Cocaine 4 % nasal solution at marymount hospital

12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 13, 2026

$125.97

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$193.80

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.79 with AETNA vs $193.80 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 →

Payer
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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
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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 $3.79 ↓ -97%
CIGNA ALL PRODUCTS $3.89 ↓ -97%
AETNA Asa_Whirlpool_Peia $3.99 ↓ -97%
AETNA International $4.86 ↓ -96%
OPTUM Managed Medicaid Transplant $7.42 ↓ -94%
Paramount Managed Medicaid $8.04 ↓ -94%
MOLINA Managed Medicaid $8.20 ↓ -93%
ANTHEM Managed Medicaid $8.20 ↓ -93%
Buckeye Managed Medicaid $8.20 ↓ -93%
United BH Managed Medicaid $8.28 ↓ -93%
CARESOURCE Managed Medicaid $8.36 ↓ -93%
UNITED Managed Medicaid $8.36 ↓ -93%
AMERIHEALTH Managed Medicaid $8.59 ↓ -93%
ANTHEM PPO/HMO $33.02 ↓ -74%
AETNA MEDICARE ADVANTAGE $42.25 ↓ -66%
OSCAR ALL PRODUCTS $54.81 ↓ -56%
Zing Health Medicare Advantage $58.14 ↓ -54%
PHP ALL PRODUCTS $62.02 ↓ -51%
PHPHI ALL PRODUCTS $62.02 ↓ -51%
CC EHP ALL PRODUCTS $65.50 ↓ -48%
Summacare Preferred $67.83 ↓ -46%
Summacare PREMIER $73.84 ↓ -41%
Aultcare PPO/HMO $80.23 ↓ -36%
Amish Community Aid Plan ALL PRODUCTS $87.21 ↓ -31%
OHCP ALL PRODUCTS $94.19 ↓ -25%
OMAS ALL PRODUCTS $96.90 ↓ -23%
MMO TRADITIONAL $101.36 ↓ -20%
MMO NASCO $101.36 ↓ -20%
Ohio Healthy TRANSPLANT $104.65 ↓ -17%
HEALTHSMART ALL PRODUCTS $106.59 ↓ -15%
ANTHEM TRADITIONAL $108.62 ↓ -14%
OPTUM All Products Transplant $109.69 ↓ -13%
The Health Plan ALL PRODUCTS $116.28 ↓ -8%
UPMC ALL PRODUCTS $116.28 ↓ -8%
DEVOTED HEALTH MEDICARE ADVANTAGE $125.97 ↑ +0%
THREE RIVERS ALL PRODUCTS $125.97 ↑ +0%
GMS ALL PRODUCTS $135.66 ↑ +8%
Medical Benefit Corp Transplant SMCP $135.66 ↑ +8%
Quality Care Partners ALL PRODUCTS $135.66 ↑ +8%
AETNA ALL PRODUCTS $145.35 ↑ +15%
Consociate Health ALL PRODUCTS $145.35 ↑ +15%
Evernorth (Cigna BH) All Products Psychiatrist $155.04 ↑ +23%
Humana Military ALL PRODUCTS $164.73 ↑ +31%
MULTIPLAN ALL PRODUCTS $174.42 ↑ +38%
Managed Care Services TRANSPLANT $174.42 ↑ +38%
Tertiary Care Network TRANSPLANT $174.42 ↑ +38%
FrontPath TRANSPLANT $174.42 ↑ +38%
USA Managed Care ALL PRODUCTS $174.42 ↑ +38%
AETNA Qhp/Ipf $193.80 ↑ +54%
ANTHEM MEDICARE ADVANTAGE not published by hospital —
PPHP ALL PRODUCTS not published by hospital —
CommuniCare MEDICARE ADVANTAGE not published by hospital —
Summacare MEDICARE ADVANTAGE not published by hospital —
HUMANA Medicare Advantage HMO not published by hospital —
OPTUM All Products VA not published by hospital —
MMO Medicare Advantage PPO not published by hospital —
Valor HMO & PPO not published by hospital —
The Health Plan MEDICARE ADVANTAGE not published by hospital —
MMO ALL PRODUCTS not published by hospital —
UNITED ALL PRODUCTS not published by hospital —
UNITED MEDICARE ADVANTAGE not published by hospital —
United BH ALL PRODUCTS not published by hospital —
AETNA NAP not published by hospital —
United BH MEDICARE ADVANTAGE not published by hospital —
MMO Medicare Advantage HMO not published by hospital —
CIGNA MEDICARE ADVANTAGE not published by hospital —
UPMC 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 —
Perennial Health MEDICARE ADVANTAGE not published by hospital —

Visitor-reported prices

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Cocaine 4 % nasal solution at other Ohio hospitals

Hospital City Cash price Negotiated range
Kings Mills Hospital Mason $242.28 not published
Mercy West Hospital Cincinnati $242.28 not published
St Ritas Medical Center Lima $901.20 not published
Trinity Medical Center East Steubenville $202.34 $2.30 – $314.16
akron general Akron $125.97 $2.17 – $174.42
avon hospital Avon $125.97 $3.79 – $174.42
cleveland clinic childrens hospital for rehabilitation Cleveland $125.97 $13.40 – $174.42
euclid hospital Euclid $125.97 $3.79 – $174.42

All Ohio hospitals for this procedure →