healthcosts.net
Diagnostic Mammogram (both breasts) at avon hospital
33300 Cleveland Clinic Blvd, Avon, OH · Cleveland Clinic · · NPI 1346607017
$458.90
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.
$706.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.87 with AETNA vs $706.00 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 |
|---|---|---|---|
| AETNA | Acop | $0.87 | ↓ -100% |
| ANTHEM | Managed Medicaid | $44.12 | ↓ -90% |
| MOLINA | Managed Medicaid | $44.12 | ↓ -90% |
| Buckeye | Managed Medicaid | $44.12 | ↓ -90% |
| UNITED | Managed Medicaid | $44.96 | ↓ -90% |
| CARESOURCE | Managed Medicaid | $44.96 | ↓ -90% |
| OSCAR | ALL PRODUCTS | $199.66 | ↓ -56% |
| UNITED | MEDICARE ADVANTAGE | $207.95 | ↓ -55% |
| MMO | Medicare Advantage HMO | $207.95 | ↓ -55% |
| The Health Plan | MEDICARE ADVANTAGE | $207.95 | ↓ -55% |
| HUMANA | Medicare Advantage HMO | $207.95 | ↓ -55% |
| OPTUM | Medicare Advantage Transplant | $207.95 | ↓ -55% |
| Summacare | MEDICARE ADVANTAGE | $213.08 | ↓ -54% |
| ANTHEM | MEDICARE ADVANTAGE | $213.08 | ↓ -54% |
| UPMC | MEDICARE ADVANTAGE | $213.08 | ↓ -54% |
| AETNA | MEDICARE ADVANTAGE | $213.08 | ↓ -54% |
| Valor | HMO & PPO | $213.08 | ↓ -54% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $213.08 | ↓ -54% |
| MMO | Medicare Advantage PPO | $214.19 | ↓ -53% |
| CIGNA | MEDICARE ADVANTAGE | $219.47 | ↓ -52% |
| CommuniCare | MEDICARE ADVANTAGE | $223.73 | ↓ -51% |
| Perennial Health | MEDICARE ADVANTAGE | $224.59 | ↓ -51% |
| PHP | ALL PRODUCTS | $225.92 | ↓ -51% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $230.13 | ↓ -50% |
| Zing Health | Medicare Advantage | $234.39 | ↓ -49% |
| PPHP | ALL PRODUCTS | $234.39 | ↓ -49% |
| CC EHP | ALL PRODUCTS | $238.63 | ↓ -48% |
| CIGNA | ALL PRODUCTS | $246.00 | ↓ -46% |
| Summacare | Preferred | $247.10 | ↓ -46% |
| MMO | ALL PRODUCTS | $259.00 | ↓ -44% |
| Summacare | PREMIER | $268.99 | ↓ -41% |
| Aultcare | PPO/HMO | $292.28 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $317.70 | ↓ -31% |
| ANTHEM | PPO/HMO | $339.88 | ↓ -26% |
| OHCP | ALL PRODUCTS | $343.12 | ↓ -25% |
| OMAS | ALL PRODUCTS | $353.00 | ↓ -23% |
| MMO | TRADITIONAL | $369.24 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $381.24 | ↓ -17% |
| ANTHEM | TRADITIONAL | $395.71 | ↓ -14% |
| OPTUM | All Products Transplant | $399.60 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $423.60 | ↓ -8% |
| UPMC | ALL PRODUCTS | $423.60 | ↓ -8% |
| AETNA | International | $453.25 | ↓ -1% |
| Medical Benefit Corp | Transplant SMCP | $494.20 | ↑ +8% |
| GMS | ALL PRODUCTS | $494.20 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $494.20 | ↑ +8% |
| AETNA | ALL PRODUCTS | $529.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $529.50 | ↑ +15% |
| UNITED | ALL PRODUCTS | $591.75 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $635.40 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $635.40 | ↑ +38% |
| FrontPath | TRANSPLANT | $635.40 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $635.40 | ↑ +38% |
| AETNA | Qhp/Ipf | $706.00 | ↑ +54% |
| OPTUM | All Products VA | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $718.90 | $1.10 – $635.40 |
| akron general | Akron | $458.90 | $0.87 – $635.40 |
| euclid hospital | Euclid | $458.90 | $0.87 – $635.40 |
| fairview hospital | Cleveland | $458.90 | $0.87 – $635.40 |
| lutheran hospital | Cleveland | $458.90 | $0.87 – $635.40 |
| hillcrest hospital | Mayfield Heights | $458.90 | $0.87 – $635.40 |
| lodi hospital | Lodi | $458.90 | $69.04 – $635.40 |
| marymount hospital | Garfield Heights | $458.90 | $0.87 – $635.40 |