Diagnostic radio unlisted proc at marymount hospital
12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737
$14,116.70
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.
$21,718.00
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.
$0.87 with AETNA vs $734.00 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 |
|---|---|---|---|
| AETNA | Acop | $0.87 | ↓ -100% |
| OPTUM | Managed Medicaid Transplant | $43.74 | ↓ -100% |
| Paramount | Managed Medicaid | $47.42 | ↓ -100% |
| MOLINA | Managed Medicaid | $48.34 | ↓ -100% |
| Buckeye | Managed Medicaid | $48.34 | ↓ -100% |
| ANTHEM | Managed Medicaid | $48.34 | ↓ -100% |
| United BH | Managed Medicaid | $48.80 | ↓ -100% |
| UNITED | Managed Medicaid | $49.26 | ↓ -100% |
| CARESOURCE | Managed Medicaid | $49.26 | ↓ -100% |
| AMERIHEALTH | Managed Medicaid | $50.64 | ↓ -100% |
| UNITED | MEDICARE ADVANTAGE | $78.83 | ↓ -99% |
| MMO | Medicare Advantage HMO | $81.63 | ↓ -99% |
| ANTHEM | MEDICARE ADVANTAGE | $81.63 | ↓ -99% |
| The Health Plan | MEDICARE ADVANTAGE | $81.63 | ↓ -99% |
| OPTUM | Medicare Advantage Transplant | $81.63 | ↓ -99% |
| OPTUM | All Products VA | $81.63 | ↓ -99% |
| HUMANA | Medicare Advantage HMO | $81.63 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $82.33 | ↓ -99% |
| Valor | HMO & PPO | $82.33 | ↓ -99% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $82.33 | ↓ -99% |
| UPMC | MEDICARE ADVANTAGE | $82.33 | ↓ -99% |
| Summacare | MEDICARE ADVANTAGE | $82.33 | ↓ -99% |
| MMO | Medicare Advantage PPO | $84.07 | ↓ -99% |
| CIGNA | MEDICARE ADVANTAGE | $84.80 | ↓ -99% |
| CommuniCare | MEDICARE ADVANTAGE | $86.45 | ↓ -99% |
| Perennial Health | MEDICARE ADVANTAGE | $88.16 | ↓ -99% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $88.92 | ↓ -99% |
| Zing Health | Medicare Advantage | $90.57 | ↓ -99% |
| PPHP | ALL PRODUCTS | $90.57 | ↓ -99% |
| ANTHEM | PPO/HMO | $178.24 | ↓ -99% |
| OSCAR | ALL PRODUCTS | $207.58 | ↓ -99% |
| PHPHI | ALL PRODUCTS | $234.88 | ↓ -98% |
| PHP | ALL PRODUCTS | $234.88 | ↓ -98% |
| CC EHP | ALL PRODUCTS | $248.09 | ↓ -98% |
| Summacare | Preferred | $256.90 | ↓ -98% |
| Summacare | PREMIER | $279.65 | ↓ -98% |
| Aultcare | PPO/HMO | $303.88 | ↓ -98% |
| Amish Community Aid Plan | ALL PRODUCTS | $330.30 | ↓ -98% |
| CIGNA | ALL PRODUCTS | $346.45 | ↓ -98% |
| OHCP | ALL PRODUCTS | $356.72 | ↓ -97% |
| OMAS | ALL PRODUCTS | $367.00 | ↓ -97% |
| MMO | TRADITIONAL | $383.88 | ↓ -97% |
| MMO | NASCO | $383.88 | ↓ -97% |
| Ohio Healthy | TRANSPLANT | $396.36 | ↓ -97% |
| MMO | ALL PRODUCTS | $400.03 | ↓ -97% |
| HEALTHSMART | ALL PRODUCTS | $403.70 | ↓ -97% |
| UNITED | ALL PRODUCTS | $409.57 | ↓ -97% |
| ANTHEM | TRADITIONAL | $411.41 | ↓ -97% |
| OPTUM | All Products Transplant | $415.44 | ↓ -97% |
| The Health Plan | ALL PRODUCTS | $440.40 | ↓ -97% |
| UPMC | ALL PRODUCTS | $440.40 | ↓ -97% |
| AETNA | International | $471.23 | ↓ -97% |
| THREE RIVERS | ALL PRODUCTS | $477.10 | ↓ -97% |
| Quality Care Partners | ALL PRODUCTS | $513.80 | ↓ -96% |
| AETNA | Asa_Whirlpool_Peia | $513.80 | ↓ -96% |
| Medical Benefit Corp | Transplant SMCP | $513.80 | ↓ -96% |
| GMS | ALL PRODUCTS | $513.80 | ↓ -96% |
| Consociate Health | ALL PRODUCTS | $550.50 | ↓ -96% |
| AETNA | ALL PRODUCTS | $550.50 | ↓ -96% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $587.20 | ↓ -96% |
| Humana Military | ALL PRODUCTS | $623.90 | ↓ -96% |
| Managed Care Services | TRANSPLANT | $660.60 | ↓ -95% |
| Tertiary Care Network | TRANSPLANT | $660.60 | ↓ -95% |
| MULTIPLAN | ALL PRODUCTS | $660.60 | ↓ -95% |
| FrontPath | TRANSPLANT | $660.60 | ↓ -95% |
| USA Managed Care | ALL PRODUCTS | $660.60 | ↓ -95% |
| AETNA | Qhp/Ipf | $734.00 | ↓ -95% |
| 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
Diagnostic radio unlisted proc at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $772.80 | not published |
| Anderson Hospital | Cincinnati | $772.80 | not published |
| Clermont Hospital | Batavia | $598.80 | not published |
| Kings Mills Hospital | Mason | $598.80 | not published |
| Mercy West Hospital | Cincinnati | $772.80 | not published |
| St Ritas Medical Center | Lima | $187.80 | not published |
| University Hospitals Ahuja Medical Center | Beachwood | $564.75 | $82.33 – $677.70 |
| University Hospitals Beachwood Medical Center | Beachwood | $564.75 | $82.33 – $677.70 |