healthcosts.net
Coombs indirect titer reference at marymount hospital
12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737
$23.40
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.
$36.00
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.
$0.95 with AETNA vs $177.30 with PPHP — 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 |
|---|---|---|---|
| AETNA | Acop | $0.95 | ↓ -96% |
| ANTHEM | PPO/HMO | $4.71 | ↓ -80% |
| OSCAR | ALL PRODUCTS | $10.18 | ↓ -56% |
| PHP | ALL PRODUCTS | $11.52 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $11.52 | ↓ -51% |
| UNITED | ALL PRODUCTS | $11.66 | ↓ -50% |
| Summacare | Preferred | $12.60 | ↓ -46% |
| Summacare | PREMIER | $13.72 | ↓ -41% |
| Aultcare | PPO/HMO | $14.90 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $16.20 | ↓ -31% |
| OHCP | ALL PRODUCTS | $17.50 | ↓ -25% |
| OMAS | ALL PRODUCTS | $18.00 | ↓ -23% |
| AETNA | Asa_Whirlpool_Peia | $18.28 | ↓ -22% |
| MMO | TRADITIONAL | $18.83 | ↓ -20% |
| MMO | NASCO | $18.83 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $19.44 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $19.80 | ↓ -15% |
| ANTHEM | TRADITIONAL | $20.18 | ↓ -14% |
| OPTUM | All Products Transplant | $20.38 | ↓ -13% |
| AETNA | International | $20.59 | ↓ -12% |
| OPTUM | Managed Medicaid Transplant | $21.45 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $21.60 | ↓ -8% |
| UPMC | ALL PRODUCTS | $21.60 | ↓ -8% |
| Paramount | Managed Medicaid | $23.26 | ↓ -1% |
| THREE RIVERS | ALL PRODUCTS | $23.40 | ↑ +0% |
| ANTHEM | Managed Medicaid | $23.71 | ↑ +1% |
| Buckeye | Managed Medicaid | $23.71 | ↑ +1% |
| MOLINA | Managed Medicaid | $23.71 | ↑ +1% |
| United BH | Managed Medicaid | $23.93 | ↑ +2% |
| UNITED | Managed Medicaid | $24.16 | ↑ +3% |
| CARESOURCE | Managed Medicaid | $24.16 | ↑ +3% |
| AMERIHEALTH | Managed Medicaid | $24.84 | ↑ +6% |
| GMS | ALL PRODUCTS | $25.20 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $25.20 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $25.20 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $27.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $27.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $28.80 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $30.60 | ↑ +31% |
| USA Managed Care | ALL PRODUCTS | $32.40 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $32.40 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $32.40 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $32.40 | ↑ +38% |
| FrontPath | TRANSPLANT | $32.40 | ↑ +38% |
| AETNA | Qhp/Ipf | $36.00 | ↑ +54% |
| CIGNA | ALL PRODUCTS | $36.00 | ↑ +54% |
| CC EHP | ALL PRODUCTS | $36.88 | ↑ +58% |
| MMO | ALL PRODUCTS | $46.23 | ↑ +98% |
| UNITED | MEDICARE ADVANTAGE | $148.18 | ↑ +533% |
| HUMANA | Medicare Advantage HMO | $158.86 | ↑ +579% |
| OPTUM | Medicare Advantage Transplant | $158.86 | ↑ +579% |
| MMO | Medicare Advantage HMO | $158.86 | ↑ +579% |
| The Health Plan | MEDICARE ADVANTAGE | $158.86 | ↑ +579% |
| OPTUM | All Products VA | $158.86 | ↑ +579% |
| ANTHEM | MEDICARE ADVANTAGE | $158.86 | ↑ +579% |
| UPMC | MEDICARE ADVANTAGE | $161.18 | ↑ +589% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $161.18 | ↑ +589% |
| Summacare | MEDICARE ADVANTAGE | $161.18 | ↑ +589% |
| AETNA | MEDICARE ADVANTAGE | $161.18 | ↑ +589% |
| Valor | HMO & PPO | $161.18 | ↑ +589% |
| MMO | Medicare Advantage PPO | $163.62 | ↑ +599% |
| CIGNA | MEDICARE ADVANTAGE | $166.02 | ↑ +609% |
| CommuniCare | MEDICARE ADVANTAGE | $169.24 | ↑ +623% |
| Perennial Health | MEDICARE ADVANTAGE | $171.57 | ↑ +633% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $174.08 | ↑ +644% |
| Zing Health | Medicare Advantage | $177.30 | ↑ +658% |
| PPHP | ALL PRODUCTS | $177.30 | ↑ +658% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Coombs indirect titer reference at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $23.40 | $2.56 – $177.30 |
| akron general | Akron | $23.40 | $0.95 – $177.30 |
| avon hospital | Avon | $23.40 | $0.95 – $177.30 |
| euclid hospital | Euclid | $23.40 | $0.95 – $177.30 |
| fairview hospital | Cleveland | $23.40 | $0.95 – $177.30 |
| lutheran hospital | Cleveland | $23.40 | $0.95 – $177.30 |
| hillcrest hospital | Mayfield Heights | $23.40 | $0.95 – $177.30 |
| lodi hospital | Lodi | $23.40 | $2.67 – $42.94 |