healthcosts.net
Inj for mammo ductogram at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$397.80
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.
$612.00
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.
$0.01 with UNITED vs $3,443.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| UNITED | All Products International | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $36.17 | ↓ -91% |
| Paramount | Managed Medicaid | $39.21 | ↓ -90% |
| Caresource | Managed Medicaid | $39.97 | ↓ -90% |
| Buckeye | Managed Medicaid | $39.97 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $41.88 | ↓ -89% |
| Molina | Managed Medicaid | $41.88 | ↓ -89% |
| Summacare | Medicare Advantage Lower Level | $46.15 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $47.75 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $60.35 | ↓ -85% |
| Aetna | Medicare Advantage Transplant | $63.67 | ↓ -84% |
| Valor | All Products | $63.67 | ↓ -84% |
| Aetna | Medicare Advantage | $63.67 | ↓ -84% |
| UPMC | Medicare Advantage | $63.67 | ↓ -84% |
| United | Medicare Advantage | $63.67 | ↓ -84% |
| The Health Plan | Medicare Advantage | $63.67 | ↓ -84% |
| Anthem | Medicare Advantage | $63.67 | ↓ -84% |
| Optum | Medicare Advantage Transplant | $63.67 | ↓ -84% |
| Humana | Medicare Advantage HMO | $63.67 | ↓ -84% |
| Cigna | Medicare Advantage | $65.58 | ↓ -84% |
| CommuniCare | Medicare Advantage | $66.85 | ↓ -83% |
| Summacare | Medicare Advantage MD | $67.45 | ↓ -83% |
| Perennial Health | Medicare Advantage | $68.76 | ↓ -83% |
| PPHP | All Products | $70.04 | ↓ -82% |
| Devoted Health | Medicare Advantage | $71.00 | ↓ -82% |
| OPTUM | Managed Medicaid Transplant | $81.99 | ↓ -79% |
| CARESOURCE | Managed Medicaid | $86.31 | ↓ -78% |
| AETNA | Medicare Advantage Transplant | $87.37 | ↓ -78% |
| MOLINA | Managed Medicaid | $90.63 | ↓ -77% |
| ANTHEM | Managed Medicaid | $90.63 | ↓ -77% |
| UNITED | Managed Medicaid | $92.35 | ↓ -77% |
| United BH | Managed Medicaid | $94.94 | ↓ -76% |
| Humana Military | All Products | $96.69 | ↓ -76% |
| Aetna | All Products Transplant | $97.52 | ↓ -75% |
| AETNA | All Products Transplant | $97.52 | ↓ -75% |
| Anthem | All Products Mid-Level Facility | $102.41 | ↓ -74% |
| AETNA | MEDICARE ADVANTAGE | $105.95 | ↓ -73% |
| United | Managed Medicaid | $132.50 | ↓ -67% |
| CC EHP | All Products | $134.90 | ↓ -66% |
| CC EHP | ALL PRODUCTS | $135.11 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $137.44 | ↓ -65% |
| Summacare | Preferred | $150.04 | ↓ -62% |
| Oscar | All Products | $155.51 | ↓ -61% |
| PHP | ALL PRODUCTS | $155.52 | ↓ -61% |
| PHPHI | ALL PRODUCTS | $155.52 | ↓ -61% |
| Summacare | Premier | $163.51 | ↓ -59% |
| Aetna | Acop | $170.56 | ↓ -57% |
| MMO | Medicare HMO | $182.53 | ↓ -54% |
| MMO | Medicare PPO | $188.01 | ↓ -53% |
| Aultcare | PPO/HMO | $212.87 | ↓ -46% |
| Anthem | All Products Mid-Level Non-Facility | $215.93 | ↓ -46% |
| Amish Community Aid Plan | ALL PRODUCTS | $218.70 | ↓ -45% |
| Summacare | PREMIER | $221.62 | ↓ -44% |
| ANTHEM | HPN | $223.80 | ↓ -44% |
| OHCP | ALL PRODUCTS | $236.20 | ↓ -41% |
| OHCP | All Products | $238.07 | ↓ -40% |
| CIGNA | ALL PRODUCTS | $238.14 | ↓ -40% |
| OMAS | ALL PRODUCTS | $243.00 | ↓ -39% |
| Ohio Healthy | Transplant | $244.80 | ↓ -38% |
| Anthem | All Products Physician Facility | $260.10 | ↓ -35% |
| Anthem | All Products Physician | $260.10 | ↓ -35% |
| Ohio Healthy | TRANSPLANT | $262.44 | ↓ -34% |
| ANTHEM | PPO/HMO | $263.31 | ↓ -34% |
| HEALTHSMART | ALL PRODUCTS | $267.30 | ↓ -33% |
| OPTUM | All Products Transplant | $275.08 | ↓ -31% |
