healthcosts.net
Transplt allo hct/donor at lutheran hospital
1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045
$85,293.00
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.
$131,220.00
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.
$426.26 with ANTHEM vs $131,220.00 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 |
|---|---|---|---|
| ANTHEM | PPO/HMO | $426.26 | ↓ -100% |
| OPTUM | Managed Medicaid Transplant | $1,349.07 | ↓ -98% |
| Paramount | Managed Medicaid | $1,462.67 | ↓ -98% |
| MOLINA | Managed Medicaid | $1,491.07 | ↓ -98% |
| ANTHEM | Managed Medicaid | $1,491.07 | ↓ -98% |
| Buckeye | Managed Medicaid | $1,491.07 | ↓ -98% |
| United BH | Managed Medicaid | $1,505.27 | ↓ -98% |
| UNITED | Managed Medicaid | $1,519.47 | ↓ -98% |
| CARESOURCE | Managed Medicaid | $1,519.47 | ↓ -98% |
| AMERIHEALTH | Managed Medicaid | $1,562.08 | ↓ -98% |
| AETNA | Asa_Whirlpool_Peia | $7,310.00 | ↓ -91% |
| AETNA | International | $8,288.00 | ↓ -90% |
| AETNA | Acop | $8,422.00 | ↓ -90% |
| OSCAR | ALL PRODUCTS | $37,109.02 | ↓ -56% |
| PHP | ALL PRODUCTS | $41,990.40 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $41,990.40 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $44,352.36 | ↓ -48% |
| Summacare | Preferred | $45,927.00 | ↓ -46% |
| Summacare | PREMIER | $49,994.82 | ↓ -41% |
| Aultcare | PPO/HMO | $54,325.08 | ↓ -36% |
| UNITED | MEDICARE ADVANTAGE | $54,827.31 | ↓ -36% |
| HUMANA | Medicare Advantage HMO | $54,827.31 | ↓ -36% |
| MMO | Medicare Advantage HMO | $54,827.31 | ↓ -36% |
| OPTUM | All Products VA | $54,827.31 | ↓ -36% |
| OPTUM | Medicare Advantage Transplant | $54,827.31 | ↓ -36% |
| The Health Plan | MEDICARE ADVANTAGE | $54,827.31 | ↓ -36% |
| MMO | Medicare Advantage PPO | $56,472.12 | ↓ -34% |
| Amish Community Aid Plan | ALL PRODUCTS | $59,049.00 | ↓ -31% |
| Perennial Health | MEDICARE ADVANTAGE | $59,213.49 | ↓ -31% |
| AETNA | MEDICARE ADVANTAGE | $59,509.30 | ↓ -30% |
| Valor | HMO & PPO | $59,509.30 | ↓ -30% |
| UPMC | MEDICARE ADVANTAGE | $59,509.30 | ↓ -30% |
| Summacare | MEDICARE ADVANTAGE | $59,509.30 | ↓ -30% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $59,509.30 | ↓ -30% |
| ANTHEM | MEDICARE ADVANTAGE | $59,509.30 | ↓ -30% |
| CIGNA | MEDICARE ADVANTAGE | $61,294.58 | ↓ -28% |
| CIGNA | ALL PRODUCTS | $61,935.84 | ↓ -27% |
| CommuniCare | MEDICARE ADVANTAGE | $62,484.77 | ↓ -27% |
| OHCP | ALL PRODUCTS | $63,772.92 | ↓ -25% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $64,270.05 | ↓ -25% |
| PPHP | ALL PRODUCTS | $65,460.24 | ↓ -23% |
| Zing Health | Medicare Advantage | $65,460.24 | ↓ -23% |
| OMAS | ALL PRODUCTS | $65,610.00 | ↓ -23% |
| MMO | TRADITIONAL | $68,628.06 | ↓ -20% |
| MMO | NASCO | $68,628.06 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $70,858.80 | ↓ -17% |
| MMO | ALL PRODUCTS | $71,514.90 | ↓ -16% |
| HEALTHSMART | ALL PRODUCTS | $72,171.00 | ↓ -15% |
| ANTHEM | TRADITIONAL | $73,548.81 | ↓ -14% |
| OPTUM | All Products Transplant | $74,270.52 | ↓ -13% |
| UPMC | ALL PRODUCTS | $78,732.00 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $78,732.00 | ↓ -8% |
| UNITED | ALL PRODUCTS | $79,388.10 | ↓ -7% |
| THREE RIVERS | ALL PRODUCTS | $85,293.00 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $91,854.00 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $91,854.00 | ↑ +8% |
| GMS | ALL PRODUCTS | $91,854.00 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $98,415.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $98,415.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $104,976.00 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $111,537.00 | ↑ +31% |
| USA Managed Care | ALL PRODUCTS | $118,098.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $118,098.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $118,098.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $118,098.00 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $118,098.00 | ↑ +38% |
| AETNA | Qhp/Ipf | $131,220.00 | ↑ +54% |
| 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
Transplt allo hct/donor at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $85,293.00 | $1.10 – $118,098.00 |
| fairview hospital | Cleveland | $85,293.00 | $364.10 – $118,098.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,403.66 – $2,783.19 |
| akron general | Akron | $85,293.00 | $1.10 – $118,098.00 |
| avon hospital | Avon | $85,293.00 | $426.26 – $118,098.00 |
| euclid hospital | Euclid | $85,293.00 | $426.26 – $118,098.00 |
| hillcrest hospital | Mayfield Heights | $85,293.00 | $364.10 – $118,098.00 |
| marymount hospital | Garfield Heights | $85,293.00 | $426.26 – $118,098.00 |