Inj., emicizumab-kxwh 0.5 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.
$7.06 with ANTHEM vs $20,935.21 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 |
|---|---|---|---|
| ANTHEM | HPN | $7.06 | — |
| CC EHP | ALL PRODUCTS | $50.51 | — |
| UNITED | MEDICARE ADVANTAGE | $50.84 | — |
| MMO | Medicare Advantage HMO | $52.82 | — |
| OPTUM | Medicare Advantage Transplant | $52.82 | — |
| OPTUM | All Products VA | $52.82 | — |
| HUMANA | Medicare Advantage HMO | $52.82 | — |
| The Health Plan | MEDICARE ADVANTAGE | $52.82 | — |
| MMO | Medicare Advantage PPO | $54.40 | — |
| Valor | ALL PRODUCTS | $56.46 | — |
| AETNA | MEDICARE ADVANTAGE | $56.46 | — |
| UPMC | MEDICARE ADVANTAGE | $56.46 | — |
| ANTHEM | MEDICARE ADVANTAGE | $56.46 | — |
| Summacare | MEDICARE ADVANTAGE | $56.46 | — |
| CIGNA | Medicare Advantage Lifesource | $56.46 | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $56.46 | — |
| Perennial Health | MEDICARE ADVANTAGE | $57.05 | — |
| CIGNA | MEDICARE ADVANTAGE | $58.15 | — |
| CommuniCare | MEDICARE ADVANTAGE | $59.28 | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | $60.98 | — |
| PPHP | ALL PRODUCTS | $62.11 | — |
| Zing Health | Medicare Advantage | $62.11 | — |
| Summacare | Preferred | $98.81 | — |
| Summacare | PREMIER | $107.85 | — |
| UNITED | ALL PRODUCTS | $111.84 | — |
| UNITED | All Products International | $111.84 | — |
| ANTHEM | PPO/HMO | $119.13 | — |
| CIGNA | ALL PRODUCTS | $121.39 | — |
| CIGNA | PPO | $121.39 | — |
| MMO | ALL PRODUCTS | $138.78 | — |
| OPTUM | Managed Medicaid Transplant | $18,080.41 | — |
| CARESOURCE | Managed Medicaid | $19,032.01 | — |
| Paramount | Managed Medicaid | $19,602.97 | — |
| ANTHEM | Managed Medicaid | $19,983.61 | — |
| Buckeye | Managed Medicaid | $19,983.61 | — |
| MOLINA | Managed Medicaid | $19,983.61 | — |
| UNITED | Managed Medicaid | $20,364.25 | — |
| United BH | Managed Medicaid | $20,935.21 | — |
Visitor-reported prices
Comments
Inj., emicizumab-kxwh 0.5 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $42,437.44 | $3,692.71 – $29,097.34 |
| fairview hospital | Cleveland | $42,437.44 | $2.17 – $17,153.79 |
| lutheran hospital | Cleveland | $42,437.44 | $52.82 – $16,330.97 |
| akron general | Akron | $42,437.44 | $2.17 – $16,617.81 |
| avon hospital | Avon | $42,437.44 | $52.82 – $15,685.16 |
| euclid hospital | Euclid | $42,437.44 | $50.84 – $18,259.40 |
| hillcrest hospital | Mayfield Heights | $42,437.44 | $2.17 – $17,871.56 |
| lodi hospital | Lodi | $42,437.44 | $52.82 – $27,881.30 |