Inj, nogapendekin pmln, 1mcg at lutheran hospital
1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045
$209,430.00
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.
$322,200.00
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.
$92.19 with HUMANA vs $322,200.00 with AETNA — 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 | $92.19 | ↓ -100% |
| UNITED | MEDICARE ADVANTAGE | $92.19 | ↓ -100% |
| OPTUM | All Products VA | $92.19 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $92.19 | ↓ -100% |
| MMO | Medicare Advantage HMO | $92.19 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $92.19 | ↓ -100% |
| Summacare | MEDICARE ADVANTAGE | $94.72 | ↓ -100% |
| AETNA | MEDICARE ADVANTAGE | $94.72 | ↓ -100% |
| Valor | HMO & PPO | $94.72 | ↓ -100% |
| UPMC | MEDICARE ADVANTAGE | $94.72 | ↓ -100% |
| ANTHEM | MEDICARE ADVANTAGE | $94.72 | ↓ -100% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $94.72 | ↓ -100% |
| MMO | Medicare Advantage PPO | $94.96 | ↓ -100% |
| CIGNA | MEDICARE ADVANTAGE | $97.56 | ↓ -100% |
| CommuniCare | MEDICARE ADVANTAGE | $99.46 | ↓ -100% |
| Perennial Health | MEDICARE ADVANTAGE | $99.57 | ↓ -100% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $102.30 | ↓ -100% |
| PPHP | ALL PRODUCTS | $104.19 | ↓ -100% |
| Zing Health | Medicare Advantage | $104.19 | ↓ -100% |
| AETNA | Acop | $168.62 | ↓ -100% |
| CIGNA | ALL PRODUCTS | $203.67 | ↓ -100% |
| UNITED | ALL PRODUCTS | $203.97 | ↓ -100% |
| ANTHEM | PPO/HMO | $205.06 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $205.87 | ↓ -100% |
| AETNA | International | $215.98 | ↓ -100% |
| MMO | ALL PRODUCTS | $333.80 | ↓ -100% |
| OPTUM | Managed Medicaid Transplant | $3,808.83 | ↓ -98% |
| Paramount | Managed Medicaid | $4,129.57 | ↓ -98% |
| MOLINA | Managed Medicaid | $4,209.75 | ↓ -98% |
| ANTHEM | Managed Medicaid | $4,209.75 | ↓ -98% |
| Buckeye | Managed Medicaid | $4,209.75 | ↓ -98% |
| United BH | Managed Medicaid | $4,249.85 | ↓ -98% |
| CARESOURCE | Managed Medicaid | $4,289.94 | ↓ -98% |
| UNITED | Managed Medicaid | $4,289.94 | ↓ -98% |
| AMERIHEALTH | Managed Medicaid | $4,410.22 | ↓ -98% |
| OSCAR | ALL PRODUCTS | $91,118.16 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $103,104.00 | ↓ -51% |
| PHP | ALL PRODUCTS | $103,104.00 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $108,903.60 | ↓ -48% |
| Summacare | Preferred | $112,770.00 | ↓ -46% |
| Summacare | PREMIER | $122,758.20 | ↓ -41% |
| Aultcare | PPO/HMO | $133,390.80 | ↓ -36% |
| OPTUM | All Products Transplant | $135,324.00 | ↓ -35% |
| Amish Community Aid Plan | ALL PRODUCTS | $144,990.00 | ↓ -31% |
| OHCP | ALL PRODUCTS | $156,589.20 | ↓ -25% |
| OMAS | ALL PRODUCTS | $161,100.00 | ↓ -23% |
| MMO | NASCO | $168,510.60 | ↓ -20% |
| MMO | TRADITIONAL | $168,510.60 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $173,988.00 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $177,210.00 | ↓ -15% |
| ANTHEM | TRADITIONAL | $180,593.10 | ↓ -14% |
| The Health Plan | ALL PRODUCTS | $193,320.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $193,320.00 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $209,430.00 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $225,540.00 | ↑ +8% |
| GMS | ALL PRODUCTS | $225,540.00 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $225,540.00 | ↑ +8% |
| AETNA | ALL PRODUCTS | $241,650.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $241,650.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $257,760.00 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $273,870.00 | ↑ +31% |
| FrontPath | TRANSPLANT | $289,980.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $289,980.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $289,980.00 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $289,980.00 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $289,980.00 | ↑ +38% |
| AETNA | Qhp/Ipf | $322,200.00 | ↑ +54% |
| 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
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Inj, nogapendekin pmln, 1mcg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | not published | $11.84 – $5,653.60 |
| University Hospitals Ahuja Medical Center | Beachwood | not published | $94.60 – $170.28 |
| University Hospitals Beachwood Medical Center | Beachwood | not published | $94.60 – $170.28 |
| University Hospitals Conneaut Medical Center | Conneaut | not published | $91.29 – $328.54 |
| University Hospitals Elyria Medical Center | Elyria | not published | $94.60 – $170.28 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | not published | $94.60 – $170.28 |
| University Hospitals Geneva Medical Center | Geneva | not published | $303.88 – $319.52 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | not published | $94.60 – $170.28 |