healthcosts.net
Alys cplx sp/pn npgt w/prgrm at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$411.45
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.
$633.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $633.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $2.94 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $24.28 | ↓ -94% |
| Summacare | Medicare Advantage Psych | $26.06 | ↓ -94% |
| Optum | Managed Medicaid Transplant | $26.93 | ↓ -93% |
| Paramount | Managed Medicaid | $29.20 | ↓ -93% |
| Buckeye | Managed Medicaid | $29.77 | ↓ -93% |
| Caresource | Managed Medicaid | $29.77 | ↓ -93% |
| Molina | Managed Medicaid | $31.19 | ↓ -92% |
| AmeriHealth | Managed Medicaid | $31.19 | ↓ -92% |
| Summacare | Medicare Advantage CNA | $31.75 | ↓ -92% |
| Aetna | Medicare Advantage | $34.74 | ↓ -92% |
| Optum | Medicare Advantage Transplant | $34.74 | ↓ -92% |
| The Health Plan | Medicare Advantage | $34.74 | ↓ -92% |
| United | Medicare Advantage | $34.74 | ↓ -92% |
| Valor | All Products | $34.74 | ↓ -92% |
| UPMC | Medicare Advantage | $34.74 | ↓ -92% |
| Aetna | Medicare Advantage Transplant | $34.74 | ↓ -92% |
| Humana | Medicare Advantage HMO | $34.74 | ↓ -92% |
| Anthem | Medicare Advantage | $34.74 | ↓ -92% |
| Summacare | Medicare Advantage MD | $35.48 | ↓ -91% |
| Cigna | Medicare Advantage | $35.78 | ↓ -91% |
| CommuniCare | Medicare Advantage | $36.48 | ↓ -91% |
| Devoted Health | Medicare Advantage | $37.35 | ↓ -91% |
| Perennial Health | Medicare Advantage | $37.52 | ↓ -91% |
| PPHP | All Products | $38.21 | ↓ -91% |
| United | Managed Medicaid | $46.45 | ↓ -89% |
| AETNA | Medicare Advantage Transplant | $47.77 | ↓ -88% |
| Humana Military | All Products | $51.00 | ↓ -88% |
| AETNA | All Products Transplant | $51.82 | ↓ -87% |
| Aetna | All Products Transplant | $51.82 | ↓ -87% |
| Anthem | All Products Mid-Level Facility | $54.38 | ↓ -87% |
| CC EHP | All Products | $70.97 | ↓ -83% |
| Anthem | All Products Mid-Level Non-Facility | $74.58 | ↓ -82% |
| Summacare | Preferred | $82.06 | ↓ -80% |
| UNITED | MEDICARE ADVANTAGE | $83.98 | ↓ -80% |
| The Health Plan | MEDICARE ADVANTAGE | $85.09 | ↓ -79% |
| OPTUM | Medicare Advantage Transplant | $85.09 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $85.09 | ↓ -79% |
| OPTUM | All Products VA | $85.09 | ↓ -79% |
| MMO | Medicare Advantage HMO | $85.09 | ↓ -79% |
| Aetna | Acop | $85.92 | ↓ -79% |
| MMO | Medicare Advantage PPO | $87.65 | ↓ -79% |
| Summacare | Premier | $89.43 | ↓ -78% |
| Oscar | All Products | $89.44 | ↓ -78% |
| UPMC | MEDICARE ADVANTAGE | $89.94 | ↓ -78% |
| ANTHEM | MEDICARE ADVANTAGE | $89.94 | ↓ -78% |
| Valor | ALL PRODUCTS | $89.94 | ↓ -78% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $89.94 | ↓ -78% |
| CIGNA | Medicare Advantage Lifesource | $89.94 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $89.94 | ↓ -78% |
| Summacare | MEDICARE ADVANTAGE | $89.94 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $91.90 | ↓ -78% |
| OPTUM | Managed Medicaid Transplant | $92.64 | ↓ -77% |
| CIGNA | MEDICARE ADVANTAGE | $92.64 | ↓ -77% |
| CommuniCare | MEDICARE ADVANTAGE | $94.44 | ↓ -77% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $97.14 | ↓ -76% |
| CARESOURCE | Managed Medicaid | $97.52 | ↓ -76% |
| PPHP | ALL PRODUCTS | $98.94 | ↓ -76% |
| MOLINA | Managed Medicaid | $102.40 | ↓ -75% |
| ANTHEM | Managed Medicaid | $102.40 | ↓ -75% |
| UNITED | Managed Medicaid | $104.35 | ↓ -75% |
| United BH | Managed Medicaid | $107.27 | ↓ -74% |
| MMO | Medicare HMO | $126.77 | ↓ -69% |
| MMO | Medicare PPO | $130.57 | ↓ -68% |
| OHCP | All Products | $136.93 | ↓ -67% |
| Anthem | All Products Physician Facility | $138.14 | ↓ -66% |
| Anthem | All Products Physician | $138.14 | ↓ -66% |
| Ohio Healthy | Transplant | $140.80 | ↓ -66% |
| United | All Products - Mid-Level | $141.16 | ↓ -66% |
| United | All Products | $149.19 | ↓ -64% |
| United | HMO & PPO | $149.19 | ↓ -64% |
| Cigna | All Products Mid-Level | $154.15 | ↓ -63% |
| Aultcare | PPO/HMO | $154.18 | ↓ -63% |
| Amish Community Aid Plan | All Products | $158.40 | ↓ -62% |
| Optum | Commercial CRS Care Solutions | $165.09 | ↓ -60% |
