Tc-99m pentetate dtpa 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

$276.90

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.

$426.00

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.

$0.01 with AETNA vs $240.00 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
AETNA Acop $0.01 ↓ -100%
ANTHEM HPN $34.78 ↓ -87%
ANTHEM PPO/HMO $37.90 ↓ -86%
AETNA MEDICARE ADVANTAGE $52.32 ↓ -81%
UNITED ALL PRODUCTS $54.24 ↓ -80%
OSCAR ALL PRODUCTS $67.87 ↓ -75%
CIGNA ALL PRODUCTS $68.71 ↓ -75%
Zing Health Medicare Advantage $72.00 ↓ -74%
PHP ALL PRODUCTS $76.80 ↓ -72%
PHPHI ALL PRODUCTS $76.80 ↓ -72%
CC EHP ALL PRODUCTS $81.12 ↓ -71%
Summacare Preferred $84.00 ↓ -70%
Summacare PREMIER $91.44 ↓ -67%
MMO ALL PRODUCTS $100.32 ↓ -64%
OPTUM Managed Medicaid Transplant $103.46 ↓ -63%
Amish Community Aid Plan ALL PRODUCTS $108.00 ↓ -61%
Aultcare PPO/HMO $108.72 ↓ -61%
Paramount Managed Medicaid $112.18 ↓ -59%
MOLINA Managed Medicaid $114.36 ↓ -59%
ANTHEM Managed Medicaid $114.36 ↓ -59%
Buckeye Managed Medicaid $114.36 ↓ -59%
UNITED Managed Medicaid $116.53 ↓ -58%
CARESOURCE Managed Medicaid $116.53 ↓ -58%
OHCP ALL PRODUCTS $116.64 ↓ -58%
AMERIHEALTH Managed Medicaid $119.80 ↓ -57%
OMAS ALL PRODUCTS $120.00 ↓ -57%
MMO TRADITIONAL $125.52 ↓ -55%
MMO NASCO $125.52 ↓ -55%
Ohio Healthy TRANSPLANT $129.60 ↓ -53%
HEALTHSMART ALL PRODUCTS $132.00 ↓ -52%
ANTHEM TRADITIONAL $133.85 ↓ -52%
OPTUM All Products Transplant $135.84 ↓ -51%
UPMC ALL PRODUCTS $144.00 ↓ -48%
The Health Plan Secure Care $168.00 ↓ -39%
Quality Care Partners ALL PRODUCTS $168.00 ↓ -39%
Medical Benefit Corp Transplant SMCP $168.00 ↓ -39%
GMS ALL PRODUCTS $168.00 ↓ -39%
AETNA ALL PRODUCTS $180.00 ↓ -35%
Consociate Health ALL PRODUCTS $180.00 ↓ -35%
The Health Plan ALL PRODUCTS $211.20 ↓ -24%
FrontPath TRANSPLANT $216.00 ↓ -22%
Managed Care Services TRANSPLANT $216.00 ↓ -22%
MULTIPLAN ALL PRODUCTS $216.00 ↓ -22%
Tertiary Care Network TRANSPLANT $216.00 ↓ -22%
AETNA Qhp/Ipf $240.00 ↓ -13%
AETNA Asa_Whirlpool_Peia not published by hospital —
CIGNA MEDICARE ADVANTAGE not published by hospital —
CommuniCare MEDICARE ADVANTAGE not published by hospital —
DEVOTED HEALTH MEDICARE ADVANTAGE not published by hospital —
HUMANA Medicare Advantage HMO not published by hospital —
MMO Medicare Advantage HMO not published by hospital —
MMO Medicare Advantage PPO 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 —
Perennial Health HMO I-SNP and HMO C-SNP not published by hospital —
Perennial Health MEDICARE ADVANTAGE not published by hospital —
PPHP ALL PRODUCTS not published by hospital —
Summacare MEDICARE ADVANTAGE not published by hospital —
AETNA NAP not published by hospital —
AETNA International not published by hospital —
The Health Plan MEDICARE ADVANTAGE 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

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Tc-99m pentetate dtpa at other Ohio hospitals

Hospital City Cash price Negotiated range
Trinity Medical Center East Steubenville $38.19 $0.02 – $59.29
cleveland clinic main campus Cleveland $156.00 $1.10 – $216.00
akron general Akron $276.90 $0.01 – $216.00
avon hospital Avon $276.90 $0.01 – $216.00
cleveland clinic childrens hospital for rehabilitation Cleveland $276.90 $120.47 – $383.40
euclid hospital Euclid $276.90 $0.01 – $216.00
fairview hospital Cleveland $276.90 $0.01 – $216.00
lutheran hospital Cleveland $276.90 $0.01 – $216.00

All Ohio hospitals for this procedure →