Angio tib/peroneal/init ves/unila 37228 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.
$3,644.62 with OPTUM vs $11,354.21 with Perennial Health — 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 | $3,644.62 | — |
| Paramount | Managed Medicaid | $3,951.53 | — |
| Buckeye | Managed Medicaid | $4,028.26 | — |
| MOLINA | Managed Medicaid | $4,028.26 | — |
| ANTHEM | Managed Medicaid | $4,028.26 | — |
| United BH | Managed Medicaid | $4,066.63 | — |
| UNITED | Managed Medicaid | $4,104.99 | — |
| CARESOURCE | Managed Medicaid | $4,104.99 | — |
| AMERIHEALTH | Managed Medicaid | $4,220.08 | — |
| HUMANA | Medicare Advantage HMO | $10,513.16 | — |
| OPTUM | Medicare Advantage Transplant | $10,513.16 | — |
| UNITED | MEDICARE ADVANTAGE | $10,513.16 | — |
| OPTUM | All Products VA | $10,513.16 | — |
| The Health Plan | MEDICARE ADVANTAGE | $10,513.16 | — |
| MMO | Medicare Advantage HMO | $10,513.16 | — |
| MMO | Medicare Advantage PPO | $10,828.56 | — |
| Perennial Health | MEDICARE ADVANTAGE | $11,354.21 | — |
Visitor-reported prices
Comments
Angio tib/peroneal/init ves/unila 37228 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | not published | $4,672.17 – $11,354.21 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $6,493.73 – $7,519.05 |
| fairview hospital | Cleveland | not published | $3,828.25 – $11,354.21 |
| Trinity Medical Center East | Steubenville | $9,357.71 | $11,321.40 – $15,095.20 |
| Dublin Methodist Hospital | Dublin | $28,736.50 | $38,216.00 – $38,216.00 |
| Shelby Hospital | Shelby | $31,840.90 | not published |
| Berger Hospital | Circleville | $18,227.30 | $1,455.56 – $13,334.00 |
| Grant Medical Center | Columbus | $28,736.50 | $38,216.00 – $38,216.00 |