Target gsa panel organ/hmtlmph neop at south pointe hospital
20000 Harvard Road, Warrensville Heights, OH · Cleveland Clinic · · NPI 1235183542
$2,973.10
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.
$4,574.00
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.
$0.95 with AETNA vs $6,569.10 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 |
|---|---|---|---|
| AETNA | Acop | $0.95 | ↓ -100% |
| OSCAR | ALL PRODUCTS | $457.00 | ↓ -85% |
| PHP | ALL PRODUCTS | $517.12 | ↓ -83% |
| Summacare | Preferred | $565.60 | ↓ -81% |
| OPTUM | Managed Medicaid Transplant | $610.75 | ↓ -79% |
| Summacare | PREMIER | $615.70 | ↓ -79% |
| Paramount | Managed Medicaid | $662.18 | ↓ -78% |
| Aultcare | PPO/HMO | $669.02 | ↓ -77% |
| MOLINA | Managed Medicaid | $675.03 | ↓ -77% |
| ANTHEM | Managed Medicaid | $675.03 | ↓ -77% |
| Buckeye | Managed Medicaid | $675.03 | ↓ -77% |
| UNITED | Managed Medicaid | $687.89 | ↓ -77% |
| CARESOURCE | Managed Medicaid | $687.89 | ↓ -77% |
| AMERIHEALTH | Managed Medicaid | $707.18 | ↓ -76% |
| CIGNA | ALL PRODUCTS | $762.75 | ↓ -74% |
| OHCP | ALL PRODUCTS | $785.38 | ↓ -74% |
| OMAS | ALL PRODUCTS | $808.00 | ↓ -73% |
| MMO | NASCO | $845.17 | ↓ -72% |
| Ohio Healthy | TRANSPLANT | $872.64 | ↓ -71% |
| MMO | ALL PRODUCTS | $880.72 | ↓ -70% |
| HEALTHSMART | ALL PRODUCTS | $888.80 | ↓ -70% |
| ANTHEM | TRADITIONAL | $905.77 | ↓ -70% |
| OPTUM | All Products Transplant | $914.66 | ↓ -69% |
| UPMC | ALL PRODUCTS | $969.60 | ↓ -67% |
| The Health Plan | ALL PRODUCTS | $969.60 | ↓ -67% |
| AETNA | International | $1,037.47 | ↓ -65% |
| THREE RIVERS | ALL PRODUCTS | $1,050.40 | ↓ -65% |
| Quality Care Partners | ALL PRODUCTS | $1,131.20 | ↓ -62% |
| AETNA | Asa_Whirlpool_Peia | $1,131.20 | ↓ -62% |
| GMS | ALL PRODUCTS | $1,131.20 | ↓ -62% |
| Medical Benefit Corp | Transplant SMCP | $1,131.20 | ↓ -62% |
| AETNA | ALL PRODUCTS | $1,212.00 | ↓ -59% |
| Consociate Health | ALL PRODUCTS | $1,212.00 | ↓ -59% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,292.80 | ↓ -57% |
| Humana Military | ALL PRODUCTS | $1,373.60 | ↓ -54% |
| FrontPath | TRANSPLANT | $1,454.40 | ↓ -51% |
| Tertiary Care Network | TRANSPLANT | $1,454.40 | ↓ -51% |
| Managed Care Services | TRANSPLANT | $1,454.40 | ↓ -51% |
| MULTIPLAN | ALL PRODUCTS | $1,454.40 | ↓ -51% |
| USA Managed Care | ALL PRODUCTS | $1,454.40 | ↓ -51% |
| AETNA | Qhp/Ipf | $1,616.00 | ↓ -46% |
| ANTHEM | PPO/HMO | $2,149.18 | ↓ -28% |
| Valor | HMO & PPO | $2,919.60 | ↓ -2% |
| HUMANA | Medicare Advantage HMO | $2,919.60 | ↓ -2% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,919.60 | ↓ -2% |
| OPTUM | Medicare Advantage Transplant | $2,919.60 | ↓ -2% |
| Summacare | MEDICARE ADVANTAGE | $2,919.60 | ↓ -2% |
| ANTHEM | MEDICARE ADVANTAGE | $2,919.60 | ↓ -2% |
| The Health Plan | MEDICARE ADVANTAGE | $2,919.60 | ↓ -2% |
| AETNA | MEDICARE ADVANTAGE | $2,919.60 | ↓ -2% |
| UNITED | MEDICARE ADVANTAGE | $2,919.60 | ↓ -2% |
| UPMC | MEDICARE ADVANTAGE | $2,919.60 | ↓ -2% |
| CIGNA | MEDICARE ADVANTAGE | $3,007.19 | ↑ +1% |
| CC EHP | ALL PRODUCTS | $3,028.41 | ↑ +2% |
| CommuniCare | MEDICARE ADVANTAGE | $3,065.58 | ↑ +3% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,153.17 | ↑ +6% |
| Perennial Health | MEDICARE ADVANTAGE | $3,153.17 | ↑ +6% |
| PPHP | ALL PRODUCTS | $3,211.56 | ↑ +8% |
| UNITED | ALL PRODUCTS | $6,569.10 | ↑ +121% |
| AETNA | NAP | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
Visitor-reported prices
Comments
Target gsa panel organ/hmtlmph neop at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $6,127.20 | not published |
| Anderson Hospital | Cincinnati | $6,127.20 | not published |
| Clermont Hospital | Batavia | $6,127.20 | not published |
| Kings Mills Hospital | Mason | $6,127.20 | not published |
| Mercy West Hospital | Cincinnati | $6,127.20 | not published |
| St Ritas Medical Center | Lima | $4,599.00 | not published |
| Trinity Medical Center East | Steubenville | $1,076.67 | $1,167.84 – $2,279.55 |
| cleveland clinic main campus | Cleveland | $3,391.05 | $457.00 – $3,271.01 |