healthcosts.net
Bronch w/balloon occlusion at avon hospital
33300 Cleveland Clinic Blvd, Avon, OH · Cleveland Clinic · · NPI 1346607017
$20,697.95
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.
$31,843.00
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.
$0.01 with UNITED vs $31,843.00 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 →
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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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| ANTHEM | PPO/HMO | $364.34 | ↓ -98% |
| ANTHEM | Managed Medicaid | $2,230.31 | ↓ -89% |
| MOLINA | Managed Medicaid | $2,230.31 | ↓ -89% |
| Buckeye | Managed Medicaid | $2,230.31 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $2,272.79 | ↓ -89% |
| UNITED | Managed Medicaid | $2,272.79 | ↓ -89% |
| MMO | ALL PRODUCTS | $2,593.00 | ↓ -87% |
| AETNA | Acop | $5,355.00 | ↓ -74% |
| CIGNA | ALL PRODUCTS | $5,520.00 | ↓ -73% |
| AETNA | Asa_Whirlpool_Peia | $5,653.00 | ↓ -73% |
| MMO | Medicare Advantage HMO | $6,417.41 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $6,417.41 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $6,417.41 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $6,417.41 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $6,417.41 | ↓ -69% |
| OPTUM | All Products VA | $6,417.41 | ↓ -69% |
| MMO | Medicare Advantage PPO | $6,609.93 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $6,676.90 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $6,676.90 | ↓ -68% |
| Valor | HMO & PPO | $6,676.90 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $6,676.90 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $6,676.90 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $6,676.90 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $6,877.21 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $6,930.80 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $7,010.75 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,211.05 | ↓ -65% |
| Zing Health | Medicare Advantage | $7,344.59 | ↓ -65% |
| PPHP | ALL PRODUCTS | $7,344.59 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $9,005.20 | ↓ -56% |
| PHP | ALL PRODUCTS | $10,189.76 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $10,762.93 | ↓ -48% |
| Summacare | Preferred | $11,145.05 | ↓ -46% |
| Summacare | PREMIER | $12,132.18 | ↓ -41% |
| Aultcare | PPO/HMO | $13,183.00 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $14,329.35 | ↓ -31% |
| OHCP | ALL PRODUCTS | $15,475.70 | ↓ -25% |
| OMAS | ALL PRODUCTS | $15,921.50 | ↓ -23% |
| MMO | TRADITIONAL | $16,653.89 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $17,195.22 | ↓ -17% |
| ANTHEM | TRADITIONAL | $17,848.00 | ↓ -14% |
| OPTUM | All Products Transplant | $18,023.14 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $19,105.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $19,105.80 | ↓ -8% |
| AETNA | International | $20,825.32 | ↑ +1% |
| Medical Benefit Corp | Transplant SMCP | $22,290.10 | ↑ +8% |
| GMS | ALL PRODUCTS | $22,290.10 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $23,882.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $23,882.25 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $28,658.70 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $28,658.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $28,658.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $28,658.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $31,843.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Bronch w/balloon occlusion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $20,697.95 | $0.01 – $28,658.70 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $20,697.95 | $3,641.28 – $28,658.70 |
| euclid hospital | Euclid | $20,697.95 | $0.01 – $28,658.70 |
| fairview hospital | Cleveland | $20,697.95 | $0.01 – $28,658.70 |
| lutheran hospital | Cleveland | $20,697.95 | $0.01 – $28,658.70 |
| hillcrest hospital | Mayfield Heights | $20,697.95 | $0.01 – $28,658.70 |
| marymount hospital | Garfield Heights | $20,697.95 | $0.01 – $28,658.70 |
| medina hospital | Medina | $20,697.95 | $0.01 – $28,658.70 |