healthcosts.net
Biopsy roof of mouth at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$4,429.10
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.
$6,814.00
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 $6,814.00 with AETNA — 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 International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $62.69 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $67.12 | ↓ -98% |
| Paramount | Managed Medicaid | $67.97 | ↓ -98% |
| Buckeye | Managed Medicaid | $69.29 | ↓ -98% |
| Caresource | Managed Medicaid | $69.29 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $72.59 | ↓ -98% |
| Molina | Managed Medicaid | $72.59 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $73.22 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $87.77 | ↓ -98% |
| United | Medicare Advantage | $97.63 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $97.63 | ↓ -98% |
| UPMC | Medicare Advantage | $97.63 | ↓ -98% |
| Valor | All Products | $97.63 | ↓ -98% |
| Aetna | Medicare Advantage Transplant | $97.63 | ↓ -98% |
| Aetna | Medicare Advantage | $97.63 | ↓ -98% |
| Humana | Medicare Advantage HMO | $97.63 | ↓ -98% |
| Anthem | Medicare Advantage | $97.63 | ↓ -98% |
| The Health Plan | Medicare Advantage | $97.63 | ↓ -98% |
| Summacare | Medicare Advantage MD | $98.10 | ↓ -98% |
| Cigna | Medicare Advantage | $100.56 | ↓ -98% |
| CommuniCare | Medicare Advantage | $102.51 | ↓ -98% |
| Devoted Health | Medicare Advantage | $103.26 | ↓ -98% |
| Perennial Health | Medicare Advantage | $105.44 | ↓ -98% |
| PPHP | All Products | $107.39 | ↓ -98% |
| United | Managed Medicaid | $119.39 | ↓ -97% |
| AETNA | Medicare Advantage Transplant | $126.22 | ↓ -97% |
| Humana Military | All Products | $136.23 | ↓ -97% |
| AETNA | All Products Transplant | $136.39 | ↓ -97% |
| Aetna | All Products Transplant | $136.39 | ↓ -97% |
| Anthem | All Products Mid-Level Facility | $145.50 | ↓ -97% |
| Oscar | All Products | $151.95 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $192.61 | ↓ -96% |
| CC EHP | All Products | $196.19 | ↓ -96% |
| OHCP | All Products | $232.62 | ↓ -95% |
| Summacare | Preferred | $237.58 | ↓ -95% |
| Ohio Healthy | Transplant | $239.20 | ↓ -95% |
| Summacare | Premier | $258.90 | ↓ -94% |
| Aultcare | PPO/HMO | $261.92 | ↓ -94% |
| Amish Community Aid Plan | All Products | $269.10 | ↓ -94% |
| Aetna | Acop | $270.07 | ↓ -94% |
| Optum | Commercial CRS Care Solutions | $280.46 | ↓ -94% |
| OMAS | All Products | $299.00 | ↓ -93% |
| MMO | Medicare HMO | $304.55 | ↓ -93% |
| MMO | Medicare PPO | $313.69 | ↓ -93% |
| The Health Plan | All Products | $328.90 | ↓ -93% |
| Healthsmart | All Products | $328.90 | ↓ -93% |
| Optum | All Products Transplant | $348.63 | ↓ -92% |
| UPMC | All Products | $358.80 | ↓ -92% |
| PHPHI | All Products | $358.80 | ↓ -92% |
| Optum | Commercial CHD Care Solutions | $362.99 | ↓ -92% |
| Anthem | All Products Physician | $369.57 | ↓ -92% |
| Anthem | All Products Physician Facility | $369.57 | ↓ -92% |
| United | All Products - Mid-Level | $388.05 | ↓ -91% |
| Clarity Health | All Products | $388.70 | ↓ -91% |
| Three Rivers | All Products | $388.70 | ↓ -91% |
| Cigna | All Products Mid-Level | $398.12 | ↓ -91% |
| United | HMO & PPO | $418.24 | ↓ -91% |
| United | All Products | $418.24 | ↓ -91% |
| GMS | All Products | $418.60 | ↓ -91% |
| Quality Care Partners | All Products | $418.60 | ↓ -91% |
| Aetna | All Products First Health | $448.50 | ↓ -90% |
| Consociate Health | All Products | $448.50 | ↓ -90% |
| Cigna | All Products Physician | $468.34 | ↓ -89% |
| MMO | NASCO | $478.40 | ↓ -89% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $478.40 | ↓ -89% |
| Aetna | Asa | $478.40 | ↓ -89% |
| Anthem | All Products Physician Non-Facility | $489.19 | ↓ -89% |
| USA Managed Care | All Products | $538.20 | ↓ -88% |
| Multiplan | All Products | $538.20 | ↓ -88% |
| Aetna | Qhp/Ifp | $598.00 | ↓ -86% |
| OPTUM | Managed Medicaid Transplant | $939.63 | ↓ -79% |
| CARESOURCE | Managed Medicaid | $989.08 | ↓ -78% |
| MOLINA | Managed Medicaid | $1,038.53 | ↓ -77% |
| ANTHEM | Managed Medicaid | $1,038.53 | ↓ -77% |
| UNITED | Managed Medicaid | $1,058.32 | ↓ -76% |
| United BH | Managed Medicaid | $1,087.99 | ↓ -75% |
| UNITED | MEDICARE ADVANTAGE | $1,323.06 | ↓ -70% |
