Breast reconstruction 19357 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$4,244.50
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.
$6,530.00
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 $51,394.19 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 | $710.19 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $776.49 | ↓ -82% |
| Optum | Managed Medicaid Transplant | $833.32 | ↓ -80% |
| Paramount | Managed Medicaid | $903.50 | ↓ -79% |
| Buckeye | Managed Medicaid | $921.04 | ↓ -78% |
| Caresource | Managed Medicaid | $921.04 | ↓ -78% |
| Summacare | Medicare Advantage CNA | $928.71 | ↓ -78% |
| United | Managed Medicaid | $963.29 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $964.90 | ↓ -77% |
| Molina | Managed Medicaid | $964.90 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $1,035.32 | ↓ -76% |
| Valor | All Products | $1,035.32 | ↓ -76% |
| Aetna | Medicare Advantage | $1,035.32 | ↓ -76% |
| Aetna | Medicare Advantage Transplant | $1,035.32 | ↓ -76% |
| UPMC | Medicare Advantage | $1,035.32 | ↓ -76% |
| United | Medicare Advantage | $1,035.32 | ↓ -76% |
| Anthem | Medicare Advantage | $1,035.32 | ↓ -76% |
| The Health Plan | Medicare Advantage | $1,035.32 | ↓ -76% |
| Humana | Medicare Advantage HMO | $1,035.32 | ↓ -76% |
| Summacare | Medicare Advantage MD | $1,037.97 | ↓ -76% |
| Cigna | Medicare Advantage | $1,066.38 | ↓ -75% |
| CommuniCare | Medicare Advantage | $1,087.09 | ↓ -74% |
| Devoted Health | Medicare Advantage | $1,092.60 | ↓ -74% |
| Perennial Health | Medicare Advantage | $1,118.15 | ↓ -74% |
| PPHP | All Products | $1,138.85 | ↓ -73% |
| Aetna | All Products Transplant | $1,397.63 | ↓ -67% |
| Humana Military | All Products | $1,398.03 | ↓ -67% |
| Anthem | All Products Mid-Level Facility | $1,539.18 | ↓ -64% |
| Anthem | All Products Mid-Level Non-Facility | $1,539.18 | ↓ -64% |
| Oscar | All Products | $1,659.27 | ↓ -61% |
| CC EHP | All Products | $2,075.94 | ↓ -51% |
| Summacare | Preferred | $2,510.02 | ↓ -41% |
| OHCP | All Products | $2,540.17 | ↓ -40% |
| Ohio Healthy | Transplant | $2,612.00 | ↓ -38% |
| Summacare | Premier | $2,735.28 | ↓ -36% |
| Aetna | Acop | $2,853.28 | ↓ -33% |
| Aultcare | PPO/HMO | $2,860.14 | ↓ -33% |
| Amish Community Aid Plan | All Products | $2,938.50 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $3,062.57 | ↓ -28% |
| United | All Products - Mid-Level | $3,121.26 | ↓ -26% |
| OMAS | All Products | $3,265.00 | ↓ -23% |
| United | All Products | $3,364.10 | ↓ -21% |
| United | HMO & PPO | $3,364.10 | ↓ -21% |
| MMO | Medicare HMO | $3,458.83 | ↓ -19% |
| MMO | Medicare PPO | $3,562.59 | ↓ -16% |
| Healthsmart | All Products | $3,591.50 | ↓ -15% |
| The Health Plan | All Products | $3,591.50 | ↓ -15% |
| Optum | All Products Transplant | $3,806.99 | ↓ -10% |
| Anthem | All Products Physician Non-Facility | $3,909.20 | ↓ -8% |
| Anthem | All Products Physician | $3,909.20 | ↓ -8% |
| Anthem | All Products Physician Facility | $3,909.20 | ↓ -8% |
