MRA w/cont, abd 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.
$239.36 with OPTUM vs $1,863.61 with UNITED — 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 | $239.36 | — |
| Paramount | Managed Medicaid | $259.52 | — |
| MOLINA | Managed Medicaid | $264.56 | — |
| ANTHEM | Managed Medicaid | $264.56 | — |
| Buckeye | Managed Medicaid | $264.56 | — |
| United BH | Managed Medicaid | $267.08 | — |
| UNITED | Managed Medicaid | $269.60 | — |
| CARESOURCE | Managed Medicaid | $269.60 | — |
| AMERIHEALTH | Managed Medicaid | $277.16 | — |
| AETNA | MEDICARE ADVANTAGE | $330.06 | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $330.06 | — |
| Summacare | MEDICARE ADVANTAGE | $330.06 | — |
| UPMC | MEDICARE ADVANTAGE | $330.06 | — |
| Valor | HMO & PPO | $330.06 | — |
| HUMANA | Medicare Advantage HMO | $331.07 | — |
| OPTUM | Medicare Advantage Transplant | $331.07 | — |
| The Health Plan | MEDICARE ADVANTAGE | $331.07 | — |
| ANTHEM | MEDICARE ADVANTAGE | $331.07 | — |
| MMO | Medicare Advantage HMO | $331.07 | — |
| OPTUM | All Products VA | $331.07 | — |
| UNITED | MEDICARE ADVANTAGE | $333.64 | — |
| CIGNA | MEDICARE ADVANTAGE | $339.96 | — |
| MMO | Medicare Advantage PPO | $341.01 | — |
| CommuniCare | MEDICARE ADVANTAGE | $346.56 | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | $356.47 | — |
| Perennial Health | MEDICARE ADVANTAGE | $357.56 | — |
| Zing Health | Medicare Advantage | $363.07 | — |
| PPHP | ALL PRODUCTS | $363.07 | — |
| ANTHEM | PPO/HMO | $714.55 | — |
| UNITED | ALL PRODUCTS | $1,863.61 | — |
Visitor-reported prices
Comments
MRA w/cont, abd at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $1,943.06 | $1,146.00 – $3,016.86 |
| Allen Hospital | Oberlin | $1,814.40 | not published |
| Urbana Hospital | Urbana | $2,856.00 | not published |
| Kettering Health Main Campus (Kettering) | Kettering | $1,226.40 | $343.75 – $923.51 |
| Kettering Health Dayton (Grandview) | Dayton | $1,226.40 | $343.75 – $923.51 |
| Defiance Hospital | Defiance | $3,249.60 | not published |
| Kettering Health Miamisburg (Sycamore) | Miamisburg | $1,226.40 | $345.89 – $929.26 |
| Willard Hospital | Willard | $3,444.60 | not published |