Npsy indiv hlth intrv ea addl 15 min at medina hospital
1000 East Washington Street, Medina, OH · Cleveland Clinic · · NPI 1083696710
$124.80
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.
?
What you pay up front if you don't use insurance.
$192.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$32.45 with ANTHEM vs $192.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| ANTHEM | HPN | $32.45 | ↓ -74% |
| ANTHEM | PPO/HMO | $38.18 | ↓ -69% |
| AETNA | MEDICARE ADVANTAGE | $41.86 | ↓ -66% |
| OPTUM | Managed Medicaid Transplant | $50.94 | ↓ -59% |
| OSCAR | ALL PRODUCTS | $54.30 | ↓ -56% |
| Paramount | Managed Medicaid | $55.23 | ↓ -56% |
| MOLINA | Managed Medicaid | $56.30 | ↓ -55% |
| ANTHEM | Managed Medicaid | $56.30 | ↓ -55% |
| Buckeye | Managed Medicaid | $56.30 | ↓ -55% |
| UNITED | Managed Medicaid | $57.37 | ↓ -54% |
| CARESOURCE | Managed Medicaid | $57.37 | ↓ -54% |
| Zing Health | Medicare Advantage | $57.60 | ↓ -54% |
| AMERIHEALTH | Managed Medicaid | $58.98 | ↓ -53% |
| PHP | ALL PRODUCTS | $61.44 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $61.44 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $63.94 | ↓ -49% |
| Summacare | Preferred | $67.20 | ↓ -46% |
| Summacare | PREMIER | $73.15 | ↓ -41% |
| MMO | ALL PRODUCTS | $80.26 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $86.40 | ↓ -31% |
| Aultcare | PPO/HMO | $86.98 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $90.62 | ↓ -27% |
| OHCP | ALL PRODUCTS | $93.31 | ↓ -25% |
| OMAS | ALL PRODUCTS | $96.00 | ↓ -23% |
| MMO | NASCO | $100.42 | ↓ -20% |
| MMO | TRADITIONAL | $100.42 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $103.68 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $105.60 | ↓ -15% |
| ANTHEM | TRADITIONAL | $107.08 | ↓ -14% |
| OPTUM | All Products Transplant | $108.67 | ↓ -13% |
| UPMC | ALL PRODUCTS | $115.20 | ↓ -8% |
| AETNA | Acop | $115.20 | ↓ -8% |
| AETNA | International | $123.26 | ↓ -1% |
| The Health Plan | Secure Care | $134.40 | ↑ +8% |
| GMS | ALL PRODUCTS | $134.40 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $134.40 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $134.40 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $134.40 | ↑ +8% |
| AETNA | ALL PRODUCTS | $144.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $144.00 | ↑ +15% |
| The Health Plan | ALL PRODUCTS | $168.96 | ↑ +35% |
| FrontPath | TRANSPLANT | $172.80 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $172.80 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $172.80 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $172.80 | ↑ +38% |
| AETNA | Qhp/Ipf | $192.00 | ↑ +54% |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Npsy indiv hlth intrv ea addl 15 min at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $143.00 | $1.10 – $198.00 |
| akron general | Akron | $143.00 | $1.10 – $198.00 |
| avon hospital | Avon | $124.80 | $41.86 – $172.80 |
| euclid hospital | Euclid | $124.80 | $41.86 – $172.80 |
| fairview hospital | Cleveland | $124.80 | $40.85 – $172.80 |
| lutheran hospital | Cleveland | $124.80 | $41.86 – $172.80 |
| hillcrest hospital | Mayfield Heights | $124.80 | $40.85 – $172.80 |
| marymount hospital | Garfield Heights | $124.80 | $41.86 – $172.80 |