Mnt subs tx for change dx at hillcrest hospital
6780 Mayfield Road, Mayfield Heights, OH · Cleveland Clinic · · NPI 1902858152
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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$29.84 with AETNA vs $82.27 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 | Acop | $29.84 | — |
| AETNA | MEDICARE ADVANTAGE | $29.84 | — |
| AETNA | NAP | $29.84 | — |
| AETNA | Qhp/Ipf | $29.84 | — |
| ANTHEM | MEDICARE ADVANTAGE | $29.84 | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $29.84 | — |
| Summacare | MEDICARE ADVANTAGE | $29.84 | — |
| UPMC | MEDICARE ADVANTAGE | $29.84 | — |
| Valor | HMO & PPO | $29.84 | — |
| CIGNA | MEDICARE ADVANTAGE | $30.74 | — |
| CommuniCare | MEDICARE ADVANTAGE | $31.33 | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | $32.23 | — |
| PPHP | ALL PRODUCTS | $32.82 | — |
| OPTUM | Medicare Advantage Transplant | $34.61 | — |
| UNITED | MEDICARE ADVANTAGE | $34.61 | — |
| HUMANA | Medicare Advantage HMO | $34.61 | — |
| Humana Military | ALL PRODUCTS | $34.61 | — |
| MMO | Medicare Advantage HMO | $34.61 | — |
| AETNA | International | $34.61 | — |
| The Health Plan | MEDICARE ADVANTAGE | $34.68 | — |
| MMO | Medicare Advantage PPO | $35.65 | — |
| Perennial Health | MEDICARE ADVANTAGE | $37.38 | — |
| ANTHEM | HPN | $40.66 | — |
| ANTHEM | PPO/HMO | $47.83 | — |
| OPTUM | Managed Medicaid Transplant | $71.05 | — |
| Paramount | Managed Medicaid | $77.03 | — |
| Buckeye | Managed Medicaid | $78.53 | — |
| MOLINA | Managed Medicaid | $78.53 | — |
| ANTHEM | Managed Medicaid | $78.53 | — |
| CARESOURCE | Managed Medicaid | $80.03 | — |
| UNITED | Managed Medicaid | $80.03 | — |
| MMO | ALL PRODUCTS | $82.06 | — |
| AMERIHEALTH | Managed Medicaid | $82.27 | — |
Visitor-reported prices
Comments
Mnt subs tx for change dx at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $23.81 | $28.80 – $31.18 |
| cleveland clinic main campus | Cleveland | $128.70 | $1.10 – $178.20 |
| akron general | Akron | $128.70 | $1.10 – $178.20 |
| mercy hospital | Canton | $128.70 | $1.10 – $178.20 |
| Dublin Methodist Hospital | Dublin | $26.00 | not published |
| Shelby Hospital | Shelby | $20.80 | not published |
| Berger Hospital | Circleville | $19.50 | $21.47 – $21.47 |
| Grant Medical Center | Columbus | $26.00 | $21.47 – $21.47 |