healthcosts.net
Esophgl motil w/stim/perfus at fairview hospital
18101 Lorain Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1215989611
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$245.34 with OPTUM vs $284.08 with AMERIHEALTH — 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $245.34 | — |
| Paramount | Managed Medicaid | $266.00 | — |
| ANTHEM | Managed Medicaid | $271.16 | — |
| Buckeye | Managed Medicaid | $271.16 | — |
| MOLINA | Managed Medicaid | $271.16 | — |
| United BH | Managed Medicaid | $273.75 | — |
| CARESOURCE | Managed Medicaid | $276.33 | — |
| UNITED | Managed Medicaid | $276.33 | — |
| AMERIHEALTH | Managed Medicaid | $284.08 | — |
Visitor-reported prices
Comments
Esophgl motil w/stim/perfus at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,001.65 | $33.45 – $1,386.90 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $416.16 – $481.87 |
| lutheran hospital | Cleveland | not published | $233.57 – $270.45 |
| University Hospitals Ahuja Medical Center | Beachwood | $1,341.75 | $26.48 – $1,610.10 |
| University Hospitals Beachwood Medical Center | Beachwood | $1,341.75 | $12.50 – $1,610.10 |
| University Hospitals Elyria Medical Center | Elyria | $1,341.75 | $26.48 – $47.66 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $1,341.75 | $26.48 – $47.66 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $1,341.75 | $15.09 – $47.66 |