healthcosts.net
99381 initial comp preventive med less than 1 year new at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$390.00
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.
$600.00
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.
$0.01 with CIGNA vs $600.00 with Aetna — 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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | ↓ -100% |
| UNITED | All Products International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| AETNA | Acop | $0.01 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $0.01 | ↓ -100% |
| AETNA | International | $0.01 | ↓ -100% |
| MMO | ALL PRODUCTS | $0.01 | ↓ -100% |
| CIGNA | PPO | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $2.66 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $21.58 | ↓ -94% |
| CC EHP | ALL PRODUCTS | $27.52 | ↓ -93% |
| OSCAR | ALL PRODUCTS | $28.00 | ↓ -93% |
| PHPHI | ALL PRODUCTS | $31.68 | ↓ -92% |
| PHP | ALL PRODUCTS | $31.68 | ↓ -92% |
| Optum | Managed Medicaid Transplant | $39.58 | ↓ -90% |
| Summacare | Preferred | $41.58 | ↓ -89% |
| Paramount | Managed Medicaid | $42.91 | ↓ -89% |
| Aultcare | PPO/HMO | $43.36 | ↓ -89% |
| Buckeye | Managed Medicaid | $43.74 | ↓ -89% |
| Caresource | Managed Medicaid | $43.74 | ↓ -89% |
| Amish Community Aid Plan | ALL PRODUCTS | $44.55 | ↓ -89% |
| Summacare | Medicare Advantage Lower Level | $44.58 | ↓ -89% |
| ANTHEM | HPN | $44.69 | ↓ -89% |
| Summacare | PREMIER | $45.14 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $45.83 | ↓ -88% |
| Molina | Managed Medicaid | $45.83 | ↓ -88% |
| OHCP | ALL PRODUCTS | $48.11 | ↓ -88% |
| OMAS | ALL PRODUCTS | $49.50 | ↓ -87% |
| ANTHEM | PPO/HMO | $52.58 | ↓ -87% |
| Ohio Healthy | TRANSPLANT | $53.46 | ↓ -86% |
| HEALTHSMART | ALL PRODUCTS | $54.45 | ↓ -86% |
| OPTUM | All Products Transplant | $56.03 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $58.29 | ↓ -85% |
| UPMC | ALL PRODUCTS | $59.40 | ↓ -85% |
| The Health Plan | ALL PRODUCTS | $59.40 | ↓ -85% |
| OPTUM | Commercial CRS Care Solutions | $59.70 | ↓ -85% |
| OPTUM | Commercial CHD Care Solutions | $59.70 | ↓ -85% |
| MMO | TRADITIONAL | $62.27 | ↓ -84% |
| MMO | NASCO | $62.27 | ↓ -84% |
| Clarity Health | ALL PRODUCTS | $64.35 | ↓ -84% |
| THREE RIVERS | ALL PRODUCTS | $64.35 | ↓ -84% |
| Devoted Health | Medicare Advantage | $68.58 | ↓ -82% |
| OPTUM | Managed Medicaid Transplant | $68.73 | ↓ -82% |
| Quality Care Partners | Transplant SMCP | $69.30 | ↓ -82% |
| Ohio Healthy | Transplant SMCP | $69.30 | ↓ -82% |
| Medical Benefit Corp | Transplant SMCP | $69.30 | ↓ -82% |
| GMS | ALL PRODUCTS | $69.30 | ↓ -82% |
| Parkview Health Plan | Transplant SMCP | $69.30 | ↓ -82% |
| Quality Care Partners | ALL PRODUCTS | $69.30 | ↓ -82% |
| Summacare | Medicare Advantage MD | $72.01 | ↓ -82% |
| CARESOURCE | Managed Medicaid | $72.35 | ↓ -81% |
| PPHP | All Products | $74.07 | ↓ -81% |
| AETNA | ALL PRODUCTS | $74.25 | ↓ -81% |
| Consociate Health | ALL PRODUCTS | $74.25 | ↓ -81% |
| Consociate Health | TRANSPLANT | $74.25 | ↓ -81% |
| MOLINA | Managed Medicaid | $75.97 | ↓ -81% |
| ANTHEM | Managed Medicaid | $75.97 | ↓ -81% |
| ANTHEM | TRADITIONAL | $76.15 | ↓ -80% |
| United | Managed Medicaid | $76.47 | ↓ -80% |
| UNITED | Managed Medicaid | $77.41 | ↓ -80% |
| Community Health Alliance | ALL PRODUCTS | $79.20 | ↓ -80% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $79.20 | ↓ -80% |
| Community Health Alliance | TRANSPLANT | $79.20 | ↓ -80% |
| United BH | Managed Medicaid | $79.59 | ↓ -80% |
