Omalizumab 150 mg/ml subcutaneous syringe (wrapper) at fairview hospital
18101 Lorain Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1215989611
$4,595.01
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.
$7,069.24
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 | ↓ -100% |
| MMO | ALL PRODUCTS | $33.54 | ↓ -99% |
| HUMANA | Medicare Advantage HMO | $36.81 | ↓ -99% |
| UNITED | MEDICARE ADVANTAGE | $38.29 | ↓ -99% |
| MMO | Medicare Advantage HMO | $38.29 | ↓ -99% |
| OPTUM | Medicare Advantage Transplant | $38.29 | ↓ -99% |
| OPTUM | All Products VA | $38.29 | ↓ -99% |
| The Health Plan | MEDICARE ADVANTAGE | $38.29 | ↓ -99% |
| MMO | Medicare Advantage PPO | $39.44 | ↓ -99% |
| Perennial Health | MEDICARE ADVANTAGE | $41.35 | ↓ -99% |
| OSCAR | ALL PRODUCTS | $42.92 | ↓ -99% |
| UPMC | MEDICARE ADVANTAGE | $45.49 | ↓ -99% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $45.49 | ↓ -99% |
| ANTHEM | MEDICARE ADVANTAGE | $45.49 | ↓ -99% |
| Valor | HMO & PPO | $45.49 | ↓ -99% |
| Summacare | MEDICARE ADVANTAGE | $45.49 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $45.49 | ↓ -99% |
| CIGNA | MEDICARE ADVANTAGE | $46.85 | ↓ -99% |
| CommuniCare | MEDICARE ADVANTAGE | $47.76 | ↓ -99% |
| PHP | ALL PRODUCTS | $48.56 | ↓ -99% |
| PHPHI | ALL PRODUCTS | $48.56 | ↓ -99% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $49.13 | ↓ -99% |
| PPHP | ALL PRODUCTS | $50.04 | ↓ -99% |
| Zing Health | Medicare Advantage | $50.04 | ↓ -99% |
| CC EHP | ALL PRODUCTS | $51.29 | ↓ -99% |
| Summacare | Preferred | $53.42 | ↓ -99% |
| Summacare | PREMIER | $58.12 | ↓ -99% |
| Aultcare | PPO/HMO | $63.28 | ↓ -99% |
| Amish Community Aid Plan | ALL PRODUCTS | $68.29 | ↓ -99% |
| OHCP | ALL PRODUCTS | $73.76 | ↓ -98% |
| OMAS | ALL PRODUCTS | $75.88 | ↓ -98% |
| MMO | TRADITIONAL | $79.07 | ↓ -98% |
| MMO | NASCO | $79.07 | ↓ -98% |
| AETNA | Acop | $80.99 | ↓ -98% |
| UNITED | ALL PRODUCTS | $81.18 | ↓ -98% |
| ANTHEM | HPN | $81.60 | ↓ -98% |
| Ohio Healthy | TRANSPLANT | $81.95 | ↓ -98% |
| HEALTHSMART | ALL PRODUCTS | $83.47 | ↓ -98% |
| ANTHEM | TRADITIONAL | $84.76 | ↓ -98% |
| OPTUM | All Products Transplant | $85.90 | ↓ -98% |
| AETNA | International | $86.09 | ↓ -98% |
| UPMC | ALL PRODUCTS | $91.06 | ↓ -98% |
| The Health Plan | ALL PRODUCTS | $91.06 | ↓ -98% |
| THREE RIVERS | ALL PRODUCTS | $98.64 | ↓ -98% |
| GMS | ALL PRODUCTS | $106.23 | ↓ -98% |
| Quality Care Partners | ALL PRODUCTS | $106.23 | ↓ -98% |
| Medical Benefit Corp | Transplant SMCP | $106.23 | ↓ -98% |
| Consociate Health | ALL PRODUCTS | $113.82 | ↓ -98% |
| AETNA | ALL PRODUCTS | $113.82 | ↓ -98% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $121.41 | ↓ -97% |
| Humana Military | ALL PRODUCTS | $129.00 | ↓ -97% |
| ANTHEM | PPO/HMO | $131.21 | ↓ -97% |
| FrontPath | TRANSPLANT | $136.58 | ↓ -97% |
| MULTIPLAN | ALL PRODUCTS | $136.58 | ↓ -97% |
| USA Managed Care | ALL PRODUCTS | $136.58 | ↓ -97% |
| Managed Care Services | TRANSPLANT | $136.58 | ↓ -97% |
| Tertiary Care Network | TRANSPLANT | $136.58 | ↓ -97% |
| AETNA | Qhp/Ipf | $151.76 | ↓ -97% |
| OPTUM | Managed Medicaid Transplant | $2,355.96 | ↓ -49% |
| Paramount | Managed Medicaid | $2,554.36 | ↓ -44% |
| ANTHEM | Managed Medicaid | $2,603.96 | ↓ -43% |
| Buckeye | Managed Medicaid | $2,603.96 | ↓ -43% |
| MOLINA | Managed Medicaid | $2,603.96 | ↓ -43% |
| United BH | Managed Medicaid | $2,628.76 | ↓ -43% |
| UNITED | Managed Medicaid | $2,653.56 | ↓ -42% |
| CARESOURCE | Managed Medicaid | $2,653.56 | ↓ -42% |
| AMERIHEALTH | Managed Medicaid | $2,727.96 | ↓ -41% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Omalizumab 150 mg/ml subcutaneous syringe (wrapper) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $4,595.01 | $1,499.39 – $4,771.74 |
| lutheran hospital | Cleveland | $4,595.01 | $38.29 – $2,597.10 |
| Trinity Medical Center East | Steubenville | $1,696.09 | $37.75 – $2,633.40 |
| akron general | Akron | $4,595.01 | $2.17 – $4,771.74 |
| avon hospital | Avon | $4,595.01 | $38.29 – $2,494.39 |
| euclid hospital | Euclid | $4,595.01 | $36.81 – $2,903.78 |
| hillcrest hospital | Mayfield Heights | $4,595.01 | $2.17 – $2,842.10 |
| lodi hospital | Lodi | $4,595.01 | $38.29 – $4,771.74 |