Epoetin alfa, 100 units esrd at cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
$3.90
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.
$6.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$1.48 with Summacare vs $228.26 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 |
|---|---|---|---|
| Summacare | Preferred | $1.48 | ↓ -62% |
| Summacare | PREMIER | $1.48 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $1.70 | ↓ -56% |
| Aultcare | PPO/HMO | $1.71 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $1.92 | ↓ -51% |
| PHP | ALL PRODUCTS | $1.92 | ↓ -51% |
| CIGNA | ALL PRODUCTS | $2.22 | ↓ -43% |
| MMO | TRADITIONAL | $2.44 | ↓ -37% |
| Buckeye | Managed Medicaid | $2.50 | ↓ -36% |
| ANTHEM | HPN | $2.51 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $2.70 | ↓ -31% |
| OPTUM | All Products Transplant | $2.82 | ↓ -28% |
| ANTHEM | TRADITIONAL | $2.86 | ↓ -27% |
| OPTUM | Commercial CHD Care Solutions | $2.89 | ↓ -26% |
| UNITED | ALL PRODUCTS | $2.89 | ↓ -26% |
| OHCP | ALL PRODUCTS | $2.92 | ↓ -25% |
| ANTHEM | PPO/HMO | $2.96 | ↓ -24% |
| OPTUM | Commercial CRS Care Solutions | $3.07 | ↓ -21% |
| HEALTHSMART | ALL PRODUCTS | $3.30 | ↓ -15% |
| UPMC | ALL PRODUCTS | $3.60 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $3.60 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $3.90 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $4.20 | ↑ +8% |
| GMS | ALL PRODUCTS | $4.20 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $4.20 | ↑ +8% |
| CC EHP | ALL PRODUCTS | $4.25 | ↑ +9% |
| Consociate Health | ALL PRODUCTS | $4.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $4.50 | ↑ +15% |
| AETNA | Acop | $4.69 | ↑ +20% |
| Ohio Healthy | Transplant | $4.80 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $4.80 | ↑ +23% |
| Managed Care Services | TRANSPLANT | $5.40 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $5.40 | ↑ +38% |
| AETNA | Asa_Whirlpool_Peia (Hmo) | $5.40 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $5.40 | ↑ +38% |
| AETNA | International | $5.70 | ↑ +46% |
| AETNA | Asa_Whirlpool_Peia (Pos_Epo_Ppo) | $5.72 | ↑ +47% |
| AETNA | Qhp/Ipf | $6.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $197.13 | ↑ +4955% |
| Paramount | Managed Medicaid | $213.74 | ↑ +5381% |
| ANTHEM | Managed Medicaid | $217.89 | ↑ +5487% |
| MOLINA | Managed Medicaid | $217.89 | ↑ +5487% |
| UNITED | Managed Medicaid | $222.04 | ↑ +5593% |
| CARESOURCE | Managed Medicaid | $222.04 | ↑ +5593% |
| AMERIHEALTH | Managed Medicaid | $228.26 | ↑ +5753% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
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Epoetin alfa, 100 units esrd at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | not published | $0.84 – $164.23 |
| fairview hospital | Cleveland | not published | $0.73 – $134.56 |
| lutheran hospital | Cleveland | not published | $0.73 – $128.11 |
| Dublin Methodist Hospital | Dublin | $4.82 | $1.10 – $1.76 |
| Shelby Hospital | Shelby | $4.62 | $1.31 – $4.23 |
| Grant Medical Center | Columbus | $4.82 | $1.10 – $1.76 |
| Doctors Hospital | Columbus | $4.82 | $1.10 – $1.76 |
| Marion General Hospital | Marion | $4.10 | $1.10 – $4.23 |