healthcosts.net
Rmvl perm pm pulse gen at fairview hospital
18101 Lorain Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1215989611
$30,931.55
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.
?
What you pay up front if you don't use insurance.
$47,587.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$273.99 with Humana Military vs $47,587.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Humana Military | ALL PRODUCTS | $273.99 | ↓ -99% |
| ANTHEM | HPN | $351.99 | ↓ -99% |
| OPTUM | Managed Medicaid Transplant | $2,463.86 | ↓ -92% |
| Paramount | Managed Medicaid | $2,671.35 | ↓ -91% |
| ANTHEM | Managed Medicaid | $2,723.22 | ↓ -91% |
| MOLINA | Managed Medicaid | $2,723.22 | ↓ -91% |
| Buckeye | Managed Medicaid | $2,723.22 | ↓ -91% |
| United BH | Managed Medicaid | $2,749.15 | ↓ -91% |
| CARESOURCE | Managed Medicaid | $2,775.09 | ↓ -91% |
| UNITED | Managed Medicaid | $2,775.09 | ↓ -91% |
| AMERIHEALTH | Managed Medicaid | $2,852.89 | ↓ -91% |
| AETNA | Acop | $3,265.00 | ↓ -89% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -88% |
| AETNA | International | $4,001.00 | ↓ -87% |
| HUMANA | Medicare Advantage HMO | $7,370.47 | ↓ -76% |
| OPTUM | All Products VA | $7,672.16 | ↓ -75% |
| UNITED | MEDICARE ADVANTAGE | $7,672.16 | ↓ -75% |
| The Health Plan | MEDICARE ADVANTAGE | $7,672.16 | ↓ -75% |
| MMO | Medicare Advantage HMO | $7,672.16 | ↓ -75% |
| OPTUM | Medicare Advantage Transplant | $7,672.16 | ↓ -75% |
| UNITED | ALL PRODUCTS | $7,821.00 | ↓ -75% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $7,829.16 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $7,829.16 | ↓ -75% |
| Valor | HMO & PPO | $7,829.16 | ↓ -75% |
| UPMC | MEDICARE ADVANTAGE | $7,829.16 | ↓ -75% |
| Summacare | MEDICARE ADVANTAGE | $7,829.16 | ↓ -75% |
| ANTHEM | MEDICARE ADVANTAGE | $7,829.16 | ↓ -75% |
| MMO | Medicare Advantage PPO | $7,902.33 | ↓ -74% |
| CIGNA | MEDICARE ADVANTAGE | $8,064.03 | ↓ -74% |
| CommuniCare | MEDICARE ADVANTAGE | $8,220.61 | ↓ -73% |
| Perennial Health | MEDICARE ADVANTAGE | $8,285.94 | ↓ -73% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $8,455.49 | ↓ -73% |
| Zing Health | Medicare Advantage | $8,612.07 | ↓ -72% |
| PPHP | ALL PRODUCTS | $8,612.07 | ↓ -72% |
| OSCAR | ALL PRODUCTS | $13,457.60 | ↓ -56% |
| PHP | ALL PRODUCTS | $15,227.84 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $15,227.84 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $16,084.41 | ↓ -48% |
| Summacare | Preferred | $16,750.62 | ↓ -46% |
| Summacare | PREMIER | $18,225.82 | ↓ -41% |
| Aultcare | PPO/HMO | $19,843.78 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $21,414.15 | ↓ -31% |
| ANTHEM | PPO/HMO | $22,582.42 | ↓ -27% |
| MMO | ALL PRODUCTS | $22,712.38 | ↓ -27% |
| OHCP | ALL PRODUCTS | $23,127.28 | ↓ -25% |
| OMAS | ALL PRODUCTS | $23,793.50 | ↓ -23% |
| MMO | TRADITIONAL | $24,792.83 | ↓ -20% |
| MMO | NASCO | $24,792.83 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $25,696.98 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $26,172.85 | ↓ -15% |
| ANTHEM | TRADITIONAL | $26,577.34 | ↓ -14% |
| OPTUM | All Products Transplant | $26,934.24 | ↓ -13% |
| UPMC | ALL PRODUCTS | $28,552.20 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $28,552.20 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $30,931.55 | ↑ +0% |
| GMS | ALL PRODUCTS | $33,310.90 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $33,310.90 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $33,310.90 | ↑ +8% |
| AETNA | ALL PRODUCTS | $35,690.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $35,690.25 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $38,069.60 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $42,828.30 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $42,828.30 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $42,828.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $42,828.30 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $42,828.30 | ↑ +38% |
| AETNA | Qhp/Ipf | $47,587.00 | ↑ +54% |
| United BH | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl perm pm pulse gen at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $30,931.55 | $1.10 – $42,828.30 |
| lutheran hospital | Cleveland | $30,931.55 | $273.99 – $42,828.30 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,179.36 – $4,839.26 |
| akron general | Akron | $30,931.55 | $1.10 – $42,828.30 |
| avon hospital | Avon | $30,931.55 | $412.08 – $42,828.30 |
| euclid hospital | Euclid | $30,931.55 | $276.50 – $42,828.30 |
| hillcrest hospital | Mayfield Heights | $30,931.55 | $273.99 – $42,828.30 |
| marymount hospital | Garfield Heights | $30,931.55 | $273.99 – $42,828.30 |