Inj, cipaglucosidase, 5 mg at lutheran hospital
1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045
$4,584.06
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.
$7,052.40
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.
$88.06 with HUMANA vs $12,882.52 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 |
|---|---|---|---|
| HUMANA | Medicare Advantage HMO | $88.06 | ↓ -98% |
| UNITED | MEDICARE ADVANTAGE | $88.06 | ↓ -98% |
| MMO | Medicare Advantage HMO | $88.06 | ↓ -98% |
| OPTUM | Medicare Advantage Transplant | $88.06 | ↓ -98% |
| OPTUM | All Products VA | $88.06 | ↓ -98% |
| The Health Plan | MEDICARE ADVANTAGE | $88.06 | ↓ -98% |
| MMO | Medicare Advantage PPO | $90.70 | ↓ -98% |
| Valor | HMO & PPO | $91.20 | ↓ -98% |
| Summacare | MEDICARE ADVANTAGE | $91.20 | ↓ -98% |
| AETNA | MEDICARE ADVANTAGE | $91.20 | ↓ -98% |
| UPMC | MEDICARE ADVANTAGE | $91.20 | ↓ -98% |
| ANTHEM | MEDICARE ADVANTAGE | $91.20 | ↓ -98% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $91.20 | ↓ -98% |
| CIGNA | MEDICARE ADVANTAGE | $93.94 | ↓ -98% |
| Perennial Health | MEDICARE ADVANTAGE | $95.10 | ↓ -98% |
| CommuniCare | MEDICARE ADVANTAGE | $95.76 | ↓ -98% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $98.50 | ↓ -98% |
| PPHP | ALL PRODUCTS | $100.32 | ↓ -98% |
| Zing Health | Medicare Advantage | $100.32 | ↓ -98% |
| AETNA | Acop | $162.34 | ↓ -96% |
| UNITED | ALL PRODUCTS | $192.17 | ↓ -96% |
| AETNA | Asa_Whirlpool_Peia | $193.95 | ↓ -96% |
| CIGNA | ALL PRODUCTS | $196.08 | ↓ -96% |
| ANTHEM | PPO/HMO | $197.44 | ↓ -96% |
| AETNA | International | $207.94 | ↓ -95% |
| MMO | ALL PRODUCTS | $321.36 | ↓ -93% |
| OSCAR | ALL PRODUCTS | $1,994.42 | ↓ -56% |
| PHP | ALL PRODUCTS | $2,256.77 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $2,256.77 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $2,383.71 | ↓ -48% |
| Summacare | Preferred | $2,468.34 | ↓ -46% |
| Summacare | PREMIER | $2,686.96 | ↓ -41% |
| Aultcare | PPO/HMO | $2,919.69 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,173.58 | ↓ -31% |
| OHCP | ALL PRODUCTS | $3,427.47 | ↓ -25% |
| OMAS | ALL PRODUCTS | $3,526.20 | ↓ -23% |
| MMO | TRADITIONAL | $3,688.41 | ↓ -20% |
| MMO | NASCO | $3,688.41 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $3,808.30 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $3,878.82 | ↓ -15% |
| ANTHEM | TRADITIONAL | $3,952.87 | ↓ -14% |
| OPTUM | All Products Transplant | $3,991.66 | ↓ -13% |
| UPMC | ALL PRODUCTS | $4,231.44 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $4,231.44 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $4,584.06 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $4,936.68 | ↑ +8% |
| GMS | ALL PRODUCTS | $4,936.68 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $4,936.68 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $5,289.30 | ↑ +15% |
| AETNA | ALL PRODUCTS | $5,289.30 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $5,641.92 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $5,994.54 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $6,347.16 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $6,347.16 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $6,347.16 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $6,347.16 | ↑ +38% |
| FrontPath | TRANSPLANT | $6,347.16 | ↑ +38% |
| AETNA | Qhp/Ipf | $7,052.40 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $11,125.81 | ↑ +143% |
| Paramount | Managed Medicaid | $12,062.72 | ↑ +163% |
| ANTHEM | Managed Medicaid | $12,296.95 | ↑ +168% |
| Buckeye | Managed Medicaid | $12,296.95 | ↑ +168% |
| MOLINA | Managed Medicaid | $12,296.95 | ↑ +168% |
| United BH | Managed Medicaid | $12,414.06 | ↑ +171% |
| CARESOURCE | Managed Medicaid | $12,531.18 | ↑ +173% |
| UNITED | Managed Medicaid | $12,531.18 | ↑ +173% |
| AMERIHEALTH | Managed Medicaid | $12,882.52 | ↑ +181% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Inj, cipaglucosidase, 5 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $4,584.06 | $1,994.42 – $22,953.13 |
| fairview hospital | Cleveland | $4,584.06 | $2.17 – $13,531.58 |
| cleveland clinic main campus | Cleveland | not published | $11.40 – $16,514.52 |
| akron general | Akron | $4,584.06 | $2.17 – $13,108.79 |
| avon hospital | Avon | $4,584.06 | $88.06 – $12,373.07 |
| euclid hospital | Euclid | $4,584.06 | $87.55 – $14,403.73 |
| hillcrest hospital | Mayfield Heights | $4,584.06 | $2.17 – $14,097.79 |
| lodi hospital | Lodi | $4,584.06 | $88.06 – $21,993.87 |