Sipuleucel-t - su at marymount hospital
12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737
$585.96
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.
$901.47
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.
$254.94 with OSCAR vs $191,703.76 with MMO — 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 |
|---|---|---|---|
| OSCAR | ALL PRODUCTS | $254.94 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $288.47 | ↓ -51% |
| PHP | ALL PRODUCTS | $288.47 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $304.70 | ↓ -48% |
| Summacare | Preferred | $315.51 | ↓ -46% |
| Summacare | PREMIER | $343.46 | ↓ -41% |
| Aultcare | PPO/HMO | $373.21 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $405.66 | ↓ -31% |
| OHCP | ALL PRODUCTS | $438.11 | ↓ -25% |
| OMAS | ALL PRODUCTS | $450.74 | ↓ -23% |
| MMO | NASCO | $471.47 | ↓ -20% |
| MMO | TRADITIONAL | $471.47 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $486.79 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $495.81 | ↓ -15% |
| ANTHEM | TRADITIONAL | $505.27 | ↓ -14% |
| OPTUM | All Products Transplant | $510.23 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $540.88 | ↓ -8% |
| UPMC | ALL PRODUCTS | $540.88 | ↓ -8% |
| AETNA | Acop | $540.88 | ↓ -8% |
| AETNA | International | $578.74 | ↓ -1% |
| THREE RIVERS | ALL PRODUCTS | $585.96 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $631.03 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $631.03 | ↑ +8% |
| GMS | ALL PRODUCTS | $631.03 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $631.03 | ↑ +8% |
| AETNA | ALL PRODUCTS | $676.10 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $676.10 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $721.18 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $766.25 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $811.32 | ↑ +38% |
| FrontPath | TRANSPLANT | $811.32 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $811.32 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $811.32 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $811.32 | ↑ +38% |
| AETNA | Qhp/Ipf | $901.47 | ↑ +54% |
| CIGNA | ALL PRODUCTS | $901.47 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $13,926.08 | ↑ +2277% |
| Paramount | Managed Medicaid | $15,098.80 | ↑ +2477% |
| MOLINA | Managed Medicaid | $15,391.98 | ↑ +2527% |
| ANTHEM | Managed Medicaid | $15,391.98 | ↑ +2527% |
| Buckeye | Managed Medicaid | $15,391.98 | ↑ +2527% |
| United BH | Managed Medicaid | $15,538.57 | ↑ +2552% |
| UNITED | Managed Medicaid | $15,685.16 | ↑ +2577% |
| CARESOURCE | Managed Medicaid | $15,685.16 | ↑ +2577% |
| AMERIHEALTH | Managed Medicaid | $16,124.93 | ↑ +2652% |
| AETNA | MEDICARE ADVANTAGE | $54,404.10 | ↑ +9185% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $54,404.10 | ↑ +9185% |
| Summacare | MEDICARE ADVANTAGE | $54,404.10 | ↑ +9185% |
| UPMC | MEDICARE ADVANTAGE | $54,404.10 | ↑ +9185% |
| Valor | HMO & PPO | $54,404.10 | ↑ +9185% |
| HUMANA | Medicare Advantage HMO | $55,015.23 | ↑ +9289% |
| OPTUM | Medicare Advantage Transplant | $55,015.23 | ↑ +9289% |
| MMO | Medicare Advantage HMO | $55,015.23 | ↑ +9289% |
| OPTUM | All Products VA | $55,015.23 | ↑ +9289% |
| ANTHEM | MEDICARE ADVANTAGE | $55,015.23 | ↑ +9289% |
| The Health Plan | MEDICARE ADVANTAGE | $55,015.23 | ↑ +9289% |
| UNITED | MEDICARE ADVANTAGE | $55,453.57 | ↑ +9364% |
| CIGNA | MEDICARE ADVANTAGE | $56,036.22 | ↑ +9463% |
| MMO | Medicare Advantage PPO | $56,665.69 | ↑ +9571% |
| CommuniCare | MEDICARE ADVANTAGE | $57,124.31 | ↑ +9649% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $58,756.43 | ↑ +9927% |
| Perennial Health | MEDICARE ADVANTAGE | $59,416.45 | ↑ +10040% |
| Zing Health | Medicare Advantage | $59,844.51 | ↑ +10113% |
| PPHP | ALL PRODUCTS | $59,844.51 | ↑ +10113% |
| ANTHEM | PPO/HMO | $117,779.44 | ↑ +20000% |
| UNITED | ALL PRODUCTS | $119,403.48 | ↑ +20277% |
| MMO | ALL PRODUCTS | $191,703.76 | ↑ +32616% |
| 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
Sipuleucel-t - su at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $44,302.70 | $1.10 – $106,795.27 |
| University Hospitals Ahuja Medical Center | Beachwood | $95,750.46 | $900.00 – $114,900.55 |
| University Hospitals Beachwood Medical Center | Beachwood | $95,750.46 | $900.00 – $114,900.55 |
| University Hospitals Conneaut Medical Center | Conneaut | $95,750.46 | $195,307.38 – $195,307.38 |
| University Hospitals Elyria Medical Center | Elyria | $95,750.46 | $56,269.19 – $101,284.55 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $95,750.46 | $56,269.19 – $101,284.55 |
| University Hospitals Geneva Medical Center | Geneva | $95,750.46 | $180,649.54 – $180,649.54 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $95,750.46 | $32,073.44 – $101,284.55 |