Procainamide 100 mg/ml injection (wrapper) at lutheran hospital
1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045
$526.50
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.
$810.00
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.
$9.37 with OSCAR vs $1,214.02 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 →
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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 |
|---|---|---|---|
| OSCAR | ALL PRODUCTS | $9.37 | ↓ -98% |
| PHP | ALL PRODUCTS | $10.60 | ↓ -98% |
| PHPHI | ALL PRODUCTS | $10.60 | ↓ -98% |
| CC EHP | ALL PRODUCTS | $11.19 | ↓ -98% |
| Summacare | Preferred | $11.59 | ↓ -98% |
| Summacare | PREMIER | $12.62 | ↓ -98% |
| Aultcare | PPO/HMO | $13.71 | ↓ -97% |
| Amish Community Aid Plan | ALL PRODUCTS | $14.90 | ↓ -97% |
| OHCP | ALL PRODUCTS | $16.10 | ↓ -97% |
| OMAS | ALL PRODUCTS | $16.56 | ↓ -97% |
| MMO | TRADITIONAL | $17.32 | ↓ -97% |
| MMO | NASCO | $17.32 | ↓ -97% |
| Ohio Healthy | TRANSPLANT | $17.88 | ↓ -97% |
| HEALTHSMART | ALL PRODUCTS | $18.22 | ↓ -97% |
| ANTHEM | TRADITIONAL | $18.56 | ↓ -96% |
| OPTUM | All Products Transplant | $18.75 | ↓ -96% |
| UPMC | ALL PRODUCTS | $19.87 | ↓ -96% |
| The Health Plan | ALL PRODUCTS | $19.87 | ↓ -96% |
| THREE RIVERS | ALL PRODUCTS | $21.53 | ↓ -96% |
| Quality Care Partners | ALL PRODUCTS | $23.18 | ↓ -96% |
| GMS | ALL PRODUCTS | $23.18 | ↓ -96% |
| Medical Benefit Corp | Transplant SMCP | $23.18 | ↓ -96% |
| AETNA | ALL PRODUCTS | $24.84 | ↓ -95% |
| Consociate Health | ALL PRODUCTS | $24.84 | ↓ -95% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $26.50 | ↓ -95% |
| Humana Military | ALL PRODUCTS | $28.15 | ↓ -95% |
| Managed Care Services | TRANSPLANT | $29.81 | ↓ -94% |
| USA Managed Care | ALL PRODUCTS | $29.81 | ↓ -94% |
| Tertiary Care Network | TRANSPLANT | $29.81 | ↓ -94% |
| FrontPath | TRANSPLANT | $29.81 | ↓ -94% |
| MULTIPLAN | ALL PRODUCTS | $29.81 | ↓ -94% |
| CIGNA | ALL PRODUCTS | $33.12 | ↓ -94% |
| AETNA | Qhp/Ipf | $33.12 | ↓ -94% |
| OPTUM | Managed Medicaid Transplant | $40.71 | ↓ -92% |
| Paramount | Managed Medicaid | $44.14 | ↓ -92% |
| ANTHEM | Managed Medicaid | $44.99 | ↓ -91% |
| Buckeye | Managed Medicaid | $44.99 | ↓ -91% |
| MOLINA | Managed Medicaid | $44.99 | ↓ -91% |
| United BH | Managed Medicaid | $45.42 | ↓ -91% |
| UNITED | Managed Medicaid | $45.85 | ↓ -91% |
| CARESOURCE | Managed Medicaid | $45.85 | ↓ -91% |
| AMERIHEALTH | Managed Medicaid | $47.14 | ↓ -91% |
| Valor | HMO & PPO | $344.53 | ↓ -35% |
| AETNA | MEDICARE ADVANTAGE | $344.53 | ↓ -35% |
| UPMC | MEDICARE ADVANTAGE | $344.53 | ↓ -35% |
| ANTHEM | MEDICARE ADVANTAGE | $344.53 | ↓ -35% |
| Summacare | MEDICARE ADVANTAGE | $344.53 | ↓ -35% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $344.53 | ↓ -35% |
| CIGNA | MEDICARE ADVANTAGE | $354.87 | ↓ -33% |
| CommuniCare | MEDICARE ADVANTAGE | $361.76 | ↓ -31% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $372.09 | ↓ -29% |
| PPHP | ALL PRODUCTS | $378.98 | ↓ -28% |
| Zing Health | Medicare Advantage | $378.98 | ↓ -28% |
| UNITED | ALL PRODUCTS | $393.51 | ↓ -25% |
| AETNA | Asa_Whirlpool_Peia | $397.18 | ↓ -25% |
| HUMANA | Medicare Advantage HMO | $546.07 | ↑ +4% |
| OPTUM | All Products VA | $546.07 | ↑ +4% |
| OPTUM | Medicare Advantage Transplant | $546.07 | ↑ +4% |
| The Health Plan | MEDICARE ADVANTAGE | $546.07 | ↑ +4% |
| UNITED | MEDICARE ADVANTAGE | $546.07 | ↑ +4% |
| MMO | Medicare Advantage HMO | $546.07 | ↑ +4% |
| MMO | Medicare Advantage PPO | $562.45 | ↑ +7% |
| Perennial Health | MEDICARE ADVANTAGE | $589.76 | ↑ +12% |
| AETNA | Acop | $613.26 | ↑ +16% |
| ANTHEM | PPO/HMO | $745.87 | ↑ +42% |
| AETNA | International | $785.53 | ↑ +49% |
| MMO | ALL PRODUCTS | $1,214.02 | ↑ +131% |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Procainamide 100 mg/ml injection (wrapper) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $526.50 | $9.37 – $83.99 |
| fairview hospital | Cleveland | $526.50 | $2.17 – $378.98 |
| cleveland clinic main campus | Cleveland | not published | $43.07 – $546.07 |
| Trinity Medical Center East | Steubenville | $100.68 | $100.80 – $192.18 |
| akron general | Akron | $526.50 | $2.17 – $546.07 |
| avon hospital | Avon | $526.50 | $9.37 – $546.07 |
| euclid hospital | Euclid | $526.50 | $9.37 – $546.07 |
| hillcrest hospital | Mayfield Heights | $526.50 | $2.17 – $546.07 |