healthcosts.net
Biopsy finger joint lining at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$995.80
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.
$1,532.00
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 $9,440.12 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% |
| Summacare | Medicare Advantage Lower Level | $213.59 | ↓ -79% |
| Summacare | Medicare Advantage Psych | $244.31 | ↓ -75% |
| Optum | Managed Medicaid Transplant | $246.86 | ↓ -75% |
| Paramount | Managed Medicaid | $267.65 | ↓ -73% |
| Caresource | Managed Medicaid | $272.84 | ↓ -73% |
| Buckeye | Managed Medicaid | $272.84 | ↓ -73% |
| Summacare | Medicare Advantage CNA | $279.31 | ↓ -72% |
| AmeriHealth | Managed Medicaid | $285.84 | ↓ -71% |
| Molina | Managed Medicaid | $285.84 | ↓ -71% |
| United | Managed Medicaid | $289.31 | ↓ -71% |
| Summacare | Medicare Advantage MD | $312.17 | ↓ -69% |
| The Health Plan | Medicare Advantage | $325.74 | ↓ -67% |
| Humana | Medicare Advantage HMO | $325.74 | ↓ -67% |
| Valor | All Products | $325.74 | ↓ -67% |
| Aetna | Medicare Advantage | $325.74 | ↓ -67% |
| Aetna | Medicare Advantage Transplant | $325.74 | ↓ -67% |
| UPMC | Medicare Advantage | $325.74 | ↓ -67% |
| United | Medicare Advantage | $325.74 | ↓ -67% |
| Anthem | Medicare Advantage | $325.74 | ↓ -67% |
| Optum | Medicare Advantage Transplant | $325.74 | ↓ -67% |
| Devoted Health | Medicare Advantage | $328.60 | ↓ -67% |
| Cigna | Medicare Advantage | $335.51 | ↓ -66% |
| CommuniCare | Medicare Advantage | $342.03 | ↓ -66% |
| Perennial Health | Medicare Advantage | $351.80 | ↓ -65% |
| PPHP | All Products | $354.89 | ↓ -64% |
| Oscar | All Products | $389.28 | ↓ -61% |
| Humana Military | All Products | $431.13 | ↓ -57% |
| Aetna | All Products Transplant | $431.36 | ↓ -57% |
| Anthem | All Products Mid-Level Non-Facility | $459.00 | ↓ -54% |
| Anthem | All Products Mid-Level Facility | $459.00 | ↓ -54% |
| OHCP | All Products | $595.95 | ↓ -40% |
| Ohio Healthy | Transplant | $612.80 | ↓ -38% |
| CC EHP | All Products | $624.34 | ↓ -37% |
| Aultcare | PPO/HMO | $671.02 | ↓ -33% |
| Amish Community Aid Plan | All Products | $689.40 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $718.51 | ↓ -28% |
| OMAS | All Products | $766.00 | ↓ -23% |
| Summacare | Preferred | $796.30 | ↓ -20% |
| The Health Plan | All Products | $842.60 | ↓ -15% |
| Healthsmart | All Products | $842.60 | ↓ -15% |
| Summacare | Premier | $867.77 | ↓ -13% |
| Optum | All Products Transplant | $893.16 | ↓ -10% |
| Aetna | Acop | $905.20 | ↓ -9% |
| PHPHI | All Products | $919.20 | ↓ -8% |
| UPMC | All Products | $919.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $929.92 | ↓ -7% |
| United | All Products - Mid-Level | $937.10 | ↓ -6% |
| Clarity Health | All Products | $995.80 | ↑ +0% |
| Three Rivers | All Products | $995.80 | ↑ +0% |
| United | HMO & PPO | $1,010.01 | ↑ +1% |
| United | All Products | $1,010.01 | ↑ +1% |
| Quality Care Partners | All Products | $1,072.40 | ↑ +8% |
| GMS | All Products | $1,072.40 | ↑ +8% |
| MMO | Medicare HMO | $1,079.33 | ↑ +8% |
| MMO | Medicare PPO | $1,111.71 | ↑ +12% |
| Consociate Health | All Products | $1,149.00 | ↑ +15% |
| Aetna | All Products First Health | $1,149.00 | ↑ +15% |
| Anthem | All Products Physician Non-Facility | $1,165.75 | ↑ +17% |
| Anthem | All Products Physician | $1,165.75 | ↑ +17% |
| Anthem | All Products Physician Facility | $1,165.75 | ↑ +17% |
| OPTUM | Managed Medicaid Transplant | $1,168.27 | ↑ +17% |
| Aetna | Asa | $1,225.60 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,225.60 | ↑ +23% |
| MMO | NASCO | $1,225.60 | ↑ +23% |
| CARESOURCE | Managed Medicaid | $1,229.76 | ↑ +23% |
| ANTHEM | Managed Medicaid | $1,291.25 | ↑ +30% |
| MOLINA | Managed Medicaid | $1,291.25 | ↑ +30% |
| UNITED | Managed Medicaid | $1,315.84 | ↑ +32% |
| United BH | Managed Medicaid | $1,352.74 | ↑ +36% |
| USA Managed Care | All Products | $1,378.80 | ↑ +38% |
| Multiplan | All Products | $1,378.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,532.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $2,808.13 | ↑ +182% |
| MMO | Medicare Advantage HMO | $3,007.88 | ↑ +202% |
| The Health Plan | MEDICARE ADVANTAGE | $3,007.88 | ↑ +202% |
| OPTUM | Medicare Advantage Transplant | $3,007.88 | ↑ +202% |
| OPTUM | All Products VA | $3,007.88 | ↑ +202% |
| HUMANA | Medicare Advantage HMO | $3,007.88 | ↑ +202% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↑ +211% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↑ +211% |
| CIGNA | Medicare Advantage Lifesource | $3,095.56 | ↑ +211% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,095.56 | ↑ +211% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↑ +211% |
| UPMC | MEDICARE ADVANTAGE | $3,095.56 | ↑ +211% |
| Valor | ALL PRODUCTS | $3,095.56 | ↑ +211% |
| MMO | Medicare Advantage PPO | $3,098.12 | ↑ +211% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↑ +220% |
| Perennial Health | MEDICARE ADVANTAGE | $3,248.51 | ↑ +226% |
| CommuniCare | MEDICARE ADVANTAGE | $3,250.34 | ↑ +226% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↑ +236% |
| PPHP | ALL PRODUCTS | $3,405.12 | ↑ +242% |
| MMO | SuperMed | $9,440.12 | ↑ +848% |
| United BH | All Products PHD | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy finger joint lining at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,623.76 – $1,880.14 |
| fairview hospital | Cleveland | not published | $957.25 – $3,405.12 |
| lutheran hospital | Cleveland | not published | $911.34 – $3,405.12 |
| akron general | Akron | not published | $927.34 – $3,405.12 |
| avon hospital | Avon | not published | $994.56 – $3,405.12 |
| euclid hospital | Euclid | not published | $1,018.95 – $3,405.12 |
| hillcrest hospital | Mayfield Heights | not published | $997.31 – $3,405.12 |
| lodi hospital | Lodi | not published | $1,555.89 – $1,801.56 |