healthcosts.net
Appendix Removal (Laparoscopic) at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,457.00
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.
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What you pay up front if you don't use insurance.
$3,780.00
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 $25,635.00 with MMO — 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 | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $352.33 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $373.93 | ↓ -85% |
| Paramount | Managed Medicaid | $382.00 | ↓ -84% |
| Caresource | Managed Medicaid | $389.41 | ↓ -84% |
| Buckeye | Managed Medicaid | $389.41 | ↓ -84% |
| Molina | Managed Medicaid | $407.96 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $407.96 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $423.74 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $488.99 | ↓ -80% |
| United | Managed Medicaid | $499.68 | ↓ -80% |
| Summacare | Medicare Advantage MD | $546.52 | ↓ -78% |
| UPMC | Medicare Advantage | $564.99 | ↓ -77% |
| United | Medicare Advantage | $564.99 | ↓ -77% |
| Anthem | Medicare Advantage | $564.99 | ↓ -77% |
| Aetna | Medicare Advantage Transplant | $564.99 | ↓ -77% |
| Valor | All Products | $564.99 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $564.99 | ↓ -77% |
| Humana | Medicare Advantage HMO | $564.99 | ↓ -77% |
| Aetna | Medicare Advantage | $564.99 | ↓ -77% |
| The Health Plan | Medicare Advantage | $564.99 | ↓ -77% |
| Devoted Health | Medicare Advantage | $575.28 | ↓ -77% |
| Cigna | Medicare Advantage | $581.94 | ↓ -76% |
| CommuniCare | Medicare Advantage | $593.24 | ↓ -76% |
| Perennial Health | Medicare Advantage | $610.19 | ↓ -75% |
| PPHP | All Products | $621.30 | ↓ -75% |
| Humana Military | All Products | $731.08 | ↓ -70% |
| Aetna | All Products Transplant | $735.69 | ↓ -70% |
| Anthem | All Products Mid-Level Facility | $813.60 | ↓ -67% |
| Anthem | All Products Mid-Level Non-Facility | $813.60 | ↓ -67% |
| Oscar | All Products | $960.50 | ↓ -61% |
| CC EHP | All Products | $1,093.03 | ↓ -56% |
| Summacare | Preferred | $1,352.54 | ↓ -45% |
| OHCP | All Products | $1,470.42 | ↓ -40% |
| Summacare | Premier | $1,473.93 | ↓ -40% |
| Ohio Healthy | Transplant | $1,512.00 | ↓ -38% |
| Aetna | Acop | $1,537.51 | ↓ -37% |
| United | All Products - Mid-Level | $1,649.85 | ↓ -33% |
| Aultcare | PPO/HMO | $1,655.64 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,701.00 | ↓ -31% |
| MMO | Medicare HMO | $1,715.03 | ↓ -30% |
| MMO | Medicare PPO | $1,766.48 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $1,772.82 | ↓ -28% |
| United | All Products | $1,778.21 | ↓ -28% |
| United | HMO & PPO | $1,778.21 | ↓ -28% |
| OMAS | All Products | $1,890.00 | ↓ -23% |
| Anthem | All Products Physician | $2,066.37 | ↓ -16% |
| Anthem | All Products Physician Facility | $2,066.37 | ↓ -16% |
| Anthem | All Products Physician Non-Facility | $2,066.37 | ↓ -16% |
| The Health Plan | All Products | $2,079.00 | ↓ -15% |
| Healthsmart | All Products | $2,079.00 | ↓ -15% |
