Luspatercept-aamt 25 mg subcutaneous solution at marymount hospital
12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737
$38,498.82
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.
$59,228.96
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.
$39.98 with UNITED vs $19,743.08 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 |
|---|---|---|---|
| UNITED | MEDICARE ADVANTAGE | $39.98 | ↓ -100% |
| HUMANA | Medicare Advantage HMO | $40.62 | ↓ -100% |
| ANTHEM | MEDICARE ADVANTAGE | $40.62 | ↓ -100% |
| OPTUM | All Products VA | $40.62 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $40.62 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $40.62 | ↓ -100% |
| MMO | Medicare Advantage HMO | $40.62 | ↓ -100% |
| MMO | Medicare Advantage PPO | $41.84 | ↓ -100% |
| UPMC | MEDICARE ADVANTAGE | $42.77 | ↓ -100% |
| Valor | HMO & PPO | $42.77 | ↓ -100% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $42.77 | ↓ -100% |
| Summacare | MEDICARE ADVANTAGE | $42.77 | ↓ -100% |
| AETNA | MEDICARE ADVANTAGE | $42.77 | ↓ -100% |
| Perennial Health | MEDICARE ADVANTAGE | $43.87 | ↓ -100% |
| CIGNA | MEDICARE ADVANTAGE | $44.05 | ↓ -100% |
| CommuniCare | MEDICARE ADVANTAGE | $44.91 | ↓ -100% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $46.19 | ↓ -100% |
| PPHP | ALL PRODUCTS | $47.05 | ↓ -100% |
| Zing Health | Medicare Advantage | $47.05 | ↓ -100% |
| AETNA | Acop | $76.13 | ↓ -100% |
| UNITED | ALL PRODUCTS | $88.75 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $89.58 | ↓ -100% |
| CIGNA | ALL PRODUCTS | $91.96 | ↓ -100% |
| ANTHEM | PPO/HMO | $92.59 | ↓ -100% |
| AETNA | International | $97.52 | ↓ -100% |
| MMO | ALL PRODUCTS | $150.71 | ↓ -100% |
| OSCAR | ALL PRODUCTS | $5,583.34 | ↓ -85% |
| OPTUM | Managed Medicaid Transplant | $5,875.58 | ↓ -85% |
| PHP | ALL PRODUCTS | $6,317.79 | ↓ -84% |
| PHPHI | ALL PRODUCTS | $6,317.79 | ↓ -84% |
| Paramount | Managed Medicaid | $6,370.36 | ↓ -83% |
| ANTHEM | Managed Medicaid | $6,494.06 | ↓ -83% |
| MOLINA | Managed Medicaid | $6,494.06 | ↓ -83% |
| Buckeye | Managed Medicaid | $6,494.06 | ↓ -83% |
| United BH | Managed Medicaid | $6,555.91 | ↓ -83% |
| UNITED | Managed Medicaid | $6,617.76 | ↓ -83% |
| CARESOURCE | Managed Medicaid | $6,617.76 | ↓ -83% |
| CC EHP | ALL PRODUCTS | $6,673.16 | ↓ -83% |
| AMERIHEALTH | Managed Medicaid | $6,803.30 | ↓ -82% |
| Summacare | Preferred | $6,910.08 | ↓ -82% |
| Summacare | PREMIER | $7,522.11 | ↓ -80% |
| Aultcare | PPO/HMO | $8,173.64 | ↓ -79% |
| Amish Community Aid Plan | ALL PRODUCTS | $8,884.39 | ↓ -77% |
| OHCP | ALL PRODUCTS | $9,595.14 | ↓ -75% |
| OMAS | ALL PRODUCTS | $9,871.54 | ↓ -74% |
| MMO | NASCO | $10,325.63 | ↓ -73% |
| MMO | TRADITIONAL | $10,325.63 | ↓ -73% |
| Ohio Healthy | TRANSPLANT | $10,661.26 | ↓ -72% |
| HEALTHSMART | ALL PRODUCTS | $10,858.69 | ↓ -72% |
| ANTHEM | TRADITIONAL | $11,066.00 | ↓ -71% |
| OPTUM | All Products Transplant | $11,174.58 | ↓ -71% |
| The Health Plan | ALL PRODUCTS | $11,845.85 | ↓ -69% |
| UPMC | ALL PRODUCTS | $11,845.85 | ↓ -69% |
| THREE RIVERS | ALL PRODUCTS | $12,833.00 | ↓ -67% |
| GMS | ALL PRODUCTS | $13,820.16 | ↓ -64% |
| Medical Benefit Corp | Transplant SMCP | $13,820.16 | ↓ -64% |
| Quality Care Partners | ALL PRODUCTS | $13,820.16 | ↓ -64% |
| Consociate Health | ALL PRODUCTS | $14,807.31 | ↓ -62% |
| AETNA | ALL PRODUCTS | $14,807.31 | ↓ -62% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $15,794.46 | ↓ -59% |
| Humana Military | ALL PRODUCTS | $16,781.62 | ↓ -56% |
| Managed Care Services | TRANSPLANT | $17,768.77 | ↓ -54% |
| USA Managed Care | ALL PRODUCTS | $17,768.77 | ↓ -54% |
| MULTIPLAN | ALL PRODUCTS | $17,768.77 | ↓ -54% |
| Tertiary Care Network | TRANSPLANT | $17,768.77 | ↓ -54% |
| FrontPath | TRANSPLANT | $17,768.77 | ↓ -54% |
| AETNA | Qhp/Ipf | $19,743.08 | ↓ -49% |
| 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
Luspatercept-aamt 25 mg subcutaneous solution at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $38,498.82 | $2.17 – $17,768.77 |
| avon hospital | Avon | $38,498.82 | $40.62 – $17,768.77 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $38,498.82 | $5,583.34 – $17,768.77 |
| euclid hospital | Euclid | $38,498.82 | $39.98 – $17,768.77 |
| fairview hospital | Cleveland | $38,498.82 | $2.17 – $17,768.77 |
| lutheran hospital | Cleveland | $38,498.82 | $40.62 – $17,768.77 |
| hillcrest hospital | Mayfield Heights | $38,498.82 | $2.17 – $17,768.77 |
| lodi hospital | Lodi | $38,498.82 | $40.62 – $17,768.77 |