| Amish Community Aid Plan | All Products | $275.40 | ↓ -31% |
| MMO | SuperMed | $275.40 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $287.03 | ↓ -28% |
| The Health Plan | ALL PRODUCTS | $291.60 | ↓ -27% |
| UPMC | ALL PRODUCTS | $291.60 | ↓ -27% |
| OPTUM | Commercial CHD Care Solutions | $293.06 | ↓ -26% |
| OPTUM | Commercial CRS Care Solutions | $293.06 | ↓ -26% |
| AETNA | Acop | $304.24 | ↓ -24% |
| MMO | TRADITIONAL | $305.69 | ↓ -23% |
| MMO | NASCO | $305.69 | ↓ -23% |
| OMAS | All Products | $306.00 | ↓ -23% |
| Clarity Health | ALL PRODUCTS | $315.90 | ↓ -21% |
| THREE RIVERS | ALL PRODUCTS | $315.90 | ↓ -21% |
| Healthsmart | All Products | $336.60 | ↓ -15% |
| The Health Plan | All Products | $336.60 | ↓ -15% |
| Medical Benefit Corp | Transplant SMCP | $340.20 | ↓ -14% |
| Ohio Healthy | Transplant SMCP | $340.20 | ↓ -14% |
| Parkview Health Plan | Transplant SMCP | $340.20 | ↓ -14% |
| Quality Care Partners | ALL PRODUCTS | $340.20 | ↓ -14% |
| Quality Care Partners | Transplant SMCP | $340.20 | ↓ -14% |
| GMS | ALL PRODUCTS | $340.20 | ↓ -14% |
| AETNA | Asa_Whirlpool_Peia | $344.57 | ↓ -13% |
| Optum | All Products Transplant | $356.80 | ↓ -10% |
| CIGNA | PPO | $360.61 | ↓ -9% |
| Consociate Health | TRANSPLANT | $364.50 | ↓ -8% |
| Consociate Health | ALL PRODUCTS | $364.50 | ↓ -8% |
| AETNA | ALL PRODUCTS | $364.50 | ↓ -8% |
| UPMC | All Products | $367.20 | ↓ -8% |
| PHPHI | All Products | $367.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $371.48 | ↓ -7% |
| ANTHEM | TRADITIONAL | $373.83 | ↓ -6% |
| Community Health Alliance | TRANSPLANT | $388.80 | ↓ -2% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $388.80 | ↓ -2% |
| Community Health Alliance | ALL PRODUCTS | $388.80 | ↓ -2% |
| Clarity Health | All Products | $397.80 | ↑ +0% |
| Three Rivers | All Products | $397.80 | ↑ +0% |
| Humana Military | ALL PRODUCTS | $413.10 | ↑ +4% |
| GMS | All Products | $428.40 | ↑ +8% |
| Quality Care Partners | All Products | $428.40 | ↑ +8% |
| United | All Products - Mid-Level | $431.62 | ↑ +9% |
| MULTIPLAN | ALL PRODUCTS | $437.40 | ↑ +10% |
| FrontPath | TRANSPLANT | $437.40 | ↑ +10% |
| Tertiary Care Network | TRANSPLANT | $437.40 | ↑ +10% |
| Managed Care Services | TRANSPLANT | $437.40 | ↑ +10% |
| USA Managed Care | ALL PRODUCTS | $437.40 | ↑ +10% |
| Consociate Health | All Products | $459.00 | ↑ +15% |
| Aetna | All Products First Health | $459.00 | ↑ +15% |
| United | HMO & PPO | $465.20 | ↑ +17% |
| United | All Products | $465.20 | ↑ +17% |
| Cigna | All Products Mid-Level | $478.23 | ↑ +20% |
| AETNA | Qhp/Ipf | $486.00 | ↑ +22% |
| Aetna | Asa | $489.60 | ↑ +23% |
| Anthem | All Products Physician Non-Facility | $548.40 | ↑ +38% |
| USA Managed Care | All Products | $550.80 | ↑ +38% |
| Multiplan | All Products | $550.80 | ↑ +38% |
| Cigna | All Products Physician | $562.67 | ↑ +41% |
| Aetna | Qhp/Ifp | $612.00 | ↑ +54% |
| AETNA | International | $3,443.00 | ↑ +766% |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| CIGNA | Medicare Advantage Lifesource | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Inj for mammo ductogram at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $315.90 | $0.01 – $437.40 |
| lutheran hospital | Cleveland | $315.90 | $0.01 – $437.40 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $113.96 – $131.96 |
| akron general | Akron | $315.90 | $0.01 – $437.40 |
| avon hospital | Avon | $315.90 | $0.01 – $437.40 |
| euclid hospital | Euclid | $315.90 | $0.01 – $437.40 |
| hillcrest hospital | Mayfield Heights | $315.90 | $0.01 – $437.40 |
| marymount hospital | Garfield Heights | $315.90 | $0.01 – $437.40 |