healthcosts.net
Biopsy/removal lymph nodes at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,671.80
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.
$2,572.00
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 $11,117.55 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 | $217.47 | ↓ -87% |
| Paramount | Managed Medicaid | $235.79 | ↓ -86% |
| Caresource | Managed Medicaid | $240.37 | ↓ -86% |
| Buckeye | Managed Medicaid | $240.37 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $251.81 | ↓ -85% |
| Molina | Managed Medicaid | $251.81 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $273.35 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $313.87 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $357.46 | ↓ -79% |
| United | Managed Medicaid | $366.90 | ↓ -78% |
| Summacare | Medicare Advantage MD | $399.51 | ↓ -76% |
| Optum | Medicare Advantage Transplant | $418.49 | ↓ -75% |
| Valor | All Products | $418.49 | ↓ -75% |
| Aetna | Medicare Advantage | $418.49 | ↓ -75% |
| Aetna | Medicare Advantage Transplant | $418.49 | ↓ -75% |
| UPMC | Medicare Advantage | $418.49 | ↓ -75% |
| United | Medicare Advantage | $418.49 | ↓ -75% |
| Anthem | Medicare Advantage | $418.49 | ↓ -75% |
| The Health Plan | Medicare Advantage | $418.49 | ↓ -75% |
| Humana | Medicare Advantage HMO | $418.49 | ↓ -75% |
| Devoted Health | Medicare Advantage | $420.54 | ↓ -75% |
| Cigna | Medicare Advantage | $431.04 | ↓ -74% |
| CommuniCare | Medicare Advantage | $439.41 | ↓ -74% |
| Perennial Health | Medicare Advantage | $451.97 | ↓ -73% |
| PPHP | All Products | $454.18 | ↓ -73% |
| Humana Military | All Products | $531.60 | ↓ -68% |
| Aetna | All Products Transplant | $534.63 | ↓ -68% |
| Anthem | All Products Mid-Level Non-Facility | $592.83 | ↓ -65% |
| Anthem | All Products Mid-Level Facility | $592.83 | ↓ -65% |
| Oscar | All Products | $653.55 | ↓ -61% |
| CC EHP | All Products | $799.03 | ↓ -52% |
| OHCP | All Products | $1,000.51 | ↓ -40% |
| Summacare | Preferred | $1,007.21 | ↓ -40% |
| Ohio Healthy | Transplant | $1,028.80 | ↓ -38% |
| Summacare | Premier | $1,097.60 | ↓ -34% |
| Aultcare | PPO/HMO | $1,126.54 | ↓ -33% |
| Aetna | Acop | $1,144.94 | ↓ -32% |
| Amish Community Aid Plan | All Products | $1,157.40 | ↓ -31% |
| United | All Products - Mid-Level | $1,205.20 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $1,206.27 | ↓ -28% |
| MMO | Medicare HMO | $1,240.13 | ↓ -26% |
| MMO | Medicare PPO | $1,277.33 | ↓ -24% |
| OMAS | All Products | $1,286.00 | ↓ -23% |
| United | All Products | $1,298.96 | ↓ -22% |
| United | HMO & PPO | $1,298.96 | ↓ -22% |
| Healthsmart | All Products | $1,414.60 | ↓ -15% |
| The Health Plan | All Products | $1,414.60 | ↓ -15% |
| Optum | All Products Transplant | $1,499.48 | ↓ -10% |
| Anthem | All Products Physician Non-Facility | $1,505.67 | ↓ -10% |
| Anthem | All Products Physician | $1,505.67 | ↓ -10% |
| Anthem | All Products Physician Facility | $1,505.67 | ↓ -10% |
| UPMC | All Products | $1,543.20 | ↓ -8% |
| PHPHI | All Products | $1,543.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,561.20 | ↓ -7% |
| Three Rivers | All Products | $1,671.80 | ↑ +0% |
| Clarity Health | All Products | $1,671.80 | ↑ +0% |
| Quality Care Partners | All Products | $1,800.40 | ↑ +8% |
| GMS | All Products | $1,800.40 | ↑ +8% |
| Aetna | All Products First Health | $1,929.00 | ↑ +15% |
| Consociate Health | All Products | $1,929.00 | ↑ +15% |
| MMO | NASCO | $2,057.60 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,057.60 | ↑ +23% |
| Aetna | Asa | $2,057.60 | ↑ +23% |
| OPTUM | Managed Medicaid Transplant | $2,262.59 | ↑ +35% |
| USA Managed Care | All Products | $2,314.80 | ↑ +38% |
| Multiplan | All Products | $2,314.80 | ↑ +38% |
| CARESOURCE | Managed Medicaid | $2,381.67 | ↑ +42% |
| ANTHEM | Managed Medicaid | $2,500.75 | ↑ +50% |
| MOLINA | Managed Medicaid | $2,500.75 | ↑ +50% |
| UNITED | Managed Medicaid | $2,548.39 | ↑ +52% |
| Aetna | Qhp/Ifp | $2,572.00 | ↑ +54% |
| United BH | Managed Medicaid | $2,619.84 | ↑ +57% |
| UNITED | MEDICARE ADVANTAGE | $3,306.89 | ↑ +98% |
| CIGNA | ALL PRODUCTS | $3,528.00 | ↑ +111% |
| OPTUM | All Products VA | $3,549.90 | ↑ +112% |
| MMO | Medicare Advantage HMO | $3,549.90 | ↑ +112% |
| HUMANA | Medicare Advantage HMO | $3,549.90 | ↑ +112% |
| OPTUM | Medicare Advantage Transplant | $3,549.90 | ↑ +112% |
| The Health Plan | MEDICARE ADVANTAGE | $3,549.90 | ↑ +112% |
| MMO | Medicare Advantage PPO | $3,656.39 | ↑ +119% |
| ANTHEM | MEDICARE ADVANTAGE | $3,704.30 | ↑ +122% |
| Valor | ALL PRODUCTS | $3,704.30 | ↑ +122% |
| CIGNA | Medicare Advantage Lifesource | $3,704.30 | ↑ +122% |
| AETNA | MEDICARE ADVANTAGE | $3,704.30 | ↑ +122% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,704.30 | ↑ +122% |
| Summacare | MEDICARE ADVANTAGE | $3,704.30 | ↑ +122% |
| UPMC | MEDICARE ADVANTAGE | $3,704.30 | ↑ +122% |
| CIGNA | MEDICARE ADVANTAGE | $3,815.43 | ↑ +128% |
| Perennial Health | MEDICARE ADVANTAGE | $3,833.89 | ↑ +129% |
| CommuniCare | MEDICARE ADVANTAGE | $3,889.52 | ↑ +133% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $4,000.65 | ↑ +139% |
| PPHP | ALL PRODUCTS | $4,074.73 | ↑ +144% |
| MMO | ALL PRODUCTS | $5,265.00 | ↑ +215% |
| UNITED | ALL PRODUCTS | $6,238.00 | ↑ +273% |
| ANTHEM | PPO/HMO | $7,624.00 | ↑ +356% |
| MMO | SuperMed | $11,117.55 | ↑ +565% |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MA | 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 MD | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy/removal lymph nodes at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,144.72 – $3,641.25 |
| fairview hospital | Cleveland | not published | $1,853.91 – $4,074.73 |
| lutheran hospital | Cleveland | not published | $1,764.99 – $4,074.73 |
| akron general | Akron | $1,671.80 | $1.10 – $3,821.23 |
| mercy hospital | Canton | $1,671.80 | $1.10 – $3,815.43 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,913.50 | $900.00 – $6,667.74 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,913.50 | $900.00 – $9,381.95 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,998.25 | not published |