Mycophenolate mofetil 250 mg capsule 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

$28.07

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.

$43.18

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.

$0.88 with OSCAR vs $15.51 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 →

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 $0.88 ↓ -97%
Aultcare PPO/HMO $0.89 ↓ -97%
PHPHI ALL PRODUCTS $1.00 ↓ -96%
PHP ALL PRODUCTS $1.00 ↓ -96%
Summacare Preferred $1.10 ↓ -96%
CIGNA ALL PRODUCTS $1.15 ↓ -96%
Summacare PREMIER $1.19 ↓ -96%
MMO TRADITIONAL $1.27 ↓ -95%
Buckeye Managed Medicaid $1.30 ↓ -95%
ANTHEM HPN $1.31 ↓ -95%
Amish Community Aid Plan ALL PRODUCTS $1.40 ↓ -95%
OPTUM All Products Transplant $1.47 ↓ -95%
ANTHEM TRADITIONAL $1.49 ↓ -95%
UNITED ALL PRODUCTS $1.50 ↓ -95%
OPTUM Commercial CHD Care Solutions $1.50 ↓ -95%
OHCP ALL PRODUCTS $1.52 ↓ -95%
ANTHEM PPO/HMO $1.54 ↓ -95%
OPTUM Commercial CRS Care Solutions $1.59 ↓ -94%
HEALTHSMART ALL PRODUCTS $1.72 ↓ -94%
UPMC ALL PRODUCTS $1.87 ↓ -93%
The Health Plan ALL PRODUCTS $1.87 ↓ -93%
THREE RIVERS ALL PRODUCTS $2.03 ↓ -93%
Medical Benefit Corp Transplant SMCP $2.18 ↓ -92%
GMS ALL PRODUCTS $2.18 ↓ -92%
Quality Care Partners ALL PRODUCTS $2.18 ↓ -92%
CC EHP ALL PRODUCTS $2.21 ↓ -92%
Consociate Health ALL PRODUCTS $2.34 ↓ -92%
AETNA ALL PRODUCTS $2.34 ↓ -92%
AETNA Acop $2.44 ↓ -91%
Ohio Healthy Transplant $2.50 ↓ -91%
Evernorth (Cigna BH) All Products Psychiatrist $2.50 ↓ -91%
Managed Care Services TRANSPLANT $2.81 ↓ -90%
MULTIPLAN ALL PRODUCTS $2.81 ↓ -90%
AETNA Asa_Whirlpool_Peia (Hmo) $2.81 ↓ -90%
USA Managed Care ALL PRODUCTS $2.81 ↓ -90%
AETNA International $2.96 ↓ -89%
AETNA Asa_Whirlpool_Peia (Pos_Epo_Ppo) $2.98 ↓ -89%
AETNA Qhp/Ipf $3.12 ↓ -89%
OPTUM Managed Medicaid Transplant $13.40 ↓ -52%
Paramount Managed Medicaid $14.52 ↓ -48%
ANTHEM Managed Medicaid $14.81 ↓ -47%
MOLINA Managed Medicaid $14.81 ↓ -47%
UNITED Managed Medicaid $15.09 ↓ -46%
CARESOURCE Managed Medicaid $15.09 ↓ -46%
AMERIHEALTH Managed Medicaid $15.51 ↓ -45%
AETNA NAP not published by hospital

Visitor-reported prices

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Mycophenolate mofetil 250 mg capsule at other Ohio hospitals

Hospital City Cash price Negotiated range
fairview hospital Cleveland $28.07 $0.27 – $9.14
lutheran hospital Cleveland $28.07 $0.27 – $8.70
cleveland clinic main campus Cleveland not published $0.26 – $11.17
akron general Akron $28.07 $0.27 – $8.86
avon hospital Avon $28.07 $0.27 – $8.36
euclid hospital Euclid $28.07 $0.27 – $9.74
hillcrest hospital Mayfield Heights $28.07 $0.27 – $9.53
lodi hospital Lodi $28.07 $0.88 – $14.86

All Ohio hospitals for this procedure →