healthcosts.net
ER Visit (level 2) at avon hospital
33300 Cleveland Clinic Blvd, Avon, OH · Cleveland Clinic · · NPI 1346607017
$710.45
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.
$1,093.00
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.
$58.51 with ANTHEM vs $2,197.00 with UNITED — 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 |
|---|---|---|---|
| ANTHEM | Managed Medicaid | $58.51 | ↓ -92% |
| MOLINA | Managed Medicaid | $58.51 | ↓ -92% |
| Buckeye | Managed Medicaid | $58.51 | ↓ -92% |
| UNITED | Managed Medicaid | $59.62 | ↓ -92% |
| CARESOURCE | Managed Medicaid | $59.62 | ↓ -92% |
| ANTHEM | PPO/HMO | $87.20 | ↓ -88% |
| Summacare | MEDICARE ADVANTAGE | $145.26 | ↓ -80% |
| ANTHEM | MEDICARE ADVANTAGE | $145.26 | ↓ -80% |
| UPMC | MEDICARE ADVANTAGE | $145.26 | ↓ -80% |
| AETNA | MEDICARE ADVANTAGE | $145.26 | ↓ -80% |
| Valor | HMO & PPO | $145.26 | ↓ -80% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $145.26 | ↓ -80% |
| UNITED | MEDICARE ADVANTAGE | $146.81 | ↓ -79% |
| MMO | Medicare Advantage HMO | $146.81 | ↓ -79% |
| The Health Plan | MEDICARE ADVANTAGE | $146.81 | ↓ -79% |
| OPTUM | All Products VA | $146.81 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $146.81 | ↓ -79% |
| OPTUM | Medicare Advantage Transplant | $146.81 | ↓ -79% |
| CIGNA | MEDICARE ADVANTAGE | $149.62 | ↓ -79% |
| MMO | Medicare Advantage PPO | $151.21 | ↓ -79% |
| CommuniCare | MEDICARE ADVANTAGE | $152.53 | ↓ -79% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $156.89 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $158.55 | ↓ -78% |
| Zing Health | Medicare Advantage | $159.79 | ↓ -78% |
| PPHP | ALL PRODUCTS | $159.79 | ↓ -78% |
| OSCAR | ALL PRODUCTS | $309.10 | ↓ -56% |
| PHP | ALL PRODUCTS | $349.76 | ↓ -51% |
| Summacare | Preferred | $382.55 | ↓ -46% |
| Summacare | PREMIER | $416.43 | ↓ -41% |
| CC EHP | ALL PRODUCTS | $430.00 | ↓ -39% |
| Aultcare | PPO/HMO | $452.50 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $491.85 | ↓ -31% |
| OHCP | ALL PRODUCTS | $531.20 | ↓ -25% |
| OMAS | ALL PRODUCTS | $546.50 | ↓ -23% |
| MMO | TRADITIONAL | $571.64 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $590.22 | ↓ -17% |
| AETNA | Acop | $609.00 | ↓ -14% |
| ANTHEM | TRADITIONAL | $612.63 | ↓ -14% |
| OPTUM | All Products Transplant | $618.64 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $655.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $655.80 | ↓ -8% |
| Medical Benefit Corp | Transplant SMCP | $765.10 | ↑ +8% |
| GMS | ALL PRODUCTS | $765.10 | ↑ +8% |
| AETNA | Qhp/Ipf | $765.10 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $800.00 | ↑ +13% |
| AETNA | ALL PRODUCTS | $819.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $819.75 | ↑ +15% |
| AETNA | International | $907.00 | ↑ +28% |
| CIGNA | ALL PRODUCTS | $931.00 | ↑ +31% |
| MULTIPLAN | ALL PRODUCTS | $983.70 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $983.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $983.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $983.70 | ↑ +38% |
| MMO | ALL PRODUCTS | $1,012.00 | ↑ +42% |
| UNITED | ALL PRODUCTS | $2,197.00 | ↑ +209% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 2) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $710.45 | $1.10 – $983.70 |
| akron general | Akron | $710.45 | $1.10 – $983.70 |
| euclid hospital | Euclid | $710.45 | $59.95 – $983.70 |
| fairview hospital | Cleveland | $710.45 | $56.32 – $983.70 |
| lutheran hospital | Cleveland | $710.45 | $53.61 – $983.70 |
| hillcrest hospital | Mayfield Heights | $710.45 | $58.67 – $983.70 |
| lodi hospital | Lodi | $710.45 | $91.53 – $983.70 |
| marymount hospital | Garfield Heights | $710.45 | $52.93 – $983.70 |