Whfo w/joint(s) custom fab at fairview hospital
18101 Lorain Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1215989611
$308.75
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.
$475.00
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.
$103.55 with AETNA vs $803.25 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | MEDICARE ADVANTAGE | $103.55 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $134.33 | ↓ -56% |
| Zing Health | Medicare Advantage | $142.50 | ↓ -54% |
| PHP | ALL PRODUCTS | $152.00 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $152.00 | ↓ -51% |
| Summacare | Preferred | $167.20 | ↓ -46% |
| Summacare | PREMIER | $181.93 | ↓ -41% |
| CC EHP | ALL PRODUCTS | $183.83 | ↓ -40% |
| Aultcare | PPO/HMO | $198.08 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $213.75 | ↓ -31% |
| OHCP | ALL PRODUCTS | $230.85 | ↓ -25% |
| OMAS | ALL PRODUCTS | $237.50 | ↓ -23% |
| MMO | TRADITIONAL | $247.48 | ↓ -20% |
| MMO | NASCO | $247.48 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $256.50 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $261.25 | ↓ -15% |
| ANTHEM | TRADITIONAL | $265.29 | ↓ -14% |
| OPTUM | All Products Transplant | $268.85 | ↓ -13% |
| AETNA | Acop | $285.00 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $285.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $285.00 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $308.75 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $332.50 | ↑ +8% |
| AETNA | International | $332.50 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $332.50 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $332.50 | ↑ +8% |
| GMS | ALL PRODUCTS | $332.50 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $356.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $356.25 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $380.00 | ↑ +23% |
| UNITED | ALL PRODUCTS | $399.48 | ↑ +29% |
| Humana Military | ALL PRODUCTS | $403.75 | ↑ +31% |
| MULTIPLAN | ALL PRODUCTS | $427.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $427.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $427.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $427.50 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $427.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $475.00 | ↑ +54% |
| ANTHEM | HPN | $532.42 | ↑ +72% |
| ANTHEM | PPO/HMO | $626.40 | ↑ +103% |
| OPTUM | Managed Medicaid Transplant | $693.72 | ↑ +125% |
| Paramount | Managed Medicaid | $752.14 | ↑ +144% |
| ANTHEM | Managed Medicaid | $766.74 | ↑ +148% |
| Buckeye | Managed Medicaid | $766.74 | ↑ +148% |
| MOLINA | Managed Medicaid | $766.74 | ↑ +148% |
| United BH | Managed Medicaid | $774.04 | ↑ +151% |
| CARESOURCE | Managed Medicaid | $781.35 | ↑ +153% |
| UNITED | Managed Medicaid | $781.35 | ↑ +153% |
| AMERIHEALTH | Managed Medicaid | $803.25 | ↑ +160% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Whfo w/joint(s) custom fab at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $339.95 | $1.10 – $980.32 |
| lutheran hospital | Cleveland | $308.75 | $103.55 – $764.72 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,176.73 – $1,362.53 |
| akron general | Akron | $727.35 | $243.94 – $1,007.10 |
| avon hospital | Avon | $308.75 | $103.55 – $734.48 |
| euclid hospital | Euclid | $308.75 | $103.55 – $855.02 |
| hillcrest hospital | Mayfield Heights | $308.75 | $103.55 – $836.86 |
| lodi hospital | Lodi | $339.95 | $147.90 – $1,305.58 |