healthcosts.net
Treat humerus fracture at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$1,815.75
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.
$2,421.00
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.
$900.00 with SummaCare vs $4,618.55 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 |
|---|---|---|---|
| SummaCare | Commercial | $900.00 | ↓ -50% |
| Amish Church Fund and Workers Aid Plan | Fund | $1,113.66 | ↓ -39% |
| Amish Aid Community Plan | Fund | $1,113.66 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $1,113.66 | ↓ -39% |
| Immergrun | Commercial | $1,210.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $1,210.50 | ↓ -33% |
| Sunrise Plan Communities | Fund | $1,210.50 | ↓ -33% |
| AultCare | Commercial | $1,331.55 | ↓ -27% |
| Molina | Medicare Advantage | $1,521.28 | ↓ -16% |
| Anthem | Medicare Advantage | $1,521.28 | ↓ -16% |
| Primetime Health Plan | Medicare Advantage | $1,521.28 | ↓ -16% |
| WellCare by AllWell | Medicare Advantage | $1,521.28 | ↓ -16% |
| Cigna | Medicare Advantage | $1,521.28 | ↓ -16% |
| Medical Mutual of Ohio | Medicare Advantage | $1,521.28 | ↓ -16% |
| SummaCare | Medicare Advantage | $1,521.28 | ↓ -16% |
| Devoted Health | Medicare Advantage | $1,521.28 | ↓ -16% |
| Aetna | Medicare Advantage | $1,521.28 | ↓ -16% |
| Humana | Medicare Advantage | $1,521.28 | ↓ -16% |
| United Healthcare | Medicare Advantage | $1,521.28 | ↓ -16% |
| The Health Plan | Medicare Advantage | $1,521.28 | ↓ -16% |
| Paramount | Medicare Advantage | $1,566.92 | ↓ -14% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $1,573.65 | ↓ -13% |
| HealthSmart | Commercial | $1,573.65 | ↓ -13% |
| Valor Health Plans | Medicare Advantage | $1,597.35 | ↓ -12% |
| Perennial Advantage of Ohio | Medicare Advantage | $1,597.35 | ↓ -12% |
| University Health Employee Plan (Contigo) | Commercial | $1,857.44 | ↑ +2% |
| Ohio Preferred Network | Commercial | $1,936.80 | ↑ +7% |
| Beech Street | Commercial | $1,936.80 | ↑ +7% |
| First Health | Commercial | $2,009.43 | ↑ +11% |
| Aetna | Commercial | $2,019.11 | ↑ +11% |
| Century Health Network | Commercial | $2,057.85 | ↑ +13% |
| Private Healthcare System | Commercial | $2,082.06 | ↑ +15% |
| Ohio Health Choice | Commercial | $2,178.90 | ↑ +20% |
| Fortified Provider Network | Commercial | $2,178.90 | ↑ +20% |
| MultiPlan | Commercial | $2,178.90 | ↑ +20% |
| CareSource | Marketplace | $2,738.31 | ↑ +51% |
| Ambetter | Commercial | $2,738.31 | ↑ +51% |
| Anthem | Pathway HMO Commercial | $2,902.86 | ↑ +60% |
| Anthem | Pathway PPO Commercial | $3,235.86 | ↑ +78% |
| Medical Mutual of Ohio | MedFlex Commercial | $3,537.23 | ↑ +95% |
| Anthem | Blue Access Commercial | $3,628.34 | ↑ +100% |
| Cigna | Commercial | $3,845.79 | ↑ +112% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $3,888.92 | ↑ +114% |
| Medical Mutual of Ohio | SuperMed Commercial | $3,930.26 | ↑ +116% |
| Medical Mutual Traditional | Commercial | $3,968.72 | ↑ +119% |
| Anthem | Traditional Commercial | $4,147.35 | ↑ +128% |
| United Healthcare | Commercial | $4,618.55 | ↑ +154% |
| 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
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Treat humerus fracture at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Geneva Medical Center | Geneva | $1,678.50 | $447.60 – $2,014.20 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $1,815.75 | $1,521.28 – $2,738.31 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $1,815.75 | $1,642.82 – $2,957.08 |
| University Hospitals St. John Medical Center | Westlake OH | $1,815.75 | $593.15 – $2,957.08 |
| University Hospitals Samaritan Medical Center | Ashland | $1,815.75 | $1,559.43 – $2,806.97 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $1,198.50 | $1,521.28 – $2,738.31 |