healthcosts.net
Repair pm/icd lead dual at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$6,205.50
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.
$8,274.00
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 $10,733.48 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 | ↓ -85% |
| University Health Employee Plan (Contigo) | Commercial | $3,309.60 | ↓ -47% |
| WellCare by AllWell | Medicare Advantage | $3,535.45 | ↓ -43% |
| Aetna | Medicare Advantage | $3,535.45 | ↓ -43% |
| Anthem | Medicare Advantage | $3,535.45 | ↓ -43% |
| Cigna | Medicare Advantage | $3,535.45 | ↓ -43% |
| Devoted Health | Medicare Advantage | $3,535.45 | ↓ -43% |
| Humana | Medicare Advantage | $3,535.45 | ↓ -43% |
| Medical Mutual of Ohio | Medicare Advantage | $3,535.45 | ↓ -43% |
| Molina | Medicare Advantage | $3,535.45 | ↓ -43% |
| Primetime Health Plan | Medicare Advantage | $3,535.45 | ↓ -43% |
| SummaCare | Medicare Advantage | $3,535.45 | ↓ -43% |
| The Health Plan | Medicare Advantage | $3,535.45 | ↓ -43% |
| United Healthcare | Medicare Advantage | $3,535.45 | ↓ -43% |
| Paramount | Medicare Advantage | $3,641.52 | ↓ -41% |
| Valor Health Plans | Medicare Advantage | $3,712.22 | ↓ -40% |
| Perennial Advantage of Ohio | Medicare Advantage | $3,712.22 | ↓ -40% |
| Amish Church Fund and Workers Aid Plan | Fund | $3,806.04 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $3,806.04 | ↓ -39% |
| Amish Aid Community Plan | Fund | $3,806.04 | ↓ -39% |
| Immergrun | Commercial | $4,137.00 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $4,137.00 | ↓ -33% |
| Sunrise Plan Communities | Fund | $4,137.00 | ↓ -33% |
| AultCare | Commercial | $4,550.70 | ↓ -27% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $5,378.10 | ↓ -13% |
| HealthSmart | Commercial | $5,378.10 | ↓ -13% |
| CareSource | Marketplace | $6,363.81 | ↑ +3% |
| Ambetter | Commercial | $6,363.81 | ↑ +3% |
| Beech Street | Commercial | $6,619.20 | ↑ +7% |
| Ohio Preferred Network | Commercial | $6,619.20 | ↑ +7% |
| Anthem | Pathway HMO Commercial | $6,746.22 | ↑ +9% |
| First Health | Commercial | $6,867.42 | ↑ +11% |
| Aetna | Commercial | $6,900.52 | ↑ +11% |
| Century Health Network | Commercial | $7,032.90 | ↑ +13% |
| Private Healthcare System | Commercial | $7,115.64 | ↑ +15% |
| Fortified Provider Network | Commercial | $7,446.60 | ↑ +20% |
| MultiPlan | Commercial | $7,446.60 | ↑ +20% |
| Ohio Health Choice | Commercial | $7,446.60 | ↑ +20% |
| Anthem | Pathway PPO Commercial | $7,520.12 | ↑ +21% |
| Medical Mutual of Ohio | MedFlex Commercial | $8,220.51 | ↑ +32% |
| Anthem | Blue Access Commercial | $8,432.25 | ↑ +36% |
| Cigna | Commercial | $8,937.60 | ↑ +44% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $9,037.84 | ↑ +46% |
| Medical Mutual of Ohio | SuperMed Commercial | $9,133.90 | ↑ +47% |
| Medical Mutual Traditional | Commercial | $9,223.27 | ↑ +49% |
| Anthem | Traditional Commercial | $9,638.41 | ↑ +55% |
| United Healthcare | Commercial | $10,733.48 | ↑ +73% |
| Molina | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Repair pm/icd lead dual at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $13,601.90 | $1.10 – $18,833.40 |
| akron general | Akron | $13,601.90 | $1.10 – $18,833.40 |
| mercy hospital | Canton | $1,534.00 | $1.10 – $3,641.52 |
| University Hospitals Ahuja Medical Center | Beachwood | $6,205.50 | $900.00 – $7,446.60 |
| University Hospitals Beachwood Medical Center | Beachwood | $6,205.50 | $900.00 – $8,954.31 |
| University Hospitals Elyria Medical Center | Elyria | $6,205.50 | $3,535.45 – $6,363.81 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $6,205.50 | $3,535.45 – $6,363.81 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $6,205.50 | $3,535.45 – $6,363.81 |