Inj, mirikizumab-mrkz, 1 mg at hillcrest hospital
6780 Mayfield Road, Mayfield Heights, OH · Cleveland Clinic · · NPI 1902858152
$1,496.55
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.
$2,302.38
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.
$2.17 with AETNA vs $4,751.01 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 →
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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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $2.17 | ↓ -100% |
| HUMANA | Medicare Advantage HMO | $39.54 | ↓ -97% |
| UNITED | MEDICARE ADVANTAGE | $39.54 | ↓ -97% |
| MMO | Medicare Advantage HMO | $39.54 | ↓ -97% |
| OPTUM | Medicare Advantage Transplant | $39.54 | ↓ -97% |
| OPTUM | All Products VA | $39.54 | ↓ -97% |
| MMO | Medicare Advantage PPO | $40.73 | ↓ -97% |
| Summacare | MEDICARE ADVANTAGE | $41.91 | ↓ -97% |
| ANTHEM | MEDICARE ADVANTAGE | $41.91 | ↓ -97% |
| AETNA | MEDICARE ADVANTAGE | $41.91 | ↓ -97% |
| UPMC | MEDICARE ADVANTAGE | $41.91 | ↓ -97% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $41.91 | ↓ -97% |
| Valor | HMO & PPO | $41.91 | ↓ -97% |
| Perennial Health | MEDICARE ADVANTAGE | $42.70 | ↓ -97% |
| CIGNA | MEDICARE ADVANTAGE | $43.17 | ↓ -97% |
| CommuniCare | MEDICARE ADVANTAGE | $44.01 | ↓ -97% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $45.26 | ↓ -97% |
| PPHP | ALL PRODUCTS | $46.10 | ↓ -97% |
| AETNA | Acop | $74.62 | ↓ -95% |
| ANTHEM | HPN | $75.18 | ↓ -95% |
| UNITED | ALL PRODUCTS | $97.59 | ↓ -93% |
| AETNA | International | $103.49 | ↓ -93% |
| ANTHEM | PPO/HMO | $120.89 | ↓ -92% |
| MMO | ALL PRODUCTS | $508.83 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $651.11 | ↓ -56% |
| PHP | ALL PRODUCTS | $736.76 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $778.20 | ↓ -48% |
| Summacare | Preferred | $810.44 | ↓ -46% |
| Summacare | PREMIER | $881.81 | ↓ -41% |
| Aultcare | PPO/HMO | $939.37 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,036.07 | ↓ -31% |
| OHCP | ALL PRODUCTS | $1,118.96 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,151.19 | ↓ -23% |
| MMO | TRADITIONAL | $1,199.54 | ↓ -20% |
| MMO | NASCO | $1,199.54 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $1,243.29 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $1,266.31 | ↓ -15% |
| ANTHEM | TRADITIONAL | $1,285.88 | ↓ -14% |
| OPTUM | All Products Transplant | $1,303.15 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $1,381.43 | ↓ -8% |
| UPMC | ALL PRODUCTS | $1,381.43 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $1,496.55 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $1,611.67 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $1,611.67 | ↑ +8% |
| GMS | ALL PRODUCTS | $1,611.67 | ↑ +8% |
| AETNA | ALL PRODUCTS | $1,726.79 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,726.79 | ↑ +15% |
| Humana Military | ALL PRODUCTS | $1,957.02 | ↑ +31% |
| USA Managed Care | ALL PRODUCTS | $2,072.14 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,072.14 | ↑ +38% |
| FrontPath | TRANSPLANT | $2,072.14 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $2,072.14 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $2,072.14 | ↑ +38% |
| AETNA | Qhp/Ipf | $2,302.38 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $4,103.15 | ↑ +174% |
| Paramount | Managed Medicaid | $4,448.67 | ↑ +197% |
| MOLINA | Managed Medicaid | $4,535.06 | ↑ +203% |
| Buckeye | Managed Medicaid | $4,535.06 | ↑ +203% |
| ANTHEM | Managed Medicaid | $4,535.06 | ↑ +203% |
| UNITED | Managed Medicaid | $4,621.44 | ↑ +209% |
| CARESOURCE | Managed Medicaid | $4,621.44 | ↑ +209% |
| AMERIHEALTH | Managed Medicaid | $4,751.01 | ↑ +217% |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Inj, mirikizumab-mrkz, 1 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $1,496.55 | $2.17 – $4,417.71 |
| avon hospital | Avon | $1,496.55 | $39.54 – $4,169.77 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1,496.55 | $651.11 – $7,735.29 |
| euclid hospital | Euclid | $1,496.55 | $39.54 – $4,854.11 |
| fairview hospital | Cleveland | $1,496.55 | $2.17 – $4,560.19 |
| lutheran hospital | Cleveland | $1,496.55 | $39.54 – $4,341.46 |
| lodi hospital | Lodi | $1,496.55 | $39.54 – $7,412.01 |
| marymount hospital | Garfield Heights | $1,496.55 | $39.54 – $4,286.68 |