healthcosts.net
Biopsy of lip 40490 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$694.20
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.
$1,068.00
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.
$0.01 with UNITED vs $12,500.00 with CIGNA — 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| UNITED | All Products International | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Summacare | Medicare Advantage Psych | $41.51 | ↓ -94% |
| Summacare | Medicare Advantage Lower Level | $42.46 | ↓ -94% |
| UPMC | Medicare Advantage | $55.35 | ↓ -92% |
| Anthem | Medicare Advantage | $55.35 | ↓ -92% |
| Optum | Medicare Advantage Transplant | $55.35 | ↓ -92% |
| Aetna | Medicare Advantage | $55.35 | ↓ -92% |
| Aetna | Medicare Advantage Transplant | $55.35 | ↓ -92% |
| Valor | All Products | $55.35 | ↓ -92% |
| The Health Plan | Medicare Advantage | $55.35 | ↓ -92% |
| Humana | Medicare Advantage HMO | $55.35 | ↓ -92% |
| United | Medicare Advantage | $55.35 | ↓ -92% |
| Summacare | Medicare Advantage CNA | $55.52 | ↓ -92% |
| Cigna | Medicare Advantage | $57.01 | ↓ -92% |
| CommuniCare | Medicare Advantage | $58.12 | ↓ -92% |
| Perennial Health | Medicare Advantage | $59.78 | ↓ -91% |
| Optum | Managed Medicaid Transplant | $60.11 | ↓ -91% |
| PPHP | All Products | $60.89 | ↓ -91% |
| Summacare | Medicare Advantage MD | $62.05 | ↓ -91% |
| Paramount | Managed Medicaid | $65.17 | ↓ -91% |
| Devoted Health | Medicare Advantage | $65.32 | ↓ -91% |
| Buckeye | Managed Medicaid | $66.43 | ↓ -90% |
| Caresource | Managed Medicaid | $66.43 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $69.60 | ↓ -90% |
| Molina | Managed Medicaid | $69.60 | ↓ -90% |
| AETNA | Medicare Advantage Transplant | $74.99 | ↓ -89% |
| Humana Military | All Products | $87.21 | ↓ -87% |
| AETNA | All Products Transplant | $87.57 | ↓ -87% |
| Aetna | All Products Transplant | $87.57 | ↓ -87% |
| Anthem | All Products Mid-Level Facility | $91.97 | ↓ -87% |
| United | Managed Medicaid | $99.99 | ↓ -86% |
| OPTUM | Managed Medicaid Transplant | $107.64 | ↓ -84% |
| CARESOURCE | Managed Medicaid | $113.31 | ↓ -84% |
| ANTHEM | Managed Medicaid | $118.98 | ↓ -83% |
| MOLINA | Managed Medicaid | $118.98 | ↓ -83% |
| UNITED | Managed Medicaid | $121.24 | ↓ -83% |
| Oscar | All Products | $124.00 | ↓ -82% |
| CC EHP | All Products | $124.11 | ↓ -82% |
| United BH | Managed Medicaid | $124.64 | ↓ -82% |
| Summacare | Preferred | $131.30 | ↓ -81% |
| Summacare | Premier | $143.08 | ↓ -79% |
| Aetna | Acop | $149.25 | ↓ -79% |
| Anthem | All Products Mid-Level Non-Facility | $160.51 | ↓ -77% |
| OHCP | All Products | $189.83 | ↓ -73% |
| Ohio Healthy | Transplant | $195.20 | ↓ -72% |
| MMO | Medicare HMO | $205.64 | ↓ -70% |
| MMO | Medicare PPO | $211.81 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $211.91 | ↓ -69% |
| Aultcare | PPO/HMO | $213.74 | ↓ -69% |
| OPTUM | All Products VA | $215.28 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $215.28 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $215.28 | ↓ -69% |
| MMO | Medicare Advantage HMO | $215.28 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $215.28 | ↓ -69% |
| Amish Community Aid Plan | All Products | $219.60 | ↓ -68% |
| MMO | Medicare Advantage PPO | $221.74 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $224.08 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $224.08 | ↓ -68% |
| CIGNA | Medicare Advantage Lifesource | $224.08 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $224.08 | ↓ -68% |
| Valor | ALL PRODUCTS | $224.08 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $224.08 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $224.08 | ↓ -68% |
| Optum | Commercial CRS Care Solutions | $228.87 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $230.80 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $232.50 | ↓ -67% |
| Anthem | All Products Physician | $233.60 | ↓ -66% |
| Anthem | All Products Physician Facility | $233.60 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $235.28 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $242.00 | ↓ -65% |
| OMAS | All Products | $244.00 | ↓ -65% |
| PPHP | ALL PRODUCTS | $246.49 | ↓ -64% |
| The Health Plan | All Products | $268.40 | ↓ -61% |
