healthcosts.net
Biliary endoscopy thru skin at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$10,552.10
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.
$16,234.00
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.
$1.10 with Zing Health vs $30,022.29 with MMO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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% |
| Summacare | Medicare Advantage Lower Level | $273.90 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $295.15 | ↓ -97% |
| Optum | Managed Medicaid Transplant | $329.19 | ↓ -97% |
| Paramount | Managed Medicaid | $356.92 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $358.18 | ↓ -97% |
| United | Managed Medicaid | $361.98 | ↓ -97% |
| Buckeye | Managed Medicaid | $363.85 | ↓ -97% |
| Caresource | Managed Medicaid | $363.85 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $381.17 | ↓ -96% |
| Molina | Managed Medicaid | $381.17 | ↓ -96% |
| Valor | All Products | $393.53 | ↓ -96% |
| The Health Plan | Medicare Advantage | $393.53 | ↓ -96% |
| Aetna | Medicare Advantage | $393.53 | ↓ -96% |
| Aetna | Medicare Advantage Transplant | $393.53 | ↓ -96% |
| Optum | Medicare Advantage Transplant | $393.53 | ↓ -96% |
| Anthem | Medicare Advantage | $393.53 | ↓ -96% |
| United | Medicare Advantage | $393.53 | ↓ -96% |
| UPMC | Medicare Advantage | $393.53 | ↓ -96% |
| Humana | Medicare Advantage HMO | $393.53 | ↓ -96% |
| Summacare | Medicare Advantage MD | $400.32 | ↓ -96% |
| Cigna | Medicare Advantage | $405.34 | ↓ -96% |
| CommuniCare | Medicare Advantage | $413.21 | ↓ -96% |
| Devoted Health | Medicare Advantage | $421.39 | ↓ -96% |
| Perennial Health | Medicare Advantage | $425.01 | ↓ -96% |
| PPHP | All Products | $432.88 | ↓ -96% |
| AETNA | Medicare Advantage Transplant | $528.93 | ↓ -95% |
| Humana Military | All Products | $566.35 | ↓ -95% |
| AETNA | All Products Transplant | $568.94 | ↓ -95% |
| Aetna | All Products Transplant | $568.94 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $597.94 | ↓ -94% |
| Anthem | All Products Mid-Level Facility | $597.94 | ↓ -94% |
| CC EHP | All Products | $800.64 | ↓ -92% |
| Oscar | All Products | $919.84 | ↓ -91% |
| Summacare | Preferred | $927.55 | ↓ -91% |
| Summacare | Premier | $1,010.79 | ↓ -90% |
| Aetna | Acop | $1,054.40 | ↓ -90% |
| United | All Products - Mid-Level | $1,206.09 | ↓ -89% |
| United | All Products | $1,299.93 | ↓ -88% |
| United | HMO & PPO | $1,299.93 | ↓ -88% |
| OHCP | All Products | $1,408.18 | ↓ -87% |
| Ohio Healthy | Transplant | $1,448.00 | ↓ -86% |
| MMO | Medicare HMO | $1,485.05 | ↓ -86% |
| Anthem | All Products Physician Non-Facility | $1,518.66 | ↓ -86% |
| Anthem | All Products Physician | $1,518.66 | ↓ -86% |
| Anthem | All Products Physician Facility | $1,518.66 | ↓ -86% |
| MMO | Medicare PPO | $1,529.60 | ↓ -86% |
| Aultcare | PPO/HMO | $1,585.56 | ↓ -85% |
| Amish Community Aid Plan | All Products | $1,629.00 | ↓ -85% |
| Optum | Commercial CRS Care Solutions | $1,697.78 | ↓ -84% |
| OMAS | All Products | $1,810.00 | ↓ -83% |
| The Health Plan | All Products | $1,991.00 | ↓ -81% |
| Healthsmart | All Products | $1,991.00 | ↓ -81% |
| Optum | All Products Transplant | $2,110.46 | ↓ -80% |
| UPMC | All Products | $2,172.00 | ↓ -79% |
| PHPHI | All Products | $2,172.00 | ↓ -79% |
| Optum | Commercial CHD Care Solutions | $2,197.34 | ↓ -79% |
| Three Rivers | All Products | $2,353.00 | ↓ -78% |
| Clarity Health | All Products | $2,353.00 | ↓ -78% |
| GMS | All Products | $2,534.00 | ↓ -76% |
| Quality Care Partners | All Products | $2,534.00 | ↓ -76% |
| Consociate Health | All Products | $2,715.00 | ↓ -74% |
| Aetna | All Products First Health | $2,715.00 | ↓ -74% |
| OPTUM | Managed Medicaid Transplant | $2,863.07 | ↓ -73% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,896.00 | ↓ -73% |
| MMO | NASCO | $2,896.00 | ↓ -73% |
| Aetna | Asa | $2,896.00 | ↓ -73% |
| CARESOURCE | Managed Medicaid | $3,013.76 | ↓ -71% |
| ANTHEM | Managed Medicaid | $3,164.45 | ↓ -70% |
| MOLINA | Managed Medicaid | $3,164.45 | ↓ -70% |
| UNITED | Managed Medicaid | $3,224.72 | ↓ -69% |
| Multiplan | All Products | $3,258.00 | ↓ -69% |
| USA Managed Care | All Products | $3,258.00 | ↓ -69% |
| United BH | Managed Medicaid | $3,315.14 | ↓ -69% |
| Aetna | Qhp/Ifp | $3,620.00 | ↓ -66% |
