healthcosts.net
Closure paravalvlr leak pq at marymount hospital
12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737
$16,573.70
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.
$25,498.00
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.
$542.13 with OSCAR vs $3,107.00 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 |
|---|---|---|---|
| OSCAR | ALL PRODUCTS | $542.13 | ↓ -97% |
| UNITED | MEDICARE ADVANTAGE | $545.00 | ↓ -97% |
| OPTUM | Medicare Advantage Transplant | $573.15 | ↓ -97% |
| The Health Plan | MEDICARE ADVANTAGE | $573.15 | ↓ -97% |
| HUMANA | Medicare Advantage HMO | $573.15 | ↓ -97% |
| MMO | Medicare Advantage HMO | $573.15 | ↓ -97% |
| ANTHEM | MEDICARE ADVANTAGE | $573.15 | ↓ -97% |
| OPTUM | All Products VA | $573.15 | ↓ -97% |
| MMO | Medicare Advantage PPO | $590.35 | ↓ -96% |
| Valor | HMO & PPO | $593.48 | ↓ -96% |
| UPMC | MEDICARE ADVANTAGE | $593.48 | ↓ -96% |
| AETNA | MEDICARE ADVANTAGE | $593.48 | ↓ -96% |
| Summacare | MEDICARE ADVANTAGE | $593.48 | ↓ -96% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $593.48 | ↓ -96% |
| CIGNA | MEDICARE ADVANTAGE | $611.28 | ↓ -96% |
| PHP | ALL PRODUCTS | $613.44 | ↓ -96% |
| PHPHI | ALL PRODUCTS | $613.44 | ↓ -96% |
| Perennial Health | MEDICARE ADVANTAGE | $619.00 | ↓ -96% |
| CommuniCare | MEDICARE ADVANTAGE | $623.15 | ↓ -96% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $640.96 | ↓ -96% |
| CC EHP | ALL PRODUCTS | $647.95 | ↓ -96% |
| Zing Health | Medicare Advantage | $652.82 | ↓ -96% |
| PPHP | ALL PRODUCTS | $652.82 | ↓ -96% |
| Summacare | Preferred | $670.95 | ↓ -96% |
| Summacare | PREMIER | $730.38 | ↓ -96% |
| Aultcare | PPO/HMO | $793.64 | ↓ -95% |
| Amish Community Aid Plan | ALL PRODUCTS | $862.65 | ↓ -95% |
| CIGNA | ALL PRODUCTS | $904.82 | ↓ -95% |
| OHCP | ALL PRODUCTS | $931.66 | ↓ -94% |
| OMAS | ALL PRODUCTS | $958.50 | ↓ -94% |
| OPTUM | Managed Medicaid Transplant | $958.59 | ↓ -94% |
| MMO | NASCO | $1,002.59 | ↓ -94% |
| MMO | TRADITIONAL | $1,002.59 | ↓ -94% |
| Ohio Healthy | TRANSPLANT | $1,035.18 | ↓ -94% |
| Paramount | Managed Medicaid | $1,039.31 | ↓ -94% |
| MMO | ALL PRODUCTS | $1,044.77 | ↓ -94% |
| HEALTHSMART | ALL PRODUCTS | $1,054.35 | ↓ -94% |
| Buckeye | Managed Medicaid | $1,059.49 | ↓ -94% |
| MOLINA | Managed Medicaid | $1,059.49 | ↓ -94% |
| ANTHEM | Managed Medicaid | $1,059.49 | ↓ -94% |
| United BH | Managed Medicaid | $1,069.58 | ↓ -94% |
| ANTHEM | TRADITIONAL | $1,074.48 | ↓ -94% |
| UNITED | Managed Medicaid | $1,079.67 | ↓ -93% |
| CARESOURCE | Managed Medicaid | $1,079.67 | ↓ -93% |
| OPTUM | All Products Transplant | $1,085.02 | ↓ -93% |
| AMERIHEALTH | Managed Medicaid | $1,109.94 | ↓ -93% |
| AETNA | Acop | $1,150.20 | ↓ -93% |
| The Health Plan | ALL PRODUCTS | $1,150.20 | ↓ -93% |
| UPMC | ALL PRODUCTS | $1,150.20 | ↓ -93% |
| AETNA | International | $1,230.71 | ↓ -93% |
| THREE RIVERS | ALL PRODUCTS | $1,246.05 | ↓ -92% |
| ANTHEM | PPO/HMO | $1,284.82 | ↓ -92% |
| AETNA | Asa_Whirlpool_Peia | $1,341.90 | ↓ -92% |
| Medical Benefit Corp | Transplant SMCP | $1,341.90 | ↓ -92% |
| GMS | ALL PRODUCTS | $1,341.90 | ↓ -92% |
| Quality Care Partners | ALL PRODUCTS | $1,341.90 | ↓ -92% |
| AETNA | ALL PRODUCTS | $1,437.75 | ↓ -91% |
| Consociate Health | ALL PRODUCTS | $1,437.75 | ↓ -91% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,533.60 | ↓ -91% |
| Humana Military | ALL PRODUCTS | $1,629.45 | ↓ -90% |
| Tertiary Care Network | TRANSPLANT | $1,725.30 | ↓ -90% |
| FrontPath | TRANSPLANT | $1,725.30 | ↓ -90% |
| Managed Care Services | TRANSPLANT | $1,725.30 | ↓ -90% |
| USA Managed Care | ALL PRODUCTS | $1,725.30 | ↓ -90% |
| MULTIPLAN | ALL PRODUCTS | $1,725.30 | ↓ -90% |
| AETNA | Qhp/Ipf | $1,917.00 | ↓ -88% |
| UNITED | ALL PRODUCTS | $3,107.00 | ↓ -81% |
| 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
Closure paravalvlr leak pq at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $24,635.65 | $0.01 – $1,863.00 |
| akron general | Akron | $11,431.55 | $0.01 – $3,531.60 |
| avon hospital | Avon | $16,573.70 | $542.13 – $1,725.30 |
| euclid hospital | Euclid | $16,573.70 | $542.13 – $1,725.30 |
| fairview hospital | Cleveland | $16,573.70 | $542.13 – $1,725.30 |
| lutheran hospital | Cleveland | $16,573.70 | $542.13 – $1,725.30 |
| hillcrest hospital | Mayfield Heights | $16,573.70 | $542.13 – $1,725.30 |
| medina hospital | Medina | $16,573.70 | $542.13 – $1,725.30 |