healthcosts.net
Unlisted px male genital sys at fairview hospital
18101 Lorain Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1215989611
$8,636.55
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.
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What you pay up front if you don't use insurance.
$13,287.00
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.
$0.01 with UNITED vs $4,001.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| HUMANA | Medicare Advantage HMO | $214.41 | ↓ -98% |
| UNITED | MEDICARE ADVANTAGE | $225.47 | ↓ -97% |
| MMO | Medicare Advantage HMO | $225.47 | ↓ -97% |
| OPTUM | All Products VA | $225.47 | ↓ -97% |
| The Health Plan | MEDICARE ADVANTAGE | $225.47 | ↓ -97% |
| OPTUM | Medicare Advantage Transplant | $225.47 | ↓ -97% |
| MMO | Medicare Advantage PPO | $232.23 | ↓ -97% |
| Summacare | MEDICARE ADVANTAGE | $236.38 | ↓ -97% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $236.38 | ↓ -97% |
| Valor | HMO & PPO | $236.38 | ↓ -97% |
| ANTHEM | MEDICARE ADVANTAGE | $236.38 | ↓ -97% |
| AETNA | MEDICARE ADVANTAGE | $236.38 | ↓ -97% |
| UPMC | MEDICARE ADVANTAGE | $236.38 | ↓ -97% |
| CIGNA | MEDICARE ADVANTAGE | $243.47 | ↓ -97% |
| Perennial Health | MEDICARE ADVANTAGE | $243.50 | ↓ -97% |
| CommuniCare | MEDICARE ADVANTAGE | $248.19 | ↓ -97% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $255.29 | ↓ -97% |
| Zing Health | Medicare Advantage | $260.01 | ↓ -97% |
| PPHP | ALL PRODUCTS | $260.01 | ↓ -97% |
| ANTHEM | HPN | $579.52 | ↓ -93% |
| ANTHEM | PPO/HMO | $681.80 | ↓ -92% |
| MMO | ALL PRODUCTS | $685.73 | ↓ -92% |
| OSCAR | ALL PRODUCTS | $758.47 | ↓ -91% |
| PHP | ALL PRODUCTS | $858.24 | ↓ -90% |
| PHPHI | ALL PRODUCTS | $858.24 | ↓ -90% |
| CC EHP | ALL PRODUCTS | $906.52 | ↓ -90% |
| Summacare | Preferred | $944.06 | ↓ -89% |
| Summacare | PREMIER | $1,027.21 | ↓ -88% |
| Aultcare | PPO/HMO | $1,118.39 | ↓ -87% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,206.90 | ↓ -86% |
| OPTUM | Managed Medicaid Transplant | $1,224.77 | ↓ -86% |
| OHCP | ALL PRODUCTS | $1,303.45 | ↓ -85% |
| Paramount | Managed Medicaid | $1,327.91 | ↓ -85% |
| OMAS | ALL PRODUCTS | $1,341.00 | ↓ -84% |
| ANTHEM | Managed Medicaid | $1,353.69 | ↓ -84% |
| MOLINA | Managed Medicaid | $1,353.69 | ↓ -84% |
| Buckeye | Managed Medicaid | $1,353.69 | ↓ -84% |
| United BH | Managed Medicaid | $1,366.58 | ↓ -84% |
| CARESOURCE | Managed Medicaid | $1,379.48 | ↓ -84% |
| UNITED | Managed Medicaid | $1,379.48 | ↓ -84% |
| MMO | TRADITIONAL | $1,397.32 | ↓ -84% |
| MMO | NASCO | $1,397.32 | ↓ -84% |
| AMERIHEALTH | Managed Medicaid | $1,418.15 | ↓ -84% |
| Ohio Healthy | TRANSPLANT | $1,448.28 | ↓ -83% |
| HEALTHSMART | ALL PRODUCTS | $1,475.10 | ↓ -83% |
| ANTHEM | TRADITIONAL | $1,497.90 | ↓ -83% |
| OPTUM | All Products Transplant | $1,518.01 | ↓ -82% |
| UPMC | ALL PRODUCTS | $1,609.20 | ↓ -81% |
| The Health Plan | ALL PRODUCTS | $1,609.20 | ↓ -81% |
| THREE RIVERS | ALL PRODUCTS | $1,743.30 | ↓ -80% |
| Quality Care Partners | ALL PRODUCTS | $1,877.40 | ↓ -78% |
| Medical Benefit Corp | Transplant SMCP | $1,877.40 | ↓ -78% |
| GMS | ALL PRODUCTS | $1,877.40 | ↓ -78% |
| Consociate Health | ALL PRODUCTS | $2,011.50 | ↓ -77% |
| AETNA | ALL PRODUCTS | $2,011.50 | ↓ -77% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,145.60 | ↓ -75% |
| Humana Military | ALL PRODUCTS | $2,279.70 | ↓ -74% |
| Managed Care Services | TRANSPLANT | $2,413.80 | ↓ -72% |
| Tertiary Care Network | TRANSPLANT | $2,413.80 | ↓ -72% |
| FrontPath | TRANSPLANT | $2,413.80 | ↓ -72% |
| MULTIPLAN | ALL PRODUCTS | $2,413.80 | ↓ -72% |
| USA Managed Care | ALL PRODUCTS | $2,413.80 | ↓ -72% |
| AETNA | Qhp/Ipf | $2,682.00 | ↓ -69% |
| AETNA | Acop | $3,265.00 | ↓ -62% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -56% |
| AETNA | International | $4,001.00 | ↓ -54% |
| 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
Unlisted px male genital sys at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $10,383.75 | $0.01 – $1,730.78 |
| lutheran hospital | Cleveland | $8,636.55 | $0.01 – $2,413.80 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,077.54 – $2,405.57 |
| akron general | Akron | $10,383.75 | $0.01 – $11,958.30 |
| avon hospital | Avon | $8,636.55 | $0.01 – $2,413.80 |
| euclid hospital | Euclid | $8,636.55 | $0.01 – $2,413.80 |
| hillcrest hospital | Mayfield Heights | $8,636.55 | $0.01 – $2,413.80 |
| marymount hospital | Garfield Heights | $8,636.55 | $0.01 – $2,413.80 |