Close lac/mouth vest/2.5 cm or < 40830 at cleveland clinic main campus

9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919

Source: hospital's published price file ↗ · Published Jun 16, 2026 · Ingested Aug 12, 2026

$694.20

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,068.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1.10 with Zing Health vs $2,453.00 with ANTHEM — 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 →

Payer
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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
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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 $84.27 ↓ -88%
Summacare Medicare Advantage Lower Level $89.18 ↓ -87%
Paramount Managed Medicaid $91.37 ↓ -87%
Caresource Managed Medicaid $93.15 ↓ -87%
Buckeye Managed Medicaid $93.15 ↓ -87%
AmeriHealth Managed Medicaid $97.58 ↓ -86%
Molina Managed Medicaid $97.58 ↓ -86%
Summacare Medicare Advantage Psych $99.82 ↓ -86%
OPTUM Managed Medicaid Transplant $107.64 ↓ -84%
CARESOURCE Managed Medicaid $113.31 ↓ -84%
Summacare Medicare Advantage CNA $116.62 ↓ -83%
ANTHEM Managed Medicaid $118.98 ↓ -83%
MOLINA Managed Medicaid $118.98 ↓ -83%
UNITED Managed Medicaid $121.24 ↓ -83%
United BH Managed Medicaid $124.64 ↓ -82%
Summacare Medicare Advantage MD $130.34 ↓ -81%
Humana Medicare Advantage HMO $133.09 ↓ -81%
Aetna Medicare Advantage $133.09 ↓ -81%
Aetna Medicare Advantage Transplant $133.09 ↓ -81%
Valor All Products $133.09 ↓ -81%
UPMC Medicare Advantage $133.09 ↓ -81%
Optum Medicare Advantage Transplant $133.09 ↓ -81%
United Medicare Advantage $133.09 ↓ -81%
Anthem Medicare Advantage $133.09 ↓ -81%
The Health Plan Medicare Advantage $133.09 ↓ -81%
Cigna Medicare Advantage $137.08 ↓ -80%
Devoted Health Medicare Advantage $137.20 ↓ -80%
CommuniCare Medicare Advantage $139.74 ↓ -80%
Perennial Health Medicare Advantage $143.74 ↓ -79%
PPHP All Products $146.40 ↓ -79%
AETNA Medicare Advantage Transplant $173.29 ↓ -75%
Aetna All Products Transplant $179.36 ↓ -74%
AETNA All Products Transplant $179.36 ↓ -74%
Humana Military All Products $180.89 ↓ -74%
United Managed Medicaid $184.68 ↓ -73%
Oscar All Products $184.98 ↓ -73%
Anthem All Products Mid-Level Facility $192.23 ↓ -72%
UNITED MEDICARE ADVANTAGE $211.91 ↓ -69%
OPTUM Medicare Advantage Transplant $215.28 ↓ -69%
MMO Medicare Advantage HMO $215.28 ↓ -69%
OPTUM All Products VA $215.28 ↓ -69%
The Health Plan MEDICARE ADVANTAGE $215.28 ↓ -69%
HUMANA Medicare Advantage HMO $215.28 ↓ -69%
MMO Medicare Advantage PPO $221.74 ↓ -68%
AETNA MEDICARE ADVANTAGE $224.08 ↓ -68%
Valor ALL PRODUCTS $224.08 ↓ -68%
Summacare MEDICARE ADVANTAGE $224.08 ↓ -68%
ANTHEM MEDICARE ADVANTAGE $224.08 ↓ -68%
UPMC MEDICARE ADVANTAGE $224.08 ↓ -68%
CIGNA Medicare Advantage Lifesource $224.08 ↓ -68%
DEVOTED HEALTH MEDICARE ADVANTAGE $224.08 ↓ -68%
CIGNA MEDICARE ADVANTAGE $230.80 ↓ -67%
Perennial Health MEDICARE ADVANTAGE $232.50 ↓ -67%
CommuniCare MEDICARE ADVANTAGE $235.28 ↓ -66%
Perennial Health HMO I-SNP and HMO C-SNP $242.00 ↓ -65%
PPHP ALL PRODUCTS $246.49 ↓ -64%
CC EHP All Products $260.68 ↓ -62%
OHCP All Products $283.19 ↓ -59%
Ohio Healthy Transplant $291.20 ↓ -58%
Anthem All Products Mid-Level Non-Facility $295.24 ↓ -57%
CC EHP ALL PRODUCTS $296.90 ↓ -57%
OSCAR ALL PRODUCTS $302.03 ↓ -56%
Aultcare PPO/HMO $318.86 ↓ -54%
Summacare Preferred $324.32 ↓ -53%
Amish Community Aid Plan All Products $327.60 ↓ -53%
Optum Commercial CRS Care Solutions $341.43 ↓ -51%
PHP ALL PRODUCTS $341.76 ↓ -51%
PHPHI ALL PRODUCTS $341.76 ↓ -51%
Summacare Premier $353.43 ↓ -49%
OMAS All Products $364.00 ↓ -48%
Aetna Acop $368.68 ↓ -47%
Healthsmart All Products $400.40 ↓ -42%
The Health Plan All Products $400.40 ↓ -42%
AETNA Asa_Whirlpool_Peia $404.77 ↓ -42%
Optum All Products Transplant $424.42 ↓ -39%
PHPHI All Products $436.80 ↓ -37%
UPMC All Products $436.80 ↓ -37%
