healthcosts.net
Bx breast pq tomo guide at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,900.00
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.
$6,000.00
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.
$0.01 with Anthem vs $11,117.55 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 |
|---|---|---|---|
| Anthem | All Products Physician | $0.01 | ↓ -100% |
| UNITED | All Products International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Anthem | All Products Physician Non-Facility | $0.01 | ↓ -100% |
| Anthem | All Products Physician Facility | $0.01 | ↓ -100% |
| Anthem | All Products Mid-Level Facility | $0.01 | ↓ -100% |
| Anthem | All Products Mid-Level Non-Facility | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| CC EHP | ALL PRODUCTS | $36.14 | ↓ -99% |
| OSCAR | ALL PRODUCTS | $36.76 | ↓ -99% |
| PHP | ALL PRODUCTS | $41.60 | ↓ -99% |
| PHPHI | ALL PRODUCTS | $41.60 | ↓ -99% |
| Summacare | Preferred | $54.60 | ↓ -99% |
| Aultcare | PPO/HMO | $56.94 | ↓ -99% |
| Amish Community Aid Plan | ALL PRODUCTS | $58.50 | ↓ -99% |
| Summacare | PREMIER | $59.28 | ↓ -98% |
| ANTHEM | HPN | $59.87 | ↓ -98% |
| OHCP | ALL PRODUCTS | $63.18 | ↓ -98% |
| CIGNA | ALL PRODUCTS | $63.70 | ↓ -98% |
| OMAS | ALL PRODUCTS | $65.00 | ↓ -98% |
| Ohio Healthy | TRANSPLANT | $70.20 | ↓ -98% |
| ANTHEM | PPO/HMO | $70.43 | ↓ -98% |
| HEALTHSMART | ALL PRODUCTS | $71.50 | ↓ -98% |
| OPTUM | All Products Transplant | $73.58 | ↓ -98% |
| UPMC | ALL PRODUCTS | $78.00 | ↓ -98% |
| The Health Plan | ALL PRODUCTS | $78.00 | ↓ -98% |
| OPTUM | Commercial CRS Care Solutions | $78.39 | ↓ -98% |
| OPTUM | Commercial CHD Care Solutions | $78.39 | ↓ -98% |
| AETNA | Acop | $81.38 | ↓ -98% |
| MMO | TRADITIONAL | $81.77 | ↓ -98% |
| MMO | NASCO | $81.77 | ↓ -98% |
| THREE RIVERS | ALL PRODUCTS | $84.50 | ↓ -98% |
| Clarity Health | ALL PRODUCTS | $84.50 | ↓ -98% |
| Parkview Health Plan | Transplant SMCP | $91.00 | ↓ -98% |
| Ohio Healthy | Transplant SMCP | $91.00 | ↓ -98% |
| GMS | ALL PRODUCTS | $91.00 | ↓ -98% |
| Medical Benefit Corp | Transplant SMCP | $91.00 | ↓ -98% |
| Quality Care Partners | Transplant SMCP | $91.00 | ↓ -98% |
| Quality Care Partners | ALL PRODUCTS | $91.00 | ↓ -98% |
| AETNA | Asa_Whirlpool_Peia | $92.17 | ↓ -98% |
| CIGNA | PPO | $96.46 | ↓ -98% |
| Consociate Health | ALL PRODUCTS | $97.50 | ↓ -98% |
| AETNA | ALL PRODUCTS | $97.50 | ↓ -98% |
| Consociate Health | TRANSPLANT | $97.50 | ↓ -98% |
| ANTHEM | TRADITIONAL | $100.00 | ↓ -97% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $104.00 | ↓ -97% |
| Community Health Alliance | TRANSPLANT | $104.00 | ↓ -97% |
| Community Health Alliance | ALL PRODUCTS | $104.00 | ↓ -97% |
| Humana Military | ALL PRODUCTS | $110.50 | ↓ -97% |
| MULTIPLAN | ALL PRODUCTS | $117.00 | ↓ -97% |
| USA Managed Care | ALL PRODUCTS | $117.00 | ↓ -97% |
| Tertiary Care Network | TRANSPLANT | $117.00 | ↓ -97% |
| FrontPath | TRANSPLANT | $117.00 | ↓ -97% |
| Managed Care Services | TRANSPLANT | $117.00 | ↓ -97% |
| AETNA | Qhp/Ipf | $130.00 | ↓ -97% |
| United | Managed Medicaid | $347.15 | ↓ -91% |
| OPTUM | Managed Medicaid Transplant | $1,031.80 | ↓ -74% |
| CARESOURCE | Managed Medicaid | $1,086.10 | ↓ -72% |
| Paramount | Managed Medicaid | $1,118.68 | ↓ -71% |
| ANTHEM | Managed Medicaid | $1,140.41 | ↓ -71% |
| Buckeye | Managed Medicaid | $1,140.41 | ↓ -71% |
| MOLINA | Managed Medicaid | $1,140.41 | ↓ -71% |
| UNITED | Managed Medicaid | $1,162.13 | ↓ -70% |
| United BH | Managed Medicaid | $1,194.71 | ↓ -69% |
| Oscar | All Products | $1,329.20 | ↓ -66% |
| OHCP | All Products | $2,034.86 | ↓ -48% |
| Ohio Healthy | Transplant | $2,092.40 | ↓ -46% |
| Amish Community Aid Plan | All Products | $2,353.95 | ↓ -40% |
| Optum | Commercial CRS Care Solutions | $2,453.34 | ↓ -37% |
