Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at south pointe hospital
20000 Harvard Road, Warrensville Heights, OH · Cleveland Clinic · · NPI 1235183542
$292.50
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.
$450.00
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.
$29.26 with OSCAR vs $292.72 with ANTHEM — 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 |
|---|---|---|---|
| OSCAR | ALL PRODUCTS | $29.26 | ↓ -90% |
| PHP | ALL PRODUCTS | $33.10 | ↓ -89% |
| CC EHP | ALL PRODUCTS | $34.97 | ↓ -88% |
| Summacare | Preferred | $36.21 | ↓ -88% |
| Summacare | PREMIER | $39.41 | ↓ -87% |
| Aultcare | PPO/HMO | $42.83 | ↓ -85% |
| OHCP | ALL PRODUCTS | $50.28 | ↓ -83% |
| OMAS | ALL PRODUCTS | $51.73 | ↓ -82% |
| MMO | NASCO | $54.10 | ↓ -82% |
| Ohio Healthy | TRANSPLANT | $55.86 | ↓ -81% |
| HEALTHSMART | ALL PRODUCTS | $56.90 | ↓ -81% |
| ANTHEM | TRADITIONAL | $57.98 | ↓ -80% |
| OPTUM | All Products Transplant | $58.55 | ↓ -80% |
| UPMC | ALL PRODUCTS | $62.07 | ↓ -79% |
| AETNA | Acop | $62.07 | ↓ -79% |
| The Health Plan | ALL PRODUCTS | $62.07 | ↓ -79% |
| AETNA | International | $66.41 | ↓ -77% |
| THREE RIVERS | ALL PRODUCTS | $67.24 | ↓ -77% |
| Quality Care Partners | ALL PRODUCTS | $72.42 | ↓ -75% |
| AETNA | Asa_Whirlpool_Peia | $72.42 | ↓ -75% |
| GMS | ALL PRODUCTS | $72.42 | ↓ -75% |
| Medical Benefit Corp | Transplant SMCP | $72.42 | ↓ -75% |
| Consociate Health | ALL PRODUCTS | $77.59 | ↓ -73% |
| AETNA | ALL PRODUCTS | $77.59 | ↓ -73% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $82.76 | ↓ -72% |
| Humana Military | ALL PRODUCTS | $87.93 | ↓ -70% |
| FrontPath | TRANSPLANT | $93.11 | ↓ -68% |
| USA Managed Care | ALL PRODUCTS | $93.11 | ↓ -68% |
| Managed Care Services | TRANSPLANT | $93.11 | ↓ -68% |
| MULTIPLAN | ALL PRODUCTS | $93.11 | ↓ -68% |
| Tertiary Care Network | TRANSPLANT | $93.11 | ↓ -68% |
| AETNA | Qhp/Ipf | $103.45 | ↓ -65% |
| CIGNA | ALL PRODUCTS | $103.45 | ↓ -65% |
| Valor | HMO & PPO | $117.73 | ↓ -60% |
| Summacare | MEDICARE ADVANTAGE | $117.73 | ↓ -60% |
| ANTHEM | MEDICARE ADVANTAGE | $117.73 | ↓ -60% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $117.73 | ↓ -60% |
| AETNA | MEDICARE ADVANTAGE | $117.73 | ↓ -60% |
| UPMC | MEDICARE ADVANTAGE | $117.73 | ↓ -60% |
| CIGNA | MEDICARE ADVANTAGE | $121.27 | ↓ -59% |
| CommuniCare | MEDICARE ADVANTAGE | $123.62 | ↓ -58% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $127.15 | ↓ -57% |
| PPHP | ALL PRODUCTS | $129.51 | ↓ -56% |
| UNITED | ALL PRODUCTS | $227.23 | ↓ -22% |
| ANTHEM | PPO/HMO | $292.72 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| ANTHEM | Managed Medicaid | not published by hospital | — |
| CARESOURCE | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| OPTUM | Managed Medicaid Transplant | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| Paramount | Managed Medicaid | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | 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 | — |
| UNITED | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $11,176.79 | $105.69 – $967.89 |
| cleveland clinic main campus | Cleveland | $77.35 | $28.56 – $227.23 |
| akron general | Akron | $384.51 | $117.73 – $532.40 |
| avon hospital | Avon | $292.50 | $29.26 – $227.23 |
| euclid hospital | Euclid | $292.50 | $29.26 – $227.23 |
| fairview hospital | Cleveland | $292.50 | $22.86 – $227.23 |
| lutheran hospital | Cleveland | $292.50 | $29.26 – $227.23 |
| hillcrest hospital | Mayfield Heights | $292.50 | $22.86 – $227.23 |