Inj. acthar gel to 40 units at cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
$21,202.27
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.
$32,618.88
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.
$6,084.30 with OSCAR vs $21,514.50 with AETNA — 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 |
|---|---|---|---|
| OSCAR | ALL PRODUCTS | $6,084.30 | ↓ -71% |
| Aultcare | PPO/HMO | $6,131.63 | ↓ -71% |
| OPTUM | Managed Medicaid Transplant | $6,786.29 | ↓ -68% |
| PHP | ALL PRODUCTS | $6,884.64 | ↓ -68% |
| PHPHI | ALL PRODUCTS | $6,884.64 | ↓ -68% |
| Paramount | Managed Medicaid | $7,357.76 | ↓ -65% |
| MOLINA | Managed Medicaid | $7,500.63 | ↓ -65% |
| ANTHEM | Managed Medicaid | $7,500.63 | ↓ -65% |
| Summacare | Preferred | $7,551.59 | ↓ -64% |
| UNITED | Managed Medicaid | $7,643.50 | ↓ -64% |
| CARESOURCE | Managed Medicaid | $7,643.50 | ↓ -64% |
| AMERIHEALTH | Managed Medicaid | $7,857.81 | ↓ -63% |
| CIGNA | ALL PRODUCTS | $7,960.37 | ↓ -62% |
| Summacare | PREMIER | $8,197.02 | ↓ -61% |
| MMO | TRADITIONAL | $8,756.40 | ↓ -59% |
| Buckeye | Managed Medicaid | $8,971.55 | ↓ -58% |
| ANTHEM | HPN | $9,008.12 | ↓ -58% |
| Amish Community Aid Plan | ALL PRODUCTS | $9,681.53 | ↓ -54% |
| OPTUM | All Products Transplant | $10,111.82 | ↓ -52% |
| ANTHEM | TRADITIONAL | $10,255.96 | ↓ -52% |
| UNITED | ALL PRODUCTS | $10,348.47 | ↓ -51% |
| OPTUM | Commercial CHD Care Solutions | $10,369.99 | ↓ -51% |
| OHCP | ALL PRODUCTS | $10,456.05 | ↓ -51% |
| ANTHEM | PPO/HMO | $10,598.04 | ↓ -50% |
| OPTUM | Commercial CRS Care Solutions | $10,993.91 | ↓ -48% |
| HEALTHSMART | ALL PRODUCTS | $11,832.98 | ↓ -44% |
| UPMC | ALL PRODUCTS | $12,908.70 | ↓ -39% |
| The Health Plan | ALL PRODUCTS | $12,908.70 | ↓ -39% |
| THREE RIVERS | ALL PRODUCTS | $13,984.43 | ↓ -34% |
| Quality Care Partners | ALL PRODUCTS | $15,060.15 | ↓ -29% |
| GMS | ALL PRODUCTS | $15,060.15 | ↓ -29% |
| Medical Benefit Corp | Transplant SMCP | $15,060.15 | ↓ -29% |
| CC EHP | ALL PRODUCTS | $15,253.78 | ↓ -28% |
| Consociate Health | ALL PRODUCTS | $16,135.88 | ↓ -24% |
| AETNA | ALL PRODUCTS | $16,135.88 | ↓ -24% |
| AETNA | Acop | $16,824.34 | ↓ -21% |
| Ohio Healthy | Transplant | $17,211.60 | ↓ -19% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $17,211.60 | ↓ -19% |
| MULTIPLAN | ALL PRODUCTS | $19,363.05 | ↓ -9% |
| USA Managed Care | ALL PRODUCTS | $19,363.05 | ↓ -9% |
| AETNA | Asa_Whirlpool_Peia (Hmo) | $19,363.05 | ↓ -9% |
| Managed Care Services | TRANSPLANT | $19,363.05 | ↓ -9% |
| AETNA | International | $20,438.78 | ↓ -4% |
| AETNA | Asa_Whirlpool_Peia (Pos_Epo_Ppo) | $20,524.83 | ↓ -3% |
| AETNA | Qhp/Ipf | $21,514.50 | ↑ +1% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Inj. acthar gel to 40 units at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $21,202.27 | $2.17 – $19,363.05 |
| lutheran hospital | Cleveland | $21,202.27 | $3,808.83 – $19,363.05 |
| cleveland clinic main campus | Cleveland | not published | $521.57 – $11,221.18 |
| akron general | Akron | $21,202.27 | $2.17 – $19,363.05 |
| avon hospital | Avon | $21,202.27 | $4,156.65 – $19,363.05 |
| euclid hospital | Euclid | $21,202.27 | $3,370.39 – $19,363.05 |
| hillcrest hospital | Mayfield Heights | $21,202.27 | $2.17 – $19,363.05 |
| lodi hospital | Lodi | $21,202.27 | $4,172.53 – $19,363.05 |