Pharmacologic management w/psytx at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$124.80
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.
?
What you pay up front if you don't use insurance.
$192.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $192.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | ↓ -99% |
| Aetna | ALL PRODUCTS | $2.94 | ↓ -98% |
| OPTUM | Managed Medicaid Transplant | $10.58 | ↓ -92% |
| CARESOURCE | Managed Medicaid | $11.14 | ↓ -91% |
| Paramount | Managed Medicaid | $11.47 | ↓ -91% |
| Buckeye | Managed Medicaid | $11.70 | ↓ -91% |
| MOLINA | Managed Medicaid | $11.70 | ↓ -91% |
| ANTHEM | Managed Medicaid | $11.70 | ↓ -91% |
| UNITED | Managed Medicaid | $11.92 | ↓ -90% |
| United BH | Managed Medicaid | $12.25 | ↓ -90% |
| Summacare | Medicare Advantage Lower Level | $14.38 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $18.81 | ↓ -85% |
| Optum | Managed Medicaid Transplant | $19.14 | ↓ -85% |
| Summacare | Medicare Advantage MD | $21.02 | ↓ -83% |
| Caresource | Managed Medicaid | $21.16 | ↓ -83% |
| Devoted Health | Medicare Advantage | $22.13 | ↓ -82% |
| Molina | Managed Medicaid | $22.17 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $22.17 | ↓ -82% |
| PPHP | All Products | $23.90 | ↓ -81% |
| Anthem | All Products Mid-Level Facility | $32.08 | ↓ -74% |
| Anthem | All Products Mid-Level Non-Facility | $33.75 | ↓ -73% |
| AETNA | MEDICARE ADVANTAGE | $34.44 | ↓ -72% |
| CC EHP | All Products | $42.05 | ↓ -66% |
| CC EHP | ALL PRODUCTS | $43.92 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $44.68 | ↓ -64% |
| Summacare | Preferred | $48.46 | ↓ -61% |
| Oscar | All Products | $48.79 | ↓ -61% |
| PHPHI | ALL PRODUCTS | $50.56 | ↓ -59% |
| PHP | ALL PRODUCTS | $50.56 | ↓ -59% |
| Aetna | Acop | $50.74 | ↓ -59% |
| Summacare | Premier | $52.81 | ↓ -58% |
| AETNA | Asa_Whirlpool_Peia | $59.88 | ↓ -52% |
| Cigna | All Products Mid-Level | $62.29 | ↓ -50% |
| United | All Products - Mid-Level | $63.20 | ↓ -49% |
| United | All Products | $66.80 | ↓ -46% |
| United | HMO & PPO | $66.80 | ↓ -46% |
| MMO | SuperMed | $67.34 | ↓ -46% |
| Aultcare | PPO/HMO | $69.20 | ↓ -45% |
| Amish Community Aid Plan | ALL PRODUCTS | $71.10 | ↓ -43% |
| ANTHEM | HPN | $71.32 | ↓ -43% |
| Summacare | PREMIER | $72.05 | ↓ -42% |
| Cigna | All Products Physician | $73.28 | ↓ -41% |
| OHCP | All Products | $74.69 | ↓ -40% |
| OHCP | ALL PRODUCTS | $76.79 | ↓ -38% |
| Ohio Healthy | Transplant | $76.80 | ↓ -38% |
| CIGNA | ALL PRODUCTS | $77.42 | ↓ -38% |
| OMAS | ALL PRODUCTS | $79.00 | ↓ -37% |
| MMO | Medicare HMO | $79.75 | ↓ -36% |
| Anthem | All Products Physician Facility | $81.47 | ↓ -35% |
| Anthem | All Products Physician | $81.47 | ↓ -35% |
| MMO | Medicare PPO | $82.14 | ↓ -34% |
| ANTHEM | PPO/HMO | $83.91 | ↓ -33% |
| Ohio Healthy | TRANSPLANT | $85.32 | ↓ -32% |
| Anthem | All Products Physician Non-Facility | $85.72 | ↓ -31% |
| Amish Community Aid Plan | All Products | $86.40 | ↓ -31% |
| HEALTHSMART | ALL PRODUCTS | $86.90 | ↓ -30% |
| OPTUM | All Products Transplant | $89.43 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $90.05 | ↓ -28% |
| The Health Plan | ALL PRODUCTS | $94.80 | ↓ -24% |
| AETNA | Acop | $94.80 | ↓ -24% |
| UPMC | ALL PRODUCTS | $94.80 | ↓ -24% |
| OPTUM | Commercial CRS Care Solutions | $95.27 | ↓ -24% |
| OPTUM | Commercial CHD Care Solutions | $95.27 | ↓ -24% |
| OMAS | All Products | $96.00 | ↓ -23% |
| MMO | NASCO | $99.38 | ↓ -20% |
| MMO | TRADITIONAL | $99.38 | ↓ -20% |
