Pegunigalsidase alfa-iwxj at euclid hospital
18901 Lakeshore Boulevard, Euclid, OH · Cleveland Clinic · · NPI 1598719346
$1,057.04
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.
$1,626.21
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.
$219.16 with The Health Plan vs $3,578.99 with AMERIHEALTH — 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 |
|---|---|---|---|
| The Health Plan | MEDICARE ADVANTAGE | $219.16 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $223.55 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $223.55 | ↓ -79% |
| MMO | Medicare Advantage HMO | $223.55 | ↓ -79% |
| OPTUM | All Products VA | $223.55 | ↓ -79% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $225.94 | ↓ -79% |
| Summacare | MEDICARE ADVANTAGE | $225.94 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $225.94 | ↓ -79% |
| UPMC | MEDICARE ADVANTAGE | $225.94 | ↓ -79% |
| Valor | HMO & PPO | $225.94 | ↓ -79% |
| ANTHEM | MEDICARE ADVANTAGE | $225.94 | ↓ -79% |
| MMO | Medicare Advantage PPO | $230.26 | ↓ -78% |
| CIGNA | MEDICARE ADVANTAGE | $232.72 | ↓ -78% |
| CommuniCare | MEDICARE ADVANTAGE | $237.24 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $241.43 | ↓ -77% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $244.02 | ↓ -77% |
| PPHP | ALL PRODUCTS | $248.53 | ↓ -76% |
| AETNA | Acop | $402.19 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $459.89 | ↓ -56% |
| CIGNA | ALL PRODUCTS | $485.79 | ↓ -54% |
| UNITED | ALL PRODUCTS | $487.60 | ↓ -54% |
| ANTHEM | PPO/HMO | $489.14 | ↓ -54% |
| AETNA | Asa_Whirlpool_Peia | $492.13 | ↓ -53% |
| AETNA | International | $515.17 | ↓ -51% |
| PHP | ALL PRODUCTS | $520.39 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $549.66 | ↓ -48% |
| Summacare | Preferred | $569.17 | ↓ -46% |
| Summacare | PREMIER | $619.59 | ↓ -41% |
| Aultcare | PPO/HMO | $673.25 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $731.79 | ↓ -31% |
| OHCP | ALL PRODUCTS | $790.34 | ↓ -25% |
| MMO | ALL PRODUCTS | $796.18 | ↓ -25% |
| OMAS | ALL PRODUCTS | $813.11 | ↓ -23% |
| MMO | TRADITIONAL | $850.51 | ↓ -20% |
| MMO | NASCO | $850.51 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $878.15 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $894.42 | ↓ -15% |
| ANTHEM | TRADITIONAL | $911.49 | ↓ -14% |
| OPTUM | All Products Transplant | $920.43 | ↓ -13% |
| UPMC | ALL PRODUCTS | $975.73 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $975.73 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $1,057.04 | ↑ +0% |
| GMS | ALL PRODUCTS | $1,138.35 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $1,138.35 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,138.35 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $1,219.66 | ↑ +15% |
| AETNA | ALL PRODUCTS | $1,219.66 | ↑ +15% |
| Humana Military | ALL PRODUCTS | $1,382.28 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $1,463.59 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,463.59 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,463.59 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $1,463.59 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,463.59 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,626.21 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $3,090.95 | ↑ +192% |
| United BH | MEDICARE ADVANTAGE | $3,253.63 | ↑ +208% |
| Paramount | Managed Medicaid | $3,351.24 | ↑ +217% |
| MOLINA | Managed Medicaid | $3,416.31 | ↑ +223% |
| Buckeye | Managed Medicaid | $3,416.31 | ↑ +223% |
| ANTHEM | Managed Medicaid | $3,416.31 | ↑ +223% |
| United BH | Managed Medicaid | $3,448.85 | ↑ +226% |
| UNITED | Managed Medicaid | $3,481.38 | ↑ +229% |
| CARESOURCE | Managed Medicaid | $3,481.38 | ↑ +229% |
| AMERIHEALTH | Managed Medicaid | $3,578.99 | ↑ +239% |
| AETNA | NAP | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
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Pegunigalsidase alfa-iwxj at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $1,057.04 | $2.17 – $3,257.22 |
| avon hospital | Avon | $1,057.04 | $223.55 – $3,074.42 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1,057.04 | $459.89 – $5,703.31 |
| fairview hospital | Cleveland | $1,057.04 | $2.17 – $3,362.28 |
| lutheran hospital | Cleveland | $1,057.04 | $223.55 – $3,201.00 |
| hillcrest hospital | Mayfield Heights | $1,057.04 | $2.17 – $3,502.97 |
| lodi hospital | Lodi | $1,057.04 | $223.55 – $5,464.97 |
| marymount hospital | Garfield Heights | $1,057.04 | $219.16 – $3,160.62 |