| CC EHP | ALL PRODUCTS | $4,513.05 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $4,590.98 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $5,194.88 | ↓ -51% |
| PHP | ALL PRODUCTS | $5,194.88 | ↓ -51% |
| CIGNA | ALL PRODUCTS | $5,597.00 | ↓ -47% |
| AETNA | Acop | $5,616.00 | ↓ -47% |
| AETNA | Asa_Whirlpool_Peia | $6,849.00 | ↓ -35% |
| Amish Community Aid Plan | ALL PRODUCTS | $7,305.30 | ↓ -31% |
| Summacare | PREMIER | $7,402.70 | ↓ -30% |
| AETNA | International | $7,431.00 | ↓ -30% |
| MMO | ALL PRODUCTS | $7,813.00 | ↓ -26% |
| OHCP | ALL PRODUCTS | $7,889.72 | ↓ -25% |
| OMAS | ALL PRODUCTS | $8,117.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $8,766.36 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $8,928.70 | ↓ -15% |
| UNITED | MEDICARE ADVANTAGE | $8,930.36 | ↓ -15% |
| ANTHEM | PPO/HMO | $8,983.90 | ↓ -15% |
| OPTUM | All Products Transplant | $9,188.44 | ↓ -13% |
| UNITED | ALL PRODUCTS | $9,457.00 | ↓ -10% |
| MMO | Medicare Advantage HMO | $9,651.62 | ↓ -9% |
| OPTUM | All Products VA | $9,651.62 | ↓ -9% |
| OPTUM | Medicare Advantage Transplant | $9,651.62 | ↓ -9% |
| HUMANA | Medicare Advantage HMO | $9,651.62 | ↓ -9% |
| The Health Plan | MEDICARE ADVANTAGE | $9,651.62 | ↓ -9% |
| ANTHEM | HPN | $9,725.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $9,740.40 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $9,740.40 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $9,789.10 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $9,789.10 | ↓ -7% |
| MMO | Medicare Advantage PPO | $9,941.17 | ↓ -6% |
| Valor | ALL PRODUCTS | $10,056.64 | ↓ -5% |
| AETNA | MEDICARE ADVANTAGE | $10,056.64 | ↓ -5% |
| UPMC | MEDICARE ADVANTAGE | $10,056.64 | ↓ -5% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $10,056.64 | ↓ -5% |
| Summacare | MEDICARE ADVANTAGE | $10,056.64 | ↓ -5% |
| ANTHEM | MEDICARE ADVANTAGE | $10,056.64 | ↓ -5% |
| CIGNA | Medicare Advantage Lifesource | $10,056.64 | ↓ -5% |
| MMO | TRADITIONAL | $10,211.19 | ↓ -3% |
| CIGNA | MEDICARE ADVANTAGE | $10,358.34 | ↓ -2% |
| Perennial Health | MEDICARE ADVANTAGE | $10,423.75 | ↓ -1% |
| Clarity Health | ALL PRODUCTS | $10,552.10 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $10,552.10 | ↑ +0% |
| CommuniCare | MEDICARE ADVANTAGE | $10,559.47 | ↑ +0% |
| UNITED | All Products International | $10,592.00 | ↑ +0% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $10,861.17 | ↑ +3% |
| PPHP | ALL PRODUCTS | $11,062.31 | ↑ +5% |
| Parkview Health Plan | Transplant SMCP | $11,363.80 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $11,363.80 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $11,363.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $11,363.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $11,363.80 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $11,363.80 | ↑ +8% |
| CIGNA | PPO | $12,045.63 | ↑ +14% |
| AETNA | ALL PRODUCTS | $12,175.50 | ↑ +15% |
| Consociate Health | TRANSPLANT | $12,175.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $12,175.50 | ↑ +15% |
| ANTHEM | TRADITIONAL | $12,487.19 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $12,987.20 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $12,987.20 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $13,798.90 | ↑ +31% |
| USA Managed Care | ALL PRODUCTS | $14,610.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $14,610.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $14,610.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $14,610.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $14,610.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $16,234.00 | ↑ +54% |
| MMO | SuperMed | $30,022.29 | ↑ +185% |
| AETNA | NAP | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | PPO Lifesource | 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 | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $10,552.10 | $720.67 – $14,610.60 |
| lutheran hospital | Cleveland | $10,552.10 | $843.70 – $14,610.60 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,979.31 – $4,607.63 |
| akron general | Akron | $10,552.10 | $764.23 – $14,610.60 |
| avon hospital | Avon | $10,552.10 | $843.70 – $14,610.60 |
| euclid hospital | Euclid | $10,552.10 | $843.70 – $14,610.60 |
| hillcrest hospital | Mayfield Heights | $10,552.10 | $720.67 – $14,610.60 |
| marymount hospital | Garfield Heights | $10,552.10 | $843.70 – $14,610.60 |