Treat thigh fracture at avon hospital
33300 Cleveland Clinic Blvd, Avon, OH · Cleveland Clinic · · NPI 1346607017
$1,183.00
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.
$1,820.00
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.
$251.22 with MOLINA vs $3,053.00 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 | $251.22 | ↓ -79% |
| ANTHEM | Managed Medicaid | $251.22 | ↓ -79% |
| Buckeye | Managed Medicaid | $251.22 | ↓ -79% |
| UNITED | Managed Medicaid | $256.01 | ↓ -78% |
| CARESOURCE | Managed Medicaid | $256.01 | ↓ -78% |
| OSCAR | ALL PRODUCTS | $514.70 | ↓ -56% |
| PHP | ALL PRODUCTS | $582.40 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $615.16 | ↓ -48% |
| Summacare | Preferred | $637.00 | ↓ -46% |
| Summacare | PREMIER | $693.42 | ↓ -41% |
| Aultcare | PPO/HMO | $753.48 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $819.00 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $859.04 | ↓ -27% |
| OHCP | ALL PRODUCTS | $884.52 | ↓ -25% |
| OMAS | ALL PRODUCTS | $910.00 | ↓ -23% |
| MMO | TRADITIONAL | $951.86 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $982.80 | ↓ -17% |
| ANTHEM | TRADITIONAL | $1,020.11 | ↓ -14% |
| OPTUM | All Products Transplant | $1,030.12 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $1,092.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $1,092.00 | ↓ -8% |
| Medical Benefit Corp | Transplant SMCP | $1,274.00 | ↑ +8% |
| GMS | ALL PRODUCTS | $1,274.00 | ↑ +8% |
| AETNA | ALL PRODUCTS | $1,365.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,365.00 | ↑ +15% |
| ANTHEM | MEDICARE ADVANTAGE | $1,521.28 | ↑ +29% |
| Valor | HMO & PPO | $1,521.28 | ↑ +29% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,521.28 | ↑ +29% |
| UPMC | MEDICARE ADVANTAGE | $1,521.28 | ↑ +29% |
| Summacare | MEDICARE ADVANTAGE | $1,521.28 | ↑ +29% |
| AETNA | MEDICARE ADVANTAGE | $1,521.28 | ↑ +29% |
| CIGNA | MEDICARE ADVANTAGE | $1,566.92 | ↑ +32% |
| CommuniCare | MEDICARE ADVANTAGE | $1,597.35 | ↑ +35% |
| Tertiary Care Network | TRANSPLANT | $1,638.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,638.00 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,638.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,638.00 | ↑ +38% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,642.99 | ↑ +39% |
| PPHP | ALL PRODUCTS | $1,673.41 | ↑ +41% |
| Zing Health | Medicare Advantage | $1,673.41 | ↑ +41% |
| ANTHEM | PPO/HMO | $1,757.47 | ↑ +49% |
| AETNA | Qhp/Ipf | $1,820.00 | ↑ +54% |
| AETNA | Acop | $2,451.00 | ↑ +107% |
| MMO | ALL PRODUCTS | $2,593.00 | ↑ +119% |
| AETNA | Asa_Whirlpool_Peia | $2,693.00 | ↑ +128% |
| AETNA | International | $3,053.00 | ↑ +158% |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Treat thigh fracture at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,590.60 | $1.10 – $4,971.60 |
| akron general | Akron | $1,183.00 | $234.24 – $1,673.41 |
| euclid hospital | Euclid | $1,183.00 | $257.38 – $1,673.41 |
| fairview hospital | Cleveland | $1,183.00 | $241.80 – $1,673.41 |
| lutheran hospital | Cleveland | $1,183.00 | $230.20 – $1,673.41 |
| hillcrest hospital | Mayfield Heights | $1,183.00 | $251.92 – $1,673.41 |
| lodi hospital | Lodi | $1,183.00 | $393.02 – $1,638.00 |
| marymount hospital | Garfield Heights | $1,183.00 | $227.30 – $1,673.41 |