healthcosts.net
All tstg perq&iq drugs/biol at marymount hospital
12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737
$107.25
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.
$165.00
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.
$13.19 with ANTHEM vs $165.00 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 | $13.19 | ↓ -88% |
| UNITED | MEDICARE ADVANTAGE | $34.79 | ↓ -68% |
| Valor | HMO & PPO | $35.34 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $35.34 | ↓ -67% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $35.34 | ↓ -67% |
| UPMC | MEDICARE ADVANTAGE | $35.34 | ↓ -67% |
| Summacare | MEDICARE ADVANTAGE | $35.34 | ↓ -67% |
| MMO | Medicare Advantage HMO | $36.39 | ↓ -66% |
| The Health Plan | MEDICARE ADVANTAGE | $36.39 | ↓ -66% |
| ANTHEM | MEDICARE ADVANTAGE | $36.39 | ↓ -66% |
| OPTUM | Medicare Advantage Transplant | $36.39 | ↓ -66% |
| OPTUM | All Products VA | $36.39 | ↓ -66% |
| HUMANA | Medicare Advantage HMO | $36.39 | ↓ -66% |
| CIGNA | MEDICARE ADVANTAGE | $36.40 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $37.10 | ↓ -65% |
| MMO | Medicare Advantage PPO | $37.48 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $38.16 | ↓ -64% |
| PPHP | ALL PRODUCTS | $38.87 | ↓ -64% |
| Zing Health | Medicare Advantage | $38.87 | ↓ -64% |
| Perennial Health | MEDICARE ADVANTAGE | $39.30 | ↓ -63% |
| OSCAR | ALL PRODUCTS | $46.66 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $52.80 | ↓ -51% |
| PHP | ALL PRODUCTS | $52.80 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $55.77 | ↓ -48% |
| Summacare | Preferred | $57.75 | ↓ -46% |
| Summacare | PREMIER | $62.87 | ↓ -41% |
| Aultcare | PPO/HMO | $68.31 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $74.25 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $77.88 | ↓ -27% |
| OHCP | ALL PRODUCTS | $80.19 | ↓ -25% |
| OMAS | ALL PRODUCTS | $82.50 | ↓ -23% |
| MMO | NASCO | $86.30 | ↓ -20% |
| MMO | TRADITIONAL | $86.30 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $89.10 | ↓ -17% |
| MMO | ALL PRODUCTS | $89.93 | ↓ -16% |
| HEALTHSMART | ALL PRODUCTS | $90.75 | ↓ -15% |
| ANTHEM | TRADITIONAL | $92.48 | ↓ -14% |
| OPTUM | All Products Transplant | $93.39 | ↓ -13% |
| AETNA | Acop | $99.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $99.00 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $99.00 | ↓ -8% |
| UNITED | ALL PRODUCTS | $99.83 | ↓ -7% |
| AETNA | International | $105.93 | ↓ -1% |
| THREE RIVERS | ALL PRODUCTS | $107.25 | ↑ +0% |
| AETNA | Asa_Whirlpool_Peia | $115.50 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $115.50 | ↑ +8% |
| GMS | ALL PRODUCTS | $115.50 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $115.50 | ↑ +8% |
| OPTUM | Managed Medicaid Transplant | $118.96 | ↑ +11% |
| AETNA | ALL PRODUCTS | $123.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $123.75 | ↑ +15% |
| Paramount | Managed Medicaid | $128.98 | ↑ +20% |
| Buckeye | Managed Medicaid | $131.48 | ↑ +23% |
| ANTHEM | Managed Medicaid | $131.48 | ↑ +23% |
| MOLINA | Managed Medicaid | $131.48 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $132.00 | ↑ +23% |
| United BH | Managed Medicaid | $132.73 | ↑ +24% |
| UNITED | Managed Medicaid | $133.99 | ↑ +25% |
| CARESOURCE | Managed Medicaid | $133.99 | ↑ +25% |
| AMERIHEALTH | Managed Medicaid | $137.74 | ↑ +28% |
| Humana Military | ALL PRODUCTS | $140.25 | ↑ +31% |
| FrontPath | TRANSPLANT | $148.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $148.50 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $148.50 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $148.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $148.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $165.00 | ↑ +54% |
| United BH | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
All tstg perq&iq drugs/biol at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $107.25 | $1.10 – $178.84 |
| akron general | Akron | $107.25 | $1.10 – $148.50 |
| avon hospital | Avon | $107.25 | $13.19 – $148.50 |
| euclid hospital | Euclid | $107.25 | $13.19 – $155.98 |
| fairview hospital | Cleveland | $107.25 | $11.27 – $148.50 |
| lutheran hospital | Cleveland | $107.25 | $13.19 – $148.50 |
| hillcrest hospital | Mayfield Heights | $107.25 | $11.27 – $152.66 |
| medina hospital | Medina | $107.25 | $8.95 – $148.50 |