healthcosts.net
Unlisted ultrasound procedure at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$532.50
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.
$710.00
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.
$82.33 with WellCare by AllWell vs $552.60 with Ohio Health Choice — 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 |
|---|---|---|---|
| WellCare by AllWell | Medicare Advantage | $82.33 | ↓ -85% |
| Aetna | Medicare Advantage | $82.33 | ↓ -85% |
| Anthem | Medicare Advantage | $82.33 | ↓ -85% |
| Cigna | Medicare Advantage | $82.33 | ↓ -85% |
| Devoted Health | Medicare Advantage | $82.33 | ↓ -85% |
| Humana | Medicare Advantage | $82.33 | ↓ -85% |
| Medical Mutual of Ohio | Medicare Advantage | $82.33 | ↓ -85% |
| Molina | Medicare Advantage | $82.33 | ↓ -85% |
| Primetime Health Plan | Medicare Advantage | $82.33 | ↓ -85% |
| SummaCare | Medicare Advantage | $82.33 | ↓ -85% |
| The Health Plan | Medicare Advantage | $82.33 | ↓ -85% |
| United Healthcare | Medicare Advantage | $82.33 | ↓ -85% |
| Paramount | Medicare Advantage | $84.80 | ↓ -84% |
| Valor Health Plans | Medicare Advantage | $86.45 | ↓ -84% |
| Perennial Advantage of Ohio | Medicare Advantage | $86.45 | ↓ -84% |
| University Health Employee Plan (Contigo) | Commercial | $87.52 | ↓ -84% |
| Ambetter | Commercial | $148.20 | ↓ -72% |
| CareSource | Marketplace | $148.20 | ↓ -72% |
| Anthem | Pathway HMO Commercial | $157.10 | ↓ -70% |
| Anthem | Pathway PPO Commercial | $175.13 | ↓ -67% |
| Medical Mutual of Ohio | MedFlex Commercial | $191.44 | ↓ -64% |
| Anthem | Blue Access Commercial | $196.37 | ↓ -63% |
| Cigna | Commercial | $208.14 | ↓ -61% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $210.47 | ↓ -60% |
| Medical Mutual of Ohio | SuperMed Commercial | $212.71 | ↓ -60% |
| Medical Mutual Traditional | Commercial | $214.79 | ↓ -60% |
| Anthem | Traditional Commercial | $224.46 | ↓ -58% |
| United Healthcare | Commercial | $249.96 | ↓ -53% |
| Amish Aid Community Plan | Fund | $282.44 | ↓ -47% |
| Amish Church Fund and Workers Aid Plan | Fund | $282.44 | ↓ -47% |
| Buckeye Plain Ministries | Fund | $282.44 | ↓ -47% |
| Immergrun | Commercial | $307.00 | ↓ -42% |
| Christian Healthcare Ministries | Fund | $307.00 | ↓ -42% |
| Sunrise Plan Communities | Fund | $307.00 | ↓ -42% |
| SummaCare | Commercial | $313.14 | ↓ -41% |
| Aetna | Commercial | $337.09 | ↓ -37% |
| AultCare | Commercial | $337.70 | ↓ -37% |
| HealthSmart | Commercial | $399.10 | ↓ -25% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $399.10 | ↓ -25% |
| Beech Street | Commercial | $491.20 | ↓ -8% |
| Ohio Preferred Network | Commercial | $491.20 | ↓ -8% |
| First Health | Commercial | $509.62 | ↓ -4% |
| Century Health Network | Commercial | $521.90 | ↓ -2% |
| Private Healthcare System | Commercial | $528.04 | ↓ -1% |
| MultiPlan | Commercial | $552.60 | ↑ +4% |
| Fortified Provider Network | Commercial | $552.60 | ↑ +4% |
| Ohio Health Choice | Commercial | $552.60 | ↑ +4% |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted ultrasound procedure at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $209.95 | $78.83 – $290.70 |
| akron general | Akron | $216.45 | $0.87 – $299.70 |
| University Hospitals Ahuja Medical Center | Beachwood | $532.50 | $82.33 – $552.60 |
| University Hospitals Beachwood Medical Center | Beachwood | $532.50 | $82.33 – $552.60 |
| University Hospitals Conneaut Medical Center | Conneaut | $462.00 | $87.52 – $87.52 |
| University Hospitals Elyria Medical Center | Elyria | $532.50 | $82.33 – $148.20 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $532.50 | $82.33 – $148.20 |
| University Hospitals Geneva Medical Center | Geneva | $462.00 | $87.52 – $87.52 |