Tacrol envarsus ex rel oral at cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
$44.58
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.
$68.58
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.
$3.64 with OSCAR vs $83.99 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 | $3.64 | ↓ -92% |
| Aultcare | PPO/HMO | $3.67 | ↓ -92% |
| PHPHI | ALL PRODUCTS | $4.12 | ↓ -91% |
| PHP | ALL PRODUCTS | $4.12 | ↓ -91% |
| Summacare | Preferred | $4.51 | ↓ -90% |
| CIGNA | ALL PRODUCTS | $4.76 | ↓ -89% |
| Summacare | PREMIER | $4.90 | ↓ -89% |
| MMO | TRADITIONAL | $5.23 | ↓ -88% |
| Buckeye | Managed Medicaid | $5.36 | ↓ -88% |
| ANTHEM | HPN | $5.38 | ↓ -88% |
| Amish Community Aid Plan | ALL PRODUCTS | $5.79 | ↓ -87% |
| OPTUM | All Products Transplant | $6.04 | ↓ -86% |
| ANTHEM | TRADITIONAL | $6.13 | ↓ -86% |
| UNITED | ALL PRODUCTS | $6.19 | ↓ -86% |
| OPTUM | Commercial CHD Care Solutions | $6.20 | ↓ -86% |
| OHCP | ALL PRODUCTS | $6.25 | ↓ -86% |
| ANTHEM | PPO/HMO | $6.33 | ↓ -86% |
| OPTUM | Commercial CRS Care Solutions | $6.57 | ↓ -85% |
| HEALTHSMART | ALL PRODUCTS | $7.07 | ↓ -84% |
| UPMC | ALL PRODUCTS | $7.72 | ↓ -83% |
| The Health Plan | ALL PRODUCTS | $7.72 | ↓ -83% |
| THREE RIVERS | ALL PRODUCTS | $8.36 | ↓ -81% |
| Medical Benefit Corp | Transplant SMCP | $9.00 | ↓ -80% |
| GMS | ALL PRODUCTS | $9.00 | ↓ -80% |
| Quality Care Partners | ALL PRODUCTS | $9.00 | ↓ -80% |
| CC EHP | ALL PRODUCTS | $9.12 | ↓ -80% |
| Consociate Health | ALL PRODUCTS | $9.65 | ↓ -78% |
| AETNA | ALL PRODUCTS | $9.65 | ↓ -78% |
| AETNA | Acop | $10.06 | ↓ -77% |
| Ohio Healthy | Transplant | $10.29 | ↓ -77% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $10.29 | ↓ -77% |
| Managed Care Services | TRANSPLANT | $11.57 | ↓ -74% |
| MULTIPLAN | ALL PRODUCTS | $11.57 | ↓ -74% |
| AETNA | Asa_Whirlpool_Peia (Hmo) | $11.57 | ↓ -74% |
| USA Managed Care | ALL PRODUCTS | $11.57 | ↓ -74% |
| AETNA | International | $12.22 | ↓ -73% |
| AETNA | Asa_Whirlpool_Peia (Pos_Epo_Ppo) | $12.27 | ↓ -72% |
| AETNA | Qhp/Ipf | $12.86 | ↓ -71% |
| OPTUM | Managed Medicaid Transplant | $72.53 | ↑ +63% |
| Paramount | Managed Medicaid | $78.64 | ↑ +76% |
| ANTHEM | Managed Medicaid | $80.17 | ↑ +80% |
| MOLINA | Managed Medicaid | $80.17 | ↑ +80% |
| UNITED | Managed Medicaid | $81.69 | ↑ +83% |
| CARESOURCE | Managed Medicaid | $81.69 | ↑ +83% |
| AMERIHEALTH | Managed Medicaid | $83.99 | ↑ +88% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Tacrol envarsus ex rel oral at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $44.58 | $2.00 – $49.51 |
| lutheran hospital | Cleveland | $44.58 | $2.19 – $47.14 |
| cleveland clinic main campus | Cleveland | not published | $1.57 – $60.42 |
| akron general | Akron | $44.58 | $1.91 – $47.96 |
| avon hospital | Avon | $44.58 | $2.19 – $45.27 |
| euclid hospital | Euclid | $44.58 | $2.19 – $52.70 |
| hillcrest hospital | Mayfield Heights | $44.58 | $2.00 – $51.58 |
| lodi hospital | Lodi | $44.58 | $3.64 – $80.48 |