Levothyroxine 100 mcg intravenous powder for solution at south pointe hospital

20000 Harvard Road, Warrensville Heights, OH · Cleveland Clinic · · NPI 1235183542

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 13, 2026

$1,235.31

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.

$1,900.47

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.

$10.64 with AETNA vs $317.82 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 $10.64 ↓ -99%
UNITED ALL PRODUCTS $11.59 ↓ -99%
AETNA Asa_Whirlpool_Peia $11.70 ↓ -99%
CIGNA ALL PRODUCTS $12.86 ↓ -99%
AETNA International $13.63 ↓ -99%
MMO ALL PRODUCTS $21.07 ↓ -98%
ANTHEM PPO/HMO $54.16 ↓ -96%
AETNA MEDICARE ADVANTAGE $69.28 ↓ -94%
OSCAR ALL PRODUCTS $89.88 ↓ -93%
PHP ALL PRODUCTS $101.70 ↓ -92%
CC EHP ALL PRODUCTS $107.42 ↓ -91%
Summacare Preferred $111.24 ↓ -91%
Summacare PREMIER $121.09 ↓ -90%
OPTUM Managed Medicaid Transplant $128.90 ↓ -90%
Aultcare PPO/HMO $131.58 ↓ -89%
Paramount Managed Medicaid $139.75 ↓ -89%
MOLINA Managed Medicaid $142.46 ↓ -88%
ANTHEM Managed Medicaid $142.46 ↓ -88%
Buckeye Managed Medicaid $142.46 ↓ -88%
CARESOURCE Managed Medicaid $145.18 ↓ -88%
UNITED Managed Medicaid $145.18 ↓ -88%
AMERIHEALTH Managed Medicaid $149.25 ↓ -88%
OHCP ALL PRODUCTS $154.46 ↓ -87%
OMAS ALL PRODUCTS $158.91 ↓ -87%
MMO NASCO $166.22 ↓ -87%
Ohio Healthy TRANSPLANT $171.62 ↓ -86%
HEALTHSMART ALL PRODUCTS $174.80 ↓ -86%
ANTHEM TRADITIONAL $178.14 ↓ -86%
OPTUM All Products Transplant $179.89 ↓ -85%
UPMC ALL PRODUCTS $190.69 ↓ -85%
The Health Plan ALL PRODUCTS $190.69 ↓ -85%
THREE RIVERS ALL PRODUCTS $206.58 ↓ -83%
Quality Care Partners ALL PRODUCTS $222.47 ↓ -82%
GMS ALL PRODUCTS $222.47 ↓ -82%
Medical Benefit Corp Transplant SMCP $222.47 ↓ -82%
Consociate Health ALL PRODUCTS $238.37 ↓ -81%
AETNA ALL PRODUCTS $238.37 ↓ -81%
Evernorth (Cigna BH) All Products Psychiatrist $254.26 ↓ -79%
Humana Military ALL PRODUCTS $270.15 ↓ -78%
MULTIPLAN ALL PRODUCTS $286.04 ↓ -77%
Managed Care Services TRANSPLANT $286.04 ↓ -77%
FrontPath TRANSPLANT $286.04 ↓ -77%
Tertiary Care Network TRANSPLANT $286.04 ↓ -77%
USA Managed Care ALL PRODUCTS $286.04 ↓ -77%
AETNA Qhp/Ipf $317.82 ↓ -74%
PPHP ALL PRODUCTS not published by hospital —
DEVOTED HEALTH MEDICARE ADVANTAGE not published by hospital —
Summacare MEDICARE ADVANTAGE not published by hospital —
OPTUM Medicare Advantage Transplant not published by hospital —
CommuniCare MEDICARE ADVANTAGE not published by hospital —
Valor HMO & PPO not published by hospital —
CIGNA MEDICARE ADVANTAGE not published by hospital —
The Health Plan MEDICARE ADVANTAGE not published by hospital —
ANTHEM MEDICARE ADVANTAGE not published by hospital —
AETNA NAP not published by hospital —
UNITED MEDICARE ADVANTAGE not published by hospital —
OPTUM All Products VA not published by hospital —
UPMC MEDICARE ADVANTAGE not published by hospital —
Perennial Health HMO I-SNP and HMO C-SNP not published by hospital —
HUMANA Medicare Advantage HMO not published by hospital —
Perennial Health MEDICARE ADVANTAGE not published by hospital —

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Levothyroxine 100 mcg intravenous powder for solution at other Ohio hospitals

Hospital City Cash price Negotiated range
Jewish Hospital Cincinnati $385.62 not published
akron general Akron $1,235.31 $2.17 – $286.04
avon hospital Avon $1,235.31 $10.64 – $286.04
cleveland clinic childrens hospital for rehabilitation Cleveland $1,235.31 $89.88 – $286.04
euclid hospital Euclid $1,235.31 $10.64 – $286.04
fairview hospital Cleveland $1,235.31 $2.17 – $286.04
lutheran hospital Cleveland $1,235.31 $10.64 – $286.04
hillcrest hospital Mayfield Heights $1,235.31 $2.17 – $286.04

All Ohio hospitals for this procedure →