Prolng off/op e/m ea 15 min 99417 at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$42.00
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.
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What you pay up front if you don't use insurance.
$56.00
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.
$17.77 with Cigna vs $56.11 with Ambetter — 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 |
|---|---|---|---|
| Cigna | Commercial | $17.77 | ↓ -58% |
| Amish Aid Community Plan | Fund | $25.76 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $25.76 | ↓ -39% |
| Amish Church Fund and Workers Aid Plan | Fund | $25.76 | ↓ -39% |
| Sunrise Plan Communities | Fund | $28.00 | ↓ -33% |
| Immergrun | Commercial | $28.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $28.00 | ↓ -33% |
| SummaCare | Commercial | $28.56 | ↓ -32% |
| WellCare by AllWell | Medicare Advantage | $31.17 | ↓ -26% |
| Aetna | Medicare Advantage | $31.17 | ↓ -26% |
| Anthem | Blue Access Commercial | $31.17 | ↓ -26% |
| Anthem | Medicare Advantage | $31.17 | ↓ -26% |
| Anthem | Pathway HMO Commercial | $31.17 | ↓ -26% |
| Anthem | Pathway PPO Commercial | $31.17 | ↓ -26% |
| Anthem | Traditional Commercial | $31.17 | ↓ -26% |
| Cigna | Medicare Advantage | $31.17 | ↓ -26% |
| Devoted Health | Medicare Advantage | $31.17 | ↓ -26% |
| Humana | Medicare Advantage | $31.17 | ↓ -26% |
| Medical Mutual of Ohio | Medicare Advantage | $31.17 | ↓ -26% |
| Molina | Medicare Advantage | $31.17 | ↓ -26% |
| Primetime Health Plan | Medicare Advantage | $31.17 | ↓ -26% |
| SummaCare | Medicare Advantage | $31.17 | ↓ -26% |
| The Health Plan | Medicare Advantage | $31.17 | ↓ -26% |
| United Healthcare | Medicare Advantage | $31.17 | ↓ -26% |
| AultCare | Commercial | $32.00 | ↓ -24% |
| Paramount | Medicare Advantage | $32.11 | ↓ -24% |
| Valor Health Plans | Medicare Advantage | $32.73 | ↓ -22% |
| Perennial Advantage of Ohio | Medicare Advantage | $32.73 | ↓ -22% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $36.40 | ↓ -13% |
| HealthSmart | Commercial | $36.40 | ↓ -13% |
| Ohio Preferred Network | Commercial | $44.80 | ↑ +7% |
| Beech Street | Commercial | $44.80 | ↑ +7% |
| First Health | Commercial | $46.48 | ↑ +11% |
| Aetna | Commercial | $46.70 | ↑ +11% |
| Medical Mutual of Ohio | SuperMed Commercial | $46.76 | ↑ +11% |
| Medical Mutual Traditional | Commercial | $46.76 | ↑ +11% |
| Medical Mutual of Ohio | MedFlex Commercial | $46.76 | ↑ +11% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $46.76 | ↑ +11% |
| Century Health Network | Commercial | $47.60 | ↑ +13% |
| Private Healthcare System | Commercial | $48.16 | ↑ +15% |
| Fortified Provider Network | Commercial | $50.40 | ↑ +20% |
| Ohio Health Choice | Commercial | $50.40 | ↑ +20% |
| MultiPlan | Commercial | $50.40 | ↑ +20% |
| CareSource | Marketplace | $56.11 | ↑ +34% |
| Ambetter | Commercial | $56.11 | ↑ +34% |
| Buckeye | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| University Health Employee Plan (Contigo) | Commercial | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Prolng off/op e/m ea 15 min 99417 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $174.20 | $1.10 – $241.20 |
| akron general | Akron | $174.20 | $1.10 – $241.20 |
| mercy hospital | Canton | $174.20 | $1.10 – $1,276,448.04 |
| University Hospitals Ahuja Medical Center | Beachwood | $42.00 | $12.38 – $56.11 |
| University Hospitals Beachwood Medical Center | Beachwood | $42.00 | $14.71 – $56.11 |
| University Hospitals Conneaut Medical Center | Conneaut | $39.00 | not published |
| University Hospitals Elyria Medical Center | Elyria | $42.00 | $31.17 – $56.11 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $42.00 | $31.17 – $56.11 |