Factor xiii recomb a-subunit at fairview hospital
18101 Lorain Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1215989611
$46.45
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.
$71.46
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.
$2.17 with AETNA vs $13,531.58 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $2.17 | ↓ -95% |
| MMO | ALL PRODUCTS | $15.79 | ↓ -66% |
| HUMANA | Medicare Advantage HMO | $17.10 | ↓ -63% |
| OPTUM | Medicare Advantage Transplant | $17.26 | ↓ -63% |
| UNITED | MEDICARE ADVANTAGE | $17.26 | ↓ -63% |
| OPTUM | All Products VA | $17.26 | ↓ -63% |
| The Health Plan | MEDICARE ADVANTAGE | $17.26 | ↓ -63% |
| MMO | Medicare Advantage HMO | $17.26 | ↓ -63% |
| MMO | Medicare Advantage PPO | $17.78 | ↓ -62% |
| UPMC | MEDICARE ADVANTAGE | $18.56 | ↓ -60% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $18.56 | ↓ -60% |
| Summacare | MEDICARE ADVANTAGE | $18.56 | ↓ -60% |
| AETNA | MEDICARE ADVANTAGE | $18.56 | ↓ -60% |
| Valor | HMO & PPO | $18.56 | ↓ -60% |
| ANTHEM | MEDICARE ADVANTAGE | $18.56 | ↓ -60% |
| Perennial Health | MEDICARE ADVANTAGE | $18.64 | ↓ -60% |
| CIGNA | MEDICARE ADVANTAGE | $19.12 | ↓ -59% |
| CommuniCare | MEDICARE ADVANTAGE | $19.49 | ↓ -58% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $20.04 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $20.21 | ↓ -56% |
| PPHP | ALL PRODUCTS | $20.42 | ↓ -56% |
| Zing Health | Medicare Advantage | $20.42 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $22.87 | ↓ -51% |
| PHP | ALL PRODUCTS | $22.87 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $24.15 | ↓ -48% |
| Summacare | Preferred | $25.15 | ↓ -46% |
| Summacare | PREMIER | $27.37 | ↓ -41% |
| Aultcare | PPO/HMO | $29.80 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $32.16 | ↓ -31% |
| AETNA | Acop | $33.04 | ↓ -29% |
| ANTHEM | HPN | $33.29 | ↓ -28% |
| OHCP | ALL PRODUCTS | $34.73 | ↓ -25% |
| OMAS | ALL PRODUCTS | $35.73 | ↓ -23% |
| UNITED | ALL PRODUCTS | $36.92 | ↓ -21% |
| MMO | TRADITIONAL | $37.23 | ↓ -20% |
| MMO | NASCO | $37.23 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $38.59 | ↓ -17% |
| AETNA | International | $39.15 | ↓ -16% |
| HEALTHSMART | ALL PRODUCTS | $39.30 | ↓ -15% |
| ANTHEM | TRADITIONAL | $39.91 | ↓ -14% |
| OPTUM | All Products Transplant | $40.45 | ↓ -13% |
| UPMC | ALL PRODUCTS | $42.88 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $42.88 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $46.45 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $50.02 | ↑ +8% |
| GMS | ALL PRODUCTS | $50.02 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $50.02 | ↑ +8% |
| ANTHEM | PPO/HMO | $53.53 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $53.60 | ↑ +15% |
| AETNA | ALL PRODUCTS | $53.60 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $57.17 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $60.74 | ↑ +31% |
| USA Managed Care | ALL PRODUCTS | $64.31 | ↑ +38% |
| FrontPath | TRANSPLANT | $64.31 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $64.31 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $64.31 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $64.31 | ↑ +38% |
| AETNA | Qhp/Ipf | $71.46 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $11,686.37 | ↑ +25059% |
| Paramount | Managed Medicaid | $12,670.48 | ↑ +27178% |
| Buckeye | Managed Medicaid | $12,916.51 | ↑ +27707% |
| ANTHEM | Managed Medicaid | $12,916.51 | ↑ +27707% |
| MOLINA | Managed Medicaid | $12,916.51 | ↑ +27707% |
| United BH | Managed Medicaid | $13,039.53 | ↑ +27972% |
| UNITED | Managed Medicaid | $13,162.54 | ↑ +28237% |
| CARESOURCE | Managed Medicaid | $13,162.54 | ↑ +28237% |
| AMERIHEALTH | Managed Medicaid | $13,531.58 | ↑ +29031% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Factor xiii recomb a-subunit at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $46.45 | $20.21 – $22,953.13 |
| lutheran hospital | Cleveland | $46.45 | $17.26 – $12,882.52 |
| cleveland clinic main campus | Cleveland | not published | $2.32 – $16,514.52 |
| akron general | Akron | $46.45 | $2.17 – $13,108.79 |
| avon hospital | Avon | $46.45 | $17.26 – $12,373.07 |
| euclid hospital | Euclid | $46.45 | $17.10 – $14,403.73 |
| hillcrest hospital | Mayfield Heights | $46.45 | $2.17 – $14,097.79 |
| lodi hospital | Lodi | $46.45 | $17.26 – $21,993.87 |