Inj, levothyroxine, freskabi 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

$103.76

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.

$159.63

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.

$3.75 with ANTHEM vs $126.49 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 →

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
ANTHEM MEDICARE ADVANTAGE $3.75 ↓ -96%
MMO Medicare Advantage HMO $3.75 ↓ -96%
OPTUM Medicare Advantage Transplant $3.75 ↓ -96%
OPTUM All Products VA $3.75 ↓ -96%
The Health Plan MEDICARE ADVANTAGE $3.75 ↓ -96%
HUMANA Medicare Advantage HMO $3.75 ↓ -96%
MMO Medicare Advantage PPO $3.86 ↓ -96%
Perennial Health MEDICARE ADVANTAGE $4.05 ↓ -96%
UPMC MEDICARE ADVANTAGE $6.93 ↓ -93%
AETNA MEDICARE ADVANTAGE $6.93 ↓ -93%
DEVOTED HEALTH MEDICARE ADVANTAGE $6.93 ↓ -93%
Valor HMO & PPO $6.93 ↓ -93%
Summacare MEDICARE ADVANTAGE $6.93 ↓ -93%
CIGNA MEDICARE ADVANTAGE $7.14 ↓ -93%
CommuniCare MEDICARE ADVANTAGE $7.28 ↓ -93%
Perennial Health HMO I-SNP and HMO C-SNP $7.48 ↓ -93%
PPHP ALL PRODUCTS $7.62 ↓ -93%
Zing Health Medicare Advantage $7.62 ↓ -93%
UNITED ALL PRODUCTS $8.21 ↓ -92%
AETNA Asa_Whirlpool_Peia $8.29 ↓ -92%
UNITED MEDICARE ADVANTAGE $8.42 ↓ -92%
AETNA Acop $12.35 ↓ -88%
CIGNA ALL PRODUCTS $14.92 ↓ -86%
ANTHEM PPO/HMO $15.00 ↓ -86%
OSCAR ALL PRODUCTS $15.25 ↓ -85%
AETNA International $15.82 ↓ -85%
PHPHI ALL PRODUCTS $17.26 ↓ -83%
PHP ALL PRODUCTS $17.26 ↓ -83%
CC EHP ALL PRODUCTS $18.23 ↓ -82%
Summacare Preferred $18.88 ↓ -82%
Summacare PREMIER $20.55 ↓ -80%
Aultcare PPO/HMO $22.33 ↓ -78%
Amish Community Aid Plan ALL PRODUCTS $24.27 ↓ -77%
MMO ALL PRODUCTS $24.45 ↓ -76%
OHCP ALL PRODUCTS $26.21 ↓ -75%
OMAS ALL PRODUCTS $26.97 ↓ -74%
MMO TRADITIONAL $28.21 ↓ -73%
MMO NASCO $28.21 ↓ -73%
Ohio Healthy TRANSPLANT $29.13 ↓ -72%
HEALTHSMART ALL PRODUCTS $29.67 ↓ -71%
ANTHEM TRADITIONAL $30.23 ↓ -71%
OPTUM All Products Transplant $30.53 ↓ -71%
UPMC ALL PRODUCTS $32.36 ↓ -69%
The Health Plan ALL PRODUCTS $32.36 ↓ -69%
THREE RIVERS ALL PRODUCTS $35.06 ↓ -66%
Quality Care Partners ALL PRODUCTS $37.76 ↓ -64%
GMS ALL PRODUCTS $37.76 ↓ -64%
Medical Benefit Corp Transplant SMCP $37.76 ↓ -64%
Consociate Health ALL PRODUCTS $40.46 ↓ -61%
AETNA ALL PRODUCTS $40.46 ↓ -61%
Evernorth (Cigna BH) All Products Psychiatrist $43.15 ↓ -58%
Humana Military ALL PRODUCTS $45.85 ↓ -56%
Tertiary Care Network TRANSPLANT $48.55 ↓ -53%
Managed Care Services TRANSPLANT $48.55 ↓ -53%
MULTIPLAN ALL PRODUCTS $48.55 ↓ -53%
USA Managed Care ALL PRODUCTS $48.55 ↓ -53%
FrontPath TRANSPLANT $48.55 ↓ -53%
AETNA Qhp/Ipf $53.94 ↓ -48%
OPTUM Managed Medicaid Transplant $109.24 ↑ +5%
Paramount Managed Medicaid $118.44 ↑ +14%
ANTHEM Managed Medicaid $120.74 ↑ +16%
Buckeye Managed Medicaid $120.74 ↑ +16%
MOLINA Managed Medicaid $120.74 ↑ +16%
United BH Managed Medicaid $121.89 ↑ +17%
CARESOURCE Managed Medicaid $123.04 ↑ +19%
UNITED Managed Medicaid $123.04 ↑ +19%
AMERIHEALTH Managed Medicaid $126.49 ↑ +22%
United BH MEDICARE ADVANTAGE not published by hospital
United BH ALL PRODUCTS not published by hospital
AETNA NAP not published by hospital

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Inj, levothyroxine, freskabi at other Ohio hospitals

Hospital City Cash price Negotiated range
akron general Akron $103.76 $2.17 – $130.36
avon hospital Avon $103.76 $3.75 – $123.04
cleveland clinic childrens hospital for rehabilitation Cleveland $103.76 $15.25 – $228.26
euclid hospital Euclid $103.76 $3.75 – $143.24
fairview hospital Cleveland $103.76 $2.17 – $134.56
lutheran hospital Cleveland $103.76 $3.75 – $128.11
hillcrest hospital Mayfield Heights $103.76 $2.17 – $140.20
lodi hospital Lodi $103.76 $3.75 – $218.72

All Ohio hospitals for this procedure →