Inj, micafungin (par pharm) at cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
$350.06
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.
$538.56
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.
$72.53 with OPTUM vs $269.28 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 | $72.53 | ↓ -79% |
| OSCAR | ALL PRODUCTS | $76.15 | ↓ -78% |
| Aultcare | PPO/HMO | $76.74 | ↓ -78% |
| Paramount | Managed Medicaid | $78.64 | ↓ -78% |
| MOLINA | Managed Medicaid | $80.17 | ↓ -77% |
| ANTHEM | Managed Medicaid | $80.17 | ↓ -77% |
| CARESOURCE | Managed Medicaid | $81.69 | ↓ -77% |
| UNITED | Managed Medicaid | $81.69 | ↓ -77% |
| AMERIHEALTH | Managed Medicaid | $83.99 | ↓ -76% |
| PHP | ALL PRODUCTS | $86.17 | ↓ -75% |
| PHPHI | ALL PRODUCTS | $86.17 | ↓ -75% |
| Summacare | Preferred | $94.52 | ↓ -73% |
| CIGNA | ALL PRODUCTS | $99.63 | ↓ -72% |
| Summacare | PREMIER | $102.60 | ↓ -71% |
| MMO | TRADITIONAL | $109.60 | ↓ -69% |
| Buckeye | Managed Medicaid | $112.29 | ↓ -68% |
| ANTHEM | HPN | $112.75 | ↓ -68% |
| Amish Community Aid Plan | ALL PRODUCTS | $121.18 | ↓ -65% |
| OPTUM | All Products Transplant | $126.56 | ↓ -64% |
| ANTHEM | TRADITIONAL | $128.37 | ↓ -63% |
| UNITED | ALL PRODUCTS | $129.52 | ↓ -63% |
| OPTUM | Commercial CHD Care Solutions | $129.79 | ↓ -63% |
| OHCP | ALL PRODUCTS | $130.87 | ↓ -63% |
| ANTHEM | PPO/HMO | $132.65 | ↓ -62% |
| OPTUM | Commercial CRS Care Solutions | $137.60 | ↓ -61% |
| HEALTHSMART | ALL PRODUCTS | $148.10 | ↓ -58% |
| UPMC | ALL PRODUCTS | $161.57 | ↓ -54% |
| The Health Plan | ALL PRODUCTS | $161.57 | ↓ -54% |
| THREE RIVERS | ALL PRODUCTS | $175.03 | ↓ -50% |
| Quality Care Partners | ALL PRODUCTS | $188.50 | ↓ -46% |
| GMS | ALL PRODUCTS | $188.50 | ↓ -46% |
| Medical Benefit Corp | Transplant SMCP | $188.50 | ↓ -46% |
| CC EHP | ALL PRODUCTS | $190.92 | ↓ -45% |
| Consociate Health | ALL PRODUCTS | $201.96 | ↓ -42% |
| AETNA | ALL PRODUCTS | $201.96 | ↓ -42% |
| AETNA | Acop | $210.58 | ↓ -40% |
| Ohio Healthy | Transplant | $215.42 | ↓ -38% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $215.42 | ↓ -38% |
| MULTIPLAN | ALL PRODUCTS | $242.35 | ↓ -31% |
| USA Managed Care | ALL PRODUCTS | $242.35 | ↓ -31% |
| AETNA | Asa_Whirlpool_Peia (Hmo) | $242.35 | ↓ -31% |
| Managed Care Services | TRANSPLANT | $242.35 | ↓ -31% |
| AETNA | International | $255.82 | ↓ -27% |
| AETNA | Asa_Whirlpool_Peia (Pos_Epo_Ppo) | $256.89 | ↓ -27% |
| AETNA | Qhp/Ipf | $269.28 | ↓ -23% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
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Inj, micafungin (par pharm) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $350.06 | $0.27 – $242.35 |
| lutheran hospital | Cleveland | $350.06 | $0.39 – $242.35 |
| cleveland clinic main campus | Cleveland | not published | $0.27 – $60.42 |
| akron general | Akron | $350.06 | $0.39 – $242.35 |
| avon hospital | Avon | $350.06 | $0.39 – $242.35 |
| euclid hospital | Euclid | $350.06 | $0.27 – $242.35 |
| hillcrest hospital | Mayfield Heights | $350.06 | $0.27 – $242.35 |
| lodi hospital | Lodi | $350.06 | $69.50 – $242.35 |