| Optum | All Products Transplant | $2,203.74 | ↓ -10% |
| UPMC | All Products | $2,268.00 | ↓ -8% |
| PHPHI | All Products | $2,268.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $2,294.46 | ↓ -7% |
| Clarity Health | All Products | $2,457.00 | ↑ +0% |
| Three Rivers | All Products | $2,457.00 | ↑ +0% |
| Quality Care Partners | All Products | $2,646.00 | ↑ +8% |
| GMS | All Products | $2,646.00 | ↑ +8% |
| Consociate Health | All Products | $2,835.00 | ↑ +15% |
| Aetna | All Products First Health | $2,835.00 | ↑ +15% |
| Aetna | Asa | $3,024.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,024.00 | ↑ +23% |
| MMO | NASCO | $3,024.00 | ↑ +23% |
| USA Managed Care | All Products | $3,402.00 | ↑ +38% |
| Multiplan | All Products | $3,402.00 | ↑ +38% |
| OPTUM | Managed Medicaid Transplant | $3,466.13 | ↑ +41% |
| CARESOURCE | Managed Medicaid | $3,648.56 | ↑ +48% |
| Aetna | Qhp/Ifp | $3,780.00 | ↑ +54% |
| ANTHEM | Managed Medicaid | $3,830.99 | ↑ +56% |
| MOLINA | Managed Medicaid | $3,830.99 | ↑ +56% |
| UNITED | Managed Medicaid | $3,903.96 | ↑ +59% |
| United BH | Managed Medicaid | $4,013.42 | ↑ +63% |
| UNITED | MEDICARE ADVANTAGE | $5,005.78 | ↑ +104% |
| MMO | Medicare Advantage HMO | $5,408.69 | ↑ +120% |
| The Health Plan | MEDICARE ADVANTAGE | $5,408.69 | ↑ +120% |
| OPTUM | All Products VA | $5,408.69 | ↑ +120% |
| HUMANA | Medicare Advantage HMO | $5,408.69 | ↑ +120% |
| OPTUM | Medicare Advantage Transplant | $5,408.69 | ↑ +120% |
| MMO | Medicare Advantage PPO | $5,570.95 | ↑ +127% |
| AETNA | Acop | $5,616.00 | ↑ +129% |
| CIGNA | Medicare Advantage Lifesource | $5,719.53 | ↑ +133% |
| Valor | ALL PRODUCTS | $5,719.53 | ↑ +133% |
| Summacare | MEDICARE ADVANTAGE | $5,719.53 | ↑ +133% |
| ANTHEM | MEDICARE ADVANTAGE | $5,719.53 | ↑ +133% |
| UPMC | MEDICARE ADVANTAGE | $5,719.53 | ↑ +133% |
| AETNA | MEDICARE ADVANTAGE | $5,719.53 | ↑ +133% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,719.53 | ↑ +133% |
| Perennial Health | MEDICARE ADVANTAGE | $5,841.38 | ↑ +138% |
| CIGNA | MEDICARE ADVANTAGE | $5,891.12 | ↑ +140% |
| CommuniCare | MEDICARE ADVANTAGE | $6,005.51 | ↑ +144% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,177.10 | ↑ +151% |
| PPHP | ALL PRODUCTS | $6,291.49 | ↑ +156% |
| CIGNA | ALL PRODUCTS | $7,948.00 | ↑ +223% |
| UNITED | ALL PRODUCTS | $9,457.00 | ↑ +285% |
| ANTHEM | PPO/HMO | $11,441.00 | ↑ +366% |
| MMO | SuperMed | $16,829.38 | ↑ +585% |
| MMO | ALL PRODUCTS | $25,635.00 | ↑ +943% |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Appendix Removal (Laparoscopic) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $17,444.70 | $965.62 – $24,154.20 |
| lutheran hospital | Cleveland | $17,444.70 | $1,130.46 – $24,154.20 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,817.50 – $5,578.16 |
| akron general | Akron | $2,457.00 | $1.10 – $5,891.12 |
| avon hospital | Avon | $17,444.70 | $1,130.46 – $24,154.20 |
| euclid hospital | Euclid | $17,444.70 | $1,130.46 – $24,154.20 |
| hillcrest hospital | Mayfield Heights | $17,444.70 | $965.62 – $24,154.20 |
| marymount hospital | Garfield Heights | $17,444.70 | $1,130.46 – $24,154.20 |