Electrophysiology evaluation at avon hospital
33300 Cleveland Clinic Blvd, Avon, OH · Cleveland Clinic · · NPI 1346607017
$6,834.10
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.
$10,514.00
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.
$1,328.08 with MOLINA vs $10,514.00 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 |
|---|---|---|---|
| MOLINA | Managed Medicaid | $1,328.08 | ↓ -81% |
| ANTHEM | Managed Medicaid | $1,328.08 | ↓ -81% |
| Buckeye | Managed Medicaid | $1,328.08 | ↓ -81% |
| CARESOURCE | Managed Medicaid | $1,353.38 | ↓ -80% |
| UNITED | Managed Medicaid | $1,353.38 | ↓ -80% |
| ANTHEM | PPO/HMO | $1,791.59 | ↓ -74% |
| AETNA | MEDICARE ADVANTAGE | $2,292.05 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $2,973.36 | ↓ -56% |
| Zing Health | Medicare Advantage | $3,154.20 | ↓ -54% |
| PHP | ALL PRODUCTS | $3,364.48 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $3,553.73 | ↓ -48% |
| Summacare | Preferred | $3,679.90 | ↓ -46% |
| Summacare | PREMIER | $4,005.83 | ↓ -41% |
| Aultcare | PPO/HMO | $4,352.80 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $4,731.30 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $4,962.61 | ↓ -27% |
| OHCP | ALL PRODUCTS | $5,109.80 | ↓ -25% |
| OMAS | ALL PRODUCTS | $5,257.00 | ↓ -23% |
| MMO | TRADITIONAL | $5,498.82 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $5,677.56 | ↓ -17% |
| MMO | ALL PRODUCTS | $5,730.13 | ↓ -16% |
| ANTHEM | TRADITIONAL | $5,893.10 | ↓ -14% |
| OPTUM | All Products Transplant | $5,950.92 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $6,308.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $6,308.40 | ↓ -8% |
| AETNA | Acop | $6,308.40 | ↓ -8% |
| UNITED | ALL PRODUCTS | $6,360.97 | ↓ -7% |
| Medical Benefit Corp | Transplant SMCP | $7,359.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $7,359.80 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $7,885.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $7,885.50 | ↑ +15% |
| AETNA | Asa_Whirlpool_Peia | $8,602.00 | ↑ +26% |
| Tertiary Care Network | TRANSPLANT | $9,462.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $9,462.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $9,462.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $9,462.60 | ↑ +38% |
| AETNA | International | $9,753.00 | ↑ +43% |
| AETNA | Qhp/Ipf | $10,514.00 | ↑ +54% |
| 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 | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
Visitor-reported prices
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Electrophysiology evaluation at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $4,860.62 | $5,880.60 – $7,546.77 |
| cleveland clinic main campus | Cleveland | $7,687.55 | $1.10 – $9,462.60 |
| akron general | Akron | $6,834.10 | $1.10 – $9,462.60 |
| euclid hospital | Euclid | $6,834.10 | $1,360.66 – $9,462.60 |
| fairview hospital | Cleveland | $6,834.10 | $1,278.27 – $9,462.60 |
| lutheran hospital | Cleveland | $6,834.10 | $1,216.96 – $9,462.60 |
| hillcrest hospital | Mayfield Heights | $6,834.10 | $1,331.76 – $9,462.60 |
| marymount hospital | Garfield Heights | $6,834.10 | $1,201.60 – $9,462.60 |