healthcosts.net
Clearance of tear duct at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$962.00
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.
$1,480.00
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 UNITED vs $12,500.00 with CIGNA — 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| UNITED | All Products International | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $120.17 | ↓ -88% |
| Paramount | Managed Medicaid | $130.28 | ↓ -86% |
| Buckeye | Managed Medicaid | $132.81 | ↓ -86% |
| Caresource | Managed Medicaid | $132.81 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $139.14 | ↓ -86% |
| Molina | Managed Medicaid | $139.14 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $152.28 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $155.00 | ↓ -84% |
| OPTUM | Managed Medicaid Transplant | $198.21 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $199.14 | ↓ -79% |
| UPMC | Medicare Advantage | $206.66 | ↓ -79% |
| Aetna | Medicare Advantage | $206.66 | ↓ -79% |
| Aetna | Medicare Advantage Transplant | $206.66 | ↓ -79% |
| Valor | All Products | $206.66 | ↓ -79% |
| United | Medicare Advantage | $206.66 | ↓ -79% |
| Anthem | Medicare Advantage | $206.66 | ↓ -79% |
| The Health Plan | Medicare Advantage | $206.66 | ↓ -79% |
| Optum | Medicare Advantage Transplant | $206.66 | ↓ -79% |
| Humana | Medicare Advantage HMO | $206.66 | ↓ -79% |
| CARESOURCE | Managed Medicaid | $208.64 | ↓ -78% |
| Cigna | Medicare Advantage | $212.86 | ↓ -78% |
| CommuniCare | Medicare Advantage | $216.99 | ↓ -77% |
| ANTHEM | Managed Medicaid | $219.07 | ↓ -77% |
| MOLINA | Managed Medicaid | $219.07 | ↓ -77% |
| Summacare | Medicare Advantage MD | $222.57 | ↓ -77% |
| Perennial Health | Medicare Advantage | $223.19 | ↓ -77% |
| UNITED | Managed Medicaid | $223.24 | ↓ -77% |
| PPHP | All Products | $227.33 | ↓ -76% |
| United BH | Managed Medicaid | $229.50 | ↓ -76% |
| Devoted Health | Medicare Advantage | $234.28 | ↓ -76% |
| UNITED | MEDICARE ADVANTAGE | $252.73 | ↓ -74% |
| AETNA | Medicare Advantage Transplant | $274.24 | ↓ -71% |
| OPTUM | All Products VA | $277.12 | ↓ -71% |
| OPTUM | Medicare Advantage Transplant | $277.12 | ↓ -71% |
| MMO | Medicare Advantage HMO | $277.12 | ↓ -71% |
| HUMANA | Medicare Advantage HMO | $277.12 | ↓ -71% |
| The Health Plan | MEDICARE ADVANTAGE | $277.12 | ↓ -71% |
| MMO | Medicare Advantage PPO | $285.43 | ↓ -70% |
| Perennial Health | MEDICARE ADVANTAGE | $299.29 | ↓ -69% |
| CIGNA | Medicare Advantage Lifesource | $300.29 | ↓ -69% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $300.29 | ↓ -69% |
| Valor | ALL PRODUCTS | $300.29 | ↓ -69% |
| Summacare | MEDICARE ADVANTAGE | $300.29 | ↓ -69% |
| ANTHEM | MEDICARE ADVANTAGE | $300.29 | ↓ -69% |
| AETNA | MEDICARE ADVANTAGE | $300.29 | ↓ -69% |
| UPMC | MEDICARE ADVANTAGE | $300.29 | ↓ -69% |
| CIGNA | MEDICARE ADVANTAGE | $309.30 | ↓ -68% |
| Humana Military | All Products | $309.56 | ↓ -68% |
| AETNA | All Products Transplant | $312.50 | ↓ -68% |
| Aetna | All Products Transplant | $312.50 | ↓ -68% |
| CommuniCare | MEDICARE ADVANTAGE | $315.30 | ↓ -67% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $324.31 | ↓ -66% |
| Anthem | All Products Mid-Level Facility | $330.25 | ↓ -66% |
| PPHP | ALL PRODUCTS | $330.32 | ↓ -66% |
| United | Managed Medicaid | $348.05 | ↓ -64% |
| Oscar | All Products | $376.07 | ↓ -61% |
| CC EHP | ALL PRODUCTS | $382.25 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $388.85 | ↓ -60% |
| PHPHI | ALL PRODUCTS | $440.00 | ↓ -54% |
| PHP | ALL PRODUCTS | $440.00 | ↓ -54% |
| CC EHP | All Products | $445.13 | ↓ -54% |
| MMO | ALL PRODUCTS | $488.51 | ↓ -49% |
| Summacare | Preferred | $497.84 | ↓ -48% |
| Summacare | Premier | $542.51 | ↓ -44% |
| Anthem | All Products Mid-Level Non-Facility | $561.08 | ↓ -42% |
| Aetna | Acop | $565.92 | ↓ -41% |
| OHCP | All Products | $575.72 | ↓ -40% |
| Ohio Healthy | Transplant | $592.00 | ↓ -38% |
| Aultcare | PPO/HMO | $602.25 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $618.75 | ↓ -36% |
| Summacare | PREMIER | $627.00 | ↓ -35% |
| ANTHEM | HPN | $633.19 | ↓ -34% |
| Amish Community Aid Plan | All Products | $666.00 | ↓ -31% |
| OHCP | ALL PRODUCTS | $668.25 | ↓ -31% |
