healthcosts.net
Bx breast add lesion mr imag at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,626.95
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.
$2,503.00
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 $5,265.00 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 | $54.39 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $56.23 | ↓ -97% |
| Optum | Managed Medicaid Transplant | $64.74 | ↓ -96% |
| Paramount | Managed Medicaid | $70.19 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $71.12 | ↓ -96% |
| Caresource | Managed Medicaid | $71.56 | ↓ -96% |
| Buckeye | Managed Medicaid | $71.56 | ↓ -96% |
| Optum | Medicare Advantage Transplant | $74.97 | ↓ -95% |
| Molina | Managed Medicaid | $74.97 | ↓ -95% |
| Aetna | Medicare Advantage | $74.97 | ↓ -95% |
| Aetna | Medicare Advantage Transplant | $74.97 | ↓ -95% |
| Humana | Medicare Advantage HMO | $74.97 | ↓ -95% |
| Valor | All Products | $74.97 | ↓ -95% |
| UPMC | Medicare Advantage | $74.97 | ↓ -95% |
| United | Medicare Advantage | $74.97 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $74.97 | ↓ -95% |
| Anthem | Medicare Advantage | $74.97 | ↓ -95% |
| The Health Plan | Medicare Advantage | $74.97 | ↓ -95% |
| Cigna | Medicare Advantage | $77.22 | ↓ -95% |
| CommuniCare | Medicare Advantage | $78.72 | ↓ -95% |
| Summacare | Medicare Advantage MD | $79.49 | ↓ -95% |
| Perennial Health | Medicare Advantage | $80.97 | ↓ -95% |
| PPHP | All Products | $82.47 | ↓ -95% |
| Devoted Health | Medicare Advantage | $83.67 | ↓ -95% |
| AETNA | Medicare Advantage Transplant | $103.19 | ↓ -94% |
| Humana Military | All Products | $114.45 | ↓ -93% |
| AETNA | All Products Transplant | $115.15 | ↓ -93% |
| Aetna | All Products Transplant | $115.15 | ↓ -93% |
| Anthem | All Products Mid-Level Facility | $119.99 | ↓ -93% |
| CC EHP | All Products | $158.97 | ↓ -90% |
| Summacare | Preferred | $176.60 | ↓ -89% |
| Summacare | Premier | $192.45 | ↓ -88% |
| Aetna | Acop | $200.75 | ↓ -88% |
| Oscar | All Products | $203.53 | ↓ -87% |
| MMO | Medicare HMO | $216.88 | ↓ -87% |
| MMO | Medicare PPO | $223.39 | ↓ -86% |
| Anthem | All Products Physician Facility | $304.75 | ↓ -81% |
| Anthem | All Products Physician | $304.75 | ↓ -81% |
| OHCP | All Products | $311.59 | ↓ -81% |
| Ohio Healthy | Transplant | $320.40 | ↓ -80% |
| Aultcare | PPO/HMO | $350.84 | ↓ -78% |
| MMO | SuperMed | $360.45 | ↓ -78% |
| Amish Community Aid Plan | All Products | $360.45 | ↓ -78% |
| Optum | Commercial CRS Care Solutions | $375.67 | ↓ -77% |
| OMAS | All Products | $400.50 | ↓ -75% |
| The Health Plan | All Products | $440.55 | ↓ -73% |
| Healthsmart | All Products | $440.55 | ↓ -73% |
| United | Managed Medicaid | $462.52 | ↓ -72% |
| Optum | All Products Transplant | $466.98 | ↓ -71% |
| UPMC | All Products | $480.60 | ↓ -70% |
| PHPHI | All Products | $480.60 | ↓ -70% |
| Optum | Commercial CHD Care Solutions | $486.21 | ↓ -70% |
| Three Rivers | All Products | $520.65 | ↓ -68% |
| Clarity Health | All Products | $520.65 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $545.65 | ↓ -66% |
| GMS | All Products | $560.70 | ↓ -66% |
| Quality Care Partners | All Products | $560.70 | ↓ -66% |
| Consociate Health | All Products | $600.75 | ↓ -63% |
| Aetna | All Products First Health | $600.75 | ↓ -63% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $640.80 | ↓ -61% |
| Aetna | Asa | $640.80 | ↓ -61% |
| MMO | NASCO | $640.80 | ↓ -61% |
| CC EHP | ALL PRODUCTS | $695.83 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $707.85 | ↓ -56% |
| USA Managed Care | All Products | $720.90 | ↓ -56% |
| Multiplan | All Products | $720.90 | ↓ -56% |
| Anthem | All Products Mid-Level Non-Facility | $770.82 | ↓ -53% |
| PHP | ALL PRODUCTS | $800.96 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $800.96 | ↓ -51% |
| Aetna | Qhp/Ifp | $801.00 | ↓ -51% |