| CC EHP | All Products | $2,610.27 | ↓ -33% |
| OMAS | All Products | $2,615.50 | ↓ -33% |
| Healthsmart | All Products | $2,877.05 | ↓ -26% |
| The Health Plan | All Products | $2,877.05 | ↓ -26% |
| Optum | All Products Transplant | $3,049.67 | ↓ -22% |
| UPMC | All Products | $3,138.60 | ↓ -20% |
| PHPHI | All Products | $3,138.60 | ↓ -20% |
| Optum | Commercial CHD Care Solutions | $3,175.22 | ↓ -19% |
| UNITED | MEDICARE ADVANTAGE | $3,306.89 | ↓ -15% |
| Clarity Health | All Products | $3,400.15 | ↓ -13% |
| Three Rivers | All Products | $3,400.15 | ↓ -13% |
| AETNA | International | $3,443.00 | ↓ -12% |
| OPTUM | All Products VA | $3,549.90 | ↓ -9% |
| OPTUM | Medicare Advantage Transplant | $3,549.90 | ↓ -9% |
| MMO | Medicare Advantage HMO | $3,549.90 | ↓ -9% |
| HUMANA | Medicare Advantage HMO | $3,549.90 | ↓ -9% |
| The Health Plan | MEDICARE ADVANTAGE | $3,549.90 | ↓ -9% |
| MMO | Medicare Advantage PPO | $3,656.39 | ↓ -6% |
| Summacare | Medicare Advantage MD | $3,661.70 | ↓ -6% |
| Summacare | Premier | $3,661.70 | ↓ -6% |
| Quality Care Partners | All Products | $3,661.70 | ↓ -6% |
| Summacare | Medicare Advantage CNA | $3,661.70 | ↓ -6% |
| GMS | All Products | $3,661.70 | ↓ -6% |
| Summacare | Medicare Advantage Lower Level | $3,661.70 | ↓ -6% |
| Summacare | Medicare Advantage Psych | $3,661.70 | ↓ -6% |
| Summacare | MEDICARE ADVANTAGE | $3,704.30 | ↓ -5% |
| UPMC | MEDICARE ADVANTAGE | $3,704.30 | ↓ -5% |
| CIGNA | Medicare Advantage Lifesource | $3,704.30 | ↓ -5% |
| AETNA | MEDICARE ADVANTAGE | $3,704.30 | ↓ -5% |
| Valor | ALL PRODUCTS | $3,704.30 | ↓ -5% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,704.30 | ↓ -5% |
| ANTHEM | MEDICARE ADVANTAGE | $3,704.30 | ↓ -5% |
| CIGNA | MEDICARE ADVANTAGE | $3,815.43 | ↓ -2% |
| Perennial Health | MEDICARE ADVANTAGE | $3,833.89 | ↓ -2% |
| CommuniCare | MEDICARE ADVANTAGE | $3,889.52 | ↓ -0% |
| Aetna | All Products First Health | $3,923.25 | ↑ +1% |
| Consociate Health | All Products | $3,923.25 | ↑ +1% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $4,000.65 | ↑ +3% |
| PPHP | ALL PRODUCTS | $4,074.73 | ↑ +4% |
| Aetna | Asa | $4,184.80 | ↑ +7% |
| Multiplan | All Products | $4,707.90 | ↑ +21% |
| USA Managed Care | All Products | $4,707.90 | ↑ +21% |
| Aetna | Qhp/Ifp | $5,231.00 | ↑ +34% |
| MMO | ALL PRODUCTS | $6,391.95 | ↑ +64% |
| MMO | SuperMed | $11,117.55 | ↑ +185% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| MMO | Medicare PPO | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| Humana Military | All Products | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AETNA | Medicare Advantage Transplant | not published by hospital | — |
| Devoted Health | Medicare Advantage | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| AETNA | All Products Transplant | not published by hospital | — |
| PPHP | All Products | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Aetna | Medicare Advantage Transplant | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | All Products - Mid-Level | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Cigna | All Products Physician | 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 HMO | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | All Products Transplant | not published by hospital | — |
| UPMC | Medicare Advantage | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast pq tomo guide 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 – $4,074.73 |
| lutheran hospital | Cleveland | not published | $804.88 – $4,074.73 |
| akron general | Akron | $3,900.00 | $0.01 – $5,400.00 |
| mercy hospital | Canton | $3,900.00 | $0.01 – $5,400.00 |
| avon hospital | Avon | not published | $878.38 – $4,074.73 |
| euclid hospital | Euclid | not published | $899.92 – $4,074.73 |
| hillcrest hospital | Mayfield Heights | not published | $880.80 – $4,074.73 |