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Ultrasound trgt dyn mbubb 1st les at lutheran hospital
1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045
not published by hospital
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.
not published by hospital
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.
$117.22 with OPTUM vs $903.92 with UNITED — 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $117.22 | — |
| Paramount | Managed Medicaid | $127.09 | — |
| Buckeye | Managed Medicaid | $129.56 | — |
| ANTHEM | Managed Medicaid | $129.56 | — |
| MOLINA | Managed Medicaid | $129.56 | — |
| United BH | Managed Medicaid | $130.79 | — |
| UNITED | Managed Medicaid | $132.03 | — |
| CARESOURCE | Managed Medicaid | $132.03 | — |
| AMERIHEALTH | Managed Medicaid | $135.73 | — |
| UNITED | MEDICARE ADVANTAGE | $165.03 | — |
| HUMANA | Medicare Advantage HMO | $165.03 | — |
| MMO | Medicare Advantage HMO | $165.03 | — |
| OPTUM | All Products VA | $165.03 | — |
| OPTUM | Medicare Advantage Transplant | $165.03 | — |
| The Health Plan | MEDICARE ADVANTAGE | $165.03 | — |
| MMO | Medicare Advantage PPO | $169.98 | — |
| Perennial Health | MEDICARE ADVANTAGE | $178.23 | — |
| UPMC | MEDICARE ADVANTAGE | $330.06 | — |
| AETNA | MEDICARE ADVANTAGE | $330.06 | — |
| ANTHEM | MEDICARE ADVANTAGE | $330.06 | — |
| Summacare | MEDICARE ADVANTAGE | $330.06 | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $330.06 | — |
| Valor | HMO & PPO | $330.06 | — |
| CIGNA | MEDICARE ADVANTAGE | $339.96 | — |
| CommuniCare | MEDICARE ADVANTAGE | $346.56 | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | $356.47 | — |
| Zing Health | Medicare Advantage | $363.07 | — |
| PPHP | ALL PRODUCTS | $363.07 | — |
| AETNA | Asa_Whirlpool_Peia | $433.37 | — |
| AETNA | International | $493.44 | — |
| ANTHEM | PPO/HMO | $714.55 | — |
| UNITED | ALL PRODUCTS | $903.92 | — |
Visitor-reported prices
Comments
Ultrasound trgt dyn mbubb 1st les at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,219.40 | $1.10 – $1,105.20 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $208.86 – $241.84 |
| fairview hospital | Cleveland | not published | $123.12 – $363.07 |
| akron general | Akron | $1,219.40 | $1.10 – $583.20 |
| mercy hospital | Canton | $1,219.40 | $1.10 – $583.20 |
| University Hospitals Ahuja Medical Center | Beachwood | $303.00 | $89.28 – $594.11 |
| University Hospitals Beachwood Medical Center | Beachwood | $303.00 | $161.60 – $835.95 |
| University Hospitals Elyria Medical Center | Elyria | $303.00 | $330.06 – $594.11 |