Fosphenytoin 50 mg pe/ml injection (wrapper) at south pointe hospital
20000 Harvard Road, Warrensville Heights, OH · Cleveland Clinic · · NPI 1235183542
$47.31
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.
$72.78
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.
$1.34 with Summacare vs $54.91 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 |
|---|---|---|---|
| Summacare | MEDICARE ADVANTAGE | $1.34 | ↓ -97% |
| Valor | HMO & PPO | $1.34 | ↓ -97% |
| UPMC | MEDICARE ADVANTAGE | $1.34 | ↓ -97% |
| AETNA | MEDICARE ADVANTAGE | $1.34 | ↓ -97% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1.34 | ↓ -97% |
| ANTHEM | MEDICARE ADVANTAGE | $1.34 | ↓ -97% |
| CIGNA | MEDICARE ADVANTAGE | $1.38 | ↓ -97% |
| CommuniCare | MEDICARE ADVANTAGE | $1.41 | ↓ -97% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1.45 | ↓ -97% |
| PPHP | ALL PRODUCTS | $1.47 | ↓ -97% |
| OSCAR | ALL PRODUCTS | $2.04 | ↓ -96% |
| PHP | ALL PRODUCTS | $2.30 | ↓ -95% |
| CC EHP | ALL PRODUCTS | $2.43 | ↓ -95% |
| Summacare | Preferred | $2.52 | ↓ -95% |
| Summacare | PREMIER | $2.74 | ↓ -94% |
| ANTHEM | PPO/HMO | $2.90 | ↓ -94% |
| Aultcare | PPO/HMO | $2.98 | ↓ -94% |
| OHCP | ALL PRODUCTS | $3.50 | ↓ -93% |
| OMAS | ALL PRODUCTS | $3.60 | ↓ -92% |
| MMO | NASCO | $3.77 | ↓ -92% |
| Ohio Healthy | TRANSPLANT | $3.89 | ↓ -92% |
| HEALTHSMART | ALL PRODUCTS | $3.96 | ↓ -92% |
| ANTHEM | TRADITIONAL | $4.04 | ↓ -91% |
| OPTUM | All Products Transplant | $4.08 | ↓ -91% |
| UPMC | ALL PRODUCTS | $4.32 | ↓ -91% |
| The Health Plan | ALL PRODUCTS | $4.32 | ↓ -91% |
| THREE RIVERS | ALL PRODUCTS | $4.68 | ↓ -90% |
| GMS | ALL PRODUCTS | $5.04 | ↓ -89% |
| Medical Benefit Corp | Transplant SMCP | $5.04 | ↓ -89% |
| Quality Care Partners | ALL PRODUCTS | $5.04 | ↓ -89% |
| AETNA | Acop | $5.13 | ↓ -89% |
| CIGNA | ALL PRODUCTS | $5.27 | ↓ -89% |
| Consociate Health | ALL PRODUCTS | $5.40 | ↓ -89% |
| AETNA | ALL PRODUCTS | $5.40 | ↓ -89% |
| UNITED | MEDICARE ADVANTAGE | $5.51 | ↓ -88% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $5.76 | ↓ -88% |
| Humana Military | ALL PRODUCTS | $6.12 | ↓ -87% |
| Tertiary Care Network | TRANSPLANT | $6.48 | ↓ -86% |
| MULTIPLAN | ALL PRODUCTS | $6.48 | ↓ -86% |
| USA Managed Care | ALL PRODUCTS | $6.48 | ↓ -86% |
| FrontPath | TRANSPLANT | $6.48 | ↓ -86% |
| Managed Care Services | TRANSPLANT | $6.48 | ↓ -86% |
| AETNA | International | $6.57 | ↓ -86% |
| AETNA | Qhp/Ipf | $7.20 | ↓ -85% |
| AETNA | Asa_Whirlpool_Peia | $9.31 | ↓ -80% |
| UNITED | ALL PRODUCTS | $17.95 | ↓ -62% |
| OPTUM | Managed Medicaid Transplant | $47.42 | ↑ +0% |
| Paramount | Managed Medicaid | $51.42 | ↑ +9% |
| ANTHEM | Managed Medicaid | $52.42 | ↑ +11% |
| Buckeye | Managed Medicaid | $52.42 | ↑ +11% |
| MOLINA | Managed Medicaid | $52.42 | ↑ +11% |
| CARESOURCE | Managed Medicaid | $53.41 | ↑ +13% |
| UNITED | Managed Medicaid | $53.41 | ↑ +13% |
| AMERIHEALTH | Managed Medicaid | $54.91 | ↑ +16% |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Fosphenytoin 50 mg pe/ml injection (wrapper) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $22.98 | not published |
| Anderson Hospital | Cincinnati | $24.72 | not published |
| Clermont Hospital | Batavia | $24.72 | not published |
| Kings Mills Hospital | Mason | $547.32 | not published |
| Mercy West Hospital | Cincinnati | $182.46 | not published |
| St Ritas Medical Center | Lima | $473.10 | not published |
| Trinity Medical Center East | Steubenville | $139.86 | $1.41 – $73.92 |
| cleveland clinic main campus | Cleveland | $5.20 | $0.17 – $60.42 |