healthcosts.net
Biopsy vrt bdy open lmbr/crv at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,487.20
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.
?
What you pay up front if you don't use insurance.
$2,288.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $20,863.78 with MMO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $266.67 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $306.04 | ↓ -79% |
| Optum | Managed Medicaid Transplant | $307.14 | ↓ -79% |
| Paramount | Managed Medicaid | $333.00 | ↓ -78% |
| Caresource | Managed Medicaid | $339.47 | ↓ -77% |
| Buckeye | Managed Medicaid | $339.47 | ↓ -77% |
| Summacare | Medicare Advantage CNA | $348.72 | ↓ -77% |
| Molina | Managed Medicaid | $355.63 | ↓ -76% |
| AmeriHealth | Managed Medicaid | $355.63 | ↓ -76% |
| United | Managed Medicaid | $358.99 | ↓ -76% |
| Summacare | Medicare Advantage MD | $389.75 | ↓ -74% |
| Humana | Medicare Advantage HMO | $408.05 | ↓ -73% |
| Valor | All Products | $408.05 | ↓ -73% |
| Aetna | Medicare Advantage | $408.05 | ↓ -73% |
| Aetna | Medicare Advantage Transplant | $408.05 | ↓ -73% |
| UPMC | Medicare Advantage | $408.05 | ↓ -73% |
| United | Medicare Advantage | $408.05 | ↓ -73% |
| The Health Plan | Medicare Advantage | $408.05 | ↓ -73% |
| Anthem | Medicare Advantage | $408.05 | ↓ -73% |
| Optum | Medicare Advantage Transplant | $408.05 | ↓ -73% |
| Devoted Health | Medicare Advantage | $410.26 | ↓ -72% |
| Cigna | Medicare Advantage | $420.29 | ↓ -72% |
| CommuniCare | Medicare Advantage | $428.45 | ↓ -71% |
| Perennial Health | Medicare Advantage | $440.69 | ↓ -70% |
| PPHP | All Products | $443.08 | ↓ -70% |
| Aetna | All Products Transplant | $507.55 | ↓ -66% |
| Humana Military | All Products | $523.47 | ↓ -65% |
| Anthem | All Products Mid-Level Facility | $566.28 | ↓ -62% |
| Anthem | All Products Mid-Level Non-Facility | $566.28 | ↓ -62% |
| Oscar | All Products | $581.38 | ↓ -61% |
| CC EHP | All Products | $779.49 | ↓ -48% |
| OHCP | All Products | $890.03 | ↓ -40% |
| Ohio Healthy | Transplant | $915.20 | ↓ -38% |
| Summacare | Preferred | $985.30 | ↓ -34% |
| Aultcare | PPO/HMO | $1,002.14 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,029.60 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,073.07 | ↓ -28% |
| Summacare | Premier | $1,073.73 | ↓ -28% |
| Aetna | Acop | $1,120.05 | ↓ -25% |
| United | All Products - Mid-Level | $1,140.50 | ↓ -23% |
| OMAS | All Products | $1,144.00 | ↓ -23% |
| United | HMO & PPO | $1,229.23 | ↓ -17% |
| United | All Products | $1,229.23 | ↓ -17% |
| Healthsmart | All Products | $1,258.40 | ↓ -15% |
| The Health Plan | All Products | $1,258.40 | ↓ -15% |
| Optum | All Products Transplant | $1,333.90 | ↓ -10% |
| UPMC | All Products | $1,372.80 | ↓ -8% |
| PHPHI | All Products | $1,372.80 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,388.82 | ↓ -7% |
| MMO | Medicare HMO | $1,403.20 | ↓ -6% |
| Anthem | All Products Physician | $1,438.22 | ↓ -3% |
| Anthem | All Products Physician Facility | $1,438.22 | ↓ -3% |
| Anthem | All Products Physician Non-Facility | $1,438.22 | ↓ -3% |
| MMO | Medicare PPO | $1,445.30 | ↓ -3% |
| Clarity Health | All Products | $1,487.20 | ↑ +0% |
| Three Rivers | All Products | $1,487.20 | ↑ +0% |
| GMS | All Products | $1,601.60 | ↑ +8% |
| Quality Care Partners | All Products | $1,601.60 | ↑ +8% |
| Aetna | All Products First Health | $1,716.00 | ↑ +15% |
| Consociate Health | All Products | $1,716.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,830.40 | ↑ +23% |
| MMO | NASCO | $1,830.40 | ↑ +23% |
| Aetna | Asa | $1,830.40 | ↑ +23% |
| USA Managed Care | All Products | $2,059.20 | ↑ +38% |
| Multiplan | All Products | $2,059.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,288.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $3,812.17 | ↑ +156% |
| CARESOURCE | Managed Medicaid | $4,012.81 | ↑ +170% |
| MOLINA | Managed Medicaid | $4,213.45 | ↑ +183% |
| ANTHEM | Managed Medicaid | $4,213.45 | ↑ +183% |
| UNITED | Managed Medicaid | $4,293.71 | ↑ +189% |
| United BH | Managed Medicaid | $4,414.09 | ↑ +197% |
| UNITED | MEDICARE ADVANTAGE | $6,206.54 | ↑ +317% |
| The Health Plan | MEDICARE ADVANTAGE | $6,622.52 | ↑ +345% |
| OPTUM | Medicare Advantage Transplant | $6,622.52 | ↑ +345% |
| HUMANA | Medicare Advantage HMO | $6,622.52 | ↑ +345% |
| OPTUM | All Products VA | $6,622.52 | ↑ +345% |
| MMO | Medicare Advantage HMO | $6,622.52 | ↑ +345% |
| MMO | Medicare Advantage PPO | $6,821.20 | ↑ +359% |
| ANTHEM | MEDICARE ADVANTAGE | $6,864.94 | ↑ +362% |
| UPMC | MEDICARE ADVANTAGE | $6,864.94 | ↑ +362% |
| Valor | ALL PRODUCTS | $6,864.94 | ↑ +362% |
| CIGNA | Medicare Advantage Lifesource | $6,864.94 | ↑ +362% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $6,864.94 | ↑ +362% |
| AETNA | MEDICARE ADVANTAGE | $6,864.94 | ↑ +362% |
| Summacare | MEDICARE ADVANTAGE | $6,864.94 | ↑ +362% |
| CIGNA | MEDICARE ADVANTAGE | $7,070.89 | ↑ +375% |
| Perennial Health | MEDICARE ADVANTAGE | $7,152.33 | ↑ +381% |
| CommuniCare | MEDICARE ADVANTAGE | $7,208.19 | ↑ +385% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,414.13 | ↑ +399% |
| PPHP | ALL PRODUCTS | $7,551.43 | ↑ +408% |
| MMO | SuperMed | $20,863.78 | ↑ +1303% |
| Cigna | All Products Physician | 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 | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy vrt bdy open lmbr/crv at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $5,298.44 – $6,135.03 |
| fairview hospital | Cleveland | not published | $3,123.59 – $7,551.43 |
| lutheran hospital | Cleveland | not published | $2,973.77 – $7,551.43 |
| akron general | Akron | not published | $3,026.00 – $7,551.43 |
| avon hospital | Avon | not published | $3,245.32 – $7,551.43 |
| euclid hospital | Euclid | not published | $3,324.91 – $7,551.43 |
| hillcrest hospital | Mayfield Heights | not published | $3,254.29 – $7,551.43 |
| lodi hospital | Lodi | not published | $5,077.01 – $5,878.64 |