Gamunex-c/gammaked at fairview hospital
18101 Lorain Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1215989611
$35.84
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.
$55.14
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 $2,727.96 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 | ↓ -94% |
| MMO | ALL PRODUCTS | $12.19 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $15.59 | ↓ -57% |
| PHP | ALL PRODUCTS | $17.64 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $17.64 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $18.64 | ↓ -48% |
| Summacare | Preferred | $19.41 | ↓ -46% |
| Summacare | PREMIER | $21.12 | ↓ -41% |
| Aultcare | PPO/HMO | $22.99 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $24.81 | ↓ -31% |
| OHCP | ALL PRODUCTS | $26.80 | ↓ -25% |
| OMAS | ALL PRODUCTS | $27.57 | ↓ -23% |
| MMO | NASCO | $28.73 | ↓ -20% |
| MMO | TRADITIONAL | $28.73 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $29.78 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $30.33 | ↓ -15% |
| ANTHEM | TRADITIONAL | $30.80 | ↓ -14% |
| OPTUM | All Products Transplant | $31.21 | ↓ -13% |
| UPMC | ALL PRODUCTS | $33.08 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $33.08 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $35.84 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $38.60 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $38.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $38.60 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $41.36 | ↑ +15% |
| AETNA | ALL PRODUCTS | $41.36 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $44.11 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $46.87 | ↑ +31% |
| The Health Plan | MEDICARE ADVANTAGE | $48.81 | ↑ +36% |
| OPTUM | All Products VA | $48.81 | ↑ +36% |
| MMO | Medicare Advantage HMO | $48.81 | ↑ +36% |
| OPTUM | Medicare Advantage Transplant | $48.81 | ↑ +36% |
| UNITED | MEDICARE ADVANTAGE | $48.81 | ↑ +36% |
| HUMANA | Medicare Advantage HMO | $48.88 | ↑ +36% |
| Summacare | MEDICARE ADVANTAGE | $49.07 | ↑ +37% |
| Valor | HMO & PPO | $49.07 | ↑ +37% |
| AETNA | MEDICARE ADVANTAGE | $49.07 | ↑ +37% |
| UPMC | MEDICARE ADVANTAGE | $49.07 | ↑ +37% |
| ANTHEM | MEDICARE ADVANTAGE | $49.07 | ↑ +37% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $49.07 | ↑ +37% |
| Tertiary Care Network | TRANSPLANT | $49.63 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $49.63 | ↑ +38% |
| FrontPath | TRANSPLANT | $49.63 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $49.63 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $49.63 | ↑ +38% |
| MMO | Medicare Advantage PPO | $50.27 | ↑ +40% |
| CIGNA | MEDICARE ADVANTAGE | $50.54 | ↑ +41% |
| CommuniCare | MEDICARE ADVANTAGE | $51.52 | ↑ +44% |
| Perennial Health | MEDICARE ADVANTAGE | $52.71 | ↑ +47% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $53.00 | ↑ +48% |
| PPHP | ALL PRODUCTS | $53.98 | ↑ +51% |
| Zing Health | Medicare Advantage | $53.98 | ↑ +51% |
| AETNA | Qhp/Ipf | $55.14 | ↑ +54% |
| AETNA | Acop | $87.36 | ↑ +144% |
| ANTHEM | HPN | $88.02 | ↑ +146% |
| UNITED | ALL PRODUCTS | $105.37 | ↑ +194% |
| AETNA | International | $111.74 | ↑ +212% |
| ANTHEM | PPO/HMO | $141.54 | ↑ +295% |
| OPTUM | Managed Medicaid Transplant | $2,355.96 | ↑ +6474% |
| Paramount | Managed Medicaid | $2,554.36 | ↑ +7027% |
| Buckeye | Managed Medicaid | $2,603.96 | ↑ +7166% |
| ANTHEM | Managed Medicaid | $2,603.96 | ↑ +7166% |
| MOLINA | Managed Medicaid | $2,603.96 | ↑ +7166% |
| United BH | Managed Medicaid | $2,628.76 | ↑ +7235% |
| UNITED | Managed Medicaid | $2,653.56 | ↑ +7304% |
| CARESOURCE | Managed Medicaid | $2,653.56 | ↑ +7304% |
| AMERIHEALTH | Managed Medicaid | $2,727.96 | ↑ +7511% |
| 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
Gamunex-c/gammaked at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $115.45 | $42.63 – $3,329.32 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $35.84 | $15.59 – $4,627.33 |
| lutheran hospital | Cleveland | $35.84 | $15.59 – $2,597.10 |
| Trinity Medical Center East | Steubenville | $1,949.01 | $49.01 – $79.31 |
| akron general | Akron | $35.84 | $2.17 – $2,642.72 |
| avon hospital | Avon | $35.84 | $15.59 – $2,494.39 |
| euclid hospital | Euclid | $35.84 | $15.59 – $2,903.78 |
| hillcrest hospital | Mayfield Heights | $35.84 | $2.17 – $2,842.10 |