In-111 pentetate dtpa / 0.5 mci at University Hospitals Cleveland Medical Center

11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · University Hospitals · · NPI 1043397292

Source: hospital's published price file ↗ · Published Jul 14, 2026 · Ingested Aug 21, 2026

$2,156.25

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,875.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$745.62 with Medical Mutual of Ohio vs $2,587.50 with Fortified Provider Network — 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 →

Payer
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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
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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
Medical Mutual of Ohio Medicare Advantage $745.62 ↓ -65%
The Health Plan Medicare Advantage $745.62 ↓ -65%
SummaCare Medicare Advantage $745.62 ↓ -65%
Devoted Health Medicare Advantage $745.62 ↓ -65%
Cigna Medicare Advantage $745.62 ↓ -65%
Molina Medicare Advantage $745.62 ↓ -65%
United Healthcare Medicare Advantage $745.62 ↓ -65%
Aetna Medicare Advantage $745.62 ↓ -65%
WellCare by AllWell Medicare Advantage $745.62 ↓ -65%
Primetime Health Plan Medicare Advantage $745.62 ↓ -65%
Anthem Medicare Advantage $745.62 ↓ -65%
Humana Medicare Advantage $745.62 ↓ -65%
Paramount Medicare Advantage $767.99 ↓ -64%
Medical Mutual of Ohio Northern Ohio Commercial $776.25 ↓ -64%
Perennial Advantage of Ohio Medicare Advantage $782.90 ↓ -64%
Valor Health Plans Medicare Advantage $782.90 ↓ -64%
University Health Employee Plan (Contigo) Commercial $1,150.00 ↓ -47%
CareSource Marketplace $1,342.12 ↓ -38%
Ambetter Commercial $1,342.12 ↓ -38%
Immergrun Commercial $1,437.50 ↓ -33%
Amish Aid Community Plan Fund $1,437.50 ↓ -33%
Amish Church Fund and Workers Aid Plan Fund $1,437.50 ↓ -33%
Buckeye Plain Ministries Fund $1,437.50 ↓ -33%
Christian Healthcare Ministries Fund $1,437.50 ↓ -33%
Sunrise Plain Communities Fund $1,437.50 ↓ -33%
Medical Mutual of Ohio MedFlex Commercial $1,480.63 ↓ -31%
AultCare Commercial $1,491.24 ↓ -31%
Anthem Tiered/Pathway Commercial $1,518.00 ↓ -30%
Anthem Pathway Commercial $1,518.00 ↓ -30%
JP Farley Commercial $1,561.13 ↓ -28%
Cigna PPO Commercial $1,595.63 ↓ -26%
Enterprise Group Planning Commercial $1,610.00 ↓ -25%
United Healthcare Commercial $1,614.96 ↓ -25%
United Healthcare Nexus Commercial $1,614.96 ↓ -25%
Anthem Traditional Commercial $1,644.50 ↓ -24%
Health Ohio Network Commercial $1,667.50 ↓ -23%
Anthem Blue Access Commercial $1,699.13 ↓ -21%
Immergrun Fund $1,725.00 ↓ -20%
Medical Mutual of Ohio SuperMed Commercial $1,808.38 ↓ -16%
Medical Mutual of Ohio NAS Commercial $1,808.38 ↓ -16%
Cigna CSN Commercial $1,819.88 ↓ -16%
Aetna OPN Commercial $1,828.50 ↓ -15%
HealthSmart Commercial $1,868.75 ↓ -13%
Ohio Health Choice Preferred Health Choice Plus Commercial $1,868.75 ↓ -13%
The Health Plan Commercial $1,868.75 ↓ -13%
Cigna OAP Commercial $1,943.50 ↓ -10%
SummaCare Commercial $1,955.00 ↓ -9%
Medical Mutual Traditional/Health Ohio Commercial $2,012.50 ↓ -7%
Aetna Commercial $2,035.50 ↓ -6%
Aetna NAP Commercial $2,254.00 ↑ +5%
Ohio Preferred Network Commercial $2,300.00 ↑ +7%
Beech Street Commercial $2,300.00 ↑ +7%
First Health Commercial $2,386.25 ↑ +11%
Century Health Network Commercial $2,443.75 ↑ +13%
Private Healthcare System Commercial $2,472.50 ↑ +15%
Ohio Health Choice Commercial $2,587.50 ↑ +20%
MultiPlan Commercial $2,587.50 ↑ +20%
Fortified Provider Network Commercial $2,587.50 ↑ +20%
CareSource Managed Medicaid not published by hospital —
United Healthcare Managed Medicaid not published by hospital —
Buckeye Managed Medicaid not published by hospital —
Molina Managed Medicaid not published by hospital —
Amerihealth Caritas Managed Medicaid not published by hospital —
Aetna (Ohio Rise) Managed Medicaid not published by hospital —
Humana Managed Medicaid not published by hospital —

Visitor-reported prices

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In-111 pentetate dtpa / 0.5 mci at other Ohio hospitals

Hospital City Cash price Negotiated range
Jewish Hospital Cincinnati $1,500.00 not published
St Ritas Medical Center Lima $6,375.66 not published
Trinity Medical Center East Steubenville $2,949.30 $1,265.01 – $4,579.19
cleveland clinic main campus Cleveland $2,936.70 $1.10 – $4,066.20
akron general Akron $2,936.70 $0.01 – $4,066.20
avon hospital Avon $2,936.70 $0.01 – $4,066.20
cleveland clinic childrens hospital for rehabilitation Cleveland $2,936.70 $180.00 – $4,066.20
euclid hospital Euclid $2,936.70 $0.01 – $4,066.20

All Ohio hospitals for this procedure →