healthcosts.net
Biopsy of cornea at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$382.20
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.
$588.00
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 $6,813.79 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 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $54.91 | ↓ -86% |
| Paramount | Managed Medicaid | $59.53 | ↓ -84% |
| Caresource | Managed Medicaid | $60.69 | ↓ -84% |
| Buckeye | Managed Medicaid | $60.69 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $61.70 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $62.93 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $63.58 | ↓ -83% |
| Molina | Managed Medicaid | $63.58 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $80.68 | ↓ -79% |
| Humana | Medicare Advantage HMO | $83.90 | ↓ -78% |
| Valor | All Products | $83.90 | ↓ -78% |
| Aetna | Medicare Advantage | $83.90 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $83.90 | ↓ -78% |
| UPMC | Medicare Advantage | $83.90 | ↓ -78% |
| United | Medicare Advantage | $83.90 | ↓ -78% |
| The Health Plan | Medicare Advantage | $83.90 | ↓ -78% |
| Anthem | Medicare Advantage | $83.90 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $83.90 | ↓ -78% |
| Cigna | Medicare Advantage | $86.42 | ↓ -77% |
| CommuniCare | Medicare Advantage | $88.10 | ↓ -77% |
| Summacare | Medicare Advantage MD | $90.17 | ↓ -76% |
| Perennial Health | Medicare Advantage | $90.61 | ↓ -76% |
| PPHP | All Products | $92.29 | ↓ -76% |
| Devoted Health | Medicare Advantage | $94.92 | ↓ -75% |
| United | Managed Medicaid | $116.38 | ↓ -70% |
| Humana Military | All Products | $124.86 | ↓ -67% |
| Aetna | All Products Transplant | $125.85 | ↓ -67% |
| Anthem | All Products Mid-Level Facility | $132.44 | ↓ -65% |
| Oscar | All Products | $149.41 | ↓ -61% |
| CC EHP | All Products | $180.35 | ↓ -53% |
| Anthem | All Products Mid-Level Non-Facility | $184.58 | ↓ -52% |
| Summacare | Preferred | $202.41 | ↓ -47% |
| Summacare | Premier | $220.58 | ↓ -42% |
| OHCP | All Products | $228.73 | ↓ -40% |
| Aetna | Acop | $230.09 | ↓ -40% |
| Ohio Healthy | Transplant | $235.20 | ↓ -38% |
| Aultcare | PPO/HMO | $257.54 | ↓ -33% |
| Amish Community Aid Plan | All Products | $264.60 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $275.77 | ↓ -28% |
| OMAS | All Products | $294.00 | ↓ -23% |
| OPTUM | Managed Medicaid Transplant | $318.36 | ↓ -17% |
| The Health Plan | All Products | $323.40 | ↓ -15% |
| Healthsmart | All Products | $323.40 | ↓ -15% |
| CARESOURCE | Managed Medicaid | $335.12 | ↓ -12% |
| Anthem | All Products Physician Facility | $336.36 | ↓ -12% |
| Anthem | All Products Physician | $336.36 | ↓ -12% |
| Optum | All Products Transplant | $342.80 | ↓ -10% |
| MOLINA | Managed Medicaid | $351.88 | ↓ -8% |
| ANTHEM | Managed Medicaid | $351.88 | ↓ -8% |
| PHPHI | All Products | $352.80 | ↓ -8% |
| UPMC | All Products | $352.80 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $356.92 | ↓ -7% |
| UNITED | Managed Medicaid | $358.58 | ↓ -6% |
| MMO | Medicare HMO | $365.10 | ↓ -4% |
| United BH | Managed Medicaid | $368.63 | ↓ -4% |
| MMO | Medicare PPO | $376.05 | ↓ -2% |
| United | All Products - Mid-Level | $377.23 | ↓ -1% |
| Clarity Health | All Products | $382.20 | ↑ +0% |
| Three Rivers | All Products | $382.20 | ↑ +0% |
| United | HMO & PPO | $406.58 | ↑ +6% |
| United | All Products | $406.58 | ↑ +6% |
| Quality Care Partners | All Products | $411.60 | ↑ +8% |
| GMS | All Products | $411.60 | ↑ +8% |
| Aetna | All Products First Health | $441.00 | ↑ +15% |
| Consociate Health | All Products | $441.00 | ↑ +15% |
| Cigna | All Products Mid-Level | $449.76 | ↑ +18% |
| Anthem | All Products Physician Non-Facility | $468.80 | ↑ +23% |
| MMO | NASCO | $470.40 | ↑ +23% |
| Aetna | Asa | $470.40 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $470.40 | ↑ +23% |
| Cigna | All Products Physician | $529.00 | ↑ +38% |
| USA Managed Care | All Products | $529.20 | ↑ +38% |
| Multiplan | All Products | $529.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $588.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $2,027.30 | ↑ +430% |
| OPTUM | Medicare Advantage Transplant | $2,162.75 | ↑ +466% |
| MMO | Medicare Advantage HMO | $2,162.75 | ↑ +466% |
| HUMANA | Medicare Advantage HMO | $2,162.75 | ↑ +466% |
| OPTUM | All Products VA | $2,162.75 | ↑ +466% |
| The Health Plan | MEDICARE ADVANTAGE | $2,162.75 | ↑ +466% |
| MMO | Medicare Advantage PPO | $2,227.63 | ↑ +483% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,249.28 | ↑ +489% |
| Summacare | MEDICARE ADVANTAGE | $2,249.28 | ↑ +489% |
| ANTHEM | MEDICARE ADVANTAGE | $2,249.28 | ↑ +489% |
| CIGNA | Medicare Advantage Lifesource | $2,249.28 | ↑ +489% |
| AETNA | MEDICARE ADVANTAGE | $2,249.28 | ↑ +489% |
| UPMC | MEDICARE ADVANTAGE | $2,249.28 | ↑ +489% |
| Valor | ALL PRODUCTS | $2,249.28 | ↑ +489% |
| CIGNA | MEDICARE ADVANTAGE | $2,316.76 | ↑ +506% |
| Perennial Health | MEDICARE ADVANTAGE | $2,335.77 | ↑ +511% |
| CommuniCare | MEDICARE ADVANTAGE | $2,361.75 | ↑ +518% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,429.23 | ↑ +536% |
| PPHP | ALL PRODUCTS | $2,474.21 | ↑ +547% |
| MMO | SuperMed | $6,813.79 | ↑ +1683% |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of cornea at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $442.49 – $512.36 |
| fairview hospital | Cleveland | not published | $260.86 – $2,474.21 |
| lutheran hospital | Cleveland | not published | $248.35 – $2,474.21 |
| akron general | Akron | not published | $252.71 – $2,474.21 |
| avon hospital | Avon | not published | $271.03 – $2,474.21 |
| euclid hospital | Euclid | not published | $277.68 – $2,474.21 |
| hillcrest hospital | Mayfield Heights | not published | $271.78 – $2,474.21 |
| lodi hospital | Lodi | not published | $423.99 – $490.94 |