Inj, adalimumab, 1 mg at cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
$19,998.76
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.
$30,767.32
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.
$278.89 with OPTUM vs $11,537.70 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $278.89 | ↓ -99% |
| Paramount | Managed Medicaid | $302.38 | ↓ -98% |
| MOLINA | Managed Medicaid | $308.25 | ↓ -98% |
| ANTHEM | Managed Medicaid | $308.25 | ↓ -98% |
| CARESOURCE | Managed Medicaid | $314.12 | ↓ -98% |
| UNITED | Managed Medicaid | $314.12 | ↓ -98% |
| AMERIHEALTH | Managed Medicaid | $322.93 | ↓ -98% |
| OSCAR | ALL PRODUCTS | $3,262.86 | ↓ -84% |
| Aultcare | PPO/HMO | $3,288.24 | ↓ -84% |
| PHP | ALL PRODUCTS | $3,692.06 | ↓ -82% |
| PHPHI | ALL PRODUCTS | $3,692.06 | ↓ -82% |
| Summacare | Preferred | $4,049.73 | ↓ -80% |
| CIGNA | ALL PRODUCTS | $4,268.95 | ↓ -79% |
| Summacare | PREMIER | $4,395.86 | ↓ -78% |
| MMO | TRADITIONAL | $4,695.84 | ↓ -77% |
| Buckeye | Managed Medicaid | $4,811.22 | ↓ -76% |
| ANTHEM | HPN | $4,830.83 | ↓ -76% |
| Amish Community Aid Plan | ALL PRODUCTS | $5,191.97 | ↓ -74% |
| OPTUM | All Products Transplant | $5,422.72 | ↓ -73% |
| ANTHEM | TRADITIONAL | $5,500.02 | ↓ -72% |
| UNITED | ALL PRODUCTS | $5,549.63 | ↓ -72% |
| OPTUM | Commercial CHD Care Solutions | $5,561.17 | ↓ -72% |
| OHCP | ALL PRODUCTS | $5,607.32 | ↓ -72% |
| ANTHEM | PPO/HMO | $5,683.47 | ↓ -72% |
| OPTUM | Commercial CRS Care Solutions | $5,895.76 | ↓ -71% |
| HEALTHSMART | ALL PRODUCTS | $6,345.74 | ↓ -68% |
| UPMC | ALL PRODUCTS | $6,922.62 | ↓ -65% |
| The Health Plan | ALL PRODUCTS | $6,922.62 | ↓ -65% |
| THREE RIVERS | ALL PRODUCTS | $7,499.51 | ↓ -63% |
| Quality Care Partners | ALL PRODUCTS | $8,076.39 | ↓ -60% |
| GMS | ALL PRODUCTS | $8,076.39 | ↓ -60% |
| Medical Benefit Corp | Transplant SMCP | $8,076.39 | ↓ -60% |
| CC EHP | ALL PRODUCTS | $8,180.23 | ↓ -59% |
| Consociate Health | ALL PRODUCTS | $8,653.28 | ↓ -57% |
| AETNA | ALL PRODUCTS | $8,653.28 | ↓ -57% |
| AETNA | Acop | $9,022.48 | ↓ -55% |
| Ohio Healthy | Transplant | $9,230.16 | ↓ -54% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $9,230.16 | ↓ -54% |
| MULTIPLAN | ALL PRODUCTS | $10,383.93 | ↓ -48% |
| USA Managed Care | ALL PRODUCTS | $10,383.93 | ↓ -48% |
| AETNA | Asa_Whirlpool_Peia (Hmo) | $10,383.93 | ↓ -48% |
| Managed Care Services | TRANSPLANT | $10,383.93 | ↓ -48% |
| AETNA | International | $10,960.82 | ↓ -45% |
| AETNA | Asa_Whirlpool_Peia (Pos_Epo_Ppo) | $11,006.97 | ↓ -45% |
| AETNA | Qhp/Ipf | $11,537.70 | ↓ -42% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Inj, adalimumab, 1 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $19,998.76 | $2.17 – $10,383.93 |
| lutheran hospital | Cleveland | $19,998.76 | $91.73 – $10,383.93 |
| cleveland clinic main campus | Cleveland | not published | $91.73 – $232.34 |
| Trinity Medical Center East | Steubenville | $3,618.81 | $4,378.20 – $5,618.69 |
| akron general | Akron | $19,998.76 | $2.17 – $10,383.93 |
| avon hospital | Avon | $19,998.76 | $91.73 – $10,383.93 |
| euclid hospital | Euclid | $19,998.76 | $91.73 – $10,383.93 |
| hillcrest hospital | Mayfield Heights | $19,998.76 | $2.17 – $10,383.93 |