healthcosts.net
Resect thigh/knee tum 5 cm/> at University Hospitals Cleveland Medical Center
11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · University Hospitals · · NPI 1043397292
$3,293.25
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.
$4,391.00
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.
$1,185.57 with Medical Mutual of Ohio vs $3,951.90 with Ohio Health Choice — 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 |
|---|---|---|---|
| Medical Mutual of Ohio | Northern Ohio Commercial | $1,185.57 | ↓ -64% |
| University Health Employee Plan (Contigo) | Commercial | $1,756.40 | ↓ -47% |
| Christian Healthcare Ministries | Fund | $2,195.50 | ↓ -33% |
| Immergrun | Commercial | $2,195.50 | ↓ -33% |
| Buckeye Plain Ministries | Fund | $2,195.50 | ↓ -33% |
| Amish Church Fund and Workers Aid Plan | Fund | $2,195.50 | ↓ -33% |
| Amish Aid Community Plan | Fund | $2,195.50 | ↓ -33% |
| Sunrise Plain Communities | Fund | $2,195.50 | ↓ -33% |
| Anthem | Pathway Commercial | $2,318.45 | ↓ -30% |
| Anthem | Tiered/Pathway Commercial | $2,318.45 | ↓ -30% |
| CareSource | Marketplace | $2,371.14 | ↓ -28% |
| Ambetter | Commercial | $2,458.96 | ↓ -25% |
| Enterprise Group Planning | Commercial | $2,458.96 | ↓ -25% |
| JP Farley | Commercial | $2,458.96 | ↓ -25% |
| Health Ohio Network | Commercial | $2,546.78 | ↓ -23% |
| Anthem | Blue Access Commercial | $2,595.08 | ↓ -21% |
| Anthem | Traditional Commercial | $2,595.08 | ↓ -21% |
| Medical Mutual of Ohio | MedFlex Commercial | $2,617.04 | ↓ -21% |
| Aetna | OPN Commercial | $2,621.43 | ↓ -20% |
| Immergrun | Fund | $2,634.60 | ↓ -20% |
| United Healthcare | Nexus Commercial | $2,691.68 | ↓ -18% |
| Cigna | PPO Commercial | $2,722.42 | ↓ -17% |
| Anthem | Medicare Advantage | $2,748.08 | ↓ -17% |
| Aetna | Medicare Advantage | $2,748.08 | ↓ -17% |
| WellCare by AllWell | Medicare Advantage | $2,748.08 | ↓ -17% |
| Molina | Medicare Advantage | $2,748.08 | ↓ -17% |
| United Healthcare | Medicare Advantage | $2,748.08 | ↓ -17% |
| The Health Plan | Medicare Advantage | $2,748.08 | ↓ -17% |
| Cigna | Medicare Advantage | $2,748.08 | ↓ -17% |
| Devoted Health | Medicare Advantage | $2,748.08 | ↓ -17% |
| SummaCare | Medicare Advantage | $2,748.08 | ↓ -17% |
| Primetime Health Plan | Medicare Advantage | $2,748.08 | ↓ -17% |
| Humana | Medicare Advantage | $2,748.08 | ↓ -17% |
| Medical Mutual of Ohio | Medicare Advantage | $2,748.08 | ↓ -17% |
| AultCare | Commercial | $2,766.33 | ↓ -16% |
| Cigna | CSN Commercial | $2,779.50 | ↓ -16% |
| Paramount | Medicare Advantage | $2,830.53 | ↓ -14% |
| HealthSmart | Commercial | $2,854.15 | ↓ -13% |
| The Health Plan | Commercial | $2,854.15 | ↓ -13% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $2,854.15 | ↓ -13% |
| Valor Health Plans | Medicare Advantage | $2,885.49 | ↓ -12% |
| Perennial Advantage of Ohio | Medicare Advantage | $2,885.49 | ↓ -12% |
| Medical Mutual of Ohio | SuperMed Commercial | $2,906.84 | ↓ -12% |
| Aetna | Commercial | $2,911.23 | ↓ -12% |
| Cigna | OAP Commercial | $2,968.32 | ↓ -10% |
| SummaCare | Commercial | $2,985.88 | ↓ -9% |
| United Healthcare | Commercial | $3,060.53 | ↓ -7% |
| Medical Mutual Traditional/Health Ohio | Commercial | $3,073.70 | ↓ -7% |
| Medical Mutual of Ohio | NAS Commercial | $3,196.65 | ↓ -3% |
| Aetna | NAP Commercial | $3,442.54 | ↑ +5% |
| Beech Street | Commercial | $3,512.80 | ↑ +7% |
| Ohio Preferred Network | Commercial | $3,512.80 | ↑ +7% |
| First Health | Commercial | $3,644.53 | ↑ +11% |
| Century Health Network | Commercial | $3,732.35 | ↑ +13% |
| Private Healthcare System | Commercial | $3,776.26 | ↑ +15% |
| MultiPlan | Commercial | $3,951.90 | ↑ +20% |
| Fortified Provider Network | Commercial | $3,951.90 | ↑ +20% |
| Ohio Health Choice | Commercial | $3,951.90 | ↑ +20% |
| Humana | 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 | — |
| CareSource | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Resect thigh/knee tum 5 cm/> at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $6,367.40 | $1.10 – $8,816.40 |
| akron general | Akron | $6,367.40 | $1.10 – $8,816.40 |
| mercy hospital | Canton | $6,367.40 | $1.10 – $8,816.40 |
| avon hospital | Avon | not published | $2,113.87 – $3,022.89 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,451.18 – $3,996.10 |
| euclid hospital | Euclid | not published | $2,165.72 – $3,022.89 |
| fairview hospital | Cleveland | not published | $2,034.58 – $3,022.89 |
| lutheran hospital | Cleveland | not published | $1,936.98 – $3,022.89 |