Kit ipg optimizer smart at fairview hospital
18101 Lorain Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1215989611
$41,112.50
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.
$63,250.00
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.
$164.64 with OPTUM vs $46,000.00 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 | $164.64 | ↓ -100% |
| Paramount | Managed Medicaid | $178.51 | ↓ -100% |
| ANTHEM | Managed Medicaid | $181.98 | ↓ -100% |
| MOLINA | Managed Medicaid | $181.98 | ↓ -100% |
| Buckeye | Managed Medicaid | $181.98 | ↓ -100% |
| United BH | Managed Medicaid | $183.71 | ↓ -100% |
| UNITED | Managed Medicaid | $185.44 | ↓ -100% |
| CARESOURCE | Managed Medicaid | $185.44 | ↓ -100% |
| AMERIHEALTH | Managed Medicaid | $190.64 | ↓ -100% |
| ANTHEM | HPN | $7,148.40 | ↓ -83% |
| ANTHEM | PPO/HMO | $8,408.80 | ↓ -80% |
| AETNA | MEDICARE ADVANTAGE | $10,028.00 | ↓ -76% |
| OSCAR | ALL PRODUCTS | $13,008.80 | ↓ -68% |
| Zing Health | Medicare Advantage | $13,800.00 | ↓ -66% |
| PHPHI | ALL PRODUCTS | $14,720.00 | ↓ -64% |
| PHP | ALL PRODUCTS | $14,720.00 | ↓ -64% |
| Summacare | Preferred | $16,192.00 | ↓ -61% |
| Summacare | PREMIER | $17,618.00 | ↓ -57% |
| Aultcare | PPO/HMO | $19,182.00 | ↓ -53% |
| Amish Community Aid Plan | ALL PRODUCTS | $20,700.00 | ↓ -50% |
| OHCP | ALL PRODUCTS | $22,356.00 | ↓ -46% |
| OMAS | ALL PRODUCTS | $23,000.00 | ↓ -44% |
| MMO | NASCO | $23,966.00 | ↓ -42% |
| MMO | TRADITIONAL | $23,966.00 | ↓ -42% |
| Ohio Healthy | TRANSPLANT | $24,840.00 | ↓ -40% |
| HEALTHSMART | ALL PRODUCTS | $25,300.00 | ↓ -38% |
| ANTHEM | TRADITIONAL | $25,691.00 | ↓ -38% |
| OPTUM | All Products Transplant | $26,036.00 | ↓ -37% |
| AETNA | Acop | $27,600.00 | ↓ -33% |
| The Health Plan | ALL PRODUCTS | $27,600.00 | ↓ -33% |
| UPMC | ALL PRODUCTS | $27,600.00 | ↓ -33% |
| CC EHP | ALL PRODUCTS | $29,210.00 | ↓ -29% |
| THREE RIVERS | ALL PRODUCTS | $29,900.00 | ↓ -27% |
| GMS | ALL PRODUCTS | $32,200.00 | ↓ -22% |
| AETNA | International | $32,200.00 | ↓ -22% |
| AETNA | Asa_Whirlpool_Peia | $32,200.00 | ↓ -22% |
| Quality Care Partners | ALL PRODUCTS | $32,200.00 | ↓ -22% |
| Medical Benefit Corp | Transplant SMCP | $32,200.00 | ↓ -22% |
| Consociate Health | ALL PRODUCTS | $34,500.00 | ↓ -16% |
| AETNA | ALL PRODUCTS | $34,500.00 | ↓ -16% |
| UNITED | ALL PRODUCTS | $35,098.00 | ↓ -15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $36,800.00 | ↓ -10% |
| Humana Military | ALL PRODUCTS | $39,100.00 | ↓ -5% |
| FrontPath | TRANSPLANT | $41,400.00 | ↑ +1% |
| Managed Care Services | TRANSPLANT | $41,400.00 | ↑ +1% |
| Tertiary Care Network | TRANSPLANT | $41,400.00 | ↑ +1% |
| USA Managed Care | ALL PRODUCTS | $41,400.00 | ↑ +1% |
| MULTIPLAN | ALL PRODUCTS | $41,400.00 | ↑ +1% |
| AETNA | Qhp/Ipf | $46,000.00 | ↑ +12% |
| Valor | HMO & PPO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | 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 | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
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Kit ipg optimizer smart at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $16,900.00 | $200.93 – $23,400.00 |
| lutheran hospital | Cleveland | $41,112.50 | $156.74 – $41,400.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $279.28 – $323.38 |
| akron general | Akron | $54,567.50 | $159.50 – $75,555.00 |
| avon hospital | Avon | $41,112.50 | $171.06 – $41,400.00 |
| euclid hospital | Euclid | $41,112.50 | $175.26 – $41,400.00 |
| hillcrest hospital | Mayfield Heights | $41,112.50 | $171.53 – $41,400.00 |
| marymount hospital | Garfield Heights | $41,112.50 | $154.76 – $41,400.00 |