Sirolimus, oral at cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
$56.88
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.
$87.50
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.
$4.79 with OSCAR vs $26.59 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 | $4.79 | ↓ -92% |
| Aultcare | PPO/HMO | $4.83 | ↓ -92% |
| PHPHI | ALL PRODUCTS | $5.42 | ↓ -90% |
| PHP | ALL PRODUCTS | $5.42 | ↓ -90% |
| Summacare | Preferred | $5.95 | ↓ -90% |
| CIGNA | ALL PRODUCTS | $6.27 | ↓ -89% |
| Summacare | PREMIER | $6.45 | ↓ -89% |
| MMO | TRADITIONAL | $6.89 | ↓ -88% |
| Buckeye | Managed Medicaid | $7.06 | ↓ -88% |
| ANTHEM | HPN | $7.09 | ↓ -88% |
| Amish Community Aid Plan | ALL PRODUCTS | $7.62 | ↓ -87% |
| OPTUM | All Products Transplant | $7.96 | ↓ -86% |
| ANTHEM | TRADITIONAL | $8.08 | ↓ -86% |
| UNITED | ALL PRODUCTS | $8.15 | ↓ -86% |
| OPTUM | Commercial CHD Care Solutions | $8.17 | ↓ -86% |
| OHCP | ALL PRODUCTS | $8.23 | ↓ -86% |
| ANTHEM | PPO/HMO | $8.34 | ↓ -85% |
| OPTUM | Commercial CRS Care Solutions | $8.66 | ↓ -85% |
| HEALTHSMART | ALL PRODUCTS | $9.32 | ↓ -84% |
| UPMC | ALL PRODUCTS | $10.16 | ↓ -82% |
| The Health Plan | ALL PRODUCTS | $10.16 | ↓ -82% |
| THREE RIVERS | ALL PRODUCTS | $11.01 | ↓ -81% |
| Medical Benefit Corp | Transplant SMCP | $11.86 | ↓ -79% |
| GMS | ALL PRODUCTS | $11.86 | ↓ -79% |
| Quality Care Partners | ALL PRODUCTS | $11.86 | ↓ -79% |
| CC EHP | ALL PRODUCTS | $12.01 | ↓ -79% |
| Consociate Health | ALL PRODUCTS | $12.71 | ↓ -78% |
| AETNA | ALL PRODUCTS | $12.71 | ↓ -78% |
| AETNA | Acop | $13.25 | ↓ -77% |
| Ohio Healthy | Transplant | $13.55 | ↓ -76% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $13.55 | ↓ -76% |
| Managed Care Services | TRANSPLANT | $15.25 | ↓ -73% |
| MULTIPLAN | ALL PRODUCTS | $15.25 | ↓ -73% |
| AETNA | Asa_Whirlpool_Peia (Hmo) | $15.25 | ↓ -73% |
| USA Managed Care | ALL PRODUCTS | $15.25 | ↓ -73% |
| AETNA | International | $16.09 | ↓ -72% |
| AETNA | Asa_Whirlpool_Peia (Pos_Epo_Ppo) | $16.16 | ↓ -72% |
| AETNA | Qhp/Ipf | $16.94 | ↓ -70% |
| OPTUM | Managed Medicaid Transplant | $22.96 | ↓ -60% |
| Paramount | Managed Medicaid | $24.90 | ↓ -56% |
| ANTHEM | Managed Medicaid | $25.38 | ↓ -55% |
| MOLINA | Managed Medicaid | $25.38 | ↓ -55% |
| UNITED | Managed Medicaid | $25.86 | ↓ -55% |
| CARESOURCE | Managed Medicaid | $25.86 | ↓ -55% |
| AMERIHEALTH | Managed Medicaid | $26.59 | ↓ -53% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Sirolimus, oral at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $56.88 | $1.73 – $15.68 |
| lutheran hospital | Cleveland | $56.88 | $1.73 – $15.25 |
| cleveland clinic main campus | Cleveland | not published | $1.70 – $19.13 |
| akron general | Akron | $56.88 | $1.73 – $15.25 |
| avon hospital | Avon | $56.88 | $1.73 – $15.25 |
| euclid hospital | Euclid | $56.88 | $1.73 – $16.69 |
| hillcrest hospital | Mayfield Heights | $56.88 | $1.73 – $16.34 |
| lodi hospital | Lodi | $56.88 | $4.79 – $25.48 |