| PHPHI | All Products | $3,918.00 | ↓ -8% |
| UPMC | All Products | $3,918.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $3,963.71 | ↓ -7% |
| Three Rivers | All Products | $4,244.50 | ↑ +0% |
| Clarity Health | All Products | $4,244.50 | ↑ +0% |
| GMS | All Products | $4,571.00 | ↑ +8% |
| Quality Care Partners | All Products | $4,571.00 | ↑ +8% |
| ANTHEM | PPO/HMO | $4,616.00 | ↑ +9% |
| OPTUM | Managed Medicaid Transplant | $4,882.90 | ↑ +15% |
| Aetna | All Products First Health | $4,897.50 | ↑ +15% |
| Consociate Health | All Products | $4,897.50 | ↑ +15% |
| CARESOURCE | Managed Medicaid | $5,139.89 | ↑ +21% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $5,224.00 | ↑ +23% |
| Aetna | Asa | $5,224.00 | ↑ +23% |
| MMO | NASCO | $5,224.00 | ↑ +23% |
| ANTHEM | Managed Medicaid | $5,396.88 | ↑ +27% |
| MOLINA | Managed Medicaid | $5,396.88 | ↑ +27% |
| UNITED | Managed Medicaid | $5,499.68 | ↑ +30% |
| United BH | Managed Medicaid | $5,653.88 | ↑ +33% |
| Multiplan | All Products | $5,877.00 | ↑ +38% |
| USA Managed Care | All Products | $5,877.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $6,530.00 | ↑ +54% |
| CIGNA | ALL PRODUCTS | $8,326.00 | ↑ +96% |
| UNITED | ALL PRODUCTS | $9,457.00 | ↑ +123% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $13,037.84 | ↑ +207% |
| Valor | ALL PRODUCTS | $13,037.84 | ↑ +207% |
| Summacare | MEDICARE ADVANTAGE | $13,037.84 | ↑ +207% |
| CIGNA | Medicare Advantage Lifesource | $13,037.84 | ↑ +207% |
| ANTHEM | MEDICARE ADVANTAGE | $13,037.84 | ↑ +207% |
| UPMC | MEDICARE ADVANTAGE | $13,037.84 | ↑ +207% |
| AETNA | MEDICARE ADVANTAGE | $13,037.84 | ↑ +207% |
| CIGNA | MEDICARE ADVANTAGE | $13,428.98 | ↑ +216% |
| CommuniCare | MEDICARE ADVANTAGE | $13,689.74 | ↑ +223% |
| MMO | ALL PRODUCTS | $13,821.00 | ↑ +226% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $14,080.87 | ↑ +232% |
| PPHP | ALL PRODUCTS | $14,341.63 | ↑ +238% |
| UNITED | MEDICARE ADVANTAGE | $15,287.98 | ↑ +260% |
| The Health Plan | MEDICARE ADVANTAGE | $16,128.97 | ↑ +280% |
| MMO | Medicare Advantage HMO | $16,128.97 | ↑ +280% |
| HUMANA | Medicare Advantage HMO | $16,128.97 | ↑ +280% |
| OPTUM | All Products VA | $16,128.97 | ↑ +280% |
| OPTUM | Medicare Advantage Transplant | $16,128.97 | ↑ +280% |
| MMO | Medicare Advantage PPO | $16,612.84 | ↑ +291% |
| Perennial Health | MEDICARE ADVANTAGE | $17,419.28 | ↑ +310% |
| MMO | SuperMed | $51,394.19 | ↑ +1111% |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $6,786.62 – $7,858.19 |
| fairview hospital | Cleveland | not published | $4,000.93 – $16,128.97 |
| lutheran hospital | Cleveland | not published | $3,809.01 – $16,128.97 |
| Jewish Hospital | Cincinnati | $113,436.77 | $13,429.81 – $13,698.41 |
| Kings Mills Hospital | Mason | $41,936.33 | $13,429.81 – $13,698.41 |
| St Ritas Medical Center | Lima | $109,838.34 | $13,662.97 – $13,936.23 |
| akron general | Akron | $4,244.50 | $1.10 – $16,075.73 |
| mercy hospital | Canton | $4,244.50 | $1.10 – $16,075.73 |