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Copper cu 64 dotatate diag at lutheran hospital

1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

$5,005.00

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.

$7,700.00

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.

$0.01 with AETNA vs $2,081.00 with CIGNA — 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
AETNA Acop $0.01 ↓ -100%
OPTUM Managed Medicaid Transplant $101.02 ↓ -98%
Paramount Managed Medicaid $109.53 ↓ -98%
ANTHEM Managed Medicaid $111.66 ↓ -98%
MOLINA Managed Medicaid $111.66 ↓ -98%
Buckeye Managed Medicaid $111.66 ↓ -98%
United BH Managed Medicaid $112.72 ↓ -98%
CARESOURCE Managed Medicaid $113.78 ↓ -98%
UNITED Managed Medicaid $113.78 ↓ -98%
AMERIHEALTH Managed Medicaid $116.97 ↓ -98%
OSCAR ALL PRODUCTS $588.51 ↓ -88%
DEVOTED HEALTH MEDICARE ADVANTAGE $594.28 ↓ -88%
AETNA MEDICARE ADVANTAGE $594.28 ↓ -88%
ANTHEM MEDICARE ADVANTAGE $594.28 ↓ -88%
Valor HMO & PPO $594.28 ↓ -88%
Summacare MEDICARE ADVANTAGE $594.28 ↓ -88%
UPMC MEDICARE ADVANTAGE $594.28 ↓ -88%
MMO Medicare Advantage HMO $595.10 ↓ -88%
UNITED MEDICARE ADVANTAGE $595.10 ↓ -88%
The Health Plan MEDICARE ADVANTAGE $595.10 ↓ -88%
OPTUM Medicare Advantage Transplant $595.10 ↓ -88%
OPTUM All Products VA $595.10 ↓ -88%
HUMANA Medicare Advantage HMO $595.10 ↓ -88%
CIGNA MEDICARE ADVANTAGE $612.11 ↓ -88%
MMO Medicare Advantage PPO $612.95 ↓ -88%
CommuniCare MEDICARE ADVANTAGE $623.99 ↓ -88%
Perennial Health HMO I-SNP and HMO C-SNP $641.82 ↓ -87%
Perennial Health MEDICARE ADVANTAGE $642.71 ↓ -87%
Zing Health Medicare Advantage $653.71 ↓ -87%
PPHP ALL PRODUCTS $653.71 ↓ -87%
PHP ALL PRODUCTS $665.92 ↓ -87%
PHPHI ALL PRODUCTS $665.92 ↓ -87%
CC EHP ALL PRODUCTS $703.38 ↓ -86%
Summacare Preferred $728.35 ↓ -85%
Summacare PREMIER $792.86 ↓ -84%
Aultcare PPO/HMO $861.53 ↓ -83%
Amish Community Aid Plan ALL PRODUCTS $936.45 ↓ -81%
OHCP ALL PRODUCTS $1,011.37 ↓ -80%
OMAS ALL PRODUCTS $1,040.50 ↓ -79%
MMO NASCO $1,088.36 ↓ -78%
MMO TRADITIONAL $1,088.36 ↓ -78%
Ohio Healthy TRANSPLANT $1,123.74 ↓ -78%
MMO ALL PRODUCTS $1,134.15 ↓ -77%
HEALTHSMART ALL PRODUCTS $1,144.55 ↓ -77%
ANTHEM TRADITIONAL $1,166.40 ↓ -77%
OPTUM All Products Transplant $1,177.85 ↓ -76%
The Health Plan ALL PRODUCTS $1,248.60 ↓ -75%
UPMC ALL PRODUCTS $1,248.60 ↓ -75%
UNITED ALL PRODUCTS $1,279.47 ↓ -74%
ANTHEM PPO/HMO $1,286.56 ↓ -74%
THREE RIVERS ALL PRODUCTS $1,352.65 ↓ -73%
Medical Benefit Corp Transplant SMCP $1,456.70 ↓ -71%
GMS ALL PRODUCTS $1,456.70 ↓ -71%
Quality Care Partners ALL PRODUCTS $1,456.70 ↓ -71%
AETNA ALL PRODUCTS $1,560.75 ↓ -69%
Consociate Health ALL PRODUCTS $1,560.75 ↓ -69%
Evernorth (Cigna BH) All Products Psychiatrist $1,664.80 ↓ -67%
Humana Military ALL PRODUCTS $1,768.85 ↓ -65%
Managed Care Services TRANSPLANT $1,872.90 ↓ -63%
Tertiary Care Network TRANSPLANT $1,872.90 ↓ -63%
FrontPath TRANSPLANT $1,872.90 ↓ -63%
MULTIPLAN ALL PRODUCTS $1,872.90 ↓ -63%
USA Managed Care ALL PRODUCTS $1,872.90 ↓ -63%
AETNA Qhp/Ipf $2,081.00 ↓ -58%
CIGNA ALL PRODUCTS $2,081.00 ↓ -58%
AETNA NAP not published by hospital
AETNA Asa_Whirlpool_Peia not published by hospital
United BH ALL PRODUCTS not published by hospital
AETNA International not published by hospital
United BH MEDICARE ADVANTAGE not published by hospital

Visitor-reported prices

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Copper cu 64 dotatate diag at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland $5,195.45 $1.10 – $7,193.70
cleveland clinic childrens hospital for rehabilitation Cleveland $5,005.00 $180.00 – $6,930.00
fairview hospital Cleveland $5,005.00 $0.01 – $1,872.90
akron general Akron $5,005.00 $0.01 – $1,872.90
avon hospital Avon $5,005.00 $0.01 – $1,872.90
euclid hospital Euclid $5,005.00 $0.01 – $1,872.90
hillcrest hospital Mayfield Heights $5,005.00 $0.01 – $1,872.90
lodi hospital Lodi $5,005.00 $172.47 – $1,872.90

All Ohio hospitals for this procedure →