healthcosts.net
Unlisted mr procedure at lutheran hospital
1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045
$6,541.60
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.
$10,064.00
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.
$0.87 with AETNA vs $409.57 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 |
|---|---|---|---|
| AETNA | Acop | $0.87 | ↓ -100% |
| OSCAR | ALL PRODUCTS | $63.63 | ↓ -99% |
| PHPHI | ALL PRODUCTS | $72.00 | ↓ -99% |
| PHP | ALL PRODUCTS | $72.00 | ↓ -99% |
| CC EHP | ALL PRODUCTS | $76.05 | ↓ -99% |
| Summacare | Preferred | $78.75 | ↓ -99% |
| UNITED | MEDICARE ADVANTAGE | $81.63 | ↓ -99% |
| HUMANA | Medicare Advantage HMO | $81.63 | ↓ -99% |
| MMO | Medicare Advantage HMO | $81.63 | ↓ -99% |
| OPTUM | All Products VA | $81.63 | ↓ -99% |
| OPTUM | Medicare Advantage Transplant | $81.63 | ↓ -99% |
| The Health Plan | MEDICARE ADVANTAGE | $81.63 | ↓ -99% |
| UPMC | MEDICARE ADVANTAGE | $82.33 | ↓ -99% |
| ANTHEM | MEDICARE ADVANTAGE | $82.33 | ↓ -99% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $82.33 | ↓ -99% |
| Summacare | MEDICARE ADVANTAGE | $82.33 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $82.33 | ↓ -99% |
| Valor | HMO & PPO | $82.33 | ↓ -99% |
| MMO | Medicare Advantage PPO | $84.07 | ↓ -99% |
| CIGNA | MEDICARE ADVANTAGE | $84.80 | ↓ -99% |
| Summacare | PREMIER | $85.73 | ↓ -99% |
| CommuniCare | MEDICARE ADVANTAGE | $86.45 | ↓ -99% |
| Perennial Health | MEDICARE ADVANTAGE | $88.16 | ↓ -99% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $88.92 | ↓ -99% |
| PPHP | ALL PRODUCTS | $90.57 | ↓ -99% |
| Zing Health | Medicare Advantage | $90.57 | ↓ -99% |
| Aultcare | PPO/HMO | $93.15 | ↓ -99% |
| Amish Community Aid Plan | ALL PRODUCTS | $101.25 | ↓ -98% |
| CIGNA | ALL PRODUCTS | $106.20 | ↓ -98% |
| OHCP | ALL PRODUCTS | $109.35 | ↓ -98% |
| OMAS | ALL PRODUCTS | $112.50 | ↓ -98% |
| MMO | NASCO | $117.68 | ↓ -98% |
| MMO | TRADITIONAL | $117.68 | ↓ -98% |
| Ohio Healthy | TRANSPLANT | $121.50 | ↓ -98% |
| MMO | ALL PRODUCTS | $122.63 | ↓ -98% |
| HEALTHSMART | ALL PRODUCTS | $123.75 | ↓ -98% |
| ANTHEM | TRADITIONAL | $126.11 | ↓ -98% |
| OPTUM | All Products Transplant | $127.35 | ↓ -98% |
| UPMC | ALL PRODUCTS | $135.00 | ↓ -98% |
| The Health Plan | ALL PRODUCTS | $135.00 | ↓ -98% |
| AETNA | International | $144.45 | ↓ -98% |
| THREE RIVERS | ALL PRODUCTS | $146.25 | ↓ -98% |
| AETNA | Asa_Whirlpool_Peia | $157.50 | ↓ -98% |
| Quality Care Partners | ALL PRODUCTS | $157.50 | ↓ -98% |
| Medical Benefit Corp | Transplant SMCP | $157.50 | ↓ -98% |
| GMS | ALL PRODUCTS | $157.50 | ↓ -98% |
| Consociate Health | ALL PRODUCTS | $168.75 | ↓ -97% |
| AETNA | ALL PRODUCTS | $168.75 | ↓ -97% |
| ANTHEM | PPO/HMO | $178.24 | ↓ -97% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $180.00 | ↓ -97% |
| Humana Military | ALL PRODUCTS | $191.25 | ↓ -97% |
| OPTUM | Managed Medicaid Transplant | $199.29 | ↓ -97% |
| Tertiary Care Network | TRANSPLANT | $202.50 | ↓ -97% |
| MULTIPLAN | ALL PRODUCTS | $202.50 | ↓ -97% |
| FrontPath | TRANSPLANT | $202.50 | ↓ -97% |
| Managed Care Services | TRANSPLANT | $202.50 | ↓ -97% |
| USA Managed Care | ALL PRODUCTS | $202.50 | ↓ -97% |
| Paramount | Managed Medicaid | $216.07 | ↓ -97% |
| ANTHEM | Managed Medicaid | $220.27 | ↓ -97% |
| Buckeye | Managed Medicaid | $220.27 | ↓ -97% |
| MOLINA | Managed Medicaid | $220.27 | ↓ -97% |
| United BH | Managed Medicaid | $222.37 | ↓ -97% |
| UNITED | Managed Medicaid | $224.46 | ↓ -97% |
| CARESOURCE | Managed Medicaid | $224.46 | ↓ -97% |
| AETNA | Qhp/Ipf | $225.00 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $230.76 | ↓ -96% |
| UNITED | ALL PRODUCTS | $409.57 | ↓ -94% |
| 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
Unlisted mr procedure at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $7,127.25 | $0.01 – $295.82 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $800.15 | $348.13 – $1,107.90 |
| fairview hospital | Cleveland | $6,541.60 | $0.87 – $242.39 |
| akron general | Akron | $7,127.25 | $0.01 – $234.81 |
| avon hospital | Avon | $6,541.60 | $0.87 – $221.63 |
| euclid hospital | Euclid | $6,541.60 | $0.87 – $258.01 |
| hillcrest hospital | Mayfield Heights | $6,541.60 | $0.87 – $252.53 |
| lodi hospital | Lodi | $1,627.60 | $88.05 – $1,107.90 |