| OPTUM | Managed Medicaid Transplant | $1,031.80 | ↓ -37% |
| CARESOURCE | Managed Medicaid | $1,086.10 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,126.35 | ↓ -31% |
| MOLINA | Managed Medicaid | $1,140.41 | ↓ -30% |
| ANTHEM | Managed Medicaid | $1,140.41 | ↓ -30% |
| Summacare | PREMIER | $1,141.37 | ↓ -30% |
| UNITED | Managed Medicaid | $1,162.13 | ↓ -29% |
| ANTHEM | HPN | $1,177.41 | ↓ -28% |
| United BH | Managed Medicaid | $1,194.71 | ↓ -27% |
| OHCP | ALL PRODUCTS | $1,216.46 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $1,226.47 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,251.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $1,351.62 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $1,376.65 | ↓ -15% |
| ANTHEM | PPO/HMO | $1,385.16 | ↓ -15% |
| OPTUM | All Products Transplant | $1,416.70 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $1,501.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $1,501.80 | ↓ -8% |
| United | All Products - Mid-Level | $1,505.60 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $1,509.31 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $1,509.31 | ↓ -7% |
| MMO | TRADITIONAL | $1,574.39 | ↓ -3% |
| United | All Products | $1,622.74 | ↓ -0% |
| United | HMO & PPO | $1,622.74 | ↓ -0% |
| THREE RIVERS | ALL PRODUCTS | $1,626.95 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $1,626.95 | ↑ +0% |
| Cigna | All Products Mid-Level | $1,707.19 | ↑ +5% |
| Parkview Health Plan | Transplant SMCP | $1,752.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,752.10 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $1,752.10 | ↑ +8% |
| GMS | ALL PRODUCTS | $1,752.10 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $1,752.10 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $1,752.10 | ↑ +8% |
| CIGNA | PPO | $1,857.23 | ↑ +14% |
| Consociate Health | TRANSPLANT | $1,877.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,877.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $1,877.25 | ↑ +15% |
| ANTHEM | TRADITIONAL | $1,925.31 | ↑ +18% |
| Anthem | All Products Physician Non-Facility | $1,957.74 | ↑ +20% |
| Community Health Alliance | ALL PRODUCTS | $2,002.40 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $2,002.40 | ↑ +23% |
| Cigna | All Products Physician | $2,008.62 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $2,127.55 | ↑ +31% |
| Managed Care Services | TRANSPLANT | $2,252.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $2,252.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $2,252.70 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $2,252.70 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $2,252.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $2,503.00 | ↑ +54% |
| AETNA | Acop | $2,602.00 | ↑ +60% |
| AETNA | Asa_Whirlpool_Peia | $3,174.00 | ↑ +95% |
| AETNA | International | $3,443.00 | ↑ +112% |
| UNITED | ALL PRODUCTS | $4,132.00 | ↑ +154% |
| UNITED | All Products International | $4,628.00 | ↑ +184% |
| MMO | ALL PRODUCTS | $5,265.00 | ↑ +224% |
| UNITED | MEDICARE ADVANTAGE | 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 | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| CIGNA | Medicare Advantage Lifesource | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast add lesion mr imag at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,434.07 – $1,660.51 |
| fairview hospital | Cleveland | not published | $845.42 – $978.91 |
| lutheran hospital | Cleveland | not published | $804.88 – $931.96 |
| akron general | Akron | $1,626.95 | $1.10 – $2,252.70 |
| mercy hospital | Canton | $520.65 | $1.10 – $925.43 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,008.25 | $494.85 – $3,609.90 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,008.25 | $241.04 – $3,609.90 |
| University Hospitals Conneaut Medical Center | Conneaut | $2,781.75 | not published |