Breath hydrogen test 91065 at University Hospitals Cleveland Medical Center

11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · University Hospitals · · NPI 1043397292

Source: hospital's published price file ↗ · Published Jul 14, 2026 · Ingested Aug 21, 2026

$603.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$804.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$204.28 with Medical Mutual of Ohio vs $723.60 with Fortified Provider Network — 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 →

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
Medical Mutual of Ohio Medicare Advantage $204.28 ↓ -66%
The Health Plan Medicare Advantage $204.28 ↓ -66%
SummaCare Medicare Advantage $204.28 ↓ -66%
Devoted Health Medicare Advantage $204.28 ↓ -66%
Cigna Medicare Advantage $204.28 ↓ -66%
Molina Medicare Advantage $204.28 ↓ -66%
United Healthcare Medicare Advantage $204.28 ↓ -66%
Aetna Medicare Advantage $204.28 ↓ -66%
WellCare by AllWell Medicare Advantage $204.28 ↓ -66%
Primetime Health Plan Medicare Advantage $204.28 ↓ -66%
Anthem Medicare Advantage $204.28 ↓ -66%
Humana Medicare Advantage $204.28 ↓ -66%
Paramount Medicare Advantage $210.41 ↓ -65%
Perennial Advantage of Ohio Medicare Advantage $214.49 ↓ -64%
Valor Health Plans Medicare Advantage $214.49 ↓ -64%
Medical Mutual of Ohio Northern Ohio Commercial $217.08 ↓ -64%
University Health Employee Plan (Contigo) Commercial $321.60 ↓ -47%
CareSource Marketplace $367.70 ↓ -39%
Ambetter Commercial $367.70 ↓ -39%
Immergrun Commercial $402.00 ↓ -33%
Amish Aid Community Plan Fund $402.00 ↓ -33%
Amish Church Fund and Workers Aid Plan Fund $402.00 ↓ -33%
Buckeye Plain Ministries Fund $402.00 ↓ -33%
Christian Healthcare Ministries Fund $402.00 ↓ -33%
Sunrise Plain Communities Fund $402.00 ↓ -33%
AultCare Commercial $408.56 ↓ -32%
Medical Mutual of Ohio MedFlex Commercial $414.06 ↓ -31%
Anthem Pathway Commercial $424.51 ↓ -30%
United Healthcare Nexus Commercial $424.51 ↓ -30%
Anthem Tiered/Pathway Commercial $424.51 ↓ -30%
JP Farley Commercial $436.57 ↓ -28%
Cigna PPO Commercial $446.22 ↓ -26%
Enterprise Group Planning Commercial $450.24 ↓ -25%
Anthem Traditional Commercial $459.89 ↓ -24%
Health Ohio Network Commercial $466.32 ↓ -23%
Anthem Blue Access Commercial $475.16 ↓ -21%
Aetna OPN Commercial $479.99 ↓ -20%
Immergrun Fund $482.40 ↓ -20%
United Healthcare Commercial $482.40 ↓ -20%
Medical Mutual of Ohio NAS Commercial $505.72 ↓ -16%
Medical Mutual of Ohio SuperMed Commercial $505.72 ↓ -16%
Cigna CSN Commercial $508.93 ↓ -16%
Ohio Health Choice Preferred Health Choice Plus Commercial $522.60 ↓ -13%
HealthSmart Commercial $522.60 ↓ -13%
The Health Plan Commercial $522.60 ↓ -13%
Aetna Commercial $533.05 ↓ -12%
Cigna OAP Commercial $536.27 ↓ -11%
SummaCare Commercial $546.72 ↓ -9%
Medical Mutual Traditional/Health Ohio Commercial $562.80 ↓ -7%
Aetna NAP Commercial $630.34 ↑ +5%
Ohio Preferred Network Commercial $643.20 ↑ +7%
Beech Street Commercial $643.20 ↑ +7%
First Health Commercial $667.32 ↑ +11%
Century Health Network Commercial $683.40 ↑ +13%
Private Healthcare System Commercial $691.44 ↑ +15%
Ohio Health Choice Commercial $723.60 ↑ +20%
MultiPlan Commercial $723.60 ↑ +20%
Fortified Provider Network Commercial $723.60 ↑ +20%
CareSource Managed Medicaid not published by hospital —
United Healthcare Managed Medicaid not published by hospital —
Buckeye Managed Medicaid not published by hospital —
Molina Managed Medicaid not published by hospital —
Amerihealth Caritas Managed Medicaid not published by hospital —
Aetna (Ohio Rise) Managed Medicaid not published by hospital —
Humana Managed Medicaid not published by hospital —

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Breath hydrogen test 91065 at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland $525.20 $1.10 – $648.00
avon hospital Avon $468.00 $31.41 – $648.00
euclid hospital Euclid $468.00 $32.18 – $648.00
fairview hospital Cleveland $468.00 $30.22 – $648.00
lutheran hospital Cleveland $468.00 $28.78 – $648.00
hillcrest hospital Mayfield Heights $468.00 $31.49 – $648.00
marymount hospital Garfield Heights $468.00 $28.41 – $648.00
medina hospital Medina $468.00 $29.47 – $648.00

All Ohio hospitals for this procedure →