Tc-99m tilmanocept diag at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$773.50
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.
$1,190.00
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.
$129.50 with OPTUM vs $1,190.00 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $129.50 | ↓ -83% |
| CARESOURCE | Managed Medicaid | $136.32 | ↓ -82% |
| Paramount | Managed Medicaid | $140.41 | ↓ -82% |
| ANTHEM | Managed Medicaid | $143.14 | ↓ -81% |
| MOLINA | Managed Medicaid | $143.14 | ↓ -81% |
| Buckeye | Managed Medicaid | $143.14 | ↓ -81% |
| UNITED | Managed Medicaid | $145.86 | ↓ -81% |
| United BH | Managed Medicaid | $149.95 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $259.42 | ↓ -66% |
| CC EHP | ALL PRODUCTS | $330.82 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $336.53 | ↓ -56% |
| Zing Health | Medicare Advantage | $357.00 | ↓ -54% |
| PHP | ALL PRODUCTS | $380.80 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $380.80 | ↓ -51% |
| Summacare | Preferred | $499.80 | ↓ -35% |
| Aultcare | PPO/HMO | $521.22 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $535.50 | ↓ -31% |
| ANTHEM | HPN | $537.17 | ↓ -31% |
| Summacare | PREMIER | $542.64 | ↓ -30% |
| OHCP | ALL PRODUCTS | $578.34 | ↓ -25% |
| OMAS | ALL PRODUCTS | $595.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $632.01 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $642.60 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $654.50 | ↓ -15% |
| OPTUM | All Products Transplant | $673.54 | ↓ -13% |
| UPMC | ALL PRODUCTS | $714.00 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $714.00 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $717.57 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $717.57 | ↓ -7% |
| MMO | NASCO | $748.51 | ↓ -3% |
| MMO | TRADITIONAL | $748.51 | ↓ -3% |
| Clarity Health | ALL PRODUCTS | $773.50 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $773.50 | ↑ +0% |
| UNITED | ALL PRODUCTS | $819.91 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $833.00 | ↑ +8% |
| GMS | ALL PRODUCTS | $833.00 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $833.00 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $833.00 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $833.00 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $833.00 | ↑ +8% |
| AETNA | ALL PRODUCTS | $892.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $892.50 | ↑ +15% |
| Consociate Health | TRANSPLANT | $892.50 | ↑ +15% |
| ANTHEM | TRADITIONAL | $915.35 | ↑ +18% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $952.00 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $952.00 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $952.00 | ↑ +23% |
| UNITED | All Products International | $1,011.50 | ↑ +31% |
| Humana Military | ALL PRODUCTS | $1,011.50 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $1,071.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,071.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,071.00 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $1,071.00 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,071.00 | ↑ +38% |
| CIGNA | ALL PRODUCTS | $1,190.00 | ↑ +54% |
| CIGNA | PPO | $1,190.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $1,190.00 | ↑ +54% |
| CIGNA | PPO Lifesource | 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 | — |
| CIGNA | Medicare Advantage Lifesource | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AETNA | Medicare Advantage Transplant | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| AETNA | International | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | Asa_Whirlpool_Peia | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| AETNA | All Products Transplant | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| AETNA | Acop | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $773.50 | $180.00 – $1,071.00 |
| fairview hospital | Cleveland | $773.50 | $0.01 – $1,071.00 |
| lutheran hospital | Cleveland | $773.50 | $0.01 – $1,190.00 |
| Jewish Hospital | Cincinnati | $196.80 | not published |
| Anderson Hospital | Cincinnati | $196.80 | not published |
| Clermont Hospital | Batavia | $196.80 | not published |
| Trinity Medical Center East | Steubenville | $404.68 | $489.60 – $992.36 |
| akron general | Akron | $773.50 | $0.01 – $1,071.00 |