healthcosts.net
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
$7,441.20
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.
$11,448.00
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.
$1,837.57 with OPTUM vs $11,448.00 with AETNA — 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $1,837.57 | ↓ -75% |
| Paramount | Managed Medicaid | $1,992.31 | ↓ -73% |
| MOLINA | Managed Medicaid | $2,030.99 | ↓ -73% |
| ANTHEM | Managed Medicaid | $2,030.99 | ↓ -73% |
| UNITED | Managed Medicaid | $2,069.68 | ↓ -72% |
| CARESOURCE | Managed Medicaid | $2,069.68 | ↓ -72% |
| AMERIHEALTH | Managed Medicaid | $2,127.71 | ↓ -71% |
| OSCAR | ALL PRODUCTS | $3,237.49 | ↓ -56% |
| Aultcare | PPO/HMO | $3,262.68 | ↓ -56% |
| PHP | ALL PRODUCTS | $3,663.36 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $3,663.36 | ↓ -51% |
| Summacare | Preferred | $4,018.25 | ↓ -46% |
| CIGNA | ALL PRODUCTS | $4,235.76 | ↓ -43% |
| Summacare | PREMIER | $4,361.69 | ↓ -41% |
| MMO | TRADITIONAL | $4,659.34 | ↓ -37% |
| ANTHEM | HPN | $4,793.28 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $5,151.60 | ↓ -31% |
| Buckeye | Managed Medicaid | $5,334.77 | ↓ -28% |
| OPTUM | All Products Transplant | $5,380.56 | ↓ -28% |
| ANTHEM | TRADITIONAL | $5,457.26 | ↓ -27% |
| UNITED | ALL PRODUCTS | $5,506.49 | ↓ -26% |
| OPTUM | Commercial CHD Care Solutions | $5,517.94 | ↓ -26% |
| OHCP | ALL PRODUCTS | $5,563.73 | ↓ -25% |
| ANTHEM | PPO/HMO | $5,639.28 | ↓ -24% |
| OPTUM | Commercial CRS Care Solutions | $5,849.93 | ↓ -21% |
| HEALTHSMART | ALL PRODUCTS | $6,296.40 | ↓ -15% |
| UPMC | ALL PRODUCTS | $6,868.80 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $6,868.80 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $7,441.20 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $8,013.60 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $8,013.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $8,013.60 | ↑ +8% |
| CC EHP | ALL PRODUCTS | $8,116.63 | ↑ +9% |
| Consociate Health | ALL PRODUCTS | $8,586.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $8,586.00 | ↑ +15% |
| AETNA | Acop | $8,952.34 | ↑ +20% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $9,158.40 | ↑ +23% |
| Ohio Healthy | Transplant | $9,158.40 | ↑ +23% |
| USA Managed Care | ALL PRODUCTS | $10,303.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $10,303.20 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $10,303.20 | ↑ +38% |
| AETNA | Asa_Whirlpool_Peia (Hmo) | $10,303.20 | ↑ +38% |
| AETNA | International | $10,875.60 | ↑ +46% |
| AETNA | Asa_Whirlpool_Peia (Pos_Epo_Ppo) | $10,921.39 | ↑ +47% |
| AETNA | Qhp/Ipf | $11,448.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $7,441.20 | $0.01 – $10,303.20 |
| fairview hospital | Cleveland | $7,441.20 | $0.01 – $10,303.20 |
| lutheran hospital | Cleveland | $7,441.20 | $0.01 – $10,303.20 |
| akron general | Akron | $7,441.20 | $0.01 – $10,303.20 |
| avon hospital | Avon | $7,441.20 | $0.01 – $10,303.20 |
| euclid hospital | Euclid | $7,441.20 | $0.01 – $10,303.20 |
| hillcrest hospital | Mayfield Heights | $7,441.20 | $0.01 – $10,303.20 |
| lodi hospital | Lodi | $7,441.20 | $1,760.77 – $10,303.20 |