| Healthsmart | All Products | $268.40 | ↓ -61% |
| Optum | All Products Transplant | $284.50 | ↓ -59% |
| PHPHI | All Products | $292.80 | ↓ -58% |
| UPMC | All Products | $292.80 | ↓ -58% |
| Optum | Commercial CHD Care Solutions | $296.22 | ↓ -57% |
| CC EHP | ALL PRODUCTS | $296.90 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $302.03 | ↓ -56% |
| Three Rivers | All Products | $317.20 | ↓ -54% |
| Clarity Health | All Products | $317.20 | ↓ -54% |
| United | All Products - Mid-Level | $324.30 | ↓ -53% |
| Cigna | All Products Mid-Level | $331.77 | ↓ -52% |
| Quality Care Partners | All Products | $341.60 | ↓ -51% |
| GMS | All Products | $341.60 | ↓ -51% |
| PHP | ALL PRODUCTS | $341.76 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $341.76 | ↓ -51% |
| United | HMO & PPO | $349.53 | ↓ -50% |
| United | All Products | $349.53 | ↓ -50% |
| Aetna | All Products First Health | $366.00 | ↓ -47% |
| Consociate Health | All Products | $366.00 | ↓ -47% |
| Cigna | All Products Physician | $390.29 | ↓ -44% |
| Aetna | Asa | $390.40 | ↓ -44% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $390.40 | ↓ -44% |
| MMO | NASCO | $390.40 | ↓ -44% |
| Anthem | All Products Physician Non-Facility | $407.63 | ↓ -41% |
| Multiplan | All Products | $439.20 | ↓ -37% |
| USA Managed Care | All Products | $439.20 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $480.60 | ↓ -31% |
| Summacare | PREMIER | $487.01 | ↓ -30% |
| Aetna | Qhp/Ifp | $488.00 | ↓ -30% |
| ANTHEM | HPN | $491.81 | ↓ -29% |
| OHCP | ALL PRODUCTS | $519.05 | ↓ -25% |
| OMAS | ALL PRODUCTS | $534.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $576.72 | ↓ -17% |
| ANTHEM | PPO/HMO | $578.64 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $587.40 | ↓ -15% |
| OPTUM | All Products Transplant | $604.49 | ↓ -13% |
| UPMC | ALL PRODUCTS | $640.80 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $640.80 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $644.00 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $644.00 | ↓ -7% |
| AETNA | Acop | $668.57 | ↓ -4% |
| MMO | TRADITIONAL | $671.77 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $694.20 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $694.20 | ↑ +0% |
| MMO | SuperMed | $713.21 | ↑ +3% |
| Quality Care Partners | ALL PRODUCTS | $747.60 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $747.60 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $747.60 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $747.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $747.60 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $747.60 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $757.21 | ↑ +9% |
| CIGNA | PPO | $792.46 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $801.00 | ↑ +15% |
| Consociate Health | TRANSPLANT | $801.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $801.00 | ↑ +15% |
| AETNA | International | $818.09 | ↑ +18% |
| ANTHEM | TRADITIONAL | $821.51 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $854.40 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $854.40 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $907.80 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $961.20 | ↑ +38% |
| FrontPath | TRANSPLANT | $961.20 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $961.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $961.20 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $961.20 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,068.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $4,392.00 | ↑ +533% |
| CIGNA | ALL PRODUCTS | $12,500.00 | ↑ +1701% |
| AETNA | NAP | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of lip 40490 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $149.62 – $173.24 |
| fairview hospital | Cleveland | not published | $88.20 – $246.49 |
| lutheran hospital | Cleveland | not published | $83.97 – $246.49 |
| akron general | Akron | $317.20 | $1.10 – $439.20 |
| mercy hospital | Canton | $317.20 | $1.10 – $439.20 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $479.25 | $224.08 – $403.34 |
| avon hospital | Avon | not published | $91.63 – $246.49 |
| euclid hospital | Euclid | not published | $93.89 – $246.49 |