Inj, adalimumab, 1 mg at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
not published by hospital
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.
not published by hospital
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.
$91.73 with OPTUM vs $232.34 with United BH — 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 | Medicare Advantage Transplant | $91.73 | — |
| OPTUM | All Products VA | $91.73 | — |
| The Health Plan | MEDICARE ADVANTAGE | $91.73 | — |
| MMO | Medicare Advantage HMO | $91.73 | — |
| HUMANA | Medicare Advantage HMO | $91.73 | — |
| MMO | Medicare Advantage PPO | $94.48 | — |
| Perennial Health | MEDICARE ADVANTAGE | $99.07 | — |
| UNITED | All Products International | $197.22 | — |
| UNITED | ALL PRODUCTS | $197.22 | — |
| OPTUM | Managed Medicaid Transplant | $200.66 | — |
| CARESOURCE | Managed Medicaid | $211.22 | — |
| Paramount | Managed Medicaid | $217.56 | — |
| MOLINA | Managed Medicaid | $221.78 | — |
| Buckeye | Managed Medicaid | $221.78 | — |
| ANTHEM | Managed Medicaid | $221.78 | — |
| UNITED | Managed Medicaid | $226.01 | — |
| United BH | Managed Medicaid | $232.34 | — |
Visitor-reported prices
Comments
Inj, adalimumab, 1 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $19,998.76 | $278.89 – $10,383.93 |
| fairview hospital | Cleveland | $19,998.76 | $2.17 – $10,383.93 |
| lutheran hospital | Cleveland | $19,998.76 | $91.73 – $10,383.93 |
| Trinity Medical Center East | Steubenville | $3,618.81 | $4,378.20 – $5,618.69 |
| akron general | Akron | $19,998.76 | $2.17 – $10,383.93 |
| avon hospital | Avon | $19,998.76 | $91.73 – $10,383.93 |
| euclid hospital | Euclid | $19,998.76 | $91.73 – $10,383.93 |
| hillcrest hospital | Mayfield Heights | $19,998.76 | $2.17 – $10,383.93 |