healthcosts.net
Biopsy of tear gland at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,196.00
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.
$1,840.00
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 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $145.29 | ↓ -88% |
| Paramount | Managed Medicaid | $157.53 | ↓ -87% |
| Buckeye | Managed Medicaid | $160.59 | ↓ -87% |
| Caresource | Managed Medicaid | $160.59 | ↓ -87% |
| Molina | Managed Medicaid | $168.23 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $168.23 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $172.28 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $172.53 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $225.62 | ↓ -81% |
| Humana | Medicare Advantage HMO | $229.71 | ↓ -81% |
| Valor | All Products | $229.71 | ↓ -81% |
| Aetna | Medicare Advantage | $229.71 | ↓ -81% |
| Aetna | Medicare Advantage Transplant | $229.71 | ↓ -81% |
| UPMC | Medicare Advantage | $229.71 | ↓ -81% |
| United | Medicare Advantage | $229.71 | ↓ -81% |
| The Health Plan | Medicare Advantage | $229.71 | ↓ -81% |
| Anthem | Medicare Advantage | $229.71 | ↓ -81% |
| Optum | Medicare Advantage Transplant | $229.71 | ↓ -81% |
| Cigna | Medicare Advantage | $236.60 | ↓ -80% |
| CommuniCare | Medicare Advantage | $241.20 | ↓ -80% |
| Perennial Health | Medicare Advantage | $248.09 | ↓ -79% |
| Summacare | Medicare Advantage MD | $252.16 | ↓ -79% |
| PPHP | All Products | $252.68 | ↓ -79% |
| Devoted Health | Medicare Advantage | $265.43 | ↓ -78% |
| Humana Military | All Products | $354.22 | ↓ -70% |
| Aetna | All Products Transplant | $357.51 | ↓ -70% |
| United | Managed Medicaid | $362.26 | ↓ -70% |
| Anthem | All Products Mid-Level Facility | $374.69 | ↓ -69% |
| Oscar | All Products | $467.54 | ↓ -61% |
| CC EHP | All Products | $504.32 | ↓ -58% |
| Summacare | Preferred | $549.39 | ↓ -54% |
| Anthem | All Products Mid-Level Non-Facility | $586.59 | ↓ -51% |
| Summacare | Premier | $598.69 | ↓ -50% |
| Aetna | Acop | $624.51 | ↓ -48% |
| OHCP | All Products | $715.76 | ↓ -40% |
| Ohio Healthy | Transplant | $736.00 | ↓ -38% |
| Aultcare | PPO/HMO | $805.92 | ↓ -33% |
| Amish Community Aid Plan | All Products | $828.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $862.96 | ↓ -28% |
| OMAS | All Products | $920.00 | ↓ -23% |
| Anthem | All Products Physician | $951.63 | ↓ -20% |
| Anthem | All Products Physician Facility | $951.63 | ↓ -20% |
| Healthsmart | All Products | $1,012.00 | ↓ -15% |
| The Health Plan | All Products | $1,012.00 | ↓ -15% |
| MMO | Medicare HMO | $1,032.94 | ↓ -14% |
| MMO | Medicare PPO | $1,063.93 | ↓ -11% |
| Optum | All Products Transplant | $1,072.72 | ↓ -10% |
| PHPHI | All Products | $1,104.00 | ↓ -8% |
| UPMC | All Products | $1,104.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,116.88 | ↓ -7% |
| United | All Products - Mid-Level | $1,185.13 | ↓ -1% |
| Three Rivers | All Products | $1,196.00 | ↑ +0% |
| Clarity Health | All Products | $1,196.00 | ↑ +0% |
| United | All Products | $1,277.34 | ↑ +7% |
| United | HMO & PPO | $1,277.34 | ↑ +7% |
| Quality Care Partners | All Products | $1,288.00 | ↑ +8% |
| GMS | All Products | $1,288.00 | ↑ +8% |
| Aetna | All Products First Health | $1,380.00 | ↑ +15% |
| Consociate Health | All Products | $1,380.00 | ↑ +15% |
| Cigna | All Products Mid-Level | $1,429.37 | ↑ +20% |
| MMO | NASCO | $1,472.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,472.00 | ↑ +23% |
| Aetna | Asa | $1,472.00 | ↑ +23% |
| Anthem | All Products Physician Non-Facility | $1,489.81 | ↑ +25% |
| OPTUM | Managed Medicaid Transplant | $1,530.64 | ↑ +28% |
| CARESOURCE | Managed Medicaid | $1,611.20 | ↑ +35% |
| USA Managed Care | All Products | $1,656.00 | ↑ +38% |
| Multiplan | All Products | $1,656.00 | ↑ +38% |
| Cigna | All Products Physician | $1,681.18 | ↑ +41% |
| MOLINA | Managed Medicaid | $1,691.76 | ↑ +41% |
| ANTHEM | Managed Medicaid | $1,691.76 | ↑ +41% |
| UNITED | Managed Medicaid | $1,723.98 | ↑ +44% |
| United BH | Managed Medicaid | $1,772.32 | ↑ +48% |
| Aetna | Qhp/Ifp | $1,840.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $2,027.30 | ↑ +70% |
| OPTUM | Medicare Advantage Transplant | $2,162.75 | ↑ +81% |
| OPTUM | All Products VA | $2,162.75 | ↑ +81% |
| The Health Plan | MEDICARE ADVANTAGE | $2,162.75 | ↑ +81% |
| MMO | Medicare Advantage HMO | $2,162.75 | ↑ +81% |
| HUMANA | Medicare Advantage HMO | $2,162.75 | ↑ +81% |
| MMO | Medicare Advantage PPO | $2,227.63 | ↑ +86% |
| Valor | ALL PRODUCTS | $2,249.28 | ↑ +88% |
| CIGNA | Medicare Advantage Lifesource | $2,249.28 | ↑ +88% |
| AETNA | MEDICARE ADVANTAGE | $2,249.28 | ↑ +88% |
| ANTHEM | MEDICARE ADVANTAGE | $2,249.28 | ↑ +88% |
| Summacare | MEDICARE ADVANTAGE | $2,249.28 | ↑ +88% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,249.28 | ↑ +88% |
| UPMC | MEDICARE ADVANTAGE | $2,249.28 | ↑ +88% |
| CIGNA | MEDICARE ADVANTAGE | $2,316.76 | ↑ +94% |
| Perennial Health | MEDICARE ADVANTAGE | $2,335.77 | ↑ +95% |
| CommuniCare | MEDICARE ADVANTAGE | $2,361.75 | ↑ +97% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,429.23 | ↑ +103% |
| PPHP | ALL PRODUCTS | $2,474.21 | ↑ +107% |
| ANTHEM | PPO/HMO | $4,315.00 | ↑ +261% |
| MMO | SuperMed | $6,813.79 | ↑ +470% |
| 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 | — |
| United BH | All Products MD | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of tear gland at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,127.40 – $2,463.31 |
| fairview hospital | Cleveland | not published | $1,254.16 – $2,474.21 |
| lutheran hospital | Cleveland | not published | $1,194.01 – $2,474.21 |
| akron general | Akron | not published | $1,214.97 – $2,474.21 |
| avon hospital | Avon | not published | $1,303.04 – $2,474.21 |
| euclid hospital | Euclid | not published | $1,335.00 – $2,474.21 |
| hillcrest hospital | Mayfield Heights | not published | $1,306.64 – $2,474.21 |
| lodi hospital | Lodi | not published | $2,038.49 – $2,360.36 |