healthcosts.net
Impl oi implt sk tc esp<100 at hillcrest hospital
6780 Mayfield Road, Mayfield Heights, OH · Cleveland Clinic · · NPI 1902858152
$33,453.55
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.
$51,467.00
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.
$933.57 with ANTHEM vs $51,467.00 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 |
|---|---|---|---|
| ANTHEM | HPN | $933.57 | ↓ -97% |
| OPTUM | Managed Medicaid Transplant | $3,876.76 | ↓ -88% |
| Paramount | Managed Medicaid | $4,203.22 | ↓ -87% |
| MOLINA | Managed Medicaid | $4,284.84 | ↓ -87% |
| ANTHEM | Managed Medicaid | $4,284.84 | ↓ -87% |
| Buckeye | Managed Medicaid | $4,284.84 | ↓ -87% |
| CARESOURCE | Managed Medicaid | $4,366.46 | ↓ -87% |
| UNITED | Managed Medicaid | $4,366.46 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $4,488.88 | ↓ -87% |
| AETNA | Acop | $9,040.00 | ↓ -73% |
| UNITED | ALL PRODUCTS | $9,608.00 | ↓ -71% |
| AETNA | Asa_Whirlpool_Peia | $10,550.00 | ↓ -68% |
| AETNA | International | $11,078.00 | ↓ -67% |
| The Health Plan | MEDICARE ADVANTAGE | $11,418.01 | ↓ -66% |
| OPTUM | Medicare Advantage Transplant | $11,928.06 | ↓ -64% |
| OPTUM | All Products VA | $11,928.06 | ↓ -64% |
| MMO | Medicare Advantage HMO | $11,928.06 | ↓ -64% |
| HUMANA | Medicare Advantage HMO | $11,928.06 | ↓ -64% |
| UNITED | MEDICARE ADVANTAGE | $11,928.06 | ↓ -64% |
| Valor | HMO & PPO | $12,146.38 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $12,146.38 | ↓ -64% |
| ANTHEM | MEDICARE ADVANTAGE | $12,146.38 | ↓ -64% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $12,146.38 | ↓ -64% |
| Summacare | MEDICARE ADVANTAGE | $12,146.38 | ↓ -64% |
| UPMC | MEDICARE ADVANTAGE | $12,146.38 | ↓ -64% |
| MMO | Medicare Advantage PPO | $12,285.90 | ↓ -63% |
| CIGNA | MEDICARE ADVANTAGE | $12,510.77 | ↓ -63% |
| CommuniCare | MEDICARE ADVANTAGE | $12,753.70 | ↓ -62% |
| Perennial Health | MEDICARE ADVANTAGE | $12,882.30 | ↓ -61% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $13,118.09 | ↓ -61% |
| PPHP | ALL PRODUCTS | $13,361.02 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $14,554.87 | ↓ -56% |
| PHP | ALL PRODUCTS | $16,469.44 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $17,395.85 | ↓ -48% |
| Summacare | Preferred | $18,116.38 | ↓ -46% |
| Summacare | PREMIER | $19,711.86 | ↓ -41% |
| Aultcare | PPO/HMO | $20,998.54 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $23,160.15 | ↓ -31% |
| OHCP | ALL PRODUCTS | $25,012.96 | ↓ -25% |
| OMAS | ALL PRODUCTS | $25,733.50 | ↓ -23% |
| MMO | NASCO | $26,814.31 | ↓ -20% |
| MMO | TRADITIONAL | $26,814.31 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $27,792.18 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $28,306.85 | ↓ -15% |
| ANTHEM | TRADITIONAL | $28,744.32 | ↓ -14% |
| OPTUM | All Products Transplant | $29,130.32 | ↓ -13% |
| UPMC | ALL PRODUCTS | $30,880.20 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $30,880.20 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $33,453.55 | ↑ +0% |
| ANTHEM | PPO/HMO | $35,035.02 | ↑ +5% |
| MMO | ALL PRODUCTS | $35,236.65 | ↑ +5% |
| Medical Benefit Corp | Transplant SMCP | $36,026.90 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $36,026.90 | ↑ +8% |
| GMS | ALL PRODUCTS | $36,026.90 | ↑ +8% |
| AETNA | ALL PRODUCTS | $38,600.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $38,600.25 | ↑ +15% |
| Humana Military | ALL PRODUCTS | $43,746.95 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $46,320.30 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $46,320.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $46,320.30 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $46,320.30 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $46,320.30 | ↑ +38% |
| AETNA | Qhp/Ipf | $51,467.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Impl oi implt sk tc esp<100 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $33,453.55 | $1.10 – $46,320.30 |
| akron general | Akron | $2,347.80 | $1.10 – $12,839.78 |
| avon hospital | Avon | $33,453.55 | $1,092.95 – $46,320.30 |
| euclid hospital | Euclid | $33,453.55 | $1,092.95 – $46,320.30 |
| fairview hospital | Cleveland | $33,453.55 | $933.57 – $46,320.30 |
| lutheran hospital | Cleveland | $33,453.55 | $1,092.95 – $46,320.30 |
| marymount hospital | Garfield Heights | $33,453.55 | $1,092.95 – $46,320.30 |
| medina hospital | Medina | $33,453.55 | $741.65 – $46,320.30 |