healthcosts.net
Coombs indirect qualitative each reagent red cell reference at lutheran hospital
1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045
$25.35
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.
$39.00
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.
$0.95 with AETNA vs $177.30 with Zing 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 |
|---|---|---|---|
| AETNA | Acop | $0.95 | ↓ -96% |
| ANTHEM | PPO/HMO | $5.21 | ↓ -79% |
| OSCAR | ALL PRODUCTS | $11.03 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $12.48 | ↓ -51% |
| PHP | ALL PRODUCTS | $12.48 | ↓ -51% |
| UNITED | ALL PRODUCTS | $12.87 | ↓ -49% |
| Summacare | Preferred | $13.65 | ↓ -46% |
| Summacare | PREMIER | $14.86 | ↓ -41% |
| Aultcare | PPO/HMO | $16.15 | ↓ -36% |
| CC EHP | ALL PRODUCTS | $16.32 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $17.55 | ↓ -31% |
| OHCP | ALL PRODUCTS | $18.95 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $19.17 | ↓ -24% |
| OMAS | ALL PRODUCTS | $19.50 | ↓ -23% |
| AETNA | Asa_Whirlpool_Peia | $20.19 | ↓ -20% |
| MMO | NASCO | $20.40 | ↓ -20% |
| MMO | TRADITIONAL | $20.40 | ↓ -20% |
| MMO | ALL PRODUCTS | $20.65 | ↓ -19% |
| Ohio Healthy | TRANSPLANT | $21.06 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $21.45 | ↓ -15% |
| OPTUM | Managed Medicaid Transplant | $21.73 | ↓ -14% |
| ANTHEM | TRADITIONAL | $21.86 | ↓ -14% |
| OPTUM | All Products Transplant | $22.07 | ↓ -13% |
| AETNA | International | $22.74 | ↓ -10% |
| The Health Plan | ALL PRODUCTS | $23.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $23.40 | ↓ -8% |
| Paramount | Managed Medicaid | $23.56 | ↓ -7% |
| MOLINA | Managed Medicaid | $24.01 | ↓ -5% |
| Buckeye | Managed Medicaid | $24.01 | ↓ -5% |
| ANTHEM | Managed Medicaid | $24.01 | ↓ -5% |
| United BH | Managed Medicaid | $24.24 | ↓ -4% |
| CARESOURCE | Managed Medicaid | $24.47 | ↓ -3% |
| UNITED | Managed Medicaid | $24.47 | ↓ -3% |
| AMERIHEALTH | Managed Medicaid | $25.16 | ↓ -1% |
| THREE RIVERS | ALL PRODUCTS | $25.35 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $27.30 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $27.30 | ↑ +8% |
| GMS | ALL PRODUCTS | $27.30 | ↑ +8% |
| AETNA | ALL PRODUCTS | $29.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $29.25 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $31.20 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $33.15 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $35.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $35.10 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $35.10 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $35.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $35.10 | ↑ +38% |
| AETNA | Qhp/Ipf | $39.00 | ↑ +54% |
| MMO | Medicare Advantage HMO | $158.86 | ↑ +527% |
| OPTUM | All Products VA | $158.86 | ↑ +527% |
| The Health Plan | MEDICARE ADVANTAGE | $158.86 | ↑ +527% |
| OPTUM | Medicare Advantage Transplant | $158.86 | ↑ +527% |
| HUMANA | Medicare Advantage HMO | $158.86 | ↑ +527% |
| UNITED | MEDICARE ADVANTAGE | $158.86 | ↑ +527% |
| Summacare | MEDICARE ADVANTAGE | $161.18 | ↑ +536% |
| Valor | HMO & PPO | $161.18 | ↑ +536% |
| UPMC | MEDICARE ADVANTAGE | $161.18 | ↑ +536% |
| AETNA | MEDICARE ADVANTAGE | $161.18 | ↑ +536% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $161.18 | ↑ +536% |
| ANTHEM | MEDICARE ADVANTAGE | $161.18 | ↑ +536% |
| MMO | Medicare Advantage PPO | $163.62 | ↑ +545% |
| CIGNA | MEDICARE ADVANTAGE | $166.02 | ↑ +555% |
| CommuniCare | MEDICARE ADVANTAGE | $169.24 | ↑ +568% |
| Perennial Health | MEDICARE ADVANTAGE | $171.57 | ↑ +577% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $174.08 | ↑ +587% |
| PPHP | ALL PRODUCTS | $177.30 | ↑ +599% |
| Zing Health | Medicare Advantage | $177.30 | ↑ +599% |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Coombs indirect qualitative each reagent red cell reference at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $25.35 | $2.83 – $177.30 |
| fairview hospital | Cleveland | $25.35 | $0.95 – $177.30 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $38.71 – $44.83 |
| akron general | Akron | $25.35 | $0.95 – $177.30 |
| avon hospital | Avon | $25.35 | $0.95 – $177.30 |
| euclid hospital | Euclid | $25.35 | $0.95 – $177.30 |
| hillcrest hospital | Mayfield Heights | $25.35 | $0.95 – $177.30 |
| lodi hospital | Lodi | $25.35 | $2.95 – $42.94 |