healthcosts.net
Proton trmt simple w/comp at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
not published by hospital
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.
not published by hospital
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.
$1,182.35 with Aetna vs $3,589.57 with United Healthcare — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $1,182.35 | — |
| Anthem | Medicare Advantage | $1,182.35 | — |
| Cigna | Medicare Advantage | $1,182.35 | — |
| Devoted Health | Medicare Advantage | $1,182.35 | — |
| Humana | Medicare Advantage | $1,182.35 | — |
| Medical Mutual of Ohio | Medicare Advantage | $1,182.35 | — |
| Molina | Medicare Advantage | $1,182.35 | — |
| Primetime Health Plan | Medicare Advantage | $1,182.35 | — |
| SummaCare | Medicare Advantage | $1,182.35 | — |
| The Health Plan | Medicare Advantage | $1,182.35 | — |
| United Healthcare | Medicare Advantage | $1,182.35 | — |
| WellCare by AllWell | Medicare Advantage | $1,182.35 | — |
| Paramount | Medicare Advantage | $1,217.82 | — |
| Perennial Advantage of Ohio | Medicare Advantage | $1,241.47 | — |
| Valor Health Plans | Medicare Advantage | $1,241.47 | — |
| Ambetter | Commercial | $2,128.23 | — |
| CareSource | Marketplace | $2,128.23 | — |
| Anthem | Pathway HMO Commercial | $2,256.12 | — |
| Anthem | Pathway PPO Commercial | $2,514.93 | — |
| Medical Mutual of Ohio | MedFlex Commercial | $2,749.16 | — |
| Anthem | Blue Access Commercial | $2,819.98 | — |
| Cigna | Commercial | $2,988.98 | — |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $3,022.50 | — |
| Medical Mutual of Ohio | SuperMed Commercial | $3,054.63 | — |
| Medical Mutual Traditional | Commercial | $3,084.52 | — |
| Anthem | Traditional Commercial | $3,223.35 | — |
| United Healthcare | Commercial | $3,589.57 | — |
Visitor-reported prices
Comments
Proton trmt simple w/comp at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $4,263.75 | $1,182.35 – $2,128.23 |
| cleveland clinic main campus | Cleveland | not published | $989.77 – $1,300.59 |
| akron general | Akron | not published | $785.65 – $1,300.59 |
| avon hospital | Avon | not published | $842.59 – $1,300.59 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,375.65 – $1,592.86 |
| euclid hospital | Euclid | not published | $863.26 – $1,300.59 |
| fairview hospital | Cleveland | not published | $810.99 – $1,300.59 |
| lutheran hospital | Cleveland | not published | $772.08 – $1,300.59 |