healthcosts.net
Assay of methemalbumin at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$48.10
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.
$74.00
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.
$1.10 with Zing Health vs $179.72 with CC EHP — 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -98% |
| Aetna | ALL PRODUCTS | $2.66 | ↓ -94% |
| ANTHEM | PPO/HMO | $5.30 | ↓ -89% |
| ANTHEM | HPN | $5.30 | ↓ -89% |
| Summacare | Medicare Advantage MD | $9.13 | ↓ -81% |
| CIGNA | Medicare Advantage Lifesource | $10.74 | ↓ -78% |
| Valor | ALL PRODUCTS | $10.74 | ↓ -78% |
| UPMC | MEDICARE ADVANTAGE | $10.74 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $10.74 | ↓ -78% |
| MMO | Medicare Advantage HMO | $10.74 | ↓ -78% |
| HUMANA | Medicare Advantage HMO | $10.74 | ↓ -78% |
| Summacare | MEDICARE ADVANTAGE | $10.74 | ↓ -78% |
| The Health Plan | MEDICARE ADVANTAGE | $10.74 | ↓ -78% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $10.74 | ↓ -78% |
| UNITED | MEDICARE ADVANTAGE | $10.74 | ↓ -78% |
| ANTHEM | MEDICARE ADVANTAGE | $10.74 | ↓ -78% |
| OPTUM | Medicare Advantage Transplant | $10.74 | ↓ -78% |
| CC EHP | All Products | $10.74 | ↓ -78% |
| CIGNA | MEDICARE ADVANTAGE | $11.06 | ↓ -77% |
| MMO | Medicare Advantage PPO | $11.06 | ↓ -77% |
| CommuniCare | MEDICARE ADVANTAGE | $11.28 | ↓ -77% |
| Perennial Health | MEDICARE ADVANTAGE | $11.60 | ↓ -76% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $11.60 | ↓ -76% |
| OPTUM | Managed Medicaid Transplant | $11.75 | ↓ -76% |
| PPHP | ALL PRODUCTS | $11.81 | ↓ -75% |
| CARESOURCE | Managed Medicaid | $12.37 | ↓ -74% |
| Paramount | Managed Medicaid | $12.74 | ↓ -74% |
| Buckeye | Managed Medicaid | $12.99 | ↓ -73% |
| MOLINA | Managed Medicaid | $12.99 | ↓ -73% |
| ANTHEM | Managed Medicaid | $12.99 | ↓ -73% |
| UNITED | Managed Medicaid | $13.24 | ↓ -72% |
| United BH | Managed Medicaid | $13.61 | ↓ -72% |
| United | HMO & PPO | $14.07 | ↓ -71% |
| United | All Products | $14.07 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $14.61 | ↓ -70% |
| Anthem | All Products Mid-Level Facility | $14.61 | ↓ -70% |
| United | All Products - Mid-Level | $14.90 | ↓ -69% |
| UNITED | ALL PRODUCTS | $16.11 | ↓ -67% |
| AETNA | Acop | $18.40 | ↓ -62% |
| Oscar | All Products | $18.80 | ↓ -61% |
| AETNA | International | $20.51 | ↓ -57% |
| AETNA | Asa_Whirlpool_Peia | $22.45 | ↓ -53% |
| UNITED | All Products International | $24.17 | ↓ -50% |
| Anthem | All Products Physician Non-Facility | $26.01 | ↓ -46% |
| Anthem | All Products Physician Facility | $26.01 | ↓ -46% |
| Anthem | All Products Physician | $26.01 | ↓ -46% |
| OHCP | All Products | $28.79 | ↓ -40% |
| MMO | ALL PRODUCTS | $29.43 | ↓ -39% |
| Ohio Healthy | Transplant | $29.60 | ↓ -38% |
| Aultcare | PPO/HMO | $32.41 | ↓ -33% |
| Amish Community Aid Plan | All Products | $33.30 | ↓ -31% |
| MMO | SuperMed | $33.67 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $34.71 | ↓ -28% |
| OMAS | All Products | $37.00 | ↓ -23% |
| Healthsmart | All Products | $40.70 | ↓ -15% |
| The Health Plan | All Products | $40.70 | ↓ -15% |
| Optum | All Products Transplant | $43.14 | ↓ -10% |
| PHPHI | All Products | $44.40 | ↓ -8% |
| UPMC | All Products | $44.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $44.92 | ↓ -7% |
| Three Rivers | All Products | $48.10 | ↑ +0% |
| Clarity Health | All Products | $48.10 | ↑ +0% |
| Quality Care Partners | All Products | $51.80 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $51.80 | ↑ +8% |
| Summacare | Preferred | $51.80 | ↑ +8% |
| Summacare | Medicare Advantage Lower Level | $51.80 | ↑ +8% |
| Summacare | Premier | $51.80 | ↑ +8% |
| Summacare | Medicare Advantage CNA | $51.80 | ↑ +8% |
| GMS | All Products | $51.80 | ↑ +8% |
| Consociate Health | All Products | $55.50 | ↑ +15% |
| Aetna | All Products First Health | $55.50 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $59.20 | ↑ +23% |
| Aetna | Asa | $59.20 | ↑ +23% |
| MMO | NASCO | $59.20 | ↑ +23% |
| USA Managed Care | All Products | $66.60 | ↑ +38% |
| Multiplan | All Products | $66.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $74.00 | ↑ +54% |
| CC EHP | ALL PRODUCTS | $179.72 | ↑ +274% |
| Molina | Managed Medicaid | not published by hospital | — |
| MMO | Medicare PPO | not published by hospital | — |
| MMO | Medicare HMO | not published by hospital | — |
| Humana Military | All Products | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Devoted Health | Medicare Advantage | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| UPMC | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage Transplant | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| PPHP | All Products | not published by hospital | — |
| Aetna | All Products Transplant | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Assay of methemalbumin at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $16.33 – $18.91 |
| fairview hospital | Cleveland | not published | $9.62 – $166.39 |
| lutheran hospital | Cleveland | not published | $9.17 – $166.39 |
| akron general | Akron | not published | $9.33 – $179.72 |
| avon hospital | Avon | not published | $9.75 – $166.39 |
| euclid hospital | Euclid | not published | $9.75 – $166.39 |
| hillcrest hospital | Mayfield Heights | not published | $10.03 – $166.39 |
| lodi hospital | Lodi | not published | $5.53 – $18.13 |