Capsulotomy; interphalangeal joint, each joint (separate proc) at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,019.20
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.
$1,568.00
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 $6,238.00 with UNITED — 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% |
| Optum | Managed Medicaid Transplant | $120.82 | ↓ -88% |
| Paramount | Managed Medicaid | $131.00 | ↓ -87% |
| Caresource | Managed Medicaid | $133.54 | ↓ -87% |
| Buckeye | Managed Medicaid | $133.54 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $139.90 | ↓ -86% |
| Molina | Managed Medicaid | $139.90 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $154.82 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $174.01 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $202.46 | ↓ -80% |
| Summacare | Medicare Advantage MD | $226.28 | ↓ -78% |
| Humana | Medicare Advantage HMO | $232.01 | ↓ -77% |
| Valor | All Products | $232.01 | ↓ -77% |
| Aetna | Medicare Advantage | $232.01 | ↓ -77% |
| Aetna | Medicare Advantage Transplant | $232.01 | ↓ -77% |
| UPMC | Medicare Advantage | $232.01 | ↓ -77% |
| United | Medicare Advantage | $232.01 | ↓ -77% |
| The Health Plan | Medicare Advantage | $232.01 | ↓ -77% |
| Anthem | Medicare Advantage | $232.01 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $232.01 | ↓ -77% |
| Devoted Health | Medicare Advantage | $238.19 | ↓ -77% |
| Cigna | Medicare Advantage | $238.97 | ↓ -77% |
| CommuniCare | Medicare Advantage | $243.61 | ↓ -76% |
| Perennial Health | Medicare Advantage | $250.57 | ↓ -75% |
| PPHP | All Products | $255.21 | ↓ -75% |
| United | Managed Medicaid | $311.17 | ↓ -69% |
| Humana Military | All Products | $316.23 | ↓ -69% |
| Aetna | All Products Transplant | $318.03 | ↓ -69% |
| Anthem | All Products Mid-Level Facility | $331.23 | ↓ -68% |
| Oscar | All Products | $398.43 | ↓ -61% |
| CC EHP | All Products | $452.56 | ↓ -56% |
| Anthem | All Products Mid-Level Non-Facility | $495.19 | ↓ -51% |
| Summacare | Preferred | $560.34 | ↓ -45% |
| OHCP | All Products | $609.95 | ↓ -40% |
| Summacare | Premier | $610.62 | ↓ -40% |
| Ohio Healthy | Transplant | $627.20 | ↓ -38% |
| Aetna | Acop | $636.96 | ↓ -38% |
| Aultcare | PPO/HMO | $686.78 | ↓ -33% |
| Amish Community Aid Plan | All Products | $705.60 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $735.39 | ↓ -28% |
| OMAS | All Products | $784.00 | ↓ -23% |
| MMO | Medicare HMO | $817.70 | ↓ -20% |
| Anthem | All Products Physician Facility | $841.23 | ↓ -17% |
| Anthem | All Products Physician | $841.23 | ↓ -17% |
| MMO | Medicare PPO | $842.23 | ↓ -17% |
| Healthsmart | All Products | $862.40 | ↓ -15% |
| The Health Plan | All Products | $862.40 | ↓ -15% |
| Optum | All Products Transplant | $914.14 | ↓ -10% |
| PHPHI | All Products | $940.80 | ↓ -8% |
| UPMC | All Products | $940.80 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $951.78 | ↓ -7% |
| United | All Products - Mid-Level | $1,011.63 | ↓ -1% |
| Three Rivers | All Products | $1,019.20 | ↑ +0% |
| Clarity Health | All Products | $1,019.20 | ↑ +0% |
| United | All Products | $1,090.34 | ↑ +7% |
| United | HMO & PPO | $1,090.34 | ↑ +7% |
| Cigna | All Products Mid-Level | $1,096.73 | ↑ +8% |
| GMS | All Products | $1,097.60 | ↑ +8% |
| Quality Care Partners | All Products | $1,097.60 | ↑ +8% |
| Aetna | All Products First Health | $1,176.00 | ↑ +15% |
| Consociate Health | All Products | $1,176.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,254.40 | ↑ +23% |
| MMO | NASCO | $1,254.40 | ↑ +23% |
| Aetna | Asa | $1,254.40 | ↑ +23% |
| Anthem | All Products Physician Non-Facility | $1,257.69 | ↑ +23% |
| Cigna | All Products Physician | $1,290.37 | ↑ +27% |
| UNITED | MEDICARE ADVANTAGE | $1,394.34 | ↑ +37% |
| USA Managed Care | All Products | $1,411.20 | ↑ +38% |
| Multiplan | All Products | $1,411.20 | ↑ +38% |
| MMO | Medicare Advantage HMO | $1,483.64 | ↑ +46% |
| OPTUM | Medicare Advantage Transplant | $1,483.64 | ↑ +46% |
| OPTUM | All Products VA | $1,483.64 | ↑ +46% |
| HUMANA | Medicare Advantage HMO | $1,483.64 | ↑ +46% |
| The Health Plan | MEDICARE ADVANTAGE | $1,483.64 | ↑ +46% |
| CIGNA | Medicare Advantage Lifesource | $1,521.28 | ↑ +49% |
| Summacare | MEDICARE ADVANTAGE | $1,521.28 | ↑ +49% |
| UPMC | MEDICARE ADVANTAGE | $1,521.28 | ↑ +49% |
| AETNA | MEDICARE ADVANTAGE | $1,521.28 | ↑ +49% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,521.28 | ↑ +49% |
| ANTHEM | MEDICARE ADVANTAGE | $1,521.28 | ↑ +49% |
| Valor | ALL PRODUCTS | $1,521.28 | ↑ +49% |
| MMO | Medicare Advantage PPO | $1,528.15 | ↑ +50% |
| CIGNA | MEDICARE ADVANTAGE | $1,566.92 | ↑ +54% |
| Aetna | Qhp/Ifp | $1,568.00 | ↑ +54% |
| CommuniCare | MEDICARE ADVANTAGE | $1,597.35 | ↑ +57% |
| Perennial Health | MEDICARE ADVANTAGE | $1,602.34 | ↑ +57% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,642.99 | ↑ +61% |
| PPHP | ALL PRODUCTS | $1,673.41 | ↑ +64% |
| OPTUM | Managed Medicaid Transplant | $1,754.89 | ↑ +72% |
| CARESOURCE | Managed Medicaid | $1,847.25 | ↑ +81% |
| ANTHEM | Managed Medicaid | $1,939.61 | ↑ +90% |
| MOLINA | Managed Medicaid | $1,939.61 | ↑ +90% |
| UNITED | Managed Medicaid | $1,976.56 | ↑ +94% |
| United BH | Managed Medicaid | $2,031.98 | ↑ +99% |
| MMO | ALL PRODUCTS | $4,392.00 | ↑ +331% |
| MMO | SuperMed | $4,686.39 | ↑ +360% |
| UNITED | ALL PRODUCTS | $6,238.00 | ↑ +512% |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Capsulotomy; interphalangeal joint, each joint (separate proc) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,439.08 – $2,824.20 |
| fairview hospital | Cleveland | not published | $1,394.34 – $1,673.41 |
| lutheran hospital | Cleveland | not published | $1,368.94 – $1,673.41 |
| Jewish Hospital | Cincinnati | $3,131.40 | not published |
| Anderson Hospital | Cincinnati | $3,131.40 | not published |
| Clermont Hospital | Batavia | $3,131.40 | not published |
| Kings Mills Hospital | Mason | $3,131.40 | not published |
| Mercy West Hospital | Cincinnati | $3,131.40 | not published |