healthcosts.net
Bx vag mucos smpl (sep proc) at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,603.25
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.
$4,005.00
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.
$0.01 with UNITED vs $4,392.00 with MMO — 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 |
|---|---|---|---|
| UNITED | All Products International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $37.55 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $40.50 | ↓ -98% |
| Paramount | Managed Medicaid | $40.72 | ↓ -98% |
| Buckeye | Managed Medicaid | $41.51 | ↓ -98% |
| Caresource | Managed Medicaid | $41.51 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $43.31 | ↓ -98% |
| Molina | Managed Medicaid | $43.48 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $43.48 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $52.96 | ↓ -98% |
| Humana | Medicare Advantage HMO | $57.75 | ↓ -98% |
| UPMC | Medicare Advantage | $57.75 | ↓ -98% |
| Aetna | Medicare Advantage Transplant | $57.75 | ↓ -98% |
| United | Medicare Advantage | $57.75 | ↓ -98% |
| Aetna | Medicare Advantage | $57.75 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $57.75 | ↓ -98% |
| Valor | All Products | $57.75 | ↓ -98% |
| Anthem | Medicare Advantage | $57.75 | ↓ -98% |
| The Health Plan | Medicare Advantage | $57.75 | ↓ -98% |
| Summacare | Medicare Advantage MD | $59.19 | ↓ -98% |
| Cigna | Medicare Advantage | $59.48 | ↓ -98% |
| CommuniCare | Medicare Advantage | $60.64 | ↓ -98% |
| Devoted Health | Medicare Advantage | $62.30 | ↓ -98% |
| Perennial Health | Medicare Advantage | $62.37 | ↓ -98% |
| PPHP | All Products | $63.53 | ↓ -98% |
| AETNA | Medicare Advantage Transplant | $75.47 | ↓ -97% |
| Humana Military | All Products | $81.98 | ↓ -97% |
| Aetna | All Products Transplant | $82.64 | ↓ -97% |
| AETNA | All Products Transplant | $82.64 | ↓ -97% |
| United | Managed Medicaid | $84.69 | ↓ -97% |
| Anthem | All Products Mid-Level Facility | $87.75 | ↓ -97% |
| CC EHP | All Products | $118.37 | ↓ -95% |
| Oscar | All Products | $121.97 | ↓ -95% |
| Summacare | Preferred | $136.75 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $136.95 | ↓ -95% |
| Summacare | Premier | $149.02 | ↓ -94% |
| Aetna | Acop | $155.45 | ↓ -94% |
| OHCP | All Products | $186.72 | ↓ -93% |
| MMO | Medicare HMO | $188.94 | ↓ -93% |
| Ohio Healthy | Transplant | $192.00 | ↓ -93% |
| MMO | Medicare PPO | $194.61 | ↓ -93% |
| OPTUM | Managed Medicaid Transplant | $204.90 | ↓ -92% |
| Aultcare | PPO/HMO | $210.24 | ↓ -92% |
| CARESOURCE | Managed Medicaid | $215.68 | ↓ -92% |
| Amish Community Aid Plan | All Products | $216.00 | ↓ -92% |
| Anthem | All Products Physician | $222.89 | ↓ -91% |
| Anthem | All Products Physician Facility | $222.89 | ↓ -91% |
| Optum | Commercial CRS Care Solutions | $225.12 | ↓ -91% |
| MOLINA | Managed Medicaid | $226.46 | ↓ -91% |
| ANTHEM | Managed Medicaid | $226.46 | ↓ -91% |
| UNITED | Managed Medicaid | $230.78 | ↓ -91% |
| United BH | Managed Medicaid | $237.25 | ↓ -91% |
| OMAS | All Products | $240.00 | ↓ -91% |
| Cigna | All Products Mid-Level | $262.94 | ↓ -90% |
| The Health Plan | All Products | $264.00 | ↓ -90% |
| Healthsmart | All Products | $264.00 | ↓ -90% |
| United | All Products - Mid-Level | $278.18 | ↓ -89% |
| Optum | All Products Transplant | $279.84 | ↓ -89% |
| UPMC | All Products | $288.00 | ↓ -89% |
| PHPHI | All Products | $288.00 | ↓ -89% |
| Optum | Commercial CHD Care Solutions | $291.36 | ↓ -89% |
| United | All Products | $299.83 | ↓ -88% |
| United | HMO & PPO | $299.83 | ↓ -88% |
| Cigna | All Products Physician | $309.14 | ↓ -88% |
| Clarity Health | All Products | $312.00 | ↓ -88% |
| Three Rivers | All Products | $312.00 | ↓ -88% |
| GMS | All Products | $336.00 | ↓ -87% |
| Quality Care Partners | All Products | $336.00 | ↓ -87% |
| Anthem | All Products Physician Non-Facility | $347.83 | ↓ -87% |
| Aetna | All Products First Health | $360.00 | ↓ -86% |
| Consociate Health | All Products | $360.00 | ↓ -86% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $384.00 | ↓ -85% |
| Aetna | Asa | $384.00 | ↓ -85% |
| MMO | NASCO | $384.00 | ↓ -85% |
| Multiplan | All Products | $432.00 | ↓ -83% |
| USA Managed Care | All Products | $432.00 | ↓ -83% |
