Verteporfin injection at cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
$5,334.29
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.
$8,206.60
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.
$1,947.40 with OPTUM vs $8,206.60 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 →
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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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $1,947.40 | ↓ -63% |
| Paramount | Managed Medicaid | $2,111.39 | ↓ -60% |
| MOLINA | Managed Medicaid | $2,152.38 | ↓ -60% |
| ANTHEM | Managed Medicaid | $2,152.38 | ↓ -60% |
| CARESOURCE | Managed Medicaid | $2,193.38 | ↓ -59% |
| UNITED | Managed Medicaid | $2,193.38 | ↓ -59% |
| AMERIHEALTH | Managed Medicaid | $2,254.88 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $2,320.83 | ↓ -56% |
| Aultcare | PPO/HMO | $2,338.88 | ↓ -56% |
| PHP | ALL PRODUCTS | $2,626.11 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $2,626.11 | ↓ -51% |
| Summacare | Preferred | $2,880.52 | ↓ -46% |
| CIGNA | ALL PRODUCTS | $3,036.44 | ↓ -43% |
| Summacare | PREMIER | $3,126.71 | ↓ -41% |
| MMO | TRADITIONAL | $3,340.09 | ↓ -37% |
| Buckeye | Managed Medicaid | $3,422.15 | ↓ -36% |
| ANTHEM | HPN | $3,436.10 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,692.97 | ↓ -31% |
| OPTUM | All Products Transplant | $3,857.10 | ↓ -28% |
| ANTHEM | TRADITIONAL | $3,912.09 | ↓ -27% |
| UNITED | ALL PRODUCTS | $3,947.37 | ↓ -26% |
| OPTUM | Commercial CHD Care Solutions | $3,955.58 | ↓ -26% |
| OHCP | ALL PRODUCTS | $3,988.41 | ↓ -25% |
| ANTHEM | PPO/HMO | $4,042.57 | ↓ -24% |
| OPTUM | Commercial CRS Care Solutions | $4,193.57 | ↓ -21% |
| HEALTHSMART | ALL PRODUCTS | $4,513.63 | ↓ -15% |
| UPMC | ALL PRODUCTS | $4,923.96 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $4,923.96 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $5,334.29 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $5,744.62 | ↑ +8% |
| GMS | ALL PRODUCTS | $5,744.62 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $5,744.62 | ↑ +8% |
| CC EHP | ALL PRODUCTS | $5,818.48 | ↑ +9% |
| Consociate Health | ALL PRODUCTS | $6,154.95 | ↑ +15% |
| AETNA | ALL PRODUCTS | $6,154.95 | ↑ +15% |
| AETNA | Acop | $6,417.56 | ↑ +20% |
| Ohio Healthy | Transplant | $6,565.28 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $6,565.28 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $7,385.94 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $7,385.94 | ↑ +38% |
| AETNA | Asa_Whirlpool_Peia (Hmo) | $7,385.94 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $7,385.94 | ↑ +38% |
| AETNA | International | $7,796.27 | ↑ +46% |
| AETNA | Asa_Whirlpool_Peia (Pos_Epo_Ppo) | $7,829.10 | ↑ +47% |
| AETNA | Qhp/Ipf | $8,206.60 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Verteporfin injection at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $5,334.29 | $2.17 – $7,385.94 |
| lutheran hospital | Cleveland | $5,334.29 | $11.53 – $7,385.94 |
| cleveland clinic main campus | Cleveland | not published | $1.45 – $1,622.37 |
| akron general | Akron | $5,334.29 | $2.17 – $7,385.94 |
| avon hospital | Avon | $5,334.29 | $11.53 – $7,385.94 |
| euclid hospital | Euclid | $5,334.29 | $11.44 – $7,385.94 |
| hillcrest hospital | Mayfield Heights | $5,334.29 | $2.17 – $7,385.94 |
| lodi hospital | Lodi | $5,334.29 | $11.53 – $7,385.94 |