healthcosts.net
Irradiation of blood product each unit reference at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$206.25
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.
?
What you pay up front if you don't use insurance.
$275.00
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.
$25.48 with Aetna vs $247.50 with MultiPlan — 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 |
|---|---|---|---|
| Aetna | Commercial | $25.48 | ↓ -88% |
| Molina | Medicare Advantage | $35.34 | ↓ -83% |
| Anthem | Medicare Advantage | $35.34 | ↓ -83% |
| Primetime Health Plan | Medicare Advantage | $35.34 | ↓ -83% |
| WellCare by AllWell | Medicare Advantage | $35.34 | ↓ -83% |
| Cigna | Medicare Advantage | $35.34 | ↓ -83% |
| Medical Mutual of Ohio | Medicare Advantage | $35.34 | ↓ -83% |
| SummaCare | Medicare Advantage | $35.34 | ↓ -83% |
| Devoted Health | Medicare Advantage | $35.34 | ↓ -83% |
| Aetna | Medicare Advantage | $35.34 | ↓ -83% |
| Humana | Medicare Advantage | $35.34 | ↓ -83% |
| United Healthcare | Medicare Advantage | $35.34 | ↓ -83% |
| The Health Plan | Medicare Advantage | $35.34 | ↓ -83% |
| Paramount | Medicare Advantage | $36.40 | ↓ -82% |
| Valor Health Plans | Medicare Advantage | $37.10 | ↓ -82% |
| Perennial Advantage of Ohio | Medicare Advantage | $37.10 | ↓ -82% |
| CareSource | Marketplace | $63.61 | ↓ -69% |
| Ambetter | Commercial | $63.61 | ↓ -69% |
| Anthem | Pathway HMO Commercial | $67.42 | ↓ -67% |
| Anthem | Pathway PPO Commercial | $75.16 | ↓ -64% |
| Medical Mutual of Ohio | MedFlex Commercial | $82.16 | ↓ -60% |
| Anthem | Blue Access Commercial | $84.27 | ↓ -59% |
| Cigna | Commercial | $89.32 | ↓ -57% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $90.33 | ↓ -56% |
| Medical Mutual of Ohio | SuperMed Commercial | $91.29 | ↓ -56% |
| Medical Mutual Traditional | Commercial | $92.18 | ↓ -55% |
| Anthem | Traditional Commercial | $96.33 | ↓ -53% |
| United Healthcare | Commercial | $107.27 | ↓ -48% |
| University Health Employee Plan (Contigo) | Commercial | $110.00 | ↓ -47% |
| Amish Church Fund and Workers Aid Plan | Fund | $126.50 | ↓ -39% |
| Amish Aid Community Plan | Fund | $126.50 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $126.50 | ↓ -39% |
| Immergrun | Commercial | $137.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $137.50 | ↓ -33% |
| Sunrise Plan Communities | Fund | $137.50 | ↓ -33% |
| SummaCare | Commercial | $140.25 | ↓ -32% |
| AultCare | Commercial | $151.25 | ↓ -27% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $178.75 | ↓ -13% |
| HealthSmart | Commercial | $178.75 | ↓ -13% |
| Ohio Preferred Network | Commercial | $220.00 | ↑ +7% |
| Beech Street | Commercial | $220.00 | ↑ +7% |
| First Health | Commercial | $228.25 | ↑ +11% |
| Century Health Network | Commercial | $233.75 | ↑ +13% |
| Private Healthcare System | Commercial | $236.50 | ↑ +15% |
| Ohio Health Choice | Commercial | $247.50 | ↑ +20% |
| Fortified Provider Network | Commercial | $247.50 | ↑ +20% |
| MultiPlan | Commercial | $247.50 | ↑ +20% |
| 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
Irradiation of blood product each unit reference at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Geneva Medical Center | Geneva | $135.00 | $11.90 – $162.00 |
| University Hospitals St. John Medical Center | Westlake OH | $206.25 | $11.90 – $247.50 |
| University Hospitals Samaritan Medical Center | Ashland | $138.75 | $36.22 – $65.20 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $206.25 | $11.90 – $63.61 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $206.25 | $11.90 – $68.69 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $157.50 | $35.34 – $63.61 |