healthcosts.net
Bx breast add lesion strtctc at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,657.50
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.
$2,550.00
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 | $49.66 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $51.74 | ↓ -97% |
| Optum | Managed Medicaid Transplant | $63.88 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $64.94 | ↓ -96% |
| Humana | Medicare Advantage HMO | $68.99 | ↓ -96% |
| Aetna | Medicare Advantage | $68.99 | ↓ -96% |
| Aetna | Medicare Advantage Transplant | $68.99 | ↓ -96% |
| Valor | All Products | $68.99 | ↓ -96% |
| UPMC | Medicare Advantage | $68.99 | ↓ -96% |
| United | Medicare Advantage | $68.99 | ↓ -96% |
| The Health Plan | Medicare Advantage | $68.99 | ↓ -96% |
| Anthem | Medicare Advantage | $68.99 | ↓ -96% |
| Optum | Medicare Advantage Transplant | $68.99 | ↓ -96% |
| Paramount | Managed Medicaid | $69.26 | ↓ -96% |
| Caresource | Managed Medicaid | $70.60 | ↓ -96% |
| Buckeye | Managed Medicaid | $70.60 | ↓ -96% |
| Cigna | Medicare Advantage | $71.06 | ↓ -96% |
| CommuniCare | Medicare Advantage | $72.44 | ↓ -96% |
| Summacare | Medicare Advantage MD | $72.58 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $73.96 | ↓ -96% |
| Molina | Managed Medicaid | $73.96 | ↓ -96% |
| Perennial Health | Medicare Advantage | $74.51 | ↓ -96% |
| PPHP | All Products | $75.89 | ↓ -95% |
| Devoted Health | Medicare Advantage | $76.40 | ↓ -95% |
| AETNA | Medicare Advantage Transplant | $94.46 | ↓ -94% |
| Humana Military | All Products | $104.10 | ↓ -94% |
| AETNA | All Products Transplant | $104.87 | ↓ -94% |
| Aetna | All Products Transplant | $104.87 | ↓ -94% |
| Anthem | All Products Mid-Level Facility | $110.12 | ↓ -93% |
| CC EHP | All Products | $145.16 | ↓ -91% |
| Summacare | Preferred | $162.54 | ↓ -90% |
| Summacare | Premier | $177.12 | ↓ -89% |
| Oscar | All Products | $184.48 | ↓ -89% |
| Aetna | Acop | $184.76 | ↓ -89% |
| MMO | Medicare HMO | $199.74 | ↓ -88% |
| MMO | Medicare PPO | $205.73 | ↓ -88% |
| Anthem | All Products Physician Facility | $279.66 | ↓ -83% |
| Anthem | All Products Physician | $279.66 | ↓ -83% |
| OHCP | All Products | $282.41 | ↓ -83% |
| Ohio Healthy | Transplant | $290.40 | ↓ -82% |
| United | Managed Medicaid | $302.70 | ↓ -82% |
| Aultcare | PPO/HMO | $317.99 | ↓ -81% |
| MMO | SuperMed | $326.70 | ↓ -80% |
| Amish Community Aid Plan | All Products | $326.70 | ↓ -80% |
| Optum | Commercial CRS Care Solutions | $340.49 | ↓ -79% |
| OMAS | All Products | $363.00 | ↓ -78% |
| The Health Plan | All Products | $399.30 | ↓ -76% |
| Healthsmart | All Products | $399.30 | ↓ -76% |
| Optum | All Products Transplant | $423.26 | ↓ -74% |
| PHPHI | All Products | $435.60 | ↓ -74% |
| UPMC | All Products | $435.60 | ↓ -74% |
| Optum | Commercial CHD Care Solutions | $440.68 | ↓ -73% |
| Three Rivers | All Products | $471.90 | ↓ -72% |
| Clarity Health | All Products | $471.90 | ↓ -72% |
| Anthem | All Products Mid-Level Non-Facility | $502.80 | ↓ -70% |
| Quality Care Partners | All Products | $508.20 | ↓ -69% |
| GMS | All Products | $508.20 | ↓ -69% |
| Aetna | All Products First Health | $544.50 | ↓ -67% |
| Consociate Health | All Products | $544.50 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $555.90 | ↓ -66% |
| Aetna | Asa | $580.80 | ↓ -65% |
| MMO | NASCO | $580.80 | ↓ -65% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $580.80 | ↓ -65% |
| Multiplan | All Products | $653.40 | ↓ -61% |
| USA Managed Care | All Products | $653.40 | ↓ -61% |
| CC EHP | ALL PRODUCTS | $708.90 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $721.14 | ↓ -56% |
| Aetna | Qhp/Ifp | $726.00 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $816.00 | ↓ -51% |
| PHP | ALL PRODUCTS | $816.00 | ↓ -51% |
