Brace fx hum ovr shldr sm at medina hospital
1000 East Washington Street, Medina, OH · Cleveland Clinic · · NPI 1083696710
$177.84
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.
$273.60
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.
$32.05 with AETNA vs $547.35 with ANTHEM — 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 | MEDICARE ADVANTAGE | $32.05 | ↓ -82% |
| OSCAR | ALL PRODUCTS | $41.57 | ↓ -77% |
| Zing Health | Medicare Advantage | $44.10 | ↓ -75% |
| PHPHI | ALL PRODUCTS | $47.04 | ↓ -74% |
| PHP | ALL PRODUCTS | $47.04 | ↓ -74% |
| Summacare | Preferred | $51.45 | ↓ -71% |
| Summacare | PREMIER | $56.01 | ↓ -69% |
| CC EHP | ALL PRODUCTS | $56.89 | ↓ -68% |
| MMO | ALL PRODUCTS | $61.45 | ↓ -65% |
| Amish Community Aid Plan | ALL PRODUCTS | $66.15 | ↓ -63% |
| Aultcare | PPO/HMO | $66.59 | ↓ -63% |
| CIGNA | ALL PRODUCTS | $69.38 | ↓ -61% |
| OHCP | ALL PRODUCTS | $71.44 | ↓ -60% |
| OPTUM | Managed Medicaid Transplant | $72.92 | ↓ -59% |
| OMAS | ALL PRODUCTS | $73.50 | ↓ -59% |
| MMO | TRADITIONAL | $76.88 | ↓ -57% |
| MMO | NASCO | $76.88 | ↓ -57% |
| Paramount | Managed Medicaid | $79.06 | ↓ -56% |
| Ohio Healthy | TRANSPLANT | $79.38 | ↓ -55% |
| ANTHEM | Managed Medicaid | $80.60 | ↓ -55% |
| Buckeye | Managed Medicaid | $80.60 | ↓ -55% |
| MOLINA | Managed Medicaid | $80.60 | ↓ -55% |
| HEALTHSMART | ALL PRODUCTS | $80.85 | ↓ -55% |
| ANTHEM | TRADITIONAL | $81.98 | ↓ -54% |
| CARESOURCE | Managed Medicaid | $82.13 | ↓ -54% |
| UNITED | Managed Medicaid | $82.13 | ↓ -54% |
| OPTUM | All Products Transplant | $83.20 | ↓ -53% |
| AMERIHEALTH | Managed Medicaid | $84.44 | ↓ -53% |
| AETNA | Acop | $88.20 | ↓ -50% |
| UPMC | ALL PRODUCTS | $88.20 | ↓ -50% |
| AETNA | International | $94.37 | ↓ -47% |
| Quality Care Partners | ALL PRODUCTS | $102.90 | ↓ -42% |
| GMS | ALL PRODUCTS | $102.90 | ↓ -42% |
| AETNA | Asa_Whirlpool_Peia | $102.90 | ↓ -42% |
| Medical Benefit Corp | Transplant SMCP | $102.90 | ↓ -42% |
| The Health Plan | Secure Care | $102.90 | ↓ -42% |
| Consociate Health | ALL PRODUCTS | $110.25 | ↓ -38% |
| AETNA | ALL PRODUCTS | $110.25 | ↓ -38% |
| The Health Plan | ALL PRODUCTS | $129.36 | ↓ -27% |
| MULTIPLAN | ALL PRODUCTS | $132.30 | ↓ -26% |
| Tertiary Care Network | TRANSPLANT | $132.30 | ↓ -26% |
| FrontPath | TRANSPLANT | $132.30 | ↓ -26% |
| Managed Care Services | TRANSPLANT | $132.30 | ↓ -26% |
| AETNA | Qhp/Ipf | $147.00 | ↓ -17% |
| ANTHEM | HPN | $451.25 | ↑ +154% |
| ANTHEM | PPO/HMO | $547.35 | ↑ +208% |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $1,451.20 | not published |
| Anderson Hospital | Cincinnati | $1,451.20 | not published |
| Clermont Hospital | Batavia | $1,451.20 | not published |
| Kings Mills Hospital | Mason | $1,451.20 | not published |
| Mercy West Hospital | Cincinnati | $1,451.20 | not published |
| St Ritas Medical Center | Lima | $4,357.83 | not published |
| cleveland clinic main campus | Cleveland | $284.70 | $1.10 – $549.30 |
| akron general | Akron | $1,171.95 | $1.10 – $549.30 |