Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at marymount hospital
12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737
$438.75
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.
$675.00
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.
$19.25 with OPTUM vs $547.87 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $19.25 | ↓ -96% |
| Paramount | Managed Medicaid | $20.87 | ↓ -95% |
| MOLINA | Managed Medicaid | $21.27 | ↓ -95% |
| ANTHEM | Managed Medicaid | $21.27 | ↓ -95% |
| Buckeye | Managed Medicaid | $21.27 | ↓ -95% |
| United BH | Managed Medicaid | $21.48 | ↓ -95% |
| CARESOURCE | Managed Medicaid | $21.68 | ↓ -95% |
| UNITED | Managed Medicaid | $21.68 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $22.29 | ↓ -95% |
| AETNA | Acop | $71.57 | ↓ -84% |
| CIGNA | ALL PRODUCTS | $86.45 | ↓ -80% |
| UNITED | ALL PRODUCTS | $89.46 | ↓ -80% |
| AETNA | Asa_Whirlpool_Peia | $90.29 | ↓ -79% |
| AETNA | International | $91.68 | ↓ -79% |
| ANTHEM | PPO/HMO | $93.36 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $119.44 | ↓ -73% |
| MMO | ALL PRODUCTS | $141.69 | ↓ -68% |
| OSCAR | ALL PRODUCTS | $154.94 | ↓ -65% |
| Zing Health | Medicare Advantage | $164.36 | ↓ -63% |
| PHPHI | ALL PRODUCTS | $175.32 | ↓ -60% |
| PHP | ALL PRODUCTS | $175.32 | ↓ -60% |
| CC EHP | ALL PRODUCTS | $185.18 | ↓ -58% |
| Summacare | Preferred | $191.75 | ↓ -56% |
| Summacare | PREMIER | $208.74 | ↓ -52% |
| Aultcare | PPO/HMO | $226.82 | ↓ -48% |
| Amish Community Aid Plan | ALL PRODUCTS | $246.54 | ↓ -44% |
| OHCP | ALL PRODUCTS | $266.26 | ↓ -39% |
| OMAS | ALL PRODUCTS | $273.94 | ↓ -38% |
| MMO | TRADITIONAL | $286.54 | ↓ -35% |
| MMO | NASCO | $286.54 | ↓ -35% |
| Ohio Healthy | TRANSPLANT | $295.85 | ↓ -33% |
| HEALTHSMART | ALL PRODUCTS | $301.33 | ↓ -31% |
| ANTHEM | TRADITIONAL | $307.08 | ↓ -30% |
| OPTUM | All Products Transplant | $310.09 | ↓ -29% |
| The Health Plan | ALL PRODUCTS | $328.72 | ↓ -25% |
| UPMC | ALL PRODUCTS | $328.72 | ↓ -25% |
| THREE RIVERS | ALL PRODUCTS | $356.12 | ↓ -19% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $356.12 | ↓ -19% |
| Medical Benefit Corp | Transplant SMCP | $383.51 | ↓ -13% |
| Quality Care Partners | ALL PRODUCTS | $383.51 | ↓ -13% |
| GMS | ALL PRODUCTS | $383.51 | ↓ -13% |
| AETNA | ALL PRODUCTS | $410.90 | ↓ -6% |
| Consociate Health | ALL PRODUCTS | $410.90 | ↓ -6% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $438.30 | ↓ -0% |
| Humana Military | ALL PRODUCTS | $465.69 | ↑ +6% |
| Managed Care Services | TRANSPLANT | $493.08 | ↑ +12% |
| FrontPath | TRANSPLANT | $493.08 | ↑ +12% |
| MULTIPLAN | ALL PRODUCTS | $493.08 | ↑ +12% |
| Tertiary Care Network | TRANSPLANT | $493.08 | ↑ +12% |
| USA Managed Care | ALL PRODUCTS | $493.08 | ↑ +12% |
| AETNA | Qhp/Ipf | $547.87 | ↑ +25% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
Visitor-reported prices
Comments
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $281.70 | not published |
| St Ritas Medical Center | Lima | $546.84 | not published |
| Trinity Medical Center East | Steubenville | $122.00 | $41.61 – $115.50 |
| cleveland clinic main campus | Cleveland | $356.12 | $1.10 – $493.08 |
| akron general | Akron | $438.75 | $2.17 – $493.08 |
| avon hospital | Avon | $438.75 | $21.27 – $493.08 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $438.75 | $34.72 – $607.50 |
| euclid hospital | Euclid | $438.75 | $21.79 – $493.08 |