -33% |
| AultCare | Commercial | $3,747.70 | ↓ -27% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $4,429.10 | ↓ -13% |
| HealthSmart | Commercial | $4,429.10 | ↓ -13% |
| Beech Street | Commercial | $5,451.20 | ↑ +7% |
| Ohio Preferred Network | Commercial | $5,451.20 | ↑ +7% |
| Ambetter | Commercial | $5,512.63 | ↑ +8% |
| CareSource | Marketplace | $5,512.63 | ↑ +8% |
| First Health | Commercial | $5,655.62 | ↑ +11% |
| Aetna | Commercial | $5,682.88 | ↑ +11% |
| Century Health Network | Commercial | $5,791.90 | ↑ +13% |
| Anthem | Pathway HMO Commercial | $5,843.88 | ↑ +14% |
| Private Healthcare System | Commercial | $5,860.04 | ↑ +15% |
| Ohio Health Choice | Commercial | $6,132.60 | ↑ +20% |
| MultiPlan | Commercial | $6,132.60 | ↑ +20% |
| Fortified Provider Network | Commercial | $6,132.60 | ↑ +20% |
| Anthem | Pathway PPO Commercial | $6,514.26 | ↑ +27% |
| Medical Mutual of Ohio | MedFlex Commercial | $7,120.97 | ↑ +39% |
| Anthem | Blue Access Commercial | $7,304.40 | ↑ +43% |
| Cigna | Commercial | $7,742.16 | ↑ +51% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $7,828.98 | ↑ +53% |
| Medical Mutual of Ohio | SuperMed Commercial | $7,912.19 | ↑ +55% |
| Medical Mutual Traditional | Commercial | $7,989.62 | ↑ +56% |
| Anthem | Traditional Commercial | $8,349.23 | ↑ +63% |
| United Healthcare | Commercial | $9,297.82 | ↑ +82% |
| Molina | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Hysteroscopy biopsy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $14,908.08 | $3,154.64 – $3,217.74 |
| Anderson Hospital | Cincinnati | $15,765.74 | $3,154.64 – $3,217.74 |
| Clermont Hospital | Batavia | $15,953.09 | $3,154.64 – $3,217.74 |
| Mercy West Hospital | Cincinnati | $16,372.80 | $3,209.41 – $3,273.60 |
| St Ritas Medical Center | Lima | $17,499.84 | $3,209.41 – $3,209.41 |
| cleveland clinic main campus | Cleveland | $9,506.90 | $0.01 – $13,163.40 |
| akron general | Akron | $1,192.75 | $1.10 – $3,172.85 |
| avon hospital | Avon | $9,506.90 | $0.01 – $13,163.40 |