Oral busulfan at hillcrest hospital
6780 Mayfield Road, Mayfield Heights, OH · Cleveland Clinic · · NPI 1902858152
$468.56
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.
$720.86
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 $720.86 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $2.17 | ↓ -100% |
| Valor | HMO & PPO | $10.12 | ↓ -98% |
| Summacare | MEDICARE ADVANTAGE | $10.12 | ↓ -98% |
| ANTHEM | MEDICARE ADVANTAGE | $10.12 | ↓ -98% |
| AETNA | MEDICARE ADVANTAGE | $10.12 | ↓ -98% |
| UPMC | MEDICARE ADVANTAGE | $10.12 | ↓ -98% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $10.12 | ↓ -98% |
| CIGNA | MEDICARE ADVANTAGE | $10.42 | ↓ -98% |
| CommuniCare | MEDICARE ADVANTAGE | $10.63 | ↓ -98% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $10.93 | ↓ -98% |
| PPHP | ALL PRODUCTS | $11.13 | ↓ -98% |
| OPTUM | Managed Medicaid Transplant | $14.11 | ↓ -97% |
| Paramount | Managed Medicaid | $15.30 | ↓ -97% |
| ANTHEM | Managed Medicaid | $15.59 | ↓ -97% |
| Buckeye | Managed Medicaid | $15.59 | ↓ -97% |
| MOLINA | Managed Medicaid | $15.59 | ↓ -97% |
| UNITED | Managed Medicaid | $15.89 | ↓ -97% |
| CARESOURCE | Managed Medicaid | $15.89 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $16.34 | ↓ -97% |
| ANTHEM | HPN | $18.15 | ↓ -96% |
| ANTHEM | PPO/HMO | $29.19 | ↓ -94% |
| OPTUM | All Products VA | $84.21 | ↓ -82% |
| OPTUM | Medicare Advantage Transplant | $84.21 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $84.21 | ↓ -82% |
| MMO | Medicare Advantage HMO | $84.21 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $84.21 | ↓ -82% |
| MMO | Medicare Advantage PPO | $86.74 | ↓ -81% |
| Perennial Health | MEDICARE ADVANTAGE | $90.95 | ↓ -81% |
| MMO | ALL PRODUCTS | $159.31 | ↓ -66% |
| UNITED | ALL PRODUCTS | $181.05 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $203.86 | ↓ -56% |
| PHP | ALL PRODUCTS | $230.68 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $243.65 | ↓ -48% |
| Summacare | Preferred | $253.74 | ↓ -46% |
| Summacare | PREMIER | $276.09 | ↓ -41% |
| AETNA | Acop | $293.42 | ↓ -37% |
| Aultcare | PPO/HMO | $294.11 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $324.39 | ↓ -31% |
| OHCP | ALL PRODUCTS | $350.34 | ↓ -25% |
| OMAS | ALL PRODUCTS | $360.43 | ↓ -23% |
| MMO | NASCO | $375.57 | ↓ -20% |
| MMO | TRADITIONAL | $375.57 | ↓ -20% |
| AETNA | International | $375.84 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $389.26 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $396.47 | ↓ -15% |
| ANTHEM | TRADITIONAL | $402.60 | ↓ -14% |
| OPTUM | All Products Transplant | $408.01 | ↓ -13% |
| UPMC | ALL PRODUCTS | $432.52 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $432.52 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $468.56 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $504.60 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $504.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $504.60 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $540.65 | ↑ +15% |
| AETNA | ALL PRODUCTS | $540.65 | ↑ +15% |
| Humana Military | ALL PRODUCTS | $612.73 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $648.77 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $648.77 | ↑ +38% |
| FrontPath | TRANSPLANT | $648.77 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $648.77 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $648.77 | ↑ +38% |
| AETNA | Qhp/Ipf | $720.86 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Oral busulfan at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $468.56 | $2.17 – $648.77 |
| avon hospital | Avon | $468.56 | $10.12 – $648.77 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $468.56 | $22.96 – $648.77 |
| euclid hospital | Euclid | $468.56 | $10.12 – $648.77 |
| fairview hospital | Cleveland | $468.56 | $2.17 – $648.77 |
| lutheran hospital | Cleveland | $468.56 | $10.12 – $648.77 |
| lodi hospital | Lodi | $468.56 | $10.12 – $648.77 |
| marymount hospital | Garfield Heights | $468.56 | $10.12 – $648.77 |