healthcosts.net
Biopsy of wrist joint at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,045.20
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.
$1,608.00
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 | $218.41 | ↓ -79% |
| Optum | Managed Medicaid Transplant | $240.17 | ↓ -77% |
| Summacare | Medicare Advantage Psych | $249.41 | ↓ -76% |
| Paramount | Managed Medicaid | $260.39 | ↓ -75% |
| Caresource | Managed Medicaid | $265.45 | ↓ -75% |
| Buckeye | Managed Medicaid | $265.45 | ↓ -75% |
| AmeriHealth | Managed Medicaid | $278.09 | ↓ -73% |
| Molina | Managed Medicaid | $278.09 | ↓ -73% |
| Summacare | Medicare Advantage CNA | $285.61 | ↓ -73% |
| United | Managed Medicaid | $295.80 | ↓ -72% |
| Summacare | Medicare Advantage MD | $319.21 | ↓ -69% |
| The Health Plan | Medicare Advantage | $332.55 | ↓ -68% |
| Humana | Medicare Advantage HMO | $332.55 | ↓ -68% |
| Valor | All Products | $332.55 | ↓ -68% |
| Aetna | Medicare Advantage | $332.55 | ↓ -68% |
| Aetna | Medicare Advantage Transplant | $332.55 | ↓ -68% |
| UPMC | Medicare Advantage | $332.55 | ↓ -68% |
| United | Medicare Advantage | $332.55 | ↓ -68% |
| Anthem | Medicare Advantage | $332.55 | ↓ -68% |
| Optum | Medicare Advantage Transplant | $332.55 | ↓ -68% |
| Devoted Health | Medicare Advantage | $336.01 | ↓ -68% |
| Cigna | Medicare Advantage | $342.53 | ↓ -67% |
| CommuniCare | Medicare Advantage | $349.18 | ↓ -67% |
| Perennial Health | Medicare Advantage | $359.15 | ↓ -66% |
| PPHP | All Products | $362.89 | ↓ -65% |
| Oscar | All Products | $408.59 | ↓ -61% |
| Humana Military | All Products | $439.18 | ↓ -58% |
| Aetna | All Products Transplant | $439.41 | ↓ -58% |
| Anthem | All Products Mid-Level Facility | $469.65 | ↓ -55% |
| Anthem | All Products Mid-Level Non-Facility | $469.65 | ↓ -55% |
| OHCP | All Products | $625.51 | ↓ -40% |
| CC EHP | All Products | $638.42 | ↓ -39% |
| Ohio Healthy | Transplant | $643.20 | ↓ -38% |
| Aultcare | PPO/HMO | $704.30 | ↓ -33% |
| Amish Community Aid Plan | All Products | $723.60 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $754.15 | ↓ -28% |
| OMAS | All Products | $804.00 | ↓ -23% |
| Summacare | Preferred | $811.93 | ↓ -22% |
| Healthsmart | All Products | $884.40 | ↓ -15% |
| The Health Plan | All Products | $884.40 | ↓ -15% |
| Summacare | Premier | $884.80 | ↓ -15% |
| Aetna | Acop | $922.97 | ↓ -12% |
| Optum | All Products Transplant | $937.46 | ↓ -10% |
| United | All Products - Mid-Level | $959.54 | ↓ -8% |
| UPMC | All Products | $964.80 | ↓ -8% |
| PHPHI | All Products | $964.80 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $976.06 | ↓ -7% |
| United | HMO & PPO | $1,034.20 | ↓ -1% |
| United | All Products | $1,034.20 | ↓ -1% |
| Clarity Health | All Products | $1,045.20 | ↑ +0% |
| Three Rivers | All Products | $1,045.20 | ↑ +0% |
| MMO | Medicare HMO | $1,110.54 | ↑ +6% |
| Quality Care Partners | All Products | $1,125.60 | ↑ +8% |
| GMS | All Products | $1,125.60 | ↑ +8% |
| MMO | Medicare PPO | $1,143.86 | ↑ +9% |
| Anthem | All Products Physician Facility | $1,192.80 | ↑ +14% |
| Anthem | All Products Physician Non-Facility | $1,192.80 | ↑ +14% |
| Anthem | All Products Physician | $1,192.80 | ↑ +14% |
| Aetna | All Products First Health | $1,206.00 | ↑ +15% |
| Consociate Health | All Products | $1,206.00 | ↑ +15% |
| OPTUM | Managed Medicaid Transplant | $1,235.91 | ↑ +18% |
| MMO | NASCO | $1,286.40 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,286.40 | ↑ +23% |
| Aetna | Asa | $1,286.40 | ↑ +23% |
| CARESOURCE | Managed Medicaid | $1,300.96 | ↑ +24% |
| MOLINA | Managed Medicaid | $1,366.01 | ↑ +31% |
| ANTHEM | Managed Medicaid | $1,366.01 | ↑ +31% |
| UNITED | Managed Medicaid | $1,392.03 | ↑ +33% |
| United BH | Managed Medicaid | $1,431.06 | ↑ +37% |
| USA Managed Care | All Products | $1,447.20 | ↑ +38% |
| Multiplan | All Products | $1,447.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,608.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $2,808.13 | ↑ +169% |
| The Health Plan | MEDICARE ADVANTAGE | $3,007.88 | ↑ +188% |
| MMO | Medicare Advantage HMO | $3,007.88 | ↑ +188% |
| OPTUM | Medicare Advantage Transplant | $3,007.88 | ↑ +188% |
| OPTUM | All Products VA | $3,007.88 | ↑ +188% |
| HUMANA | Medicare Advantage HMO | $3,007.88 | ↑ +188% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↑ +196% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↑ +196% |
| CIGNA | Medicare Advantage Lifesource | $3,095.56 | ↑ +196% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,095.56 | ↑ +196% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↑ +196% |
| UPMC | MEDICARE ADVANTAGE | $3,095.56 | ↑ +196% |
| Valor | ALL PRODUCTS | $3,095.56 | ↑ +196% |
| MMO | Medicare Advantage PPO | $3,098.12 | ↑ +196% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↑ +205% |
| Perennial Health | MEDICARE ADVANTAGE | $3,248.51 | ↑ +211% |
| CommuniCare | MEDICARE ADVANTAGE | $3,250.34 | ↑ +211% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↑ +220% |
| PPHP | ALL PRODUCTS | $3,405.12 | ↑ +226% |
| MMO | ALL PRODUCTS | $5,265.00 | ↑ +404% |
| MMO | SuperMed | $9,440.12 | ↑ +803% |
| United BH | All Products PHD | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | 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 RN | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of wrist joint at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,717.77 – $1,989.00 |
| fairview hospital | Cleveland | not published | $1,012.67 – $3,405.12 |
| lutheran hospital | Cleveland | not published | $964.10 – $3,405.12 |
| akron general | Akron | not published | $981.04 – $3,405.12 |
| avon hospital | Avon | not published | $1,052.14 – $3,405.12 |
| euclid hospital | Euclid | not published | $1,077.95 – $3,405.12 |
| hillcrest hospital | Mayfield Heights | not published | $1,055.05 – $3,405.12 |
| lodi hospital | Lodi | not published | $1,645.98 – $1,905.87 |