Revasc lithotrip tibi/perone 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

$12,754.50

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.

$17,006.00

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.

$4,591.62 with Medical Mutual of Ohio vs $15,305.40 with Ohio Health Choice — 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 $4,591.62 ↓ -64%
Amish Church Fund and Workers Aid Plan Fund $8,503.00 ↓ -33%
Amish Aid Community Plan Fund $8,503.00 ↓ -33%
Christian Healthcare Ministries Fund $8,503.00 ↓ -33%
Sunrise Plain Communities Fund $8,503.00 ↓ -33%
University Health Employee Plan (Contigo) Commercial $8,503.00 ↓ -33%
Immergrun Commercial $8,503.00 ↓ -33%
Buckeye Plain Ministries Fund $8,503.00 ↓ -33%
Medical Mutual of Ohio MedFlex Commercial $8,758.09 ↓ -31%
Anthem Pathway Commercial $8,979.17 ↓ -30%
Anthem Tiered/Pathway Commercial $8,979.17 ↓ -30%
CareSource Marketplace $9,183.24 ↓ -28%
JP Farley Commercial $9,234.26 ↓ -28%
Cigna PPO Commercial $9,438.33 ↓ -26%
Enterprise Group Planning Commercial $9,523.36 ↓ -25%
Ambetter Commercial $9,523.36 ↓ -25%
Anthem Traditional Commercial $9,727.43 ↓ -24%
Health Ohio Network Commercial $9,863.48 ↓ -23%
Anthem Blue Access Commercial $10,050.55 ↓ -21%
Aetna OPN Commercial $10,152.58 ↓ -20%
Immergrun Fund $10,203.60 ↓ -20%
United Healthcare Nexus Commercial $10,271.62 ↓ -19%
Medical Mutual of Ohio NAS Commercial $10,696.77 ↓ -16%
Medical Mutual of Ohio SuperMed Commercial $10,696.77 ↓ -16%
AultCare Commercial $10,713.78 ↓ -16%
Cigna CSN Commercial $10,764.80 ↓ -16%
Devoted Health Medicare Advantage $10,921.69 ↓ -14%
Aetna Medicare Advantage $10,921.69 ↓ -14%
WellCare by AllWell Medicare Advantage $10,921.69 ↓ -14%
Anthem Medicare Advantage $10,921.69 ↓ -14%
United Healthcare Medicare Advantage $10,921.69 ↓ -14%
The Health Plan Medicare Advantage $10,921.69 ↓ -14%
Cigna Medicare Advantage $10,921.69 ↓ -14%
SummaCare Medicare Advantage $10,921.69 ↓ -14%
Molina Medicare Advantage $10,921.69 ↓ -14%
Primetime Health Plan Medicare Advantage $10,921.69 ↓ -14%
Humana Medicare Advantage $10,921.69 ↓ -14%
Medical Mutual of Ohio Medicare Advantage $10,921.69 ↓ -14%
The Health Plan Commercial $11,053.90 ↓ -13%
HealthSmart Commercial $11,053.90 ↓ -13%
Ohio Health Choice Preferred Health Choice Plus Commercial $11,053.90 ↓ -13%
Paramount Medicare Advantage $11,249.34 ↓ -12%
Aetna Commercial $11,274.98 ↓ -12%
Cigna OAP Commercial $11,343.00 ↓ -11%
Perennial Advantage of Ohio Medicare Advantage $11,467.78 ↓ -10%
Valor Health Plans Medicare Advantage $11,467.78 ↓ -10%
SummaCare Commercial $11,564.08 ↓ -9%
United Healthcare Commercial $11,666.12 ↓ -9%
Medical Mutual Traditional/Health Ohio Commercial $11,904.20 ↓ -7%
Aetna NAP Commercial $13,332.70 ↑ +5%
Ohio Preferred Network Commercial $13,604.80 ↑ +7%
Beech Street Commercial $13,604.80 ↑ +7%
First Health Commercial $14,114.98 ↑ +11%
Century Health Network Commercial $14,455.10 ↑ +13%
Private Healthcare System Commercial $14,625.16 ↑ +15%
MultiPlan Commercial $15,305.40 ↑ +20%
Fortified Provider Network Commercial $15,305.40 ↑ +20%
Ohio Health Choice Commercial $15,305.40 ↑ +20%
Molina Managed Medicaid not published by hospital —
Humana Managed Medicaid not published by hospital —
CareSource Managed Medicaid not published by hospital —
Buckeye Managed Medicaid not published by hospital —
United Healthcare 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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Revasc lithotrip tibi/perone at other Ohio hospitals

Hospital City Cash price Negotiated range
Kings Mills Hospital Mason $18,811.80 not published
Trinity Medical Center East Steubenville $6,621.67 $8,011.20 – $10,681.60
cleveland clinic main campus Cleveland $17,438.85 $3,924.00 – $24,146.10
akron general Akron $17,438.85 $3,708.64 – $24,146.10
avon hospital Avon $17,438.85 $3,977.44 – $24,146.10
euclid hospital Euclid $17,438.85 $4,075.00 – $24,146.10
fairview hospital Cleveland $17,438.85 $3,828.25 – $24,146.10
lutheran hospital Cleveland $17,438.85 $3,644.62 – $24,146.10

All Ohio hospitals for this procedure →