| OPTUM | Medicare Advantage Transplant | $1,373.21 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $1,373.21 | ↓ -69% |
| OPTUM | All Products VA | $1,373.21 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $1,373.21 | ↓ -69% |
| MMO | Medicare Advantage HMO | $1,373.21 | ↓ -69% |
| MMO | Medicare Advantage PPO | $1,414.40 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $1,467.92 | ↓ -67% |
| Summacare | MEDICARE ADVANTAGE | $1,467.92 | ↓ -67% |
| UPMC | MEDICARE ADVANTAGE | $1,467.92 | ↓ -67% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,467.92 | ↓ -67% |
| CIGNA | Medicare Advantage Lifesource | $1,467.92 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $1,467.92 | ↓ -67% |
| Valor | ALL PRODUCTS | $1,467.92 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $1,483.06 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $1,511.96 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $1,541.31 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,585.35 | ↓ -64% |
| PPHP | ALL PRODUCTS | $1,614.71 | ↓ -64% |
| CC EHP | ALL PRODUCTS | $1,894.29 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $1,927.00 | ↓ -56% |
| PHP | ALL PRODUCTS | $2,180.48 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $2,180.48 | ↓ -51% |
| CIGNA | ALL PRODUCTS | $2,351.00 | ↓ -47% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,066.30 | ↓ -31% |
| Summacare | PREMIER | $3,107.18 | ↓ -30% |
| ANTHEM | HPN | $3,137.85 | ↓ -29% |
| OHCP | ALL PRODUCTS | $3,311.60 | ↓ -25% |
| OMAS | ALL PRODUCTS | $3,407.00 | ↓ -23% |
| AETNA | International | $3,443.00 | ↓ -22% |
| Ohio Healthy | TRANSPLANT | $3,679.56 | ↓ -17% |
| ANTHEM | PPO/HMO | $3,691.83 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $3,747.70 | ↓ -15% |
| OPTUM | All Products Transplant | $3,856.72 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $4,088.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $4,088.40 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $4,108.84 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $4,108.84 | ↓ -7% |
| AETNA | Acop | $4,265.56 | ↓ -4% |
| MMO | TRADITIONAL | $4,286.01 | ↓ -3% |
| MMO | ALL PRODUCTS | $4,392.00 | ↓ -1% |
| Clarity Health | ALL PRODUCTS | $4,429.10 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $4,429.10 | ↑ +0% |
| MMO | SuperMed | $4,447.63 | ↑ +0% |
| Quality Care Partners | Transplant SMCP | $4,769.80 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $4,769.80 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $4,769.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $4,769.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $4,769.80 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $4,769.80 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $4,831.13 | ↑ +9% |
| CIGNA | PPO | $5,055.99 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $5,110.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $5,110.50 | ↑ +15% |
| Consociate Health | TRANSPLANT | $5,110.50 | ↑ +15% |
| ANTHEM | TRADITIONAL | $5,241.33 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $5,451.20 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $5,451.20 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $5,791.90 | ↑ +31% |
| FrontPath | TRANSPLANT | $6,132.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $6,132.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $6,132.60 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $6,132.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $6,132.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $6,814.00 | ↑ +54% |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | 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 PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy roof of mouth at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $4,429.10 | $0.01 – $6,132.60 |
| lutheran hospital | Cleveland | $4,429.10 | $0.01 – $6,132.60 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,305.97 – $1,512.17 |
| akron general | Akron | $388.70 | $1.10 – $1,511.96 |
| avon hospital | Avon | $4,429.10 | $0.01 – $6,132.60 |
| euclid hospital | Euclid | $4,429.10 | $0.01 – $6,132.60 |
| hillcrest hospital | Mayfield Heights | $4,429.10 | $0.01 – $6,132.60 |
| marymount hospital | Garfield Heights | $4,429.10 | $0.01 – $6,132.60 |