healthcosts.net
Total Knee Replacement at University Hospitals Cleveland Medical Center
11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · · · NPI 1043397292
not published by hospital
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.
not published by hospital
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.
$12,146.38 with Aetna vs $37,428.00 with Anthem — 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 |
|---|---|---|---|
| Aetna | Medicare Advantage | $12,146.38 | — |
| Anthem | Medicare Advantage | $12,146.38 | — |
| Cigna | Medicare Advantage | $12,146.38 | — |
| Devoted Health | Medicare Advantage | $12,146.38 | — |
| Humana | Medicare Advantage | $12,146.38 | — |
| Medical Mutual of Ohio | Medicare Advantage | $12,146.38 | — |
| Molina | Medicare Advantage | $12,146.38 | — |
| Primetime Health Plan | Medicare Advantage | $12,146.38 | — |
| SummaCare | Medicare Advantage | $12,146.38 | — |
| The Health Plan | Medicare Advantage | $12,146.38 | — |
| United Healthcare | Medicare Advantage | $12,146.38 | — |
| WellCare by AllWell | Medicare Advantage | $12,146.38 | — |
| Paramount | Medicare Advantage | $12,510.77 | — |
| Perennial Advantage of Ohio | Medicare Advantage | $12,753.70 | — |
| Valor Health Plans | Medicare Advantage | $12,753.70 | — |
| Ambetter | Commercial | $21,863.49 | — |
| CareSource | Marketplace | $21,863.49 | — |
| Medical Mutual of Ohio | MedFlex Commercial | $32,823.00 | — |
| Anthem | Pathway Commercial | $33,685.00 | — |
| Medical Mutual of Ohio | NAS Commercial | $36,470.00 | — |
| Medical Mutual of Ohio | Northern Ohio Commercial | $36,470.00 | — |
| Medical Mutual of Ohio | SuperMed Commercial | $36,470.00 | — |
| Anthem | Blue Access Commercial | $37,428.00 | — |
Visitor-reported prices
Comments
Total Knee Replacement at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,096.00 | $1.10 – $12,146.38 |
| akron general | Akron | $5,096.00 | $1.10 – $12,839.78 |
| mercy hospital | Canton | $5,096.00 | $1.10 – $12,510.77 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $10,955.28 – $12,685.06 |
| avon hospital | Avon | not published | $6,710.17 – $13,361.02 |
| euclid hospital | Euclid | not published | $6,874.74 – $13,361.02 |
| fairview hospital | Cleveland | not published | $6,458.47 – $13,361.02 |
| lutheran hospital | Cleveland | not published | $6,148.69 – $13,361.02 |