Levothyroxine 100 mcg intravenous powder for solution 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

$1,235.31

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.

$1,900.47

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.

$89.88 with OSCAR vs $317.82 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 →

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 $89.88 ↓ -93%
Aultcare PPO/HMO $90.58 ↓ -93%
PHPHI ALL PRODUCTS $101.70 ↓ -92%
PHP ALL PRODUCTS $101.70 ↓ -92%
Summacare Preferred $111.55 ↓ -91%
CIGNA ALL PRODUCTS $117.59 ↓ -90%
Summacare PREMIER $121.09 ↓ -90%
MMO TRADITIONAL $129.35 ↓ -90%
Buckeye Managed Medicaid $132.53 ↓ -89%
ANTHEM HPN $133.07 ↓ -89%
Amish Community Aid Plan ALL PRODUCTS $143.02 ↓ -88%
OPTUM All Products Transplant $149.38 ↓ -88%
ANTHEM TRADITIONAL $151.50 ↓ -88%
UNITED ALL PRODUCTS $152.87 ↓ -88%
OPTUM Commercial CHD Care Solutions $153.19 ↓ -88%
OHCP ALL PRODUCTS $154.46 ↓ -87%
ANTHEM PPO/HMO $156.56 ↓ -87%
OPTUM Commercial CRS Care Solutions $162.41 ↓ -87%
HEALTHSMART ALL PRODUCTS $174.80 ↓ -86%
UPMC ALL PRODUCTS $190.69 ↓ -85%
The Health Plan ALL PRODUCTS $190.69 ↓ -85%
OPTUM Managed Medicaid Transplant $197.13 ↓ -84%
THREE RIVERS ALL PRODUCTS $206.58 ↓ -83%
Paramount Managed Medicaid $213.74 ↓ -83%
MOLINA Managed Medicaid $217.89 ↓ -82%
ANTHEM Managed Medicaid $217.89 ↓ -82%
CARESOURCE Managed Medicaid $222.04 ↓ -82%
UNITED Managed Medicaid $222.04 ↓ -82%
Medical Benefit Corp Transplant SMCP $222.47 ↓ -82%
Quality Care Partners ALL PRODUCTS $222.47 ↓ -82%
GMS ALL PRODUCTS $222.47 ↓ -82%
CC EHP ALL PRODUCTS $225.33 ↓ -82%
AMERIHEALTH Managed Medicaid $228.26 ↓ -82%
AETNA ALL PRODUCTS $238.37 ↓ -81%
Consociate Health ALL PRODUCTS $238.37 ↓ -81%
AETNA Acop $248.54 ↓ -80%
Evernorth (Cigna BH) All Products Psychiatrist $254.26 ↓ -79%
Ohio Healthy Transplant $254.26 ↓ -79%
MULTIPLAN ALL PRODUCTS $286.04 ↓ -77%
USA Managed Care ALL PRODUCTS $286.04 ↓ -77%
Managed Care Services TRANSPLANT $286.04 ↓ -77%
AETNA Asa_Whirlpool_Peia (Hmo) $286.04 ↓ -77%
AETNA International $301.93 ↓ -76%
AETNA Asa_Whirlpool_Peia (Pos_Epo_Ppo) $303.20 ↓ -75%
AETNA Qhp/Ipf $317.82 ↓ -74%
AETNA NAP not published by hospital

Visitor-reported prices

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Levothyroxine 100 mcg intravenous powder for solution at other Ohio hospitals

Hospital City Cash price Negotiated range
fairview hospital Cleveland $1,235.31 $2.17 – $286.04
lutheran hospital Cleveland $1,235.31 $10.64 – $286.04
cleveland clinic main campus Cleveland not published $10.47 – $164.23
akron general Akron $1,235.31 $2.17 – $286.04
avon hospital Avon $1,235.31 $10.64 – $286.04
euclid hospital Euclid $1,235.31 $10.64 – $286.04
hillcrest hospital Mayfield Heights $1,235.31 $2.17 – $286.04
lodi hospital Lodi $1,235.31 $89.88 – $286.04

All Ohio hospitals for this procedure →