Vaccine influenza quadrivalent live (laiv4) intranasal 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

$37.05

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.

$57.00

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.

$8.19 with OPTUM vs $65.34 with UNITED — 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
OPTUM Managed Medicaid Transplant $8.19 ↓ -78%
Paramount Managed Medicaid $8.88 ↓ -76%
ANTHEM Managed Medicaid $9.05 ↓ -76%
MOLINA Managed Medicaid $9.05 ↓ -76%
Buckeye Managed Medicaid $9.05 ↓ -76%
United BH Managed Medicaid $9.14 ↓ -75%
CARESOURCE Managed Medicaid $9.22 ↓ -75%
UNITED Managed Medicaid $9.22 ↓ -75%
AMERIHEALTH Managed Medicaid $9.48 ↓ -74%
AETNA MEDICARE ADVANTAGE $12.43 ↓ -66%
MMO ALL PRODUCTS $12.60 ↓ -66%
OSCAR ALL PRODUCTS $16.12 ↓ -56%
Zing Health Medicare Advantage $17.10 ↓ -54%
PHP ALL PRODUCTS $18.24 ↓ -51%
PHPHI ALL PRODUCTS $18.24 ↓ -51%
CC EHP ALL PRODUCTS $19.27 ↓ -48%
Summacare Preferred $20.06 ↓ -46%
Summacare PREMIER $21.83 ↓ -41%
Aultcare PPO/HMO $23.77 ↓ -36%
Amish Community Aid Plan ALL PRODUCTS $25.65 ↓ -31%
OHCP ALL PRODUCTS $27.70 ↓ -25%
OMAS ALL PRODUCTS $28.50 ↓ -23%
MMO NASCO $29.70 ↓ -20%
MMO TRADITIONAL $29.70 ↓ -20%
Ohio Healthy TRANSPLANT $30.78 ↓ -17%
HEALTHSMART ALL PRODUCTS $31.35 ↓ -15%
ANTHEM TRADITIONAL $31.83 ↓ -14%
OPTUM All Products Transplant $32.26 ↓ -13%
UPMC ALL PRODUCTS $34.20 ↓ -8%
AETNA Acop $34.20 ↓ -8%
The Health Plan ALL PRODUCTS $34.20 ↓ -8%
THREE RIVERS ALL PRODUCTS $37.05 ↑ +0%
Quality Care Partners ALL PRODUCTS $39.90 ↑ +8%
GMS ALL PRODUCTS $39.90 ↑ +8%
AETNA International $39.90 ↑ +8%
Medical Benefit Corp Transplant SMCP $39.90 ↑ +8%
AETNA Asa_Whirlpool_Peia $39.90 ↑ +8%
AETNA ALL PRODUCTS $42.75 ↑ +15%
Consociate Health ALL PRODUCTS $42.75 ↑ +15%
ANTHEM HPN $43.94 ↑ +19%
Evernorth (Cigna BH) All Products Psychiatrist $45.60 ↑ +23%
Humana Military ALL PRODUCTS $48.45 ↑ +31%
MULTIPLAN ALL PRODUCTS $51.30 ↑ +38%
FrontPath TRANSPLANT $51.30 ↑ +38%
Tertiary Care Network TRANSPLANT $51.30 ↑ +38%
Managed Care Services TRANSPLANT $51.30 ↑ +38%
USA Managed Care ALL PRODUCTS $51.30 ↑ +38%
ANTHEM PPO/HMO $51.70 ↑ +40%
AETNA Qhp/Ipf $57.00 ↑ +54%
UNITED ALL PRODUCTS $65.34 ↑ +76%
CIGNA MEDICARE ADVANTAGE not published by hospital —
The Health Plan MEDICARE ADVANTAGE not published by hospital —
HUMANA Medicare Advantage HMO not published by hospital —
UNITED 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 —
UPMC MEDICARE ADVANTAGE not published by hospital —
Valor HMO & PPO not published by hospital —
AETNA NAP not published by hospital —
MMO Medicare Advantage PPO not published by hospital —
OPTUM All Products VA not published by hospital —
MMO Medicare Advantage HMO not published by hospital —
OPTUM Medicare Advantage Transplant not published by hospital —
ANTHEM MEDICARE ADVANTAGE 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 —
CommuniCare MEDICARE ADVANTAGE not published by hospital —
PPHP ALL PRODUCTS not published by hospital —
Summacare MEDICARE ADVANTAGE not published by hospital —

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Vaccine influenza quadrivalent live (laiv4) intranasal at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland $37.05 $1.10 – $51.30
lutheran hospital Cleveland $37.05 $7.79 – $57.00
cleveland clinic childrens hospital for rehabilitation Cleveland not published $13.89 – $16.08
Trinity Medical Center East Steubenville $32.74 $18.48 – $39.60
akron general Akron $37.05 $1.10 – $51.30
avon hospital Avon $37.05 $8.51 – $57.00
euclid hospital Euclid $37.05 $8.71 – $57.00
hillcrest hospital Mayfield Heights $37.05 $8.53 – $51.30

All Ohio hospitals for this procedure →