Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at south pointe hospital
20000 Harvard Road, Warrensville Heights, OH · Cleveland Clinic · · NPI 1235183542
$1,092.49
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.
?
What you pay up front if you don't use insurance.
$1,680.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.15 with UNITED vs $1,120.50 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | MEDICARE ADVANTAGE | $1.15 | ↓ -100% |
| AETNA | Acop | $3.33 | ↓ -100% |
| CIGNA | ALL PRODUCTS | $3.42 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $3.47 | ↓ -100% |
| UNITED | ALL PRODUCTS | $3.87 | ↓ -100% |
| AETNA | International | $4.26 | ↓ -100% |
| OPTUM | Managed Medicaid Transplant | $47.42 | ↓ -96% |
| Paramount | Managed Medicaid | $51.42 | ↓ -95% |
| MOLINA | Managed Medicaid | $52.42 | ↓ -95% |
| ANTHEM | Managed Medicaid | $52.42 | ↓ -95% |
| Buckeye | Managed Medicaid | $52.42 | ↓ -95% |
| CARESOURCE | Managed Medicaid | $53.41 | ↓ -95% |
| UNITED | Managed Medicaid | $53.41 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $54.91 | ↓ -95% |
| ANTHEM | PPO/HMO | $190.93 | ↓ -83% |
| AETNA | MEDICARE ADVANTAGE | $244.27 | ↓ -78% |
| OSCAR | ALL PRODUCTS | $316.88 | ↓ -71% |
| PHP | ALL PRODUCTS | $358.56 | ↓ -67% |
| CC EHP | ALL PRODUCTS | $378.73 | ↓ -65% |
| Summacare | Preferred | $392.18 | ↓ -64% |
| Summacare | PREMIER | $426.91 | ↓ -61% |
| Aultcare | PPO/HMO | $463.89 | ↓ -58% |
| OHCP | ALL PRODUCTS | $544.56 | ↓ -50% |
| OMAS | ALL PRODUCTS | $560.25 | ↓ -49% |
| MMO | NASCO | $586.02 | ↓ -46% |
| Ohio Healthy | TRANSPLANT | $605.07 | ↓ -45% |
| HEALTHSMART | ALL PRODUCTS | $616.28 | ↓ -44% |
| ANTHEM | TRADITIONAL | $628.04 | ↓ -43% |
| OPTUM | All Products Transplant | $634.20 | ↓ -42% |
| UPMC | ALL PRODUCTS | $672.30 | ↓ -38% |
| The Health Plan | ALL PRODUCTS | $672.30 | ↓ -38% |
| THREE RIVERS | ALL PRODUCTS | $728.33 | ↓ -33% |
| Quality Care Partners | ALL PRODUCTS | $784.35 | ↓ -28% |
| GMS | ALL PRODUCTS | $784.35 | ↓ -28% |
| Medical Benefit Corp | Transplant SMCP | $784.35 | ↓ -28% |
| Consociate Health | ALL PRODUCTS | $840.38 | ↓ -23% |
| AETNA | ALL PRODUCTS | $840.38 | ↓ -23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $896.40 | ↓ -18% |
| Humana Military | ALL PRODUCTS | $952.43 | ↓ -13% |
| FrontPath | TRANSPLANT | $1,008.45 | ↓ -8% |
| Managed Care Services | TRANSPLANT | $1,008.45 | ↓ -8% |
| Tertiary Care Network | TRANSPLANT | $1,008.45 | ↓ -8% |
| USA Managed Care | ALL PRODUCTS | $1,008.45 | ↓ -8% |
| MULTIPLAN | ALL PRODUCTS | $1,008.45 | ↓ -8% |
| AETNA | Qhp/Ipf | $1,120.50 | ↑ +3% |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | 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 | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $475.86 | not published |
| Anderson Hospital | Cincinnati | $511.20 | not published |
| Clermont Hospital | Batavia | $511.20 | not published |
| Kings Mills Hospital | Mason | $511.20 | not published |
| Mercy West Hospital | Cincinnati | $511.20 | not published |
| St Ritas Medical Center | Lima | $1,325.46 | not published |
| akron general | Akron | $1,092.49 | $2.17 – $1,008.45 |
| avon hospital | Avon | $1,092.49 | $3.33 – $1,008.45 |