Omalizumab 150 mg/ml subcutaneous syringe (wrapper) at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$4,595.01
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.
$7,069.24
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.
$2.17 with AETNA vs $2,578.90 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $2.17 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $34.46 | ↓ -99% |
| HUMANA | Medicare Advantage HMO | $38.29 | ↓ -99% |
| UNITED | MEDICARE ADVANTAGE | $38.29 | ↓ -99% |
| MMO | Medicare HMO & PPO | $40.20 | ↓ -99% |
| Perennial Health | MEDICARE ADVANTAGE | $41.35 | ↓ -99% |
| OSCAR | ALL PRODUCTS | $42.92 | ↓ -99% |
| Summacare | MEDICARE ADVANTAGE | $45.49 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $45.49 | ↓ -99% |
| ANTHEM | MEDICARE ADVANTAGE | $45.49 | ↓ -99% |
| CIGNA | MEDICARE ADVANTAGE | $46.85 | ↓ -99% |
| CommuniCare | MEDICARE ADVANTAGE | $47.76 | ↓ -99% |
| PHPHI | ALL PRODUCTS | $48.56 | ↓ -99% |
| PHP | ALL PRODUCTS | $48.56 | ↓ -99% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $49.13 | ↓ -99% |
| Zing Health | Medicare Advantage | $50.04 | ↓ -99% |
| CC EHP | ALL PRODUCTS | $51.29 | ↓ -99% |
| Summacare | Preferred | $53.27 | ↓ -99% |
| Aultcare | PPO/HMO | $54.33 | ↓ -99% |
| Summacare | PREMIER | $57.97 | ↓ -99% |
| MMO | ALL PRODUCTS | $64.42 | ↓ -99% |
| Amish Community Aid Plan | ALL PRODUCTS | $68.29 | ↓ -99% |
| ANTHEM | HPN | $69.55 | ↓ -98% |
| ANTHEM | Exchange | $73.65 | ↓ -98% |
| OHCP | ALL PRODUCTS | $73.76 | ↓ -98% |
| Immergrun | ALL PRODUCTS | $75.88 | ↓ -98% |
| OMAS | ALL PRODUCTS | $75.88 | ↓ -98% |
| UNITED | ALL PRODUCTS | $81.18 | ↓ -98% |
| ANTHEM | PPO/HMO | $81.83 | ↓ -98% |
| Ohio Healthy | TRANSPLANT | $81.95 | ↓ -98% |
| ANTHEM | TRADITIONAL | $83.92 | ↓ -98% |
| AETNA | International | $86.09 | ↓ -98% |
| The Health Plan | POS | $94.02 | ↓ -98% |
| The Health Plan | HMO | $94.02 | ↓ -98% |
| The Health Plan | PPO | $96.88 | ↓ -98% |
| CIGNA | ALL PRODUCTS | $97.83 | ↓ -98% |
| GMS | ALL PRODUCTS | $106.23 | ↓ -98% |
| Medical Benefit Corp | Transplant SMCP | $106.23 | ↓ -98% |
| Consociate Health | ALL PRODUCTS | $113.82 | ↓ -98% |
| AETNA | ALL PRODUCTS | $113.82 | ↓ -98% |
| The Health Plan | Self-Funded ASO | $127.48 | ↓ -97% |
| MULTIPLAN | ALL PRODUCTS | $136.58 | ↓ -97% |
| FrontPath | TRANSPLANT | $136.58 | ↓ -97% |
| Tertiary Care Network | TRANSPLANT | $136.58 | ↓ -97% |
| Managed Care Services | TRANSPLANT | $136.58 | ↓ -97% |
| AETNA | Qhp/Ipf | $151.76 | ↓ -97% |
| UNITED | Managed Medicaid | $2,344.45 | ↓ -49% |
| Buckeye | Managed Medicaid | $2,414.78 | ↓ -47% |
| CARESOURCE | Managed Medicaid | $2,414.78 | ↓ -47% |
| MOLINA | Managed Medicaid | $2,461.67 | ↓ -46% |
| ANTHEM | Managed Medicaid | $2,461.67 | ↓ -46% |
| AMERIHEALTH | Managed Medicaid | $2,578.90 | ↓ -44% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Omalizumab 150 mg/ml subcutaneous syringe (wrapper) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $5,390.34 | not published |
| Anderson Hospital | Cincinnati | $6,362.34 | not published |
| Clermont Hospital | Batavia | $12,724.74 | not published |
| Mercy West Hospital | Cincinnati | $12,724.74 | not published |
| St Ritas Medical Center | Lima | $5,699.64 | not published |
| Trinity Medical Center East | Steubenville | $1,696.09 | $37.75 – $2,633.40 |
| akron general | Akron | $4,595.01 | $2.17 – $4,771.74 |
| avon hospital | Avon | $4,595.01 | $38.29 – $2,494.39 |