healthcosts.net
Unlisted px small intestine at medina hospital
1000 East Washington Street, Medina, OH · Cleveland Clinic · · NPI 1083696710
$2,118.35
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.
$3,259.00
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.
$0.01 with UNITED vs $3,053.00 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 →
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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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| OSCAR | ALL PRODUCTS | $480.48 | ↓ -77% |
| PHP | ALL PRODUCTS | $543.68 | ↓ -74% |
| PHPHI | ALL PRODUCTS | $543.68 | ↓ -74% |
| CC EHP | ALL PRODUCTS | $574.26 | ↓ -73% |
| Summacare | Preferred | $594.65 | ↓ -72% |
| Summacare | PREMIER | $647.32 | ↓ -69% |
| Amish Community Aid Plan | ALL PRODUCTS | $764.55 | ↓ -64% |
| Aultcare | PPO/HMO | $769.65 | ↓ -64% |
| CIGNA | ALL PRODUCTS | $801.93 | ↓ -62% |
| OHCP | ALL PRODUCTS | $825.71 | ↓ -61% |
| OMAS | ALL PRODUCTS | $849.50 | ↓ -60% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $858.08 | ↓ -59% |
| Summacare | MEDICARE ADVANTAGE | $858.08 | ↓ -59% |
| ANTHEM | MEDICARE ADVANTAGE | $858.08 | ↓ -59% |
| UPMC | MEDICARE ADVANTAGE | $858.08 | ↓ -59% |
| AETNA | MEDICARE ADVANTAGE | $858.08 | ↓ -59% |
| Valor | HMO & PPO | $858.08 | ↓ -59% |
| MMO | Medicare Advantage HMO | $869.16 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $869.16 | ↓ -59% |
| The Health Plan | MEDICARE ADVANTAGE | $869.16 | ↓ -59% |
| OPTUM | Medicare Advantage Transplant | $869.16 | ↓ -59% |
| OPTUM | All Products VA | $869.16 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $869.16 | ↓ -59% |
| CIGNA | MEDICARE ADVANTAGE | $883.82 | ↓ -58% |
| MMO | NASCO | $888.58 | ↓ -58% |
| MMO | TRADITIONAL | $888.58 | ↓ -58% |
| MMO | Medicare Advantage PPO | $895.23 | ↓ -58% |
| CommuniCare | MEDICARE ADVANTAGE | $900.98 | ↓ -57% |
| Ohio Healthy | TRANSPLANT | $917.46 | ↓ -57% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $926.72 | ↓ -56% |
| HEALTHSMART | ALL PRODUCTS | $934.45 | ↓ -56% |
| Perennial Health | MEDICARE ADVANTAGE | $938.69 | ↓ -56% |
| Zing Health | Medicare Advantage | $943.89 | ↓ -55% |
| PPHP | ALL PRODUCTS | $943.89 | ↓ -55% |
| ANTHEM | TRADITIONAL | $947.53 | ↓ -55% |
| OPTUM | All Products Transplant | $961.63 | ↓ -55% |
| UPMC | ALL PRODUCTS | $1,019.40 | ↓ -52% |
| Quality Care Partners | ALL PRODUCTS | $1,189.30 | ↓ -44% |
| GMS | ALL PRODUCTS | $1,189.30 | ↓ -44% |
| The Health Plan | Secure Care | $1,189.30 | ↓ -44% |
| Medical Benefit Corp | Transplant SMCP | $1,189.30 | ↓ -44% |
| OPTUM | Managed Medicaid Transplant | $1,271.33 | ↓ -40% |
| Consociate Health | ALL PRODUCTS | $1,274.25 | ↓ -40% |
| AETNA | ALL PRODUCTS | $1,274.25 | ↓ -40% |
| Paramount | Managed Medicaid | $1,378.39 | ↓ -35% |
| MOLINA | Managed Medicaid | $1,405.15 | ↓ -34% |
| Buckeye | Managed Medicaid | $1,405.15 | ↓ -34% |
| ANTHEM | Managed Medicaid | $1,405.15 | ↓ -34% |
| UNITED | Managed Medicaid | $1,431.92 | ↓ -32% |
| CARESOURCE | Managed Medicaid | $1,431.92 | ↓ -32% |
| AMERIHEALTH | Managed Medicaid | $1,472.06 | ↓ -31% |
| The Health Plan | ALL PRODUCTS | $1,495.12 | ↓ -29% |
| Managed Care Services | TRANSPLANT | $1,529.10 | ↓ -28% |
| MULTIPLAN | ALL PRODUCTS | $1,529.10 | ↓ -28% |
| Tertiary Care Network | TRANSPLANT | $1,529.10 | ↓ -28% |
| FrontPath | TRANSPLANT | $1,529.10 | ↓ -28% |
| ANTHEM | HPN | $1,578.95 | ↓ -25% |
| AETNA | Qhp/Ipf | $1,699.00 | ↓ -20% |
| ANTHEM | PPO/HMO | $1,968.77 | ↓ -7% |
| MMO | ALL PRODUCTS | $1,971.00 | ↓ -7% |
| AETNA | Acop | $2,451.00 | ↑ +16% |
| AETNA | Asa_Whirlpool_Peia | $2,693.00 | ↑ +27% |
| AETNA | International | $3,053.00 | ↑ +44% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px small intestine at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $10,525.45 | $0.01 – $1,842.57 |
| akron general | Akron | $7,163.00 | $0.01 – $1,462.58 |
| avon hospital | Avon | $2,118.35 | $0.01 – $1,529.10 |
| euclid hospital | Euclid | $2,118.35 | $0.01 – $1,607.06 |
| fairview hospital | Cleveland | $2,118.35 | $0.01 – $1,529.10 |
| lutheran hospital | Cleveland | $2,118.35 | $0.01 – $1,529.10 |
| hillcrest hospital | Mayfield Heights | $2,118.35 | $0.01 – $1,572.92 |
| marymount hospital | Garfield Heights | $2,118.35 | $0.01 – $1,529.10 |