Inj., emicizumab-kxwh 0.5 mg at cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
$42,437.44
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.
$65,288.37
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.
$3,692.71 with OSCAR vs $29,097.34 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 |
|---|---|---|---|
| OSCAR | ALL PRODUCTS | $3,692.71 | ↓ -91% |
| Aultcare | PPO/HMO | $3,721.44 | ↓ -91% |
| PHPHI | ALL PRODUCTS | $4,178.46 | ↓ -90% |
| PHP | ALL PRODUCTS | $4,178.46 | ↓ -90% |
| Summacare | Preferred | $4,583.25 | ↓ -89% |
| CIGNA | ALL PRODUCTS | $4,831.34 | ↓ -89% |
| Summacare | PREMIER | $4,974.98 | ↓ -88% |
| MMO | TRADITIONAL | $5,314.48 | ↓ -87% |
| Buckeye | Managed Medicaid | $5,445.05 | ↓ -87% |
| ANTHEM | HPN | $5,467.25 | ↓ -87% |
| Amish Community Aid Plan | ALL PRODUCTS | $5,875.96 | ↓ -86% |
| OPTUM | All Products Transplant | $6,137.11 | ↓ -86% |
| ANTHEM | TRADITIONAL | $6,224.60 | ↓ -85% |
| UNITED | ALL PRODUCTS | $6,280.74 | ↓ -85% |
| OPTUM | Commercial CHD Care Solutions | $6,293.80 | ↓ -85% |
| OHCP | ALL PRODUCTS | $6,346.03 | ↓ -85% |
| ANTHEM | PPO/HMO | $6,432.21 | ↓ -85% |
| OPTUM | Commercial CRS Care Solutions | $6,672.47 | ↓ -84% |
| HEALTHSMART | ALL PRODUCTS | $7,181.72 | ↓ -83% |
| UPMC | ALL PRODUCTS | $7,834.61 | ↓ -82% |
| The Health Plan | ALL PRODUCTS | $7,834.61 | ↓ -82% |
| THREE RIVERS | ALL PRODUCTS | $8,487.49 | ↓ -80% |
| Medical Benefit Corp | Transplant SMCP | $9,140.38 | ↓ -78% |
| GMS | ALL PRODUCTS | $9,140.38 | ↓ -78% |
| Quality Care Partners | ALL PRODUCTS | $9,140.38 | ↓ -78% |
| CC EHP | ALL PRODUCTS | $9,257.90 | ↓ -78% |
| Consociate Health | ALL PRODUCTS | $9,793.26 | ↓ -77% |
| AETNA | ALL PRODUCTS | $9,793.26 | ↓ -77% |
| AETNA | Acop | $10,211.11 | ↓ -76% |
| Ohio Healthy | Transplant | $10,446.14 | ↓ -75% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $10,446.14 | ↓ -75% |
| Managed Care Services | TRANSPLANT | $11,751.91 | ↓ -72% |
| MULTIPLAN | ALL PRODUCTS | $11,751.91 | ↓ -72% |
| AETNA | Asa_Whirlpool_Peia (Hmo) | $11,751.91 | ↓ -72% |
| USA Managed Care | ALL PRODUCTS | $11,751.91 | ↓ -72% |
| AETNA | International | $12,404.80 | ↓ -71% |
| AETNA | Asa_Whirlpool_Peia (Pos_Epo_Ppo) | $12,457.03 | ↓ -71% |
| AETNA | Qhp/Ipf | $13,057.68 | ↓ -69% |
| OPTUM | Managed Medicaid Transplant | $25,129.52 | ↓ -41% |
| Paramount | Managed Medicaid | $27,245.69 | ↓ -36% |
| ANTHEM | Managed Medicaid | $27,774.74 | ↓ -35% |
| MOLINA | Managed Medicaid | $27,774.74 | ↓ -35% |
| UNITED | Managed Medicaid | $28,303.78 | ↓ -33% |
| CARESOURCE | Managed Medicaid | $28,303.78 | ↓ -33% |
| AMERIHEALTH | Managed Medicaid | $29,097.34 | ↓ -31% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Inj., emicizumab-kxwh 0.5 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $42,437.44 | $2.17 – $17,153.79 |
| lutheran hospital | Cleveland | $42,437.44 | $52.82 – $16,330.97 |
| cleveland clinic main campus | Cleveland | not published | $7.06 – $20,935.21 |
| akron general | Akron | $42,437.44 | $2.17 – $16,617.81 |
| avon hospital | Avon | $42,437.44 | $52.82 – $15,685.16 |
| euclid hospital | Euclid | $42,437.44 | $50.84 – $18,259.40 |
| hillcrest hospital | Mayfield Heights | $42,437.44 | $2.17 – $17,871.56 |
| lodi hospital | Lodi | $42,437.44 | $52.82 – $27,881.30 |