Phentolaine mesylate inj at fairview hospital

18101 Lorain Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1215989611

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

$1,146.52

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,763.88

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2.17 with AETNA vs $1,763.85 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 →

Payer
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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
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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%
OPTUM Managed Medicaid Transplant $164.42 ↓ -86%
Paramount Managed Medicaid $178.26 ↓ -84%
ANTHEM Managed Medicaid $181.72 ↓ -84%
MOLINA Managed Medicaid $181.72 ↓ -84%
Buckeye Managed Medicaid $181.72 ↓ -84%
United BH Managed Medicaid $183.45 ↓ -84%
CARESOURCE Managed Medicaid $185.18 ↓ -84%
UNITED Managed Medicaid $185.18 ↓ -84%
AMERIHEALTH Managed Medicaid $190.38 ↓ -83%
OPTUM All Products VA $367.12 ↓ -68%
The Health Plan MEDICARE ADVANTAGE $367.12 ↓ -68%
OPTUM Medicare Advantage Transplant $367.12 ↓ -68%
MMO Medicare Advantage HMO $367.12 ↓ -68%
UNITED MEDICARE ADVANTAGE $367.12 ↓ -68%
MMO Medicare Advantage PPO $378.13 ↓ -67%
MMO ALL PRODUCTS $389.81 ↓ -66%
Perennial Health MEDICARE ADVANTAGE $396.49 ↓ -65%
UPMC MEDICARE ADVANTAGE $420.55 ↓ -63%
ANTHEM MEDICARE ADVANTAGE $420.55 ↓ -63%
AETNA MEDICARE ADVANTAGE $420.55 ↓ -63%
Valor HMO & PPO $420.55 ↓ -63%
Summacare MEDICARE ADVANTAGE $420.55 ↓ -63%
DEVOTED HEALTH MEDICARE ADVANTAGE $420.55 ↓ -63%
CIGNA MEDICARE ADVANTAGE $433.17 ↓ -62%
CommuniCare MEDICARE ADVANTAGE $441.58 ↓ -61%
HUMANA Medicare Advantage HMO $444.32 ↓ -61%
Perennial Health HMO I-SNP and HMO C-SNP $454.19 ↓ -60%
PPHP ALL PRODUCTS $462.61 ↓ -60%
Zing Health Medicare Advantage $462.61 ↓ -60%
OSCAR ALL PRODUCTS $498.82 ↓ -56%
PHPHI ALL PRODUCTS $564.43 ↓ -51%
PHP ALL PRODUCTS $564.43 ↓ -51%
CC EHP ALL PRODUCTS $596.18 ↓ -48%
Summacare Preferred $620.88 ↓ -46%
Summacare PREMIER $675.55 ↓ -41%
Aultcare PPO/HMO $735.53 ↓ -36%
AETNA Acop $748.60 ↓ -35%
ANTHEM HPN $754.27 ↓ -34%
Amish Community Aid Plan ALL PRODUCTS $793.73 ↓ -31%
UNITED ALL PRODUCTS $848.45 ↓ -26%
OHCP ALL PRODUCTS $857.23 ↓ -25%
OMAS ALL PRODUCTS $881.93 ↓ -23%
AETNA International $899.76 ↓ -22%
MMO NASCO $918.97 ↓ -20%
MMO TRADITIONAL $918.97 ↓ -20%
Ohio Healthy TRANSPLANT $952.48 ↓ -17%
HEALTHSMART ALL PRODUCTS $970.12 ↓ -15%
ANTHEM TRADITIONAL $985.11 ↓ -14%
OPTUM All Products Transplant $998.34 ↓ -13%
UPMC ALL PRODUCTS $1,058.31 ↓ -8%
The Health Plan ALL PRODUCTS $1,058.31 ↓ -8%
THREE RIVERS ALL PRODUCTS $1,146.50 ↓ -0%
ANTHEM PPO/HMO $1,213.03 ↑ +6%
Medical Benefit Corp Transplant SMCP $1,234.70 ↑ +8%
Quality Care Partners ALL PRODUCTS $1,234.70 ↑ +8%
GMS ALL PRODUCTS $1,234.70 ↑ +8%
AETNA ALL PRODUCTS $1,322.89 ↑ +15%
Consociate Health ALL PRODUCTS $1,322.89 ↑ +15%
Evernorth (Cigna BH) All Products Psychiatrist $1,411.08 ↑ +23%
Humana Military ALL PRODUCTS $1,499.27 ↑ +31%
MULTIPLAN ALL PRODUCTS $1,587.47 ↑ +38%
FrontPath TRANSPLANT $1,587.47 ↑ +38%
Managed Care Services TRANSPLANT $1,587.47 ↑ +38%
Tertiary Care Network TRANSPLANT $1,587.47 ↑ +38%
USA Managed Care ALL PRODUCTS $1,587.47 ↑ +38%
AETNA Qhp/Ipf $1,763.85 ↑ +54%
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

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Phentolaine mesylate inj at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland $108.81 $40.18 – $462.61
cleveland clinic childrens hospital for rehabilitation Cleveland $1,146.52 $278.89 – $1,587.47
lutheran hospital Cleveland $1,146.52 $156.52 – $1,587.47
Trinity Medical Center East Steubenville $493.46 $394.63 – $766.15
akron general Akron $1,146.52 $2.17 – $1,587.47
avon hospital Avon $1,146.52 $170.82 – $1,587.47
euclid hospital Euclid $1,146.52 $175.01 – $1,587.47
hillcrest hospital Mayfield Heights $1,146.52 $2.17 – $1,587.47

All Ohio hospitals for this procedure →