Factor ix alprolix recomb at marymount hospital
12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737
$9.46
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.
$14.55
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.
$3.47 with UNITED vs $4,286.68 with AMERIHEALTH — 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 |
|---|---|---|---|
| UNITED | MEDICARE ADVANTAGE | $3.47 | ↓ -63% |
| HUMANA | Medicare Advantage HMO | $3.59 | ↓ -62% |
| MMO | Medicare Advantage HMO | $3.59 | ↓ -62% |
| OPTUM | Medicare Advantage Transplant | $3.59 | ↓ -62% |
| OPTUM | All Products VA | $3.59 | ↓ -62% |
| ANTHEM | MEDICARE ADVANTAGE | $3.59 | ↓ -62% |
| The Health Plan | MEDICARE ADVANTAGE | $3.59 | ↓ -62% |
| Valor | HMO & PPO | $3.60 | ↓ -62% |
| Summacare | MEDICARE ADVANTAGE | $3.60 | ↓ -62% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3.60 | ↓ -62% |
| UPMC | MEDICARE ADVANTAGE | $3.60 | ↓ -62% |
| AETNA | MEDICARE ADVANTAGE | $3.60 | ↓ -62% |
| MMO | Medicare Advantage PPO | $3.70 | ↓ -61% |
| CIGNA | MEDICARE ADVANTAGE | $3.71 | ↓ -61% |
| CommuniCare | MEDICARE ADVANTAGE | $3.78 | ↓ -60% |
| Perennial Health | MEDICARE ADVANTAGE | $3.88 | ↓ -59% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3.89 | ↓ -59% |
| PPHP | ALL PRODUCTS | $3.96 | ↓ -58% |
| Zing Health | Medicare Advantage | $3.96 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $4.11 | ↓ -57% |
| PHP | ALL PRODUCTS | $4.66 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $4.66 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $4.92 | ↓ -48% |
| Summacare | Preferred | $5.09 | ↓ -46% |
| Summacare | PREMIER | $5.54 | ↓ -41% |
| Aultcare | PPO/HMO | $6.02 | ↓ -36% |
| AETNA | Acop | $6.41 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $6.55 | ↓ -31% |
| OHCP | ALL PRODUCTS | $7.07 | ↓ -25% |
| OMAS | ALL PRODUCTS | $7.28 | ↓ -23% |
| MMO | NASCO | $7.61 | ↓ -20% |
| MMO | TRADITIONAL | $7.61 | ↓ -20% |
| UNITED | ALL PRODUCTS | $7.70 | ↓ -19% |
| CIGNA | ALL PRODUCTS | $7.74 | ↓ -18% |
| AETNA | Asa_Whirlpool_Peia | $7.77 | ↓ -18% |
| ANTHEM | PPO/HMO | $7.79 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $7.86 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $8.00 | ↓ -15% |
| ANTHEM | TRADITIONAL | $8.16 | ↓ -14% |
| AETNA | International | $8.21 | ↓ -13% |
| OPTUM | All Products Transplant | $8.24 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $8.73 | ↓ -8% |
| UPMC | ALL PRODUCTS | $8.73 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $9.46 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $10.19 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $10.19 | ↑ +8% |
| GMS | ALL PRODUCTS | $10.19 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $10.91 | ↑ +15% |
| AETNA | ALL PRODUCTS | $10.91 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $11.64 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $12.37 | ↑ +31% |
| MMO | ALL PRODUCTS | $12.69 | ↑ +34% |
| MULTIPLAN | ALL PRODUCTS | $13.10 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $13.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $13.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $13.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $13.10 | ↑ +38% |
| AETNA | Qhp/Ipf | $14.55 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $3,702.13 | ↑ +39035% |
| Paramount | Managed Medicaid | $4,013.89 | ↑ +42330% |
| MOLINA | Managed Medicaid | $4,091.83 | ↑ +43154% |
| ANTHEM | Managed Medicaid | $4,091.83 | ↑ +43154% |
| Buckeye | Managed Medicaid | $4,091.83 | ↑ +43154% |
| United BH | Managed Medicaid | $4,130.80 | ↑ +43566% |
| UNITED | Managed Medicaid | $4,169.77 | ↑ +43978% |
| CARESOURCE | Managed Medicaid | $4,169.77 | ↑ +43978% |
| AMERIHEALTH | Managed Medicaid | $4,286.68 | ↑ +45214% |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Factor ix alprolix recomb at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $9.46 | $2.17 – $4,417.71 |
| avon hospital | Avon | $9.46 | $3.59 – $4,169.77 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $9.46 | $4.11 – $7,735.29 |
| euclid hospital | Euclid | $9.46 | $3.47 – $4,854.11 |
| fairview hospital | Cleveland | $9.46 | $2.17 – $4,560.19 |
| lutheran hospital | Cleveland | $9.46 | $3.59 – $4,341.46 |
| hillcrest hospital | Mayfield Heights | $9.46 | $2.17 – $4,751.01 |
| lodi hospital | Lodi | $9.46 | $3.59 – $7,412.01 |