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Anodyne therapy charges pt at cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
not published by hospital
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.
not published by hospital
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.
$8.66 with AETNA vs $50.05 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 | NAP | $8.66 | — |
| AETNA | Qhp/Ipf | $8.66 | — |
| AETNA | Asa_Whirlpool_Peia (Hmo) | $38.60 | — |
| AETNA | Acop | $38.79 | — |
| OPTUM | Managed Medicaid Transplant | $43.23 | — |
| Paramount | Managed Medicaid | $46.87 | — |
| ANTHEM | Managed Medicaid | $47.78 | — |
| MOLINA | Managed Medicaid | $47.78 | — |
| CARESOURCE | Managed Medicaid | $48.69 | — |
| UNITED | Managed Medicaid | $48.69 | — |
| AMERIHEALTH | Managed Medicaid | $50.05 | — |
Visitor-reported prices
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Anodyne therapy charges pt at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $31.20 | $1.10 – $43.20 |
| fairview hospital | Cleveland | not published | $8.45 – $29.50 |
| lutheran hospital | Cleveland | not published | $8.66 – $28.08 |
| akron general | Akron | $16.90 | $1.10 – $28.58 |
| mercy hospital | Canton | $16.90 | $1.10 – $27.90 |
| University Hospitals Ahuja Medical Center | Beachwood | $92.25 | $6.31 – $110.70 |
| University Hospitals Beachwood Medical Center | Beachwood | $92.25 | $2.98 – $110.70 |
| University Hospitals Conneaut Medical Center | Conneaut | $49.50 | not published |