healthcosts.net
Ins lv lead exist pm/icd at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$9,178.50
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.
$12,238.00
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 $30,020.71 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 | ↓ -90% |
| University Health Employee Plan (Contigo) | Commercial | $4,895.20 | ↓ -47% |
| Amish Church Fund and Workers Aid Plan | Fund | $5,629.48 | ↓ -39% |
| Amish Aid Community Plan | Fund | $5,629.48 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $5,629.48 | ↓ -39% |
| Immergrun | Commercial | $6,119.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $6,119.00 | ↓ -33% |
| Sunrise Plan Communities | Fund | $6,119.00 | ↓ -33% |
| AultCare | Commercial | $6,730.90 | ↓ -27% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $7,954.70 | ↓ -13% |
| HealthSmart | Commercial | $7,954.70 | ↓ -13% |
| Ohio Preferred Network | Commercial | $9,790.40 | ↑ +7% |
| Beech Street | Commercial | $9,790.40 | ↑ +7% |
| Molina | Medicare Advantage | $9,888.39 | ↑ +8% |
| Anthem | Medicare Advantage | $9,888.39 | ↑ +8% |
| Primetime Health Plan | Medicare Advantage | $9,888.39 | ↑ +8% |
| WellCare by AllWell | Medicare Advantage | $9,888.39 | ↑ +8% |
| Cigna | Medicare Advantage | $9,888.39 | ↑ +8% |
| Medical Mutual of Ohio | Medicare Advantage | $9,888.39 | ↑ +8% |
| SummaCare | Medicare Advantage | $9,888.39 | ↑ +8% |
| Devoted Health | Medicare Advantage | $9,888.39 | ↑ +8% |
| Aetna | Medicare Advantage | $9,888.39 | ↑ +8% |
| Humana | Medicare Advantage | $9,888.39 | ↑ +8% |
| United Healthcare | Medicare Advantage | $9,888.39 | ↑ +8% |
| The Health Plan | Medicare Advantage | $9,888.39 | ↑ +8% |
| First Health | Commercial | $10,157.54 | ↑ +11% |
| Paramount | Medicare Advantage | $10,185.05 | ↑ +11% |
| Aetna | Commercial | $10,206.49 | ↑ +11% |
| Valor Health Plans | Medicare Advantage | $10,382.81 | ↑ +13% |
| Perennial Advantage of Ohio | Medicare Advantage | $10,382.81 | ↑ +13% |
| Century Health Network | Commercial | $10,402.30 | ↑ +13% |
| Private Healthcare System | Commercial | $10,524.68 | ↑ +15% |
| Ohio Health Choice | Commercial | $11,014.20 | ↑ +20% |
| Fortified Provider Network | Commercial | $11,014.20 | ↑ +20% |
| MultiPlan | Commercial | $11,014.20 | ↑ +20% |
| CareSource | Marketplace | $17,799.11 | ↑ +94% |
| Ambetter | Commercial | $17,799.11 | ↑ +94% |
| Anthem | Pathway HMO Commercial | $18,868.66 | ↑ +106% |
| Anthem | Pathway PPO Commercial | $21,033.19 | ↑ +129% |
| Medical Mutual of Ohio | MedFlex Commercial | $22,992.13 | ↑ +150% |
| Anthem | Blue Access Commercial | $23,584.36 | ↑ +157% |
| Cigna | Commercial | $24,997.79 | ↑ +172% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $25,278.14 | ↑ +175% |
| Medical Mutual of Ohio | SuperMed Commercial | $25,546.81 | ↑ +178% |
| Medical Mutual Traditional | Commercial | $25,796.78 | ↑ +181% |
| Anthem | Traditional Commercial | $26,957.90 | ↑ +194% |
| United Healthcare | Commercial | $30,020.71 | ↑ +227% |
| 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
Ins lv lead exist pm/icd at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Geneva Medical Center | Geneva | $8,825.25 | $2,353.40 – $10,590.30 |
| University Hospitals St. John Medical Center | Westlake OH | $9,178.50 | $2,998.31 – $19,221.08 |
| University Hospitals Samaritan Medical Center | Ashland | $5,679.00 | $10,136.35 – $18,245.42 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $9,178.50 | $9,888.39 – $17,799.11 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $9,178.50 | $10,678.38 – $19,221.08 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $9,546.00 | $9,888.39 – $17,799.11 |