Indigotindisulfonate 8 mg/ml soln 5 ml ampule at medina hospital

1000 East Washington Street, Medina, OH · Cleveland Clinic · · NPI 1083696710

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 13, 2026

$187.20

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$288.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.47 with OSCAR vs $27.36 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 →

Payer
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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
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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
OSCAR ALL PRODUCTS $1.47 ↓ -99%
PHP ALL PRODUCTS $1.66 ↓ -99%
PHPHI ALL PRODUCTS $1.66 ↓ -99%
CC EHP ALL PRODUCTS $1.75 ↓ -99%
Summacare Preferred $1.82 ↓ -99%
Summacare PREMIER $1.98 ↓ -99%
Amish Community Aid Plan ALL PRODUCTS $2.34 ↓ -99%
Aultcare PPO/HMO $2.35 ↓ -99%
OHCP ALL PRODUCTS $2.52 ↓ -99%
OMAS ALL PRODUCTS $2.60 ↓ -99%
MMO NASCO $2.71 ↓ -99%
MMO TRADITIONAL $2.71 ↓ -99%
Ohio Healthy TRANSPLANT $2.80 ↓ -99%
HEALTHSMART ALL PRODUCTS $2.85 ↓ -98%
ANTHEM TRADITIONAL $2.89 ↓ -98%
OPTUM All Products Transplant $2.94 ↓ -98%
UPMC ALL PRODUCTS $3.11 ↓ -98%
Medical Benefit Corp Transplant SMCP $3.63 ↓ -98%
GMS ALL PRODUCTS $3.63 ↓ -98%
The Health Plan Secure Care $3.63 ↓ -98%
Quality Care Partners ALL PRODUCTS $3.63 ↓ -98%
AETNA Asa_Whirlpool_Peia $3.63 ↓ -98%
AETNA ALL PRODUCTS $3.89 ↓ -98%
Consociate Health ALL PRODUCTS $3.89 ↓ -98%
The Health Plan ALL PRODUCTS $4.57 ↓ -98%
FrontPath TRANSPLANT $4.67 ↓ -98%
Managed Care Services TRANSPLANT $4.67 ↓ -98%
MULTIPLAN ALL PRODUCTS $4.67 ↓ -98%
Tertiary Care Network TRANSPLANT $4.67 ↓ -98%
CIGNA ALL PRODUCTS $5.19 ↓ -97%
AETNA Qhp/Ipf $5.19 ↓ -97%
Summacare MEDICARE ADVANTAGE $9.30 ↓ -95%
Valor HMO & PPO $9.30 ↓ -95%
UPMC MEDICARE ADVANTAGE $9.30 ↓ -95%
DEVOTED HEALTH MEDICARE ADVANTAGE $9.30 ↓ -95%
ANTHEM MEDICARE ADVANTAGE $9.30 ↓ -95%
AETNA MEDICARE ADVANTAGE $9.30 ↓ -95%
CIGNA MEDICARE ADVANTAGE $9.58 ↓ -95%
CommuniCare MEDICARE ADVANTAGE $9.77 ↓ -95%
Perennial Health HMO I-SNP and HMO C-SNP $10.04 ↓ -95%
Zing Health Medicare Advantage $10.23 ↓ -95%
PPHP ALL PRODUCTS $10.23 ↓ -95%
MMO ALL PRODUCTS $16.30 ↓ -91%
ANTHEM HPN $17.11 ↓ -91%
ANTHEM PPO/HMO $19.62 ↓ -90%
OPTUM Managed Medicaid Transplant $19.96 ↓ -89%
AETNA Acop $21.36 ↓ -89%
Paramount Managed Medicaid $21.64 ↓ -88%
Buckeye Managed Medicaid $22.06 ↓ -88%
MOLINA Managed Medicaid $22.06 ↓ -88%
ANTHEM Managed Medicaid $22.06 ↓ -88%
UNITED Managed Medicaid $22.48 ↓ -88%
CARESOURCE Managed Medicaid $22.48 ↓ -88%
AMERIHEALTH Managed Medicaid $23.11 ↓ -88%
AETNA International $27.36 ↓ -85%
The Health Plan MEDICARE ADVANTAGE not published by hospital —
Perennial Health MEDICARE ADVANTAGE not published by hospital —
UNITED ALL PRODUCTS not published by hospital —
UNITED MEDICARE ADVANTAGE not published by hospital —
AETNA NAP not published by hospital —
HUMANA Medicare Advantage HMO not published by hospital —
MMO Medicare Advantage HMO not published by hospital —
OPTUM Medicare Advantage Transplant not published by hospital —
MMO Medicare Advantage PPO not published by hospital —
OPTUM All Products VA not published by hospital —

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Indigotindisulfonate 8 mg/ml soln 5 ml ampule at other Ohio hospitals

Hospital City Cash price Negotiated range
Kings Mills Hospital Mason $1,804.80 not published
akron general Akron $187.20 $1.15 – $22.96
avon hospital Avon $187.20 $1.47 – $21.68
cleveland clinic childrens hospital for rehabilitation Cleveland $187.20 $1.47 – $40.21
euclid hospital Euclid $187.20 $1.47 – $25.23
fairview hospital Cleveland $187.20 $1.15 – $23.71
lutheran hospital Cleveland $187.20 $1.47 – $22.56
hillcrest hospital Mayfield Heights $187.20 $1.15 – $24.70

All Ohio hospitals for this procedure →