| OMAS | ALL PRODUCTS | $687.50 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $694.12 | ↓ -28% |
| OMAS | All Products | $740.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $742.50 | ↓ -23% |
| ANTHEM | PPO/HMO | $744.98 | ↓ -23% |
| HEALTHSMART | ALL PRODUCTS | $756.25 | ↓ -21% |
| OPTUM | All Products Transplant | $778.25 | ↓ -19% |
| Healthsmart | All Products | $814.00 | ↓ -15% |
| The Health Plan | All Products | $814.00 | ↓ -15% |
| The Health Plan | ALL PRODUCTS | $825.00 | ↓ -14% |
| UPMC | ALL PRODUCTS | $825.00 | ↓ -14% |
| OPTUM | Commercial CRS Care Solutions | $829.13 | ↓ -14% |
| OPTUM | Commercial CHD Care Solutions | $829.13 | ↓ -14% |
| Anthem | All Products Physician | $838.78 | ↓ -13% |
| Anthem | All Products Physician Facility | $838.78 | ↓ -13% |
| MMO | SuperMed | $850.96 | ↓ -12% |
| AETNA | Acop | $860.75 | ↓ -11% |
| Optum | All Products Transplant | $862.84 | ↓ -10% |
| MMO | TRADITIONAL | $864.88 | ↓ -10% |
| MMO | NASCO | $864.88 | ↓ -10% |
| UPMC | All Products | $888.00 | ↓ -8% |
| PHPHI | All Products | $888.00 | ↓ -8% |
| Clarity Health | ALL PRODUCTS | $893.75 | ↓ -7% |
| THREE RIVERS | ALL PRODUCTS | $893.75 | ↓ -7% |
| Optum | Commercial CHD Care Solutions | $898.36 | ↓ -7% |
| MMO | Medicare HMO | $899.98 | ↓ -6% |
| MMO | Medicare PPO | $926.98 | ↓ -4% |
| Three Rivers | All Products | $962.00 | ↑ +0% |
| Clarity Health | All Products | $962.00 | ↑ +0% |
| Quality Care Partners | Transplant SMCP | $962.50 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $962.50 | ↑ +0% |
| Ohio Healthy | Transplant SMCP | $962.50 | ↑ +0% |
| GMS | ALL PRODUCTS | $962.50 | ↑ +0% |
| Parkview Health Plan | Transplant SMCP | $962.50 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $962.50 | ↑ +0% |
| AETNA | Asa_Whirlpool_Peia | $974.88 | ↑ +1% |
| CIGNA | PPO | $1,020.25 | ↑ +6% |
| Consociate Health | TRANSPLANT | $1,031.25 | ↑ +7% |
| AETNA | ALL PRODUCTS | $1,031.25 | ↑ +7% |
| Consociate Health | ALL PRODUCTS | $1,031.25 | ↑ +7% |
| GMS | All Products | $1,036.00 | ↑ +8% |
| Quality Care Partners | All Products | $1,036.00 | ↑ +8% |
| ANTHEM | TRADITIONAL | $1,057.65 | ↑ +10% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,100.00 | ↑ +14% |
| Community Health Alliance | ALL PRODUCTS | $1,100.00 | ↑ +14% |
| Community Health Alliance | TRANSPLANT | $1,100.00 | ↑ +14% |
| Aetna | All Products First Health | $1,110.00 | ↑ +15% |
| Consociate Health | All Products | $1,110.00 | ↑ +15% |
| United | All Products - Mid-Level | $1,135.34 | ↑ +18% |
| Humana Military | ALL PRODUCTS | $1,168.75 | ↑ +21% |
| Aetna | Asa | $1,184.00 | ↑ +23% |
| United | HMO & PPO | $1,223.67 | ↑ +27% |
| United | All Products | $1,223.67 | ↑ +27% |
| Tertiary Care Network | TRANSPLANT | $1,237.50 | ↑ +29% |
| FrontPath | TRANSPLANT | $1,237.50 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $1,237.50 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $1,237.50 | ↑ +29% |
| USA Managed Care | ALL PRODUCTS | $1,237.50 | ↑ +29% |
| USA Managed Care | All Products | $1,332.00 | ↑ +38% |
| Multiplan | All Products | $1,332.00 | ↑ +38% |
| Cigna | All Products Mid-Level | $1,367.21 | ↑ +42% |
| AETNA | Qhp/Ipf | $1,375.00 | ↑ +43% |
| Anthem | All Products Physician Non-Facility | $1,425.02 | ↑ +48% |
| Aetna | Qhp/Ifp | $1,480.00 | ↑ +54% |
| Cigna | All Products Physician | $1,608.06 | ↑ +67% |
| AETNA | International | $3,443.00 | ↑ +258% |
| CIGNA | ALL PRODUCTS | $12,500.00 | ↑ +1199% |
| CIGNA | PPO Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | 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 | — |
| 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 | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Clearance of tear duct at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $275.48 – $318.98 |
| fairview hospital | Cleveland | not published | $162.40 – $330.32 |
| lutheran hospital | Cleveland | not published | $154.61 – $330.32 |
| akron general | Akron | not published | $157.33 – $330.32 |
| avon hospital | Avon | not published | $168.74 – $330.32 |
| euclid hospital | Euclid | not published | $172.87 – $330.32 |
| hillcrest hospital | Mayfield Heights | not published | $169.20 – $330.32 |
| lodi hospital | Lodi | not published | $263.97 – $305.65 |