C-1 esterase, berinert at avon hospital
33300 Cleveland Clinic Blvd, Avon, OH · Cleveland Clinic · · NPI 1346607017
$10,395.37
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.
$15,992.88
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.
$68.36 with MMO vs $15,992.88 with AETNA — 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 |
|---|---|---|---|
| MMO | Medicare Advantage HMO | $68.36 | ↓ -99% |
| HUMANA | Medicare Advantage HMO | $68.36 | ↓ -99% |
| OPTUM | Medicare Advantage Transplant | $68.36 | ↓ -99% |
| OPTUM | All Products VA | $68.36 | ↓ -99% |
| UNITED | MEDICARE ADVANTAGE | $68.36 | ↓ -99% |
| The Health Plan | MEDICARE ADVANTAGE | $68.36 | ↓ -99% |
| MMO | Medicare Advantage PPO | $70.41 | ↓ -99% |
| Perennial Health | MEDICARE ADVANTAGE | $73.83 | ↓ -99% |
| UPMC | MEDICARE ADVANTAGE | $75.86 | ↓ -99% |
| Valor | HMO & PPO | $75.86 | ↓ -99% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $75.86 | ↓ -99% |
| Summacare | MEDICARE ADVANTAGE | $75.86 | ↓ -99% |
| ANTHEM | MEDICARE ADVANTAGE | $75.86 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $75.86 | ↓ -99% |
| CIGNA | MEDICARE ADVANTAGE | $78.14 | ↓ -99% |
| CommuniCare | MEDICARE ADVANTAGE | $79.65 | ↓ -99% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $81.93 | ↓ -99% |
| Zing Health | Medicare Advantage | $83.45 | ↓ -99% |
| PPHP | ALL PRODUCTS | $83.45 | ↓ -99% |
| AETNA | Acop | $135.03 | ↓ -99% |
| UNITED | ALL PRODUCTS | $155.79 | ↓ -99% |
| AETNA | Asa_Whirlpool_Peia | $157.24 | ↓ -98% |
| CIGNA | ALL PRODUCTS | $163.10 | ↓ -98% |
| ANTHEM | PPO/HMO | $164.23 | ↓ -98% |
| AETNA | International | $172.96 | ↓ -98% |
| MMO | ALL PRODUCTS | $267.31 | ↓ -97% |
| Buckeye | Managed Medicaid | $4,091.83 | ↓ -61% |
| ANTHEM | Managed Medicaid | $4,091.83 | ↓ -61% |
| MOLINA | Managed Medicaid | $4,091.83 | ↓ -61% |
| CARESOURCE | Managed Medicaid | $4,169.77 | ↓ -60% |
| UNITED | Managed Medicaid | $4,169.77 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $4,522.79 | ↓ -56% |
| PHP | ALL PRODUCTS | $5,117.72 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $5,405.59 | ↓ -48% |
| Summacare | Preferred | $5,597.51 | ↓ -46% |
| Summacare | PREMIER | $6,093.29 | ↓ -41% |
| Aultcare | PPO/HMO | $6,621.05 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $7,196.80 | ↓ -31% |
| OHCP | ALL PRODUCTS | $7,772.54 | ↓ -25% |
| OMAS | ALL PRODUCTS | $7,996.44 | ↓ -23% |
| MMO | TRADITIONAL | $8,364.28 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $8,636.16 | ↓ -17% |
| ANTHEM | TRADITIONAL | $8,964.01 | ↓ -14% |
| OPTUM | All Products Transplant | $9,051.97 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $9,595.73 | ↓ -8% |
| UPMC | ALL PRODUCTS | $9,595.73 | ↓ -8% |
| Medical Benefit Corp | Transplant SMCP | $11,195.02 | ↑ +8% |
| GMS | ALL PRODUCTS | $11,195.02 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $11,994.66 | ↑ +15% |
| AETNA | ALL PRODUCTS | $11,994.66 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $14,393.59 | ↑ +38% |
| FrontPath | TRANSPLANT | $14,393.59 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $14,393.59 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $14,393.59 | ↑ +38% |
| AETNA | Qhp/Ipf | $15,992.88 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $10,395.37 | $2.17 – $14,393.59 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $10,395.37 | $4,522.79 – $14,393.59 |
| euclid hospital | Euclid | $10,395.37 | $64.43 – $14,393.59 |
| fairview hospital | Cleveland | $10,395.37 | $2.17 – $14,393.59 |
| lutheran hospital | Cleveland | $10,395.37 | $68.36 – $14,393.59 |
| hillcrest hospital | Mayfield Heights | $10,395.37 | $2.17 – $14,393.59 |
| lodi hospital | Lodi | $10,395.37 | $68.36 – $14,393.59 |
| marymount hospital | Garfield Heights | $10,395.37 | $64.43 – $14,393.59 |