Inj, pegcetacoplan, 1mg at medina hospital
1000 East Washington Street, Medina, OH · Cleveland Clinic · · NPI 1083696710
$54,905.53
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.
$84,470.04
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.
$138.04 with Summacare vs $84,470.04 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 |
|---|---|---|---|
| Summacare | MEDICARE ADVANTAGE | $138.04 | ↓ -100% |
| UPMC | MEDICARE ADVANTAGE | $138.04 | ↓ -100% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $138.04 | ↓ -100% |
| ANTHEM | MEDICARE ADVANTAGE | $138.04 | ↓ -100% |
| AETNA | MEDICARE ADVANTAGE | $138.04 | ↓ -100% |
| Valor | HMO & PPO | $138.04 | ↓ -100% |
| CIGNA | MEDICARE ADVANTAGE | $142.18 | ↓ -100% |
| CommuniCare | MEDICARE ADVANTAGE | $144.94 | ↓ -100% |
| MMO | Medicare Advantage HMO | $147.36 | ↓ -100% |
| OPTUM | All Products VA | $147.36 | ↓ -100% |
| HUMANA | Medicare Advantage HMO | $147.36 | ↓ -100% |
| UNITED | MEDICARE ADVANTAGE | $147.36 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $147.36 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $147.36 | ↓ -100% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $149.08 | ↓ -100% |
| MMO | Medicare Advantage PPO | $151.78 | ↓ -100% |
| Zing Health | Medicare Advantage | $151.84 | ↓ -100% |
| PPHP | ALL PRODUCTS | $151.84 | ↓ -100% |
| Perennial Health | MEDICARE ADVANTAGE | $159.15 | ↓ -100% |
| MMO | ALL PRODUCTS | $241.98 | ↓ -100% |
| AETNA | Acop | $245.73 | ↓ -100% |
| ANTHEM | HPN | $254.01 | ↓ -100% |
| ANTHEM | PPO/HMO | $291.29 | ↓ -99% |
| CIGNA | ALL PRODUCTS | $296.81 | ↓ -99% |
| UNITED | ALL PRODUCTS | $314.70 | ↓ -99% |
| AETNA | International | $314.75 | ↓ -99% |
| AETNA | Asa_Whirlpool_Peia | $317.62 | ↓ -99% |
| OPTUM | Managed Medicaid Transplant | $2,297.14 | ↓ -96% |
| Paramount | Managed Medicaid | $2,490.58 | ↓ -95% |
| ANTHEM | Managed Medicaid | $2,538.94 | ↓ -95% |
| Buckeye | Managed Medicaid | $2,538.94 | ↓ -95% |
| MOLINA | Managed Medicaid | $2,538.94 | ↓ -95% |
| CARESOURCE | Managed Medicaid | $2,587.30 | ↓ -95% |
| UNITED | Managed Medicaid | $2,587.30 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $2,659.84 | ↓ -95% |
| OSCAR | ALL PRODUCTS | $23,888.13 | ↓ -56% |
| PHP | ALL PRODUCTS | $27,030.41 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $27,030.41 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $28,550.87 | ↓ -48% |
| Summacare | Preferred | $29,564.51 | ↓ -46% |
| Summacare | PREMIER | $32,183.09 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $38,011.52 | ↓ -31% |
| Aultcare | PPO/HMO | $38,264.93 | ↓ -30% |
| OHCP | ALL PRODUCTS | $41,052.44 | ↓ -25% |
| OMAS | ALL PRODUCTS | $42,235.02 | ↓ -23% |
| MMO | TRADITIONAL | $44,177.83 | ↓ -20% |
| MMO | NASCO | $44,177.83 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $45,613.82 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $46,458.52 | ↓ -15% |
| ANTHEM | TRADITIONAL | $47,108.94 | ↓ -14% |
| OPTUM | All Products Transplant | $47,810.04 | ↓ -13% |
| UPMC | ALL PRODUCTS | $50,682.02 | ↓ -8% |
| Medical Benefit Corp | Transplant SMCP | $59,129.03 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $59,129.03 | ↑ +8% |
| GMS | ALL PRODUCTS | $59,129.03 | ↑ +8% |
| The Health Plan | Secure Care | $59,129.03 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $63,352.53 | ↑ +15% |
| AETNA | ALL PRODUCTS | $63,352.53 | ↑ +15% |
| The Health Plan | ALL PRODUCTS | $74,333.64 | ↑ +35% |
| FrontPath | TRANSPLANT | $76,023.04 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $76,023.04 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $76,023.04 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $76,023.04 | ↑ +38% |
| AETNA | Qhp/Ipf | $84,470.04 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Inj, pegcetacoplan, 1mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Barnesville Hospital | Barnesville | $226.00 | $249.91 – $249.91 |
| cleveland clinic main campus | Cleveland | not published | $17.26 – $3,329.32 |
| University Hospitals Ahuja Medical Center | Beachwood | not published | $147.81 – $266.05 |
| University Hospitals Beachwood Medical Center | Beachwood | not published | $147.81 – $266.05 |
| University Hospitals Conneaut Medical Center | Conneaut | not published | $150.41 – $495.41 |
| University Hospitals Elyria Medical Center | Elyria | not published | $147.81 – $266.05 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | not published | $147.81 – $266.05 |
| University Hospitals Geneva Medical Center | Geneva | not published | $458.23 – $526.44 |