Optum Commercial CHD Care Solutions $441.90 ↓ -36%
MMO Medicare HMO $461.93 ↓ -33%
Three Rivers All Products $473.20 ↓ -32%
Clarity Health All Products $473.20 ↓ -32%
MMO Medicare PPO $475.79 ↓ -31%
Amish Community Aid Plan ALL PRODUCTS $480.60 ↓ -31%
Summacare PREMIER $487.01 ↓ -30%
Anthem All Products Physician Facility $488.23 ↓ -30%
Anthem All Products Physician $488.23 ↓ -30%
Quality Care Partners All Products $509.60 ↓ -27%
GMS All Products $509.60 ↓ -27%
OHCP ALL PRODUCTS $519.05 ↓ -25%
CIGNA ALL PRODUCTS $523.32 ↓ -25%
OMAS ALL PRODUCTS $534.00 ↓ -23%
Aetna All Products First Health $546.00 ↓ -21%
Consociate Health All Products $546.00 ↓ -21%
Ohio Healthy TRANSPLANT $576.72 ↓ -17%
Aetna Asa $582.40 ↓ -16%
MMO NASCO $582.40 ↓ -16%
Evernorth (Cigna BH) All Products Psychiatrist $582.40 ↓ -16%
HEALTHSMART ALL PRODUCTS $587.40 ↓ -15%
United All Products - Mid-Level $589.34 ↓ -15%
OPTUM All Products Transplant $604.49 ↓ -13%
Cigna All Products Mid-Level $610.25 ↓ -12%
United All Products $635.20 ↓ -8%
United HMO & PPO $635.20 ↓ -8%
UPMC ALL PRODUCTS $640.80 ↓ -8%
The Health Plan ALL PRODUCTS $640.80 ↓ -8%
AETNA Acop $640.80 ↓ -8%
OPTUM Commercial CRS Care Solutions $644.00 ↓ -7%
OPTUM Commercial CHD Care Solutions $644.00 ↓ -7%
USA Managed Care All Products $655.20 ↓ -6%
Multiplan All Products $655.20 ↓ -6%
MMO TRADITIONAL $671.77 ↓ -3%
Clarity Health ALL PRODUCTS $694.20 ↑ +0%
THREE RIVERS ALL PRODUCTS $694.20 ↑ +0%
MMO SuperMed $713.21 ↑ +3%
Cigna All Products Physician $717.89 ↑ +3%
Aetna Qhp/Ifp $728.00 ↑ +5%
UNITED ALL PRODUCTS $735.85 ↑ +6%
Parkview Health Plan Transplant SMCP $747.60 ↑ +8%
Medical Benefit Corp Transplant SMCP $747.60 ↑ +8%
Quality Care Partners ALL PRODUCTS $747.60 ↑ +8%
Quality Care Partners Transplant SMCP $747.60 ↑ +8%
Ohio Healthy Transplant SMCP $747.60 ↑ +8%
GMS ALL PRODUCTS $747.60 ↑ +8%
Anthem All Products Physician Non-Facility $749.84 ↑ +8%
AETNA International $767.89 ↑ +11%
CIGNA PPO $792.46 ↑ +14%
Consociate Health ALL PRODUCTS $801.00 ↑ +15%
Humana Military ALL PRODUCTS $801.00 ↑ +15%
AETNA ALL PRODUCTS $801.00 ↑ +15%
Consociate Health TRANSPLANT $801.00 ↑ +15%
ANTHEM TRADITIONAL $821.51 ↑ +18%
Community Health Alliance ALL PRODUCTS $854.40 ↑ +23%
Community Health Alliance TRANSPLANT $854.40 ↑ +23%
UNITED All Products International $907.80 ↑ +31%
MULTIPLAN ALL PRODUCTS $961.20 ↑ +38%
Tertiary Care Network TRANSPLANT $961.20 ↑ +38%
FrontPath TRANSPLANT $961.20 ↑ +38%
USA Managed Care ALL PRODUCTS $961.20 ↑ +38%
Managed Care Services TRANSPLANT $961.20 ↑ +38%
AETNA Qhp/Ipf $1,068.00 ↑ +54%
ANTHEM HPN $2,085.00 ↑ +200%
ANTHEM PPO/HMO $2,453.00 ↑ +253%
United BH All Products RN not published by hospital —
AETNA NAP not published by hospital —
United BH MEDICARE ADVANTAGE not published by hospital —
CIGNA Indemnity Lifesource not published by hospital —
CIGNA HMO Lifesource not published by hospital —
Kaiser Transplant ALL PRODUCTS not published by hospital —
MMO ALL PRODUCTS not published by hospital —
CIGNA PPO Lifesource not published by hospital —
United BH All Products MA not published by hospital —
United BH ALL PRODUCTS not published by hospital —
United BH All Products MD not published by hospital —
United BH All Products PHD not published by hospital —

Visitor-reported prices

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Close lac/mouth vest/2.5 cm or < 40830 at other Ohio hospitals

Hospital City Cash price Negotiated range
fairview hospital Cleveland $694.20 $88.20 – $961.20
lutheran hospital Cleveland $694.20 $83.97 – $961.20
cleveland clinic childrens hospital for rehabilitation Cleveland not published $149.62 – $173.24
Kings Mills Hospital Mason $477.00 not published
akron general Akron $694.20 $1.10 – $961.20
avon hospital Avon $694.20 $91.63 – $961.20
euclid hospital Euclid $694.20 $93.89 – $961.20
hillcrest hospital Mayfield Heights $694.20 $91.89 – $961.20

All Ohio hospitals for this procedure →