| Aetna | Qhp/Ifp | $480.00 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $697.44 | ↓ -73% |
| MMO | Medicare Advantage HMO | $807.21 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $807.21 | ↓ -69% |
| OPTUM | All Products VA | $807.21 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $807.21 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $807.21 | ↓ -69% |
| MMO | Medicare Advantage PPO | $831.43 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $871.38 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $871.38 | ↓ -67% |
| UPMC | MEDICARE ADVANTAGE | $871.38 | ↓ -67% |
| ANTHEM | MEDICARE ADVANTAGE | $871.38 | ↓ -67% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $871.38 | ↓ -67% |
| Valor | ALL PRODUCTS | $871.38 | ↓ -67% |
| CIGNA | Medicare Advantage Lifesource | $871.38 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $871.79 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $897.53 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $914.95 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $941.10 | ↓ -64% |
| PPHP | ALL PRODUCTS | $958.52 | ↓ -63% |
| CC EHP | ALL PRODUCTS | $1,113.39 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $1,132.61 | ↓ -56% |
| PHP | ALL PRODUCTS | $1,281.60 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,281.60 | ↓ -51% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,802.25 | ↓ -31% |
| Summacare | PREMIER | $1,826.28 | ↓ -30% |
| ANTHEM | HPN | $1,844.30 | ↓ -29% |
| OHCP | ALL PRODUCTS | $1,946.43 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,002.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $2,162.70 | ↓ -17% |
| ANTHEM | PPO/HMO | $2,169.91 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $2,202.75 | ↓ -15% |
| OPTUM | All Products Transplant | $2,266.83 | ↓ -13% |
| MMO | SuperMed | $2,344.73 | ↓ -10% |
| CIGNA | ALL PRODUCTS | $2,351.00 | ↓ -10% |
| UPMC | ALL PRODUCTS | $2,403.00 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $2,403.00 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $2,415.02 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $2,415.02 | ↓ -7% |
| AETNA | Acop | $2,507.13 | ↓ -4% |
| MMO | TRADITIONAL | $2,519.15 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $2,603.25 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $2,603.25 | ↑ +0% |
| Parkview Health Plan | Transplant SMCP | $2,803.50 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $2,803.50 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $2,803.50 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $2,803.50 | ↑ +8% |
| GMS | ALL PRODUCTS | $2,803.50 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $2,803.50 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $2,839.55 | ↑ +9% |
| CIGNA | PPO | $2,971.71 | ↑ +14% |
| AETNA | ALL PRODUCTS | $3,003.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $3,003.75 | ↑ +15% |
| Consociate Health | TRANSPLANT | $3,003.75 | ↑ +15% |
| ANTHEM | TRADITIONAL | $3,080.65 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $3,204.00 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $3,204.00 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $3,404.25 | ↑ +31% |
| AETNA | International | $3,443.00 | ↑ +32% |
| MULTIPLAN | ALL PRODUCTS | $3,604.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $3,604.50 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $3,604.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $3,604.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $3,604.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $4,005.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $4,392.00 | ↑ +69% |
| United BH | All Products MD | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bx vag mucos smpl (sep proc) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $2,603.25 | $0.01 – $3,604.50 |
| lutheran hospital | Cleveland | $2,603.25 | $0.01 – $3,604.50 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $284.78 – $329.75 |
| akron general | Akron | $2,603.25 | $0.01 – $3,604.50 |
| avon hospital | Avon | $2,603.25 | $0.01 – $3,604.50 |
| euclid hospital | Euclid | $2,603.25 | $0.01 – $3,604.50 |
| hillcrest hospital | Mayfield Heights | $2,603.25 | $0.01 – $3,604.50 |
| marymount hospital | Garfield Heights | $2,603.25 | $0.01 – $3,604.50 |