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Abrasion lesions add-on at lutheran hospital
1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045
not published by hospital
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.
not published by hospital
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.
$131.66 with OPTUM vs $152.45 with AMERIHEALTH — 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $131.66 | — |
| Paramount | Managed Medicaid | $142.75 | — |
| ANTHEM | Managed Medicaid | $145.52 | — |
| Buckeye | Managed Medicaid | $145.52 | — |
| MOLINA | Managed Medicaid | $145.52 | — |
| United BH | Managed Medicaid | $146.91 | — |
| CARESOURCE | Managed Medicaid | $148.29 | — |
| UNITED | Managed Medicaid | $148.29 | — |
| AMERIHEALTH | Managed Medicaid | $152.45 | — |
Visitor-reported prices
Comments
Abrasion lesions add-on at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $97.50 | $0.01 – $195.44 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $234.59 – $271.63 |
| fairview hospital | Cleveland | not published | $138.30 – $160.14 |
| akron general | Akron | not published | $133.98 – $155.13 |
| avon hospital | Avon | not published | $143.69 – $146.43 |
| euclid hospital | Euclid | not published | $147.21 – $170.46 |
| hillcrest hospital | Mayfield Heights | not published | $144.09 – $166.84 |
| lodi hospital | Lodi | not published | $224.79 – $260.28 |