| THREE RIVERS | ALL PRODUCTS | $102.70 | ↓ -18% |
| Clarity Health | ALL PRODUCTS | $102.70 | ↓ -18% |
| The Health Plan | All Products | $105.60 | ↓ -15% |
| Healthsmart | All Products | $105.60 | ↓ -15% |
| UNITED | ALL PRODUCTS | $108.86 | ↓ -13% |
| Ohio Healthy | Transplant SMCP | $110.60 | ↓ -11% |
| GMS | ALL PRODUCTS | $110.60 | ↓ -11% |
| Medical Benefit Corp | Transplant SMCP | $110.60 | ↓ -11% |
| Quality Care Partners | Transplant SMCP | $110.60 | ↓ -11% |
| Quality Care Partners | ALL PRODUCTS | $110.60 | ↓ -11% |
| Parkview Health Plan | Transplant SMCP | $110.60 | ↓ -11% |
| Optum | All Products Transplant | $111.94 | ↓ -10% |
| AETNA | International | $113.60 | ↓ -9% |
| UPMC | All Products | $115.20 | ↓ -8% |
| PHPHI | All Products | $115.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $116.54 | ↓ -7% |
| CIGNA | PPO | $117.24 | ↓ -6% |
| Consociate Health | ALL PRODUCTS | $118.50 | ↓ -5% |
| AETNA | ALL PRODUCTS | $118.50 | ↓ -5% |
| Consociate Health | TRANSPLANT | $118.50 | ↓ -5% |
| ANTHEM | TRADITIONAL | $121.53 | ↓ -3% |
| Clarity Health | All Products | $124.80 | ↑ +0% |
| Three Rivers | All Products | $124.80 | ↑ +0% |
| Community Health Alliance | TRANSPLANT | $126.40 | ↑ +1% |
| Community Health Alliance | ALL PRODUCTS | $126.40 | ↑ +1% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $126.40 | ↑ +1% |
| UNITED | All Products International | $134.30 | ↑ +8% |
| Humana Military | ALL PRODUCTS | $134.30 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $134.40 | ↑ +8% |
| GMS | All Products | $134.40 | ↑ +8% |
| Quality Care Partners | All Products | $134.40 | ↑ +8% |
| FrontPath | TRANSPLANT | $142.20 | ↑ +14% |
| Tertiary Care Network | TRANSPLANT | $142.20 | ↑ +14% |
| USA Managed Care | ALL PRODUCTS | $142.20 | ↑ +14% |
| Managed Care Services | TRANSPLANT | $142.20 | ↑ +14% |
| MULTIPLAN | ALL PRODUCTS | $142.20 | ↑ +14% |
| Consociate Health | All Products | $144.00 | ↑ +15% |
| Aetna | All Products First Health | $144.00 | ↑ +15% |
| Aetna | Asa | $153.60 | ↑ +23% |
| AETNA | Qhp/Ipf | $158.00 | ↑ +27% |
| USA Managed Care | All Products | $172.80 | ↑ +38% |
| Multiplan | All Products | $172.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $192.00 | ↑ +54% |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | Medicare Advantage Transplant | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| AETNA | All Products Transplant | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| Humana Military | All Products | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage Transplant | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| CIGNA | Medicare Advantage 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 MD | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Aetna | All Products Transplant | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| UPMC | Medicare Advantage | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
Visitor-reported prices
Comments
Pharmacologic management w/psytx at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $14.72 – $17.04 |
| fairview hospital | Cleveland | not published | $8.67 – $10.04 |
| lutheran hospital | Cleveland | not published | $8.26 – $9.56 |
| akron general | Akron | not published | $8.40 – $9.72 |
| avon hospital | Avon | not published | $9.01 – $9.18 |
| euclid hospital | Euclid | not published | $9.23 – $10.69 |
| hillcrest hospital | Mayfield Heights | not published | $9.03 – $10.46 |
| lodi hospital | Lodi | not published | $14.10 – $16.32 |