healthcosts.net
Buprenorphine and metabolite - sendout at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$18.20
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.
$28.00
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 $3,060,831.65 with MMO — 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 | ↓ -94% |
| Aetna | ALL PRODUCTS | $2.66 | ↓ -85% |
| ANTHEM | PPO/HMO | $6.48 | ↓ -64% |
| ANTHEM | HPN | $6.48 | ↓ -64% |
| Oscar | All Products | $7.11 | ↓ -61% |
| OHCP | All Products | $10.89 | ↓ -40% |
| Ohio Healthy | Transplant | $11.20 | ↓ -38% |
| Aultcare | PPO/HMO | $12.26 | ↓ -33% |
| Amish Community Aid Plan | All Products | $12.60 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $13.13 | ↓ -28% |
| CC EHP | All Products | $13.97 | ↓ -23% |
| OMAS | All Products | $14.00 | ↓ -23% |
| The Health Plan | All Products | $15.40 | ↓ -15% |
| Healthsmart | All Products | $15.40 | ↓ -15% |
| Optum | All Products Transplant | $16.32 | ↓ -10% |
| UPMC | All Products | $16.80 | ↓ -8% |
| PHPHI | All Products | $16.80 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $17.00 | ↓ -7% |
| Three Rivers | All Products | $18.20 | ↑ +0% |
| Clarity Health | All Products | $18.20 | ↑ +0% |
| GMS | All Products | $19.60 | ↑ +8% |
| Summacare | Premier | $19.60 | ↑ +8% |
| Summacare | Preferred | $19.60 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $19.60 | ↑ +8% |
| Summacare | Medicare Advantage MD | $19.60 | ↑ +8% |
| Summacare | Medicare Advantage Lower Level | $19.60 | ↑ +8% |
| Summacare | Medicare Advantage CNA | $19.60 | ↑ +8% |
| Quality Care Partners | All Products | $19.60 | ↑ +8% |
| Consociate Health | All Products | $21.00 | ↑ +15% |
| Aetna | All Products First Health | $21.00 | ↑ +15% |
| Anthem | All Products Mid-Level Non-Facility | $22.25 | ↑ +22% |
| Anthem | All Products Mid-Level Facility | $22.25 | ↑ +22% |
| MMO | NASCO | $22.40 | ↑ +23% |
| Aetna | Asa | $22.40 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $22.40 | ↑ +23% |
| USA Managed Care | All Products | $25.20 | ↑ +38% |
| Multiplan | All Products | $25.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $28.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $30.12 | ↑ +65% |
| CARESOURCE | Managed Medicaid | $31.71 | ↑ +74% |
| Paramount | Managed Medicaid | $32.66 | ↑ +79% |
| MOLINA | Managed Medicaid | $33.30 | ↑ +83% |
| Buckeye | Managed Medicaid | $33.30 | ↑ +83% |
| ANTHEM | Managed Medicaid | $33.30 | ↑ +83% |
| UNITED | Managed Medicaid | $33.93 | ↑ +86% |
| United BH | Managed Medicaid | $34.88 | ↑ +92% |
| Anthem | All Products Physician Non-Facility | $39.62 | ↑ +118% |
| Anthem | All Products Physician Facility | $39.62 | ↑ +118% |
| Anthem | All Products Physician | $39.62 | ↑ +118% |
| MMO | ALL PRODUCTS | $2,739,849.30 | ↑ +15054017% |
| MMO | SuperMed | $3,060,831.65 | ↑ +16817656% |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| PPHP | All Products | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| MMO | Medicare PPO | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | All Products - Mid-Level | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | 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 | — |
| Aetna | Medicare Advantage Transplant | not published by hospital | — |
| UPMC | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| Aetna | All Products Transplant | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Molina | Managed Medicaid | 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 | — |
| Devoted Health | Medicare Advantage | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
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Buprenorphine and metabolite - sendout at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $18.20 | $0.95 – $28.58 |
| lutheran hospital | Cleveland | $18.20 | $0.95 – $27.20 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $41.87 – $48.48 |
| avon hospital | Avon | $18.20 | $0.95 – $26.13 |
| euclid hospital | Euclid | $18.20 | $0.95 – $30.43 |
| hillcrest hospital | Mayfield Heights | $18.20 | $0.95 – $29.78 |
| marymount hospital | Garfield Heights | $18.20 | $0.95 – $26.86 |
| medina hospital | Medina | $18.20 | $0.95 – $27.86 |