Inj. acthar gel to 40 units at Marion General Hospital
1000 Mckinley Park Drive, Marion, OH · OhioHealth · · NPI 1215935366
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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4,134.62 with Aetna vs $24,880.90 with Bcbs — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $4,134.62 | — |
| Caresource | Medicare Managed Care Plan | $4,175.97 | — |
| Molina Healthcare | Medicare Managed Care Plan | $4,300.01 | — |
| Caresource | Exchange | $6,507.31 | — |
| Bcbs | Anthem Blue Access Hmo/Ppo | $24,880.90 | — |
| Bcbs | Anthem Traditional | $24,880.90 | — |
| Bcbs | Anthem Blue Connection Other Commercial Plan | $24,880.90 | — |
Visitor-reported prices
Comments
Inj. acthar gel to 40 units at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $21,202.27 | $2.17 – $19,363.05 |
| avon hospital | Avon | $21,202.27 | $4,156.65 – $19,363.05 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $21,202.27 | $6,084.30 – $19,363.05 |
| euclid hospital | Euclid | $21,202.27 | $3,370.39 – $19,363.05 |
| fairview hospital | Cleveland | $21,202.27 | $2.17 – $19,363.05 |
| lutheran hospital | Cleveland | $21,202.27 | $3,808.83 – $19,363.05 |
| hillcrest hospital | Mayfield Heights | $21,202.27 | $2.17 – $19,363.05 |
| lodi hospital | Lodi | $21,202.27 | $4,172.53 – $19,363.05 |