Inj., guselkumab, 1 mg at lutheran hospital
1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045
$34,085.47
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.
$52,439.19
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.
$72.93 with AETNA vs $6,890.24 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 |
|---|---|---|---|
| AETNA | MEDICARE ADVANTAGE | $72.93 | ↓ -100% |
| Summacare | MEDICARE ADVANTAGE | $72.93 | ↓ -100% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $72.93 | ↓ -100% |
| Valor | HMO & PPO | $72.93 | ↓ -100% |
| ANTHEM | MEDICARE ADVANTAGE | $72.93 | ↓ -100% |
| UPMC | MEDICARE ADVANTAGE | $72.93 | ↓ -100% |
| MMO | Medicare Advantage HMO | $74.47 | ↓ -100% |
| UNITED | MEDICARE ADVANTAGE | $74.47 | ↓ -100% |
| HUMANA | Medicare Advantage HMO | $74.47 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $74.47 | ↓ -100% |
| OPTUM | All Products VA | $74.47 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $74.47 | ↓ -100% |
| CIGNA | MEDICARE ADVANTAGE | $75.12 | ↓ -100% |
| CommuniCare | MEDICARE ADVANTAGE | $76.58 | ↓ -100% |
| MMO | Medicare Advantage PPO | $76.70 | ↓ -100% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $78.76 | ↓ -100% |
| PPHP | ALL PRODUCTS | $80.22 | ↓ -100% |
| Zing Health | Medicare Advantage | $80.22 | ↓ -100% |
| Perennial Health | MEDICARE ADVANTAGE | $80.43 | ↓ -100% |
| AETNA | Acop | $129.83 | ↓ -100% |
| CIGNA | ALL PRODUCTS | $156.82 | ↓ -100% |
| ANTHEM | PPO/HMO | $157.89 | ↓ -100% |
| UNITED | ALL PRODUCTS | $158.07 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $159.54 | ↓ -100% |
| AETNA | International | $166.30 | ↓ -100% |
| MMO | ALL PRODUCTS | $257.02 | ↓ -99% |
| OSCAR | ALL PRODUCTS | $741.49 | ↓ -98% |
| PHPHI | ALL PRODUCTS | $839.03 | ↓ -98% |
| PHP | ALL PRODUCTS | $839.03 | ↓ -98% |
| CC EHP | ALL PRODUCTS | $886.23 | ↓ -97% |
| Summacare | Preferred | $917.69 | ↓ -97% |
| Summacare | PREMIER | $998.97 | ↓ -97% |
| Aultcare | PPO/HMO | $1,085.50 | ↓ -97% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,179.89 | ↓ -97% |
| OHCP | ALL PRODUCTS | $1,274.28 | ↓ -96% |
| OMAS | ALL PRODUCTS | $1,310.99 | ↓ -96% |
| MMO | TRADITIONAL | $1,371.29 | ↓ -96% |
| MMO | NASCO | $1,371.29 | ↓ -96% |
| Ohio Healthy | TRANSPLANT | $1,415.86 | ↓ -96% |
| HEALTHSMART | ALL PRODUCTS | $1,442.08 | ↓ -96% |
| ANTHEM | TRADITIONAL | $1,469.61 | ↓ -96% |
| OPTUM | All Products Transplant | $1,484.04 | ↓ -96% |
| UPMC | ALL PRODUCTS | $1,573.18 | ↓ -95% |
| The Health Plan | ALL PRODUCTS | $1,573.18 | ↓ -95% |
| THREE RIVERS | ALL PRODUCTS | $1,704.28 | ↓ -95% |
| Quality Care Partners | ALL PRODUCTS | $1,835.38 | ↓ -95% |
| GMS | ALL PRODUCTS | $1,835.38 | ↓ -95% |
| Medical Benefit Corp | Transplant SMCP | $1,835.38 | ↓ -95% |
| Consociate Health | ALL PRODUCTS | $1,966.48 | ↓ -94% |
| AETNA | ALL PRODUCTS | $1,966.48 | ↓ -94% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,097.58 | ↓ -94% |
| Humana Military | ALL PRODUCTS | $2,228.67 | ↓ -93% |
| Tertiary Care Network | TRANSPLANT | $2,359.77 | ↓ -93% |
| Managed Care Services | TRANSPLANT | $2,359.77 | ↓ -93% |
| MULTIPLAN | ALL PRODUCTS | $2,359.77 | ↓ -93% |
| USA Managed Care | ALL PRODUCTS | $2,359.77 | ↓ -93% |
| FrontPath | TRANSPLANT | $2,359.77 | ↓ -93% |
| AETNA | Qhp/Ipf | $2,621.97 | ↓ -92% |
| OPTUM | Managed Medicaid Transplant | $5,950.66 | ↓ -83% |
| Paramount | Managed Medicaid | $6,451.77 | ↓ -81% |
| ANTHEM | Managed Medicaid | $6,577.04 | ↓ -81% |
| Buckeye | Managed Medicaid | $6,577.04 | ↓ -81% |
| MOLINA | Managed Medicaid | $6,577.04 | ↓ -81% |
| United BH | Managed Medicaid | $6,639.68 | ↓ -81% |
| CARESOURCE | Managed Medicaid | $6,702.32 | ↓ -80% |
| UNITED | Managed Medicaid | $6,702.32 | ↓ -80% |
| AMERIHEALTH | Managed Medicaid | $6,890.24 | ↓ -80% |
| 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., guselkumab, 1 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $34,085.47 | $741.49 – $12,276.51 |
| fairview hospital | Cleveland | $34,085.47 | $2.17 – $7,237.38 |
| cleveland clinic main campus | Cleveland | not published | $9.12 – $8,832.81 |
| akron general | Akron | $34,085.47 | $2.17 – $7,011.25 |
| avon hospital | Avon | $34,085.47 | $72.93 – $6,617.76 |
| euclid hospital | Euclid | $34,085.47 | $70.80 – $7,703.85 |
| hillcrest hospital | Mayfield Heights | $34,085.47 | $2.17 – $7,540.23 |
| lodi hospital | Lodi | $34,085.47 | $72.93 – $11,763.46 |