| CC EHP | ALL PRODUCTS | $175.97 | ↓ -57% |
| OMAS | All Products | $176.00 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $179.01 | ↓ -56% |
| Cigna | All Products Physician | $181.34 | ↓ -56% |
| Anthem | All Products Physician Non-Facility | $189.41 | ↓ -54% |
| Healthsmart | All Products | $193.60 | ↓ -53% |
| The Health Plan | All Products | $193.60 | ↓ -53% |
| PHP | ALL PRODUCTS | $202.56 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $202.56 | ↓ -51% |
| Optum | All Products Transplant | $205.22 | ↓ -50% |
| PHPHI | All Products | $211.20 | ↓ -49% |
| UPMC | All Products | $211.20 | ↓ -49% |
| Optum | Commercial CHD Care Solutions | $213.66 | ↓ -48% |
| Three Rivers | All Products | $228.80 | ↓ -44% |
| Clarity Health | All Products | $228.80 | ↓ -44% |
| AETNA | Asa_Whirlpool_Peia | $239.91 | ↓ -42% |
| Quality Care Partners | All Products | $246.40 | ↓ -40% |
| GMS | All Products | $246.40 | ↓ -40% |
| Consociate Health | All Products | $264.00 | ↓ -36% |
| Aetna | All Products First Health | $264.00 | ↓ -36% |
| Aetna | Asa | $281.60 | ↓ -32% |
| MMO | NASCO | $281.60 | ↓ -32% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $281.60 | ↓ -32% |
| MMO | SuperMed | $281.61 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $284.85 | ↓ -31% |
| ANTHEM | HPN | $285.74 | ↓ -31% |
| Summacare | PREMIER | $288.65 | ↓ -30% |
| OHCP | ALL PRODUCTS | $307.64 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $310.17 | ↓ -25% |
| OMAS | ALL PRODUCTS | $316.50 | ↓ -23% |
| Multiplan | All Products | $316.80 | ↓ -23% |
| USA Managed Care | All Products | $316.80 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $341.82 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $348.15 | ↓ -15% |
| ANTHEM | PPO/HMO | $349.80 | ↓ -15% |
| Aetna | Qhp/Ifp | $352.00 | ↓ -14% |
| OPTUM | All Products Transplant | $358.28 | ↓ -13% |
| UPMC | ALL PRODUCTS | $379.80 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $379.80 | ↓ -8% |
| AETNA | Acop | $379.80 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $381.70 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $381.70 | ↓ -7% |
| MMO | TRADITIONAL | $398.16 | ↓ -3% |
| Clarity Health | ALL PRODUCTS | $411.45 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $411.45 | ↑ +0% |
| UNITED | ALL PRODUCTS | $436.14 | ↑ +6% |
| Ohio Healthy | Transplant SMCP | $443.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $443.10 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $443.10 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $443.10 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $443.10 | ↑ +8% |
| GMS | ALL PRODUCTS | $443.10 | ↑ +8% |
| AETNA | International | $455.13 | ↑ +11% |
| CIGNA | PPO | $469.69 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $474.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $474.75 | ↑ +15% |
| Consociate Health | TRANSPLANT | $474.75 | ↑ +15% |
| ANTHEM | TRADITIONAL | $486.90 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $506.40 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $506.40 | ↑ +23% |
| UNITED | All Products International | $538.05 | ↑ +31% |
| Humana Military | ALL PRODUCTS | $538.05 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $569.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $569.70 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $569.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $569.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $569.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $633.00 | ↑ +54% |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Alys cplx sp/pn npgt w/prgrm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $411.45 | $65.09 – $569.70 |
| lutheran hospital | Cleveland | $411.45 | $72.27 – $569.70 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $128.76 – $149.09 |
| akron general | Akron | $411.45 | $1.10 – $569.70 |
| avon hospital | Avon | $411.45 | $76.20 – $569.70 |
| euclid hospital | Euclid | $411.45 | $76.20 – $569.70 |
| hillcrest hospital | Mayfield Heights | $411.45 | $65.09 – $569.70 |
| marymount hospital | Garfield Heights | $411.45 | $71.35 – $569.70 |