Fem/popl revasc w/stent at marymount hospital
12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737
not published by hospital
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.
not published by hospital
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.
$6,497.37 with OPTUM vs $11,354.21 with Perennial Health — 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $6,497.37 | — |
| Paramount | Managed Medicaid | $7,044.52 | — |
| Buckeye | Managed Medicaid | $7,181.31 | — |
| MOLINA | Managed Medicaid | $7,181.31 | — |
| ANTHEM | Managed Medicaid | $7,181.31 | — |
| United BH | Managed Medicaid | $7,249.70 | — |
| UNITED | Managed Medicaid | $7,318.09 | — |
| CARESOURCE | Managed Medicaid | $7,318.09 | — |
| AMERIHEALTH | Managed Medicaid | $7,523.27 | — |
| UNITED | MEDICARE ADVANTAGE | $9,544.11 | — |
| OPTUM | Medicare Advantage Transplant | $10,513.16 | — |
| MMO | Medicare Advantage HMO | $10,513.16 | — |
| OPTUM | All Products VA | $10,513.16 | — |
| HUMANA | Medicare Advantage HMO | $10,513.16 | — |
| ANTHEM | MEDICARE ADVANTAGE | $10,513.16 | — |
| The Health Plan | MEDICARE ADVANTAGE | $10,513.16 | — |
| MMO | Medicare Advantage PPO | $10,828.56 | — |
| Perennial Health | MEDICARE ADVANTAGE | $11,354.21 | — |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $14,023.43 | $16,966.20 – $22,621.60 |
| Dublin Methodist Hospital | Dublin | $29,061.50 | $38,216.00 – $38,216.00 |
| Shelby Hospital | Shelby | $32,207.50 | not published |
| Berger Hospital | Circleville | $18,432.70 | $1,398.57 – $16,177.00 |
| Grant Medical Center | Columbus | $29,061.50 | $38,216.00 – $38,216.00 |
| Doctors Hospital | Columbus | $29,061.50 | $38,216.00 – $38,216.00 |
| Marion General Hospital | Marion | $35,202.70 | not published |
| Mansfield Hospital | Mansfield | $32,207.50 | not published |