healthcosts.net
Ins pm gen w/exist mlt leads at hillcrest hospital
6780 Mayfield Road, Mayfield Heights, OH · Cleveland Clinic · · NPI 1902858152
$29,274.05
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.
$45,037.00
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.
$539.29 with ANTHEM vs $52,865.06 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 |
|---|---|---|---|
| ANTHEM | HPN | $539.29 | ↓ -98% |
| AETNA | Acop | $5,355.00 | ↓ -82% |
| OPTUM | Managed Medicaid Transplant | $5,381.26 | ↓ -82% |
| Paramount | Managed Medicaid | $5,834.41 | ↓ -80% |
| MOLINA | Managed Medicaid | $5,947.70 | ↓ -80% |
| Buckeye | Managed Medicaid | $5,947.70 | ↓ -80% |
| ANTHEM | Managed Medicaid | $5,947.70 | ↓ -80% |
| UNITED | Managed Medicaid | $6,060.99 | ↓ -79% |
| CARESOURCE | Managed Medicaid | $6,060.99 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $6,230.93 | ↓ -79% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↓ -79% |
| AETNA | International | $6,561.00 | ↓ -78% |
| UNITED | ALL PRODUCTS | $12,230.00 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $12,736.46 | ↓ -56% |
| PHP | ALL PRODUCTS | $14,411.84 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $15,222.51 | ↓ -48% |
| Summacare | Preferred | $15,853.02 | ↓ -46% |
| The Health Plan | MEDICARE ADVANTAGE | $16,904.49 | ↓ -42% |
| Summacare | PREMIER | $17,249.17 | ↓ -41% |
| OPTUM | Medicare Advantage Transplant | $17,679.73 | ↓ -40% |
| HUMANA | Medicare Advantage HMO | $17,679.73 | ↓ -40% |
| UNITED | MEDICARE ADVANTAGE | $17,679.73 | ↓ -40% |
| MMO | Medicare Advantage HMO | $17,679.73 | ↓ -40% |
| OPTUM | All Products VA | $17,679.73 | ↓ -40% |
| MMO | Medicare Advantage PPO | $18,210.12 | ↓ -38% |
| UPMC | MEDICARE ADVANTAGE | $18,223.05 | ↓ -38% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $18,223.05 | ↓ -38% |
| ANTHEM | MEDICARE ADVANTAGE | $18,223.05 | ↓ -38% |
| Summacare | MEDICARE ADVANTAGE | $18,223.05 | ↓ -38% |
| AETNA | MEDICARE ADVANTAGE | $18,223.05 | ↓ -38% |
| Valor | HMO & PPO | $18,223.05 | ↓ -38% |
| Aultcare | PPO/HMO | $18,375.10 | ↓ -37% |
| CIGNA | MEDICARE ADVANTAGE | $18,769.74 | ↓ -36% |
| Perennial Health | MEDICARE ADVANTAGE | $19,094.11 | ↓ -35% |
| CommuniCare | MEDICARE ADVANTAGE | $19,134.20 | ↓ -35% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $19,680.89 | ↓ -33% |
| PPHP | ALL PRODUCTS | $20,045.35 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $20,266.65 | ↓ -31% |
| OHCP | ALL PRODUCTS | $21,887.98 | ↓ -25% |
| OMAS | ALL PRODUCTS | $22,518.50 | ↓ -23% |
| MMO | TRADITIONAL | $23,464.28 | ↓ -20% |
| MMO | NASCO | $23,464.28 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $24,319.98 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $24,770.35 | ↓ -15% |
| ANTHEM | TRADITIONAL | $25,153.16 | ↓ -14% |
| OPTUM | All Products Transplant | $25,490.94 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $27,022.20 | ↓ -8% |
| UPMC | ALL PRODUCTS | $27,022.20 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $29,274.05 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $31,525.90 | ↑ +8% |
| GMS | ALL PRODUCTS | $31,525.90 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $31,525.90 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $33,777.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $33,777.75 | ↑ +15% |
| Humana Military | ALL PRODUCTS | $38,281.45 | ↑ +31% |
| MULTIPLAN | ALL PRODUCTS | $40,533.30 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $40,533.30 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $40,533.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $40,533.30 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $40,533.30 | ↑ +38% |
| AETNA | Qhp/Ipf | $45,037.00 | ↑ +54% |
| ANTHEM | PPO/HMO | $52,562.55 | ↑ +80% |
| MMO | ALL PRODUCTS | $52,865.06 | ↑ +81% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $29,274.05 | $1.10 – $40,533.30 |
| akron general | Akron | $29,274.05 | $1.10 – $40,533.30 |
| avon hospital | Avon | $29,274.05 | $631.36 – $40,533.30 |
| euclid hospital | Euclid | $29,274.05 | $631.36 – $40,533.30 |
| fairview hospital | Cleveland | $29,274.05 | $539.29 – $40,533.30 |
| lutheran hospital | Cleveland | $29,274.05 | $631.36 – $40,533.30 |
| marymount hospital | Garfield Heights | $29,274.05 | $631.36 – $40,533.30 |
| medina hospital | Medina | $29,274.05 | $428.42 – $40,533.30 |