Extended visual field xm 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

$162.75

Cash price

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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.

$217.00

Gross charge

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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.

$58.59 with Medical Mutual of Ohio vs $195.30 with MultiPlan — 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 →

Payer
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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
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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 Northern Ohio Commercial $58.59 ↓ -64%
University Health Employee Plan (Contigo) Commercial $86.80 ↓ -47%
Christian Healthcare Ministries Fund $108.50 ↓ -33%
Immergrun Commercial $108.50 ↓ -33%
Buckeye Plain Ministries Fund $108.50 ↓ -33%
Amish Church Fund and Workers Aid Plan Fund $108.50 ↓ -33%
Sunrise Plain Communities Fund $108.50 ↓ -33%
Amish Aid Community Plan Fund $108.50 ↓ -33%
Medical Mutual of Ohio MedFlex Commercial $111.76 ↓ -31%
Anthem Pathway Commercial $114.58 ↓ -30%
Anthem Tiered/Pathway Commercial $114.58 ↓ -30%
CareSource Marketplace $117.18 ↓ -28%
JP Farley Commercial $117.83 ↓ -28%
Cigna PPO Commercial $120.44 ↓ -26%
Ambetter Commercial $121.52 ↓ -25%
Enterprise Group Planning Commercial $121.52 ↓ -25%
Anthem Traditional Commercial $124.12 ↓ -24%
Health Ohio Network Commercial $125.86 ↓ -23%
Humana Medicare Advantage $125.87 ↓ -23%
Aetna Medicare Advantage $125.87 ↓ -23%
WellCare by AllWell Medicare Advantage $125.87 ↓ -23%
Anthem Medicare Advantage $125.87 ↓ -23%
United Healthcare Medicare Advantage $125.87 ↓ -23%
The Health Plan Medicare Advantage $125.87 ↓ -23%
Cigna Medicare Advantage $125.87 ↓ -23%
Devoted Health Medicare Advantage $125.87 ↓ -23%
SummaCare Medicare Advantage $125.87 ↓ -23%
Primetime Health Plan Medicare Advantage $125.87 ↓ -23%
Molina Medicare Advantage $125.87 ↓ -23%
Medical Mutual of Ohio Medicare Advantage $125.87 ↓ -23%
Anthem Blue Access Commercial $128.25 ↓ -21%
Aetna OPN Commercial $129.55 ↓ -20%
Paramount Medicare Advantage $129.65 ↓ -20%
Immergrun Fund $130.20 ↓ -20%
United Healthcare Nexus Commercial $131.07 ↓ -19%
Valor Health Plans Medicare Advantage $132.17 ↓ -19%
Perennial Advantage of Ohio Medicare Advantage $132.17 ↓ -19%
Medical Mutual of Ohio NAS Commercial $136.49 ↓ -16%
Medical Mutual of Ohio SuperMed Commercial $136.49 ↓ -16%
AultCare Commercial $136.71 ↓ -16%
Cigna CSN Commercial $137.36 ↓ -16%
The Health Plan Commercial $141.05 ↓ -13%
HealthSmart Commercial $141.05 ↓ -13%
Ohio Health Choice Preferred Health Choice Plus Commercial $141.05 ↓ -13%
Aetna Commercial $143.87 ↓ -12%
Cigna OAP Commercial $144.74 ↓ -11%
SummaCare Commercial $147.56 ↓ -9%
United Healthcare Commercial $148.86 ↓ -9%
Medical Mutual Traditional/Health Ohio Commercial $151.90 ↓ -7%
Aetna NAP Commercial $170.13 ↑ +5%
Beech Street Commercial $173.60 ↑ +7%
Ohio Preferred Network Commercial $173.60 ↑ +7%
First Health Commercial $180.11 ↑ +11%
Century Health Network Commercial $184.45 ↑ +13%
Private Healthcare System Commercial $186.62 ↑ +15%
Fortified Provider Network Commercial $195.30 ↑ +20%
Ohio Health Choice Commercial $195.30 ↑ +20%
MultiPlan Commercial $195.30 ↑ +20%
CareSource Managed Medicaid not published by hospital —
Molina Managed Medicaid not published by hospital —
Humana Managed Medicaid not published by hospital —
United Healthcare Managed Medicaid not published by hospital —
Buckeye Managed Medicaid not published by hospital —
Amerihealth Caritas Managed Medicaid not published by hospital —
Aetna (Ohio Rise) Managed Medicaid not published by hospital —

Visitor-reported prices

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Extended visual field xm at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland $528.45 $1.10 – $533.70
akron general Akron $528.45 $1.10 – $198.00
avon hospital Avon $385.45 $41.41 – $533.70
euclid hospital Euclid $385.45 $42.43 – $533.70
fairview hospital Cleveland $385.45 $39.85 – $533.70
lutheran hospital Cleveland $385.45 $37.94 – $533.70
hillcrest hospital Mayfield Heights $385.45 $41.52 – $533.70
marymount hospital Garfield Heights $385.45 $37.47 – $533.70

All Ohio hospitals for this procedure →