Cap trach decann 15mm at marymount hospital
12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737
$916.50
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.
$1,410.00
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.
$47.54 with ANTHEM vs $884.07 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 |
|---|---|---|---|
| ANTHEM | PPO/HMO | $47.54 | ↓ -95% |
| AETNA | MEDICARE ADVANTAGE | $60.82 | ↓ -93% |
| OSCAR | ALL PRODUCTS | $78.90 | ↓ -91% |
| Zing Health | Medicare Advantage | $83.70 | ↓ -91% |
| PHPHI | ALL PRODUCTS | $89.28 | ↓ -90% |
| PHP | ALL PRODUCTS | $89.28 | ↓ -90% |
| Summacare | Preferred | $97.65 | ↓ -89% |
| Summacare | PREMIER | $106.30 | ↓ -88% |
| CC EHP | ALL PRODUCTS | $107.97 | ↓ -88% |
| Aultcare | PPO/HMO | $115.51 | ↓ -87% |
| Amish Community Aid Plan | ALL PRODUCTS | $125.55 | ↓ -86% |
| CIGNA | ALL PRODUCTS | $131.69 | ↓ -86% |
| OHCP | ALL PRODUCTS | $135.59 | ↓ -85% |
| OMAS | ALL PRODUCTS | $139.50 | ↓ -85% |
| MMO | TRADITIONAL | $145.92 | ↓ -84% |
| MMO | NASCO | $145.92 | ↓ -84% |
| Ohio Healthy | TRANSPLANT | $150.66 | ↓ -84% |
| HEALTHSMART | ALL PRODUCTS | $153.45 | ↓ -83% |
| OPTUM | Managed Medicaid Transplant | $154.76 | ↓ -83% |
| ANTHEM | TRADITIONAL | $156.38 | ↓ -83% |
| OPTUM | All Products Transplant | $157.91 | ↓ -83% |
| MMO | ALL PRODUCTS | $158.19 | ↓ -83% |
| The Health Plan | ALL PRODUCTS | $167.40 | ↓ -82% |
| UPMC | ALL PRODUCTS | $167.40 | ↓ -82% |
| AETNA | Acop | $167.40 | ↓ -82% |
| Paramount | Managed Medicaid | $167.80 | ↓ -82% |
| MOLINA | Managed Medicaid | $171.06 | ↓ -81% |
| ANTHEM | Managed Medicaid | $171.06 | ↓ -81% |
| Buckeye | Managed Medicaid | $171.06 | ↓ -81% |
| United BH | Managed Medicaid | $172.68 | ↓ -81% |
| CARESOURCE | Managed Medicaid | $174.31 | ↓ -81% |
| UNITED | Managed Medicaid | $174.31 | ↓ -81% |
| AETNA | International | $179.12 | ↓ -80% |
| AMERIHEALTH | Managed Medicaid | $179.20 | ↓ -80% |
| THREE RIVERS | ALL PRODUCTS | $181.35 | ↓ -80% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $181.35 | ↓ -80% |
| AETNA | Asa_Whirlpool_Peia | $195.30 | ↓ -79% |
| Quality Care Partners | ALL PRODUCTS | $195.30 | ↓ -79% |
| GMS | ALL PRODUCTS | $195.30 | ↓ -79% |
| Medical Benefit Corp | Transplant SMCP | $195.30 | ↓ -79% |
| Consociate Health | ALL PRODUCTS | $209.25 | ↓ -77% |
| AETNA | ALL PRODUCTS | $209.25 | ↓ -77% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $223.20 | ↓ -76% |
| Humana Military | ALL PRODUCTS | $237.15 | ↓ -74% |
| Tertiary Care Network | TRANSPLANT | $251.10 | ↓ -73% |
| FrontPath | TRANSPLANT | $251.10 | ↓ -73% |
| Managed Care Services | TRANSPLANT | $251.10 | ↓ -73% |
| MULTIPLAN | ALL PRODUCTS | $251.10 | ↓ -73% |
| USA Managed Care | ALL PRODUCTS | $251.10 | ↓ -73% |
| AETNA | Qhp/Ipf | $279.00 | ↓ -70% |
| UNITED | ALL PRODUCTS | $884.07 | ↓ -4% |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Cap trach decann 15mm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $7,872.66 | not published |
| Anderson Hospital | Cincinnati | $7,872.66 | not published |
| Clermont Hospital | Batavia | $7,872.66 | not published |
| Kings Mills Hospital | Mason | $2,185.97 | not published |
| Mercy West Hospital | Cincinnati | $7,872.66 | not published |
| St Ritas Medical Center | Lima | $6,564.32 | not published |
| Trinity Medical Center East | Steubenville | $1,593.92 | $24.60 – $31.57 |
| cleveland clinic main campus | Cleveland | $604.50 | $104.42 – $431.10 |