healthcosts.net
Vaccine tdap >=7 years im at cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
$228.52
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.
?
What you pay up front if you don't use insurance.
$351.57
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.89 with OPTUM vs $344.82 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $13.89 | ↓ -94% |
| Paramount | Managed Medicaid | $15.06 | ↓ -93% |
| MOLINA | Managed Medicaid | $15.35 | ↓ -93% |
| ANTHEM | Managed Medicaid | $15.35 | ↓ -93% |
| UNITED | Managed Medicaid | $15.64 | ↓ -93% |
| CARESOURCE | Managed Medicaid | $15.64 | ↓ -93% |
| AMERIHEALTH | Managed Medicaid | $16.08 | ↓ -93% |
| OSCAR | ALL PRODUCTS | $97.52 | ↓ -57% |
| Aultcare | PPO/HMO | $98.27 | ↓ -57% |
| PHP | ALL PRODUCTS | $110.34 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $110.34 | ↓ -52% |
| Summacare | Preferred | $121.03 | ↓ -47% |
| CIGNA | ALL PRODUCTS | $127.58 | ↓ -44% |
| Summacare | PREMIER | $131.38 | ↓ -43% |
| MMO | TRADITIONAL | $140.34 | ↓ -39% |
| Buckeye | Managed Medicaid | $143.79 | ↓ -37% |
| ANTHEM | HPN | $144.38 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $155.17 | ↓ -32% |
| OPTUM | All Products Transplant | $162.07 | ↓ -29% |
| ANTHEM | TRADITIONAL | $164.38 | ↓ -28% |
| UNITED | ALL PRODUCTS | $165.86 | ↓ -27% |
| OPTUM | Commercial CHD Care Solutions | $166.20 | ↓ -27% |
| OHCP | ALL PRODUCTS | $167.58 | ↓ -27% |
| ANTHEM | PPO/HMO | $169.86 | ↓ -26% |
| OPTUM | Commercial CRS Care Solutions | $176.20 | ↓ -23% |
| HEALTHSMART | ALL PRODUCTS | $189.65 | ↓ -17% |
| UPMC | ALL PRODUCTS | $206.89 | ↓ -9% |
| The Health Plan | ALL PRODUCTS | $206.89 | ↓ -9% |
| THREE RIVERS | ALL PRODUCTS | $224.13 | ↓ -2% |
| Medical Benefit Corp | Transplant SMCP | $241.37 | ↑ +6% |
| Quality Care Partners | ALL PRODUCTS | $241.37 | ↑ +6% |
| GMS | ALL PRODUCTS | $241.37 | ↑ +6% |
| CC EHP | ALL PRODUCTS | $244.48 | ↑ +7% |
| Consociate Health | ALL PRODUCTS | $258.62 | ↑ +13% |
| AETNA | ALL PRODUCTS | $258.62 | ↑ +13% |
| AETNA | Acop | $269.65 | ↑ +18% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $275.86 | ↑ +21% |
| Ohio Healthy | Transplant | $275.86 | ↑ +21% |
| USA Managed Care | ALL PRODUCTS | $310.34 | ↑ +36% |
| MULTIPLAN | ALL PRODUCTS | $310.34 | ↑ +36% |
| Managed Care Services | TRANSPLANT | $310.34 | ↑ +36% |
| AETNA | Asa_Whirlpool_Peia (Hmo) | $310.34 | ↑ +36% |
| AETNA | International | $327.58 | ↑ +43% |
| AETNA | Asa_Whirlpool_Peia (Pos_Epo_Ppo) | $328.96 | ↑ +44% |
| AETNA | Qhp/Ipf | $344.82 | ↑ +51% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine tdap >=7 years im at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $110.50 | $1.10 – $153.00 |
| fairview hospital | Cleveland | $228.52 | $8.19 – $153.00 |
| lutheran hospital | Cleveland | $228.52 | $7.79 – $153.00 |
| akron general | Akron | $228.52 | $1.10 – $153.00 |
| avon hospital | Avon | $228.52 | $8.51 – $153.00 |
| euclid hospital | Euclid | $228.52 | $8.71 – $153.00 |
| hillcrest hospital | Mayfield Heights | $228.52 | $8.53 – $153.00 |
| lodi hospital | Lodi | $228.52 | $13.31 – $153.00 |