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Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method at cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
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.
$5,685.11 with OPTUM vs $6,582.76 with AMERIHEALTH — 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $5,685.11 | — |
| Paramount | Managed Medicaid | $6,163.86 | — |
| MOLINA | Managed Medicaid | $6,283.55 | — |
| ANTHEM | Managed Medicaid | $6,283.55 | — |
| CARESOURCE | Managed Medicaid | $6,403.23 | — |
| UNITED | Managed Medicaid | $6,403.23 | — |
| AMERIHEALTH | Managed Medicaid | $6,582.76 | — |
Visitor-reported prices
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Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,415.40 | $1.10 – $12,146.38 |
| fairview hospital | Cleveland | not published | $3,351.55 – $13,361.02 |
| lutheran hospital | Cleveland | not published | $3,190.79 – $13,361.02 |
| akron general | Akron | $2,415.40 | $1.10 – $12,839.78 |
| mercy hospital | Canton | $2,415.40 | $1.10 – $12,146.38 |
| avon hospital | Avon | not published | $3,482.17 – $13,361.02 |
| euclid hospital | Euclid | not published | $3,567.57 – $13,361.02 |
| hillcrest hospital | Mayfield Heights | not published | $3,491.79 – $13,361.02 |