Observation per hour at south pointe hospital
20000 Harvard Road, Warrensville Heights, OH · Cleveland Clinic · · NPI 1235183542
$657.15
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.
$1,011.00
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.
$9.37 with ANTHEM vs $11,480.00 with UNITED — 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 |
|---|---|---|---|
| ANTHEM | PPO/HMO | $9.37 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $11.99 | ↓ -98% |
| OSCAR | ALL PRODUCTS | $15.55 | ↓ -98% |
| PHP | ALL PRODUCTS | $17.60 | ↓ -97% |
| CC EHP | ALL PRODUCTS | $18.59 | ↓ -97% |
| Summacare | Preferred | $19.25 | ↓ -97% |
| Summacare | PREMIER | $20.96 | ↓ -97% |
| Aultcare | PPO/HMO | $22.77 | ↓ -97% |
| OHCP | ALL PRODUCTS | $26.73 | ↓ -96% |
| OMAS | ALL PRODUCTS | $27.50 | ↓ -96% |
| MMO | NASCO | $28.77 | ↓ -96% |
| Ohio Healthy | TRANSPLANT | $29.70 | ↓ -95% |
| HEALTHSMART | ALL PRODUCTS | $30.25 | ↓ -95% |
| ANTHEM | TRADITIONAL | $30.83 | ↓ -95% |
| OPTUM | All Products Transplant | $31.13 | ↓ -95% |
| AETNA | Acop | $33.00 | ↓ -95% |
| The Health Plan | ALL PRODUCTS | $33.00 | ↓ -95% |
| UPMC | ALL PRODUCTS | $33.00 | ↓ -95% |
| THREE RIVERS | ALL PRODUCTS | $35.75 | ↓ -95% |
| AETNA | International | $35.97 | ↓ -95% |
| AETNA | NAP | $37.84 | ↓ -94% |
| Quality Care Partners | ALL PRODUCTS | $38.50 | ↓ -94% |
| AETNA | Asa_Whirlpool_Peia | $38.50 | ↓ -94% |
| AETNA | Qhp/Ipf | $38.50 | ↓ -94% |
| GMS | ALL PRODUCTS | $38.50 | ↓ -94% |
| Medical Benefit Corp | Transplant SMCP | $38.50 | ↓ -94% |
| AETNA | ALL PRODUCTS | $41.25 | ↓ -94% |
| Consociate Health | ALL PRODUCTS | $41.25 | ↓ -94% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $44.00 | ↓ -93% |
| Humana Military | ALL PRODUCTS | $46.75 | ↓ -93% |
| Tertiary Care Network | TRANSPLANT | $49.50 | ↓ -92% |
| Managed Care Services | TRANSPLANT | $49.50 | ↓ -92% |
| USA Managed Care | ALL PRODUCTS | $49.50 | ↓ -92% |
| FrontPath | TRANSPLANT | $49.50 | ↓ -92% |
| MULTIPLAN | ALL PRODUCTS | $49.50 | ↓ -92% |
| OPTUM | Managed Medicaid Transplant | $209.00 | ↓ -68% |
| Paramount | Managed Medicaid | $226.60 | ↓ -66% |
| MOLINA | Managed Medicaid | $231.00 | ↓ -65% |
| Buckeye | Managed Medicaid | $231.00 | ↓ -65% |
| ANTHEM | Managed Medicaid | $231.00 | ↓ -65% |
| CARESOURCE | Managed Medicaid | $235.40 | ↓ -64% |
| UNITED | Managed Medicaid | $235.40 | ↓ -64% |
| AMERIHEALTH | Managed Medicaid | $242.00 | ↓ -63% |
| CIGNA | ALL PRODUCTS | $5,638.00 | ↑ +758% |
| MMO | ALL PRODUCTS | $9,701.00 | ↑ +1376% |
| UNITED | ALL PRODUCTS | $11,480.00 | ↑ +1647% |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | 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 | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Observation per hour at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $657.15 | $8.28 – $242.00 |
| akron general | Akron | $657.15 | $12.35 – $242.00 |
| avon hospital | Avon | $657.15 | $9.37 – $5,638.00 |
| euclid hospital | Euclid | $657.15 | $9.37 – $5,638.00 |
| fairview hospital | Cleveland | $657.15 | $8.55 – $242.00 |
| lutheran hospital | Cleveland | $657.15 | $9.37 – $5,638.00 |
| hillcrest hospital | Mayfield Heights | $657.15 | $8.55 – $242.00 |
| lodi hospital | Lodi | $657.15 | $22.34 – $242.00 |