Audit/dast 15-30 min at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$169.00
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.
$260.00
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 $260.00 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 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $19.51 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $25.52 | ↓ -85% |
| Summacare | Medicare Advantage MD | $28.52 | ↓ -83% |
| Devoted Health | Medicare Advantage | $30.02 | ↓ -82% |
| PPHP | All Products | $32.42 | ↓ -81% |
| Anthem | All Products Mid-Level Facility | $36.37 | ↓ -78% |
| Anthem | All Products Mid-Level Non-Facility | $39.63 | ↓ -77% |
| OPTUM | Managed Medicaid Transplant | $47.12 | ↓ -72% |
| United BH | All Products RN | $47.39 | ↓ -72% |
| United BH | All Products MA | $47.39 | ↓ -72% |
| CARESOURCE | Managed Medicaid | $49.60 | ↓ -71% |
| Paramount | Managed Medicaid | $51.09 | ↓ -70% |
| Buckeye | Managed Medicaid | $52.08 | ↓ -69% |
| ANTHEM | Managed Medicaid | $52.08 | ↓ -69% |
| MOLINA | Managed Medicaid | $52.08 | ↓ -69% |
| UNITED | Managed Medicaid | $53.07 | ↓ -69% |
| United BH | Managed Medicaid | $54.56 | ↓ -68% |
| United BH | All Products PHD | $56.79 | ↓ -66% |
| CC EHP | All Products | $57.04 | ↓ -66% |
| MMO | SuperMed | $60.60 | ↓ -64% |
| Summacare | Preferred | $64.86 | ↓ -62% |
| Anthem | All Products Physician Facility | $65.00 | ↓ -62% |
| Anthem | All Products Physician | $65.00 | ↓ -62% |
| Oscar | All Products | $66.07 | ↓ -61% |
| United | All Products - Mid-Level | $66.70 | ↓ -61% |
| United BH | All Products MD | $67.00 | ↓ -60% |
| Summacare | Premier | $70.69 | ↓ -58% |
| Anthem | All Products Physician Non-Facility | $70.82 | ↓ -58% |
| MMO | Medicare HMO | $72.46 | ↓ -57% |
| United | HMO & PPO | $73.30 | ↓ -57% |
| United | All Products | $73.30 | ↓ -57% |
| Cigna | All Products Mid-Level | $73.73 | ↓ -56% |
| MMO | Medicare PPO | $74.63 | ↓ -56% |
| Aetna | Acop | $75.68 | ↓ -55% |
| MMO | ALL PRODUCTS | $82.45 | ↓ -51% |
| Cigna | All Products Physician | $86.70 | ↓ -49% |
| OHCP | All Products | $101.14 | ↓ -40% |
| Ohio Healthy | Transplant | $104.00 | ↓ -38% |
| Aultcare | PPO/HMO | $113.88 | ↓ -33% |
| Amish Community Aid Plan | All Products | $117.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $121.94 | ↓ -28% |
| OMAS | All Products | $130.00 | ↓ -23% |
| Healthsmart | All Products | $143.00 | ↓ -15% |
| The Health Plan | All Products | $143.00 | ↓ -15% |
| Optum | All Products Transplant | $151.58 | ↓ -10% |
| PHPHI | All Products | $156.00 | ↓ -8% |
| UPMC | All Products | $156.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $157.82 | ↓ -7% |
| Clarity Health | All Products | $169.00 | ↑ +0% |
| Three Rivers | All Products | $169.00 | ↑ +0% |
| Summacare | Medicare Advantage Psych | $182.00 | ↑ +8% |
| Quality Care Partners | All Products | $182.00 | ↑ +8% |
| GMS | All Products | $182.00 | ↑ +8% |
| Aetna | All Products First Health | $195.00 | ↑ +15% |
| Consociate Health | All Products | $195.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $208.00 | ↑ +23% |
| Aetna | Asa | $208.00 | ↑ +23% |
| MMO | NASCO | $208.00 | ↑ +23% |
| USA Managed Care | All Products | $234.00 | ↑ +38% |
| Multiplan | All Products | $234.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $260.00 | ↑ +54% |
| Molina | Managed Medicaid | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| UPMC | Medicare Advantage | not published by hospital | — |
| Humana Military | All Products | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage Transplant | not published by hospital | — |
| Aetna | All Products Transplant | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Audit/dast 15-30 min at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $65.49 – $75.83 |
| fairview hospital | Cleveland | not published | $38.61 – $44.70 |
| lutheran hospital | Cleveland | not published | $36.76 – $42.56 |
| akron general | Akron | $169.00 | $1.10 – $106.20 |
| mercy hospital | Canton | $169.00 | $1.10 – $1,276,448.04 |
| University Hospitals Ahuja Medical Center | Beachwood | $54.00 | $15.91 – $64.80 |
| University Hospitals Beachwood Medical Center | Beachwood | $54.00 | $16.06 – $64.80 |
| University Hospitals Elyria Medical Center | Elyria | $54.00 | $34.04 – $61.26 |