healthcosts.net
Brain cavity shunt w/scope at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$4,170.40
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.
$6,416.00
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 $6,416.00 with Aetna — 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% |
| Optum | Managed Medicaid Transplant | $655.61 | ↓ -84% |
| Paramount | Managed Medicaid | $710.82 | ↓ -83% |
| Buckeye | Managed Medicaid | $724.63 | ↓ -83% |
| Caresource | Managed Medicaid | $724.63 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $759.13 | ↓ -82% |
| Molina | Managed Medicaid | $759.13 | ↓ -82% |
| Summacare | Medicare Advantage Lower Level | $762.98 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $893.94 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $997.75 | ↓ -76% |
| United | Managed Medicaid | $1,021.49 | ↓ -76% |
| Summacare | Medicare Advantage MD | $1,115.13 | ↓ -73% |
| Devoted Health | Medicare Advantage | $1,173.82 | ↓ -72% |
| United | Medicare Advantage | $1,191.92 | ↓ -71% |
| Valor | All Products | $1,191.92 | ↓ -71% |
| Aetna | Medicare Advantage | $1,191.92 | ↓ -71% |
| Aetna | Medicare Advantage Transplant | $1,191.92 | ↓ -71% |
| UPMC | Medicare Advantage | $1,191.92 | ↓ -71% |
| The Health Plan | Medicare Advantage | $1,191.92 | ↓ -71% |
| Anthem | Medicare Advantage | $1,191.92 | ↓ -71% |
| Optum | Medicare Advantage Transplant | $1,191.92 | ↓ -71% |
| Humana | Medicare Advantage HMO | $1,191.92 | ↓ -71% |
| Cigna | Medicare Advantage | $1,227.68 | ↓ -71% |
| CommuniCare | Medicare Advantage | $1,251.52 | ↓ -70% |
| PPHP | All Products | $1,267.73 | ↓ -70% |
| Perennial Health | Medicare Advantage | $1,287.27 | ↓ -69% |
| Humana Military | All Products | $1,531.92 | ↓ -63% |
| Aetna | All Products Transplant | $1,556.57 | ↓ -63% |
| Oscar | All Products | $1,630.31 | ↓ -61% |
| Anthem | All Products Mid-Level Facility | $1,661.25 | ↓ -60% |
| Anthem | All Products Mid-Level Non-Facility | $1,661.25 | ↓ -60% |
| CC EHP | All Products | $2,230.26 | ↓ -47% |
| OHCP | All Products | $2,495.82 | ↓ -40% |
| Ohio Healthy | Transplant | $2,566.40 | ↓ -38% |
| Aultcare | PPO/HMO | $2,810.21 | ↓ -33% |
| Summacare | Preferred | $2,868.93 | ↓ -31% |
| Amish Community Aid Plan | All Products | $2,887.20 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $3,009.10 | ↓ -28% |
| Summacare | Premier | $3,126.40 | ↓ -25% |
| OMAS | All Products | $3,208.00 | ↓ -23% |
| MMO | ALL PRODUCTS | $3,241.15 | ↓ -22% |
| Aetna | Acop | $3,261.27 | ↓ -22% |
| United | All Products - Mid-Level | $3,369.49 | ↓ -19% |
| Healthsmart | All Products | $3,528.80 | ↓ -15% |
| The Health Plan | All Products | $3,528.80 | ↓ -15% |
| MMO | SuperMed | $3,621.16 | ↓ -13% |
| United | All Products | $3,631.64 | ↓ -13% |
| United | HMO & PPO | $3,631.64 | ↓ -13% |
| Optum | All Products Transplant | $3,740.53 | ↓ -10% |
| MMO | Medicare HMO | $3,741.18 | ↓ -10% |
| UPMC | All Products | $3,849.60 | ↓ -8% |
| PHPHI | All Products | $3,849.60 | ↓ -8% |
| MMO | Medicare PPO | $3,853.42 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $3,894.51 | ↓ -7% |
| Three Rivers | All Products | $4,170.40 | ↑ +0% |
| Clarity Health | All Products | $4,170.40 | ↑ +0% |
| Anthem | All Products Physician Facility | $4,219.23 | ↑ +1% |
| Anthem | All Products Physician | $4,219.23 | ↑ +1% |
| Anthem | All Products Physician Non-Facility | $4,219.23 | ↑ +1% |
| Quality Care Partners | All Products | $4,491.20 | ↑ +8% |
| GMS | All Products | $4,491.20 | ↑ +8% |
| Aetna | All Products First Health | $4,812.00 | ↑ +15% |
| Consociate Health | All Products | $4,812.00 | ↑ +15% |
| MMO | NASCO | $5,132.80 | ↑ +23% |
| Aetna | Asa | $5,132.80 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $5,132.80 | ↑ +23% |
| OPTUM | Managed Medicaid Transplant | $5,357.22 | ↑ +28% |
| CARESOURCE | Managed Medicaid | $5,639.18 | ↑ +35% |
| Multiplan | All Products | $5,774.40 | ↑ +38% |
| USA Managed Care | All Products | $5,774.40 | ↑ +38% |
| MOLINA | Managed Medicaid | $5,921.14 | ↑ +42% |
| ANTHEM | Managed Medicaid | $5,921.14 | ↑ +42% |
| UNITED | Managed Medicaid | $6,033.92 | ↑ +45% |
| United BH | Managed Medicaid | $6,203.10 | ↑ +49% |
| Aetna | Qhp/Ifp | $6,416.00 | ↑ +54% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Brain cavity shunt w/scope at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,445.87 – $8,621.54 |
| fairview hospital | Cleveland | not published | $4,389.57 – $5,082.66 |
| lutheran hospital | Cleveland | not published | $4,179.02 – $4,838.87 |
| akron general | Akron | not published | $4,252.42 – $4,923.85 |
| avon hospital | Avon | not published | $4,560.64 – $4,647.51 |
| euclid hospital | Euclid | not published | $4,672.49 – $5,410.25 |
| hillcrest hospital | Mayfield Heights | not published | $4,573.24 – $5,295.33 |
| lodi hospital | Lodi | not published | $7,134.70 – $8,261.23 |