Inj, adstiladrin, per tx dos 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

$47,502.00

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.

$73,080.00

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.

$14,104.02 with OPTUM vs $226,485.08 with MMO — 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
OPTUM Managed Medicaid Transplant $14,104.02 ↓ -70%
Paramount Managed Medicaid $15,291.73 ↓ -68%
ANTHEM Managed Medicaid $15,588.66 ↓ -67%
MOLINA Managed Medicaid $15,588.66 ↓ -67%
Buckeye Managed Medicaid $15,588.66 ↓ -67%
United BH Managed Medicaid $15,737.12 ↓ -67%
UNITED Managed Medicaid $15,885.58 ↓ -67%
CARESOURCE Managed Medicaid $15,885.58 ↓ -67%
AMERIHEALTH Managed Medicaid $16,330.97 ↓ -66%
OSCAR ALL PRODUCTS $20,667.02 ↓ -56%
PHP ALL PRODUCTS $23,385.60 ↓ -51%
PHPHI ALL PRODUCTS $23,385.60 ↓ -51%
CC EHP ALL PRODUCTS $24,701.04 ↓ -48%
Summacare Preferred $25,578.00 ↓ -46%
Summacare PREMIER $27,843.48 ↓ -41%
Aultcare PPO/HMO $30,255.12 ↓ -36%
Amish Community Aid Plan ALL PRODUCTS $32,886.00 ↓ -31%
OHCP ALL PRODUCTS $35,516.88 ↓ -25%
OMAS ALL PRODUCTS $36,540.00 ↓ -23%
MMO NASCO $38,220.84 ↓ -20%
MMO TRADITIONAL $38,220.84 ↓ -20%
Ohio Healthy TRANSPLANT $39,463.20 ↓ -17%
HEALTHSMART ALL PRODUCTS $40,194.00 ↓ -15%
ANTHEM TRADITIONAL $40,961.34 ↓ -14%
OPTUM All Products Transplant $41,363.28 ↓ -13%
The Health Plan ALL PRODUCTS $43,848.00 ↓ -8%
UPMC ALL PRODUCTS $43,848.00 ↓ -8%
THREE RIVERS ALL PRODUCTS $47,502.00 ↑ +0%
Medical Benefit Corp Transplant SMCP $51,156.00 ↑ +8%
Quality Care Partners ALL PRODUCTS $51,156.00 ↑ +8%
GMS ALL PRODUCTS $51,156.00 ↑ +8%
Consociate Health ALL PRODUCTS $54,810.00 ↑ +15%
AETNA ALL PRODUCTS $54,810.00 ↑ +15%
Evernorth (Cigna BH) All Products Psychiatrist $58,464.00 ↑ +23%
Humana Military ALL PRODUCTS $62,118.00 ↑ +31%
MMO Medicare Advantage HMO $63,354.77 ↑ +33%
OPTUM Medicare Advantage Transplant $63,354.77 ↑ +33%
OPTUM All Products VA $63,354.77 ↑ +33%
The Health Plan MEDICARE ADVANTAGE $63,354.77 ↑ +33%
UNITED MEDICARE ADVANTAGE $63,354.77 ↑ +33%
HUMANA Medicare Advantage HMO $63,354.77 ↑ +33%
Valor HMO & PPO $64,274.79 ↑ +35%
AETNA MEDICARE ADVANTAGE $64,274.79 ↑ +35%
DEVOTED HEALTH MEDICARE ADVANTAGE $64,274.79 ↑ +35%
ANTHEM MEDICARE ADVANTAGE $64,274.79 ↑ +35%
Summacare MEDICARE ADVANTAGE $64,274.79 ↑ +35%
UPMC MEDICARE ADVANTAGE $64,274.79 ↑ +35%
MMO Medicare Advantage PPO $65,255.41 ↑ +37%
Managed Care Services TRANSPLANT $65,772.00 ↑ +38%
FrontPath TRANSPLANT $65,772.00 ↑ +38%
USA Managed Care ALL PRODUCTS $65,772.00 ↑ +38%
MULTIPLAN ALL PRODUCTS $65,772.00 ↑ +38%
Tertiary Care Network TRANSPLANT $65,772.00 ↑ +38%
CIGNA MEDICARE ADVANTAGE $66,203.03 ↑ +39%
CommuniCare MEDICARE ADVANTAGE $67,488.53 ↑ +42%
Perennial Health MEDICARE ADVANTAGE $68,423.15 ↑ +44%
Perennial Health HMO I-SNP and HMO C-SNP $69,416.77 ↑ +46%
PPHP ALL PRODUCTS $70,702.27 ↑ +49%
Zing Health Medicare Advantage $70,702.27 ↑ +49%
CIGNA ALL PRODUCTS $73,080.00 ↑ +54%
AETNA Qhp/Ipf $73,080.00 ↑ +54%
AETNA Acop $114,409.13 ↑ +141%
UNITED ALL PRODUCTS $136,314.39 ↑ +187%
AETNA Asa_Whirlpool_Peia $137,582.43 ↑ +190%
ANTHEM PPO/HMO $139,148.49 ↑ +193%
AETNA International $146,546.52 ↑ +209%
MMO ALL PRODUCTS $226,485.08 ↑ +377%
AETNA NAP not published by hospital
United BH ALL PRODUCTS not published by hospital
United BH MEDICARE ADVANTAGE not published by hospital

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Inj, adstiladrin, per tx dos at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic childrens hospital for rehabilitation Cleveland $47,502.00 $20,667.02 – $65,772.00
fairview hospital Cleveland $47,502.00 $2.17 – $70,702.27
cleveland clinic main campus Cleveland not published $8,034.35 – $70,702.27
akron general Akron $47,502.00 $2.17 – $70,702.27
avon hospital Avon $47,502.00 $15,391.98 – $70,702.27
euclid hospital Euclid $47,502.00 $15,769.48 – $70,702.27
hillcrest hospital Mayfield Heights $47,502.00 $2.17 – $70,702.27
lodi hospital Lodi $47,502.00 $20,667.02 – $65,772.00

All Ohio hospitals for this procedure →