Inj, sculptra, 0.5mg at medina hospital
1000 East Washington Street, Medina, OH · Cleveland Clinic · · NPI 1083696710
$382.20
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.
$588.00
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.
$1.00 with OPTUM vs $1,018.95 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 |
|---|---|---|---|
| OPTUM | All Products VA | $1.00 | ↓ -100% |
| UNITED | MEDICARE ADVANTAGE | $1.00 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $1.00 | ↓ -100% |
| HUMANA | Medicare Advantage HMO | $1.00 | ↓ -100% |
| MMO | Medicare Advantage HMO | $1.00 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $1.00 | ↓ -100% |
| MMO | Medicare Advantage PPO | $1.03 | ↓ -100% |
| Perennial Health | MEDICARE ADVANTAGE | $1.08 | ↓ -100% |
| AETNA | Acop | $1.39 | ↓ -100% |
| CIGNA | ALL PRODUCTS | $1.42 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $1.69 | ↓ -100% |
| AETNA | International | $1.78 | ↓ -100% |
| UNITED | ALL PRODUCTS | $2.15 | ↓ -99% |
| UPMC | MEDICARE ADVANTAGE | $2.16 | ↓ -99% |
| ANTHEM | MEDICARE ADVANTAGE | $2.16 | ↓ -99% |
| Summacare | MEDICARE ADVANTAGE | $2.16 | ↓ -99% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2.16 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $2.16 | ↓ -99% |
| Valor | HMO & PPO | $2.16 | ↓ -99% |
| CIGNA | MEDICARE ADVANTAGE | $2.22 | ↓ -99% |
| CommuniCare | MEDICARE ADVANTAGE | $2.27 | ↓ -99% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2.33 | ↓ -99% |
| PPHP | ALL PRODUCTS | $2.38 | ↓ -99% |
| Zing Health | Medicare Advantage | $2.38 | ↓ -99% |
| MMO | ALL PRODUCTS | $3.79 | ↓ -99% |
| ANTHEM | HPN | $3.97 | ↓ -99% |
| ANTHEM | PPO/HMO | $4.56 | ↓ -99% |
| OSCAR | ALL PRODUCTS | $166.29 | ↓ -56% |
| PHP | ALL PRODUCTS | $188.16 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $188.16 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $198.74 | ↓ -48% |
| Summacare | Preferred | $205.80 | ↓ -46% |
| Summacare | PREMIER | $224.03 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $264.60 | ↓ -31% |
| Aultcare | PPO/HMO | $266.36 | ↓ -30% |
| OHCP | ALL PRODUCTS | $285.77 | ↓ -25% |
| OMAS | ALL PRODUCTS | $294.00 | ↓ -23% |
| MMO | TRADITIONAL | $307.52 | ↓ -20% |
| MMO | NASCO | $307.52 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $317.52 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $323.40 | ↓ -15% |
| ANTHEM | TRADITIONAL | $327.93 | ↓ -14% |
| OPTUM | All Products Transplant | $332.81 | ↓ -13% |
| UPMC | ALL PRODUCTS | $352.80 | ↓ -8% |
| GMS | ALL PRODUCTS | $411.60 | ↑ +8% |
| The Health Plan | Secure Care | $411.60 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $411.60 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $411.60 | ↑ +8% |
| AETNA | ALL PRODUCTS | $441.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $441.00 | ↑ +15% |
| The Health Plan | ALL PRODUCTS | $517.44 | ↑ +35% |
| FrontPath | TRANSPLANT | $529.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $529.20 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $529.20 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $529.20 | ↑ +38% |
| AETNA | Qhp/Ipf | $588.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $880.00 | ↑ +130% |
| Paramount | Managed Medicaid | $954.11 | ↑ +150% |
| ANTHEM | Managed Medicaid | $972.64 | ↑ +154% |
| MOLINA | Managed Medicaid | $972.64 | ↑ +154% |
| Buckeye | Managed Medicaid | $972.64 | ↑ +154% |
| UNITED | Managed Medicaid | $991.16 | ↑ +159% |
| CARESOURCE | Managed Medicaid | $991.16 | ↑ +159% |
| AMERIHEALTH | Managed Medicaid | $1,018.95 | ↑ +167% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Inj, sculptra, 0.5mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | not published | $1.00 – $1,012.39 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,530.93 – $1,772.66 |
| lodi hospital | Lodi | not published | $1.00 – $1,698.58 |
| University Hospitals Ahuja Medical Center | Beachwood | not published | $2.16 – $3.89 |
| University Hospitals Beachwood Medical Center | Beachwood | not published | $2.16 – $3.89 |
| University Hospitals Conneaut Medical Center | Conneaut | not published | $0.66 – $0.66 |
| University Hospitals Elyria Medical Center | Elyria | not published | $2.16 – $3.89 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | not published | $2.16 – $3.89 |