Indigotindisulfonate 8 mg/ml soln 5 ml ampule at cleveland clinic childrens hospital for rehabilitation

2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

$187.20

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.

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

$288.00

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.

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

$1.47 with OSCAR vs $40.21 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 →

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
OSCAR ALL PRODUCTS $1.47 ↓ -99%
Aultcare PPO/HMO $1.48 ↓ -99%
PHPHI ALL PRODUCTS $1.66 ↓ -99%
PHP ALL PRODUCTS $1.66 ↓ -99%
Summacare Preferred $1.82 ↓ -99%
CIGNA ALL PRODUCTS $1.92 ↓ -99%
Summacare PREMIER $1.98 ↓ -99%
MMO TRADITIONAL $2.11 ↓ -99%
Buckeye Managed Medicaid $2.16 ↓ -99%
ANTHEM HPN $2.17 ↓ -99%
Amish Community Aid Plan ALL PRODUCTS $2.34 ↓ -99%
OPTUM All Products Transplant $2.44 ↓ -99%
ANTHEM TRADITIONAL $2.47 ↓ -99%
UNITED ALL PRODUCTS $2.50 ↓ -99%
OPTUM Commercial CHD Care Solutions $2.50 ↓ -99%
OHCP ALL PRODUCTS $2.52 ↓ -99%
ANTHEM PPO/HMO $2.56 ↓ -99%
OPTUM Commercial CRS Care Solutions $2.65 ↓ -99%
HEALTHSMART ALL PRODUCTS $2.85 ↓ -98%
UPMC ALL PRODUCTS $3.11 ↓ -98%
The Health Plan ALL PRODUCTS $3.11 ↓ -98%
THREE RIVERS ALL PRODUCTS $3.37 ↓ -98%
Medical Benefit Corp Transplant SMCP $3.63 ↓ -98%
GMS ALL PRODUCTS $3.63 ↓ -98%
Quality Care Partners ALL PRODUCTS $3.63 ↓ -98%
CC EHP ALL PRODUCTS $3.68 ↓ -98%
Consociate Health ALL PRODUCTS $3.89 ↓ -98%
AETNA ALL PRODUCTS $3.89 ↓ -98%
AETNA Acop $4.06 ↓ -98%
Ohio Healthy Transplant $4.15 ↓ -98%
Evernorth (Cigna BH) All Products Psychiatrist $4.15 ↓ -98%
Managed Care Services TRANSPLANT $4.67 ↓ -98%
MULTIPLAN ALL PRODUCTS $4.67 ↓ -98%
AETNA Asa_Whirlpool_Peia (Hmo) $4.67 ↓ -98%
USA Managed Care ALL PRODUCTS $4.67 ↓ -98%
AETNA International $4.93 ↓ -97%
AETNA Asa_Whirlpool_Peia (Pos_Epo_Ppo) $4.95 ↓ -97%
AETNA Qhp/Ipf $5.19 ↓ -97%
OPTUM Managed Medicaid Transplant $34.72 ↓ -81%
Paramount Managed Medicaid $37.65 ↓ -80%
ANTHEM Managed Medicaid $38.38 ↓ -79%
MOLINA Managed Medicaid $38.38 ↓ -79%
UNITED Managed Medicaid $39.11 ↓ -79%
CARESOURCE Managed Medicaid $39.11 ↓ -79%
AMERIHEALTH Managed Medicaid $40.21 ↓ -79%
AETNA NAP not published by hospital

Visitor-reported prices

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Indigotindisulfonate 8 mg/ml soln 5 ml ampule at other Ohio hospitals

Hospital City Cash price Negotiated range
fairview hospital Cleveland $187.20 $1.15 – $23.71
lutheran hospital Cleveland $187.20 $1.47 – $22.56
cleveland clinic main campus Cleveland not published $1.16 – $28.93
akron general Akron $187.20 $1.15 – $22.96
avon hospital Avon $187.20 $1.47 – $21.68
euclid hospital Euclid $187.20 $1.47 – $25.23
hillcrest hospital Mayfield Heights $187.20 $1.15 – $24.70
lodi hospital Lodi $187.20 $1.47 – $38.53

All Ohio hospitals for this procedure →