| United | All Products - Mid-Level | $985.16 | ↓ -41% |
| OPTUM | Managed Medicaid Transplant | $1,031.80 | ↓ -38% |
| United | HMO & PPO | $1,061.80 | ↓ -36% |
| United | All Products | $1,061.80 | ↓ -36% |
| CARESOURCE | Managed Medicaid | $1,086.10 | ↓ -34% |
| Cigna | All Products Mid-Level | $1,113.59 | ↓ -33% |
| ANTHEM | Managed Medicaid | $1,140.41 | ↓ -31% |
| MOLINA | Managed Medicaid | $1,140.41 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,147.50 | ↓ -31% |
| UNITED | Managed Medicaid | $1,162.13 | ↓ -30% |
| Summacare | PREMIER | $1,162.80 | ↓ -30% |
| United BH | Managed Medicaid | $1,194.71 | ↓ -28% |
| ANTHEM | HPN | $1,199.52 | ↓ -28% |
| OHCP | ALL PRODUCTS | $1,239.30 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $1,249.50 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,275.00 | ↓ -23% |
| Anthem | All Products Physician Non-Facility | $1,277.00 | ↓ -23% |
| Cigna | All Products Physician | $1,310.21 | ↓ -21% |
| Ohio Healthy | TRANSPLANT | $1,377.00 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $1,402.50 | ↓ -15% |
| ANTHEM | PPO/HMO | $1,411.17 | ↓ -15% |
| OPTUM | All Products Transplant | $1,443.30 | ↓ -13% |
| UPMC | ALL PRODUCTS | $1,530.00 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $1,530.00 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $1,537.65 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $1,537.65 | ↓ -7% |
| MMO | TRADITIONAL | $1,603.95 | ↓ -3% |
| Clarity Health | ALL PRODUCTS | $1,657.50 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $1,657.50 | ↑ +0% |
| GMS | ALL PRODUCTS | $1,785.00 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,785.00 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $1,785.00 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $1,785.00 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $1,785.00 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $1,785.00 | ↑ +8% |
| CIGNA | PPO | $1,892.10 | ↑ +14% |
| AETNA | ALL PRODUCTS | $1,912.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,912.50 | ↑ +15% |
| Consociate Health | TRANSPLANT | $1,912.50 | ↑ +15% |
| ANTHEM | TRADITIONAL | $1,961.46 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $2,040.00 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $2,040.00 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $2,167.50 | ↑ +31% |
| FrontPath | TRANSPLANT | $2,295.00 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $2,295.00 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $2,295.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,295.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $2,295.00 | ↑ +38% |
| AETNA | Qhp/Ipf | $2,550.00 | ↑ +54% |
| AETNA | Acop | $2,602.00 | ↑ +57% |
| AETNA | Asa_Whirlpool_Peia | $3,174.00 | ↑ +91% |
| AETNA | International | $3,443.00 | ↑ +108% |
| UNITED | ALL PRODUCTS | $4,132.00 | ↑ +149% |
| UNITED | All Products International | $4,628.00 | ↑ +179% |
| MMO | ALL PRODUCTS | $5,265.00 | ↑ +218% |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Medicare Advantage Lifesource | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| 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 | All Products RN | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast add lesion strtctc at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $1,657.50 | $128.70 – $2,295.00 |
| lutheran hospital | Cleveland | $1,657.50 | $150.67 – $2,295.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,434.07 – $1,660.51 |
| akron general | Akron | $1,657.50 | $1.10 – $2,295.00 |
| avon hospital | Avon | $1,657.50 | $150.67 – $2,295.00 |
| euclid hospital | Euclid | $1,657.50 | $150.67 – $2,295.00 |
| hillcrest hospital | Mayfield Heights | $1,657.50 | $128.70 – $2,295.00 |
| marymount hospital | Garfield Heights | $1,657.50 | $150.67 – $2,295.00 |