Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) at hillcrest hospital

6780 Mayfield Road, Mayfield Heights, OH · Cleveland Clinic · · NPI 1902858152

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

$20.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$32.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.01 with AETNA vs $24.70 with AMERIHEALTH — 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 →

Payer
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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
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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 Acop $0.01 ↓ -100%
ANTHEM HPN $2.69 ↓ -87%
ANTHEM PPO/HMO $3.17 ↓ -85%
UNITED ALL PRODUCTS $3.18 ↓ -85%
AETNA MEDICARE ADVANTAGE $3.78 ↓ -82%
MMO ALL PRODUCTS $3.83 ↓ -82%
OSCAR ALL PRODUCTS $4.90 ↓ -76%
PHP ALL PRODUCTS $5.55 ↓ -73%
CC EHP ALL PRODUCTS $5.86 ↓ -72%
Summacare Preferred $6.10 ↓ -71%
Summacare PREMIER $6.64 ↓ -68%
Aultcare PPO/HMO $7.07 ↓ -66%
Amish Community Aid Plan ALL PRODUCTS $7.80 ↓ -63%
OHCP ALL PRODUCTS $8.43 ↓ -59%
OMAS ALL PRODUCTS $8.67 ↓ -58%
MMO TRADITIONAL $9.03 ↓ -57%
MMO NASCO $9.03 ↓ -57%
Ohio Healthy TRANSPLANT $9.36 ↓ -55%
HEALTHSMART ALL PRODUCTS $9.54 ↓ -54%
ANTHEM TRADITIONAL $9.68 ↓ -53%
OPTUM All Products Transplant $9.81 ↓ -53%
UPMC ALL PRODUCTS $10.40 ↓ -50%
The Health Plan ALL PRODUCTS $10.40 ↓ -50%
THREE RIVERS ALL PRODUCTS $11.27 ↓ -46%
Medical Benefit Corp Transplant SMCP $12.14 ↓ -42%
Quality Care Partners ALL PRODUCTS $12.14 ↓ -42%
GMS ALL PRODUCTS $12.14 ↓ -42%
Consociate Health ALL PRODUCTS $13.01 ↓ -37%
AETNA ALL PRODUCTS $13.01 ↓ -37%
Humana Military ALL PRODUCTS $14.74 ↓ -29%
FrontPath TRANSPLANT $15.61 ↓ -25%
MULTIPLAN ALL PRODUCTS $15.61 ↓ -25%
Managed Care Services TRANSPLANT $15.61 ↓ -25%
USA Managed Care ALL PRODUCTS $15.61 ↓ -25%
Tertiary Care Network TRANSPLANT $15.61 ↓ -25%
AETNA Qhp/Ipf $17.34 ↓ -17%
OPTUM Managed Medicaid Transplant $21.33 ↑ +3%
Paramount Managed Medicaid $23.12 ↑ +11%
ANTHEM Managed Medicaid $23.57 ↑ +13%
Buckeye Managed Medicaid $23.57 ↑ +13%
MOLINA Managed Medicaid $23.57 ↑ +13%
CARESOURCE Managed Medicaid $24.02 ↑ +15%
UNITED Managed Medicaid $24.02 ↑ +15%
AMERIHEALTH Managed Medicaid $24.70 ↑ +19%
Perennial Health MEDICARE ADVANTAGE not published by hospital —
DEVOTED HEALTH MEDICARE ADVANTAGE not published by hospital —
CIGNA MEDICARE ADVANTAGE not published by hospital —
HUMANA Medicare Advantage HMO not published by hospital —
MMO Medicare Advantage HMO not published by hospital —
MMO Medicare Advantage PPO not published by hospital —
ANTHEM MEDICARE ADVANTAGE not published by hospital —
OPTUM All Products VA not published by hospital —
OPTUM Medicare Advantage Transplant not published by hospital —
Perennial Health HMO I-SNP and HMO C-SNP not published by hospital —
CommuniCare MEDICARE ADVANTAGE not published by hospital —
AETNA NAP not published by hospital —
PPHP ALL PRODUCTS not published by hospital —
Summacare MEDICARE ADVANTAGE not published by hospital —
AETNA International not published by hospital —
AETNA Asa_Whirlpool_Peia not published by hospital —
The Health Plan MEDICARE ADVANTAGE not published by hospital —
UNITED MEDICARE ADVANTAGE not published by hospital —
UPMC MEDICARE ADVANTAGE not published by hospital —
Valor HMO & PPO not published by hospital —

Visitor-reported prices

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Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) at other Ohio hospitals

Hospital City Cash price Negotiated range
Anderson Hospital Cincinnati $60.00 not published
Clermont Hospital Batavia $60.00 not published
Kings Mills Hospital Mason $68.46 not published
Mercy West Hospital Cincinnati $60.00 not published
St Ritas Medical Center Lima $761.70 not published
cleveland clinic main campus Cleveland $20.80 $1.05 – $28.93
akron general Akron $20.80 $0.01 – $22.96
avon hospital Avon $20.80 $0.01 – $21.68

All Ohio hospitals for this procedure →