X-ray sinus tract/fistula/abscess at University Hospitals Lake West Medical Center
36000 Euclid Avenue, Willoughby OH 44094|7590 Auburn Road, OH · University Hospitals · · NPI 1972689172
$944.25
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.
$1,259.00
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.
$327.29 with University Health Employee Plan (Contigo) vs $1,569.45 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 |
|---|---|---|---|
| University Health Employee Plan (Contigo) | Commercial | $327.29 | ↓ -65% |
| Aetna | Medicare Advantage | $516.95 | ↓ -45% |
| WellCare by AllWell | Medicare Advantage | $516.95 | ↓ -45% |
| Anthem | Medicare Advantage | $516.95 | ↓ -45% |
| Cigna | Medicare Advantage | $516.95 | ↓ -45% |
| Devoted Health | Medicare Advantage | $516.95 | ↓ -45% |
| Humana | Medicare Advantage | $516.95 | ↓ -45% |
| Medical Mutual of Ohio | Medicare Advantage | $516.95 | ↓ -45% |
| Molina | Medicare Advantage | $516.95 | ↓ -45% |
| Primetime Health Plan | Medicare Advantage | $516.95 | ↓ -45% |
| SummaCare | Medicare Advantage | $516.95 | ↓ -45% |
| The Health Plan | Medicare Advantage | $516.95 | ↓ -45% |
| United Healthcare | Medicare Advantage | $516.95 | ↓ -45% |
| Paramount | Medicare Advantage | $532.46 | ↓ -44% |
| Valor Health Plans | Medicare Advantage | $542.80 | ↓ -43% |
| Perennial Advantage of Ohio | Medicare Advantage | $542.80 | ↓ -43% |
| Amish Church Fund and Workers Aid Plan | Fund | $579.14 | ↓ -39% |
| Buckeye Plain Ministries | Fund | $579.14 | ↓ -39% |
| Amish Aid Community Plan | Fund | $579.14 | ↓ -39% |
| Christian Healthcare Ministries | Fund | $629.50 | ↓ -33% |
| Sunrise Plan Communities | Fund | $629.50 | ↓ -33% |
| Immergrun | Commercial | $629.50 | ↓ -33% |
| SummaCare | Commercial | $642.09 | ↓ -32% |
| Aetna | Commercial | $691.19 | ↓ -27% |
| AultCare | Commercial | $692.45 | ↓ -27% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $818.35 | ↓ -13% |
| HealthSmart | Commercial | $818.35 | ↓ -13% |
| Ambetter | Commercial | $930.51 | ↓ -1% |
| CareSource | Marketplace | $930.51 | ↓ -1% |
| Anthem | Pathway HMO Commercial | $986.43 | ↑ +4% |
| Beech Street | Commercial | $1,007.20 | ↑ +7% |
| Ohio Preferred Network | Commercial | $1,007.20 | ↑ +7% |
| First Health | Commercial | $1,044.97 | ↑ +11% |
| Century Health Network | Commercial | $1,070.15 | ↑ +13% |
| Private Healthcare System | Commercial | $1,082.74 | ↑ +15% |
| Anthem | Pathway PPO Commercial | $1,099.59 | ↑ +16% |
| Fortified Provider Network | Commercial | $1,133.10 | ↑ +20% |
| MultiPlan | Commercial | $1,133.10 | ↑ +20% |
| Ohio Health Choice | Commercial | $1,133.10 | ↑ +20% |
| Medical Mutual of Ohio | MedFlex Commercial | $1,202.00 | ↑ +27% |
| Anthem | Blue Access Commercial | $1,232.96 | ↑ +31% |
| Cigna | Commercial | $1,306.86 | ↑ +38% |
| Medical Mutual of Ohio ACA | Northern Ohio Commercial | $1,321.51 | ↑ +40% |
| Medical Mutual of Ohio | SuperMed Commercial | $1,335.56 | ↑ +41% |
| Medical Mutual Traditional | Commercial | $1,348.63 | ↑ +43% |
| Anthem | Traditional Commercial | $1,409.33 | ↑ +49% |
| United Healthcare | Commercial | $1,569.45 | ↑ +66% |
| Humana | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| CareSource | Managed Medicaid | not published by hospital | — |
| Molina | 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 | — |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $845.40 | not published |
| Anderson Hospital | Cincinnati | $845.40 | not published |
| Clermont Hospital | Batavia | $563.40 | not published |
| Kings Mills Hospital | Mason | $845.40 | not published |
| Mercy West Hospital | Cincinnati | $845.40 | not published |
| St Ritas Medical Center | Lima | $636.60 | not published |
| Trinity Medical Center East | Steubenville | $268.80 | $325.20 – $417.34 |
| cleveland clinic main campus | Cleveland | $2,599.35 | $1.10 – $3,404.70 |