| Humana Military | ALL PRODUCTS | $84.15 | ↓ -78% |
| Anthem | All Products Mid-Level Facility | $84.38 | ↓ -78% |
| USA Managed Care | ALL PRODUCTS | $89.10 | ↓ -77% |
| Managed Care Services | TRANSPLANT | $89.10 | ↓ -77% |
| MULTIPLAN | ALL PRODUCTS | $89.10 | ↓ -77% |
| FrontPath | TRANSPLANT | $89.10 | ↓ -77% |
| Tertiary Care Network | TRANSPLANT | $89.10 | ↓ -77% |
| AETNA | Qhp/Ipf | $99.00 | ↓ -75% |
| Anthem | All Products Mid-Level Non-Facility | $122.21 | ↓ -69% |
| CC EHP | All Products | $130.30 | ↓ -67% |
| MMO | SuperMed | $139.89 | ↓ -64% |
| Aetna | Acop | $141.61 | ↓ -64% |
| Anthem | All Products Physician Facility | $150.82 | ↓ -61% |
| Anthem | All Products Physician | $150.82 | ↓ -61% |
| Oscar | All Products | $152.46 | ↓ -61% |
| Summacare | Premier | $162.66 | ↓ -58% |
| MMO | Medicare HMO | $166.47 | ↓ -57% |
| MMO | Medicare PPO | $171.46 | ↓ -56% |
| United | All Products - Mid-Level | $210.02 | ↓ -46% |
| Anthem | All Products Physician Non-Facility | $218.44 | ↓ -44% |
| Cigna | All Products Mid-Level | $227.43 | ↓ -42% |
| United | HMO & PPO | $230.81 | ↓ -41% |
| United | All Products | $230.81 | ↓ -41% |
| OHCP | All Products | $233.40 | ↓ -40% |
| Ohio Healthy | Transplant | $240.00 | ↓ -38% |
| Cigna | All Products Physician | $267.47 | ↓ -31% |
| Amish Community Aid Plan | All Products | $270.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $281.40 | ↓ -28% |
| OMAS | All Products | $300.00 | ↓ -23% |
| The Health Plan | All Products | $330.00 | ↓ -15% |
| Healthsmart | All Products | $330.00 | ↓ -15% |
| Optum | All Products Transplant | $349.80 | ↓ -10% |
| PHPHI | All Products | $360.00 | ↓ -8% |
| UPMC | All Products | $360.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $364.20 | ↓ -7% |
| Clarity Health | All Products | $390.00 | ↑ +0% |
| Three Rivers | All Products | $390.00 | ↑ +0% |
| Quality Care Partners | All Products | $420.00 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $420.00 | ↑ +8% |
| GMS | All Products | $420.00 | ↑ +8% |
| Consociate Health | All Products | $450.00 | ↑ +15% |
| Aetna | All Products First Health | $450.00 | ↑ +15% |
| Aetna | Asa | $480.00 | ↑ +23% |
| Multiplan | All Products | $540.00 | ↑ +38% |
| USA Managed Care | All Products | $540.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $600.00 | ↑ +54% |
| Cigna | Medicare Advantage | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Medicare Advantage Lifesource | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Humana Military | All Products | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | Medicare Advantage Transplant | not published by hospital | — |
| AETNA | All Products Transplant | not published by hospital | — |
| Aetna | Medicare Advantage Transplant | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Transplant | not published by hospital | — |
| UPMC | Medicare Advantage | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
99381 initial comp preventive med less than 1 year new at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $64.35 | $0.01 – $89.10 |
| lutheran hospital | Cleveland | $64.35 | $0.01 – $89.10 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $95.52 – $110.61 |
| akron general | Akron | $390.00 | $1.10 – $133.32 |
| avon hospital | Avon | $64.35 | $0.01 – $89.10 |
| euclid hospital | Euclid | $64.35 | $0.01 – $89.10 |
| hillcrest hospital | Mayfield Heights | $64.35 | $0.01 – $89.10 |
| marymount hospital | Garfield Heights | $64.35 | $0.01 – $89.10 |