healthcosts.net
Insj stablj dev without dcmprn at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$15,258.00
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.
$20,344.00
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 $36,875.88 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 | ↓ -94% |
| Aetna | Commercial | $2,441.00 | ↓ -84% |
| University Health Employee Plan (Contigo) | Commercial | $8,137.60 | ↓ -47% |
| Amish Church Fund and Workers Aid Plan | Fund | $9,358.24 | ↓ -39% |
| Amish Aid Community Plan | Fund | $9,358.24 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $9,358.24 | ↓ -39% |
| Immergrun | Commercial | $10,172.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $10,172.00 | ↓ -33% |
| Sunrise Plan Communities | Fund | $10,172.00 | ↓ -33% |
| AultCare | Commercial | $11,189.20 | ↓ -27% |
| Molina | Medicare Advantage | $12,146.38 | ↓ -20% |
| Anthem | Medicare Advantage | $12,146.38 | ↓ -20% |
| Primetime Health Plan | Medicare Advantage | $12,146.38 | ↓ -20% |
| WellCare by AllWell | Medicare Advantage | $12,146.38 | ↓ -20% |
| Cigna | Medicare Advantage | $12,146.38 | ↓ -20% |
| Medical Mutual of Ohio | Medicare Advantage | $12,146.38 | ↓ -20% |
| SummaCare | Medicare Advantage | $12,146.38 | ↓ -20% |
| Devoted Health | Medicare Advantage | $12,146.38 | ↓ -20% |
| Aetna | Medicare Advantage | $12,146.38 | ↓ -20% |
| Humana | Medicare Advantage | $12,146.38 | ↓ -20% |
| United Healthcare | Medicare Advantage | $12,146.38 | ↓ -20% |
| The Health Plan | Medicare Advantage | $12,146.38 | ↓ -20% |
| Paramount | Medicare Advantage | $12,510.77 | ↓ -18% |
| Valor Health Plans | Medicare Advantage | $12,753.70 | ↓ -16% |
| Perennial Advantage of Ohio | Medicare Advantage | $12,753.70 | ↓ -16% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $13,223.60 | ↓ -13% |
| HealthSmart | Commercial | $13,223.60 | ↓ -13% |
| Ohio Preferred Network | Commercial | $16,275.20 | ↑ +7% |
| Beech Street | Commercial | $16,275.20 | ↑ +7% |
| First Health | Commercial | $16,885.52 | ↑ +11% |
| Century Health Network | Commercial | $17,292.40 | ↑ +13% |
| Private Healthcare System | Commercial | $17,495.84 | ↑ +15% |
| Ohio Health Choice | Commercial | $18,309.60 | ↑ +20% |
| Fortified Provider Network | Commercial | $18,309.60 | ↑ +20% |
| MultiPlan | Commercial | $18,309.60 | ↑ +20% |
| CareSource | Marketplace | $21,863.49 | ↑ +43% |
| Ambetter | Commercial | $21,863.49 | ↑ +43% |
| Anthem | Pathway HMO Commercial | $23,177.28 | ↑ +52% |
| Anthem | Pathway PPO Commercial | $25,836.07 | ↑ +69% |
| Medical Mutual of Ohio | MedFlex Commercial | $28,242.33 | ↑ +85% |
| Anthem | Blue Access Commercial | $28,969.80 | ↑ +90% |
| Cigna | Commercial | $30,705.98 | ↑ +101% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $31,050.35 | ↑ +104% |
| Medical Mutual of Ohio | SuperMed Commercial | $31,380.37 | ↑ +106% |
| Medical Mutual Traditional | Commercial | $31,687.43 | ↑ +108% |
| Anthem | Traditional Commercial | $33,113.68 | ↑ +117% |
| United Healthcare | Commercial | $36,875.88 | ↑ +142% |
| 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
Insj stablj dev without dcmprn at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Geneva Medical Center | Geneva | $12,226.50 | $3,260.40 – $14,671.80 |
| University Hospitals St. John Medical Center | Westlake OH | $15,258.00 | $4,984.28 – $23,610.17 |
| University Hospitals Samaritan Medical Center | Ashland | $12,715.50 | $12,450.95 – $22,411.72 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $15,258.00 | $12,146.38 – $21,863.49 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $15,258.00 | $13,116.76 – $23,610.17 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | not published | $12,146.38 – $21,863.49 |