healthcosts.net
Colonoscopy (with biopsy) at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,525.60
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.
$5,424.00
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.
$1.10 with Zing Health vs $6,112.00 with UNITED — 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $122.02 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $130.89 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $159.57 | ↓ -95% |
| UPMC | Medicare Advantage | $174.52 | ↓ -95% |
| United | Medicare Advantage | $174.52 | ↓ -95% |
| Anthem | Medicare Advantage | $174.52 | ↓ -95% |
| Aetna | Medicare Advantage Transplant | $174.52 | ↓ -95% |
| Valor | All Products | $174.52 | ↓ -95% |
| Optum | Medicare Advantage Transplant | $174.52 | ↓ -95% |
| Humana | Medicare Advantage HMO | $174.52 | ↓ -95% |
| Aetna | Medicare Advantage | $174.52 | ↓ -95% |
| The Health Plan | Medicare Advantage | $174.52 | ↓ -95% |
| Summacare | Medicare Advantage MD | $178.34 | ↓ -95% |
| Cigna | Medicare Advantage | $179.76 | ↓ -95% |
| CommuniCare | Medicare Advantage | $183.25 | ↓ -95% |
| Devoted Health | Medicare Advantage | $187.73 | ↓ -95% |
| Perennial Health | Medicare Advantage | $188.48 | ↓ -95% |
| PPHP | All Products | $191.97 | ↓ -95% |
| Optum | Managed Medicaid Transplant | $192.65 | ↓ -95% |
| Paramount | Managed Medicaid | $208.87 | ↓ -94% |
| Caresource | Managed Medicaid | $212.93 | ↓ -94% |
| Buckeye | Managed Medicaid | $212.93 | ↓ -94% |
| Molina | Managed Medicaid | $223.07 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $223.07 | ↓ -94% |
| AETNA | Medicare Advantage Transplant | $232.45 | ↓ -93% |
| Humana Military | All Products | $249.22 | ↓ -93% |
| Aetna | All Products Transplant | $251.34 | ↓ -93% |
| AETNA | All Products Transplant | $251.34 | ↓ -93% |
| Anthem | All Products Mid-Level Facility | $265.15 | ↓ -92% |
| United | Managed Medicaid | $350.24 | ↓ -90% |
| CC EHP | All Products | $356.69 | ↓ -90% |
| Oscar | All Products | $397.92 | ↓ -89% |
| Summacare | Preferred | $415.72 | ↓ -88% |
| Summacare | Premier | $453.03 | ↓ -87% |
| Aetna | Acop | $472.58 | ↓ -87% |
| Anthem | All Products Mid-Level Non-Facility | $565.76 | ↓ -84% |
| MMO | Medicare HMO | $578.59 | ↓ -84% |
| MMO | Medicare PPO | $595.95 | ↓ -83% |
| OHCP | All Products | $609.17 | ↓ -83% |
| Ohio Healthy | Transplant | $626.40 | ↓ -82% |
| Anthem | All Products Physician | $673.42 | ↓ -81% |
| Anthem | All Products Physician Facility | $673.42 | ↓ -81% |
| Aultcare | PPO/HMO | $685.91 | ↓ -81% |
| Amish Community Aid Plan | All Products | $704.70 | ↓ -80% |
| Optum | Commercial CRS Care Solutions | $734.45 | ↓ -79% |
| OMAS | All Products | $783.00 | ↓ -78% |
| The Health Plan | All Products | $861.30 | ↓ -76% |
| Healthsmart | All Products | $861.30 | ↓ -76% |
| OPTUM | Managed Medicaid Transplant | $890.23 | ↓ -75% |
| Optum | All Products Transplant | $912.98 | ↓ -74% |
| CARESOURCE | Managed Medicaid | $937.08 | ↓ -73% |
| UPMC | All Products | $939.60 | ↓ -73% |
| PHPHI | All Products | $939.60 | ↓ -73% |
| Optum | Commercial CHD Care Solutions | $950.56 | ↓ -73% |
| ANTHEM | Managed Medicaid | $983.93 | ↓ -72% |
| MOLINA | Managed Medicaid | $983.93 | ↓ -72% |
| UNITED | Managed Medicaid | $1,002.68 | ↓ -72% |
| Clarity Health | All Products | $1,017.90 | ↓ -71% |
| Three Rivers | All Products | $1,017.90 | ↓ -71% |
| UNITED | MEDICARE ADVANTAGE | $1,023.77 | ↓ -71% |
| United BH | Managed Medicaid | $1,030.79 | ↓ -71% |
| MMO | Medicare Advantage HMO | $1,093.05 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $1,093.05 | ↓ -69% |
| OPTUM | All Products VA | $1,093.05 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $1,093.05 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $1,093.05 | ↓ -69% |
| Quality Care Partners | All Products | $1,096.20 | ↓ -69% |
| GMS | All Products | $1,096.20 | ↓ -69% |
| MMO | Medicare Advantage PPO | $1,125.85 | ↓ -68% |
| CIGNA | Medicare Advantage Lifesource | $1,132.12 | ↓ -68% |
| Valor | ALL PRODUCTS | $1,132.12 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $1,132.12 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $1,132.12 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $1,132.12 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $1,132.12 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,132.12 | ↓ -68% |
| United | All Products - Mid-Level | $1,138.31 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $1,166.08 | ↓ -67% |
| Consociate Health | All Products | $1,174.50 | ↓ -67% |
| Aetna | All Products First Health | $1,174.50 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $1,180.50 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $1,188.72 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,222.68 | ↓ -65% |
| United | All Products | $1,226.88 | ↓ -65% |
| United | HMO & PPO | $1,226.88 | ↓ -65% |
| PPHP | ALL PRODUCTS | $1,245.33 | ↓ -65% |
| Aetna | Asa | $1,252.80 | ↓ -64% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,252.80 | ↓ -64% |
| MMO | NASCO | $1,252.80 | ↓ -64% |
| Cigna | All Products Mid-Level | $1,253.02 | ↓ -64% |
| USA Managed Care | All Products | $1,409.40 | ↓ -60% |
| Multiplan | All Products | $1,409.40 | ↓ -60% |
| Anthem | All Products Physician Non-Facility | $1,436.90 | ↓ -59% |
| Cigna | All Products Physician | $1,474.26 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $1,507.87 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $1,533.91 | ↓ -56% |
| Aetna | Qhp/Ifp | $1,566.00 | ↓ -56% |
| PHP | ALL PRODUCTS | $1,735.68 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,735.68 | ↓ -51% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,440.80 | ↓ -31% |
| Summacare | PREMIER | $2,473.34 | ↓ -30% |
| ANTHEM | HPN | $2,497.75 | ↓ -29% |
| OHCP | ALL PRODUCTS | $2,636.06 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,712.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $2,928.96 | ↓ -17% |
| ANTHEM | PPO/HMO | $2,938.72 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $2,983.20 | ↓ -15% |
| OPTUM | All Products Transplant | $3,069.98 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $3,254.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $3,254.40 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $3,270.67 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $3,270.67 | ↓ -7% |
| AETNA | Acop | $3,395.42 | ↓ -4% |
| MMO | TRADITIONAL | $3,411.70 | ↓ -3% |
| MMO | SuperMed | $3,440.56 | ↓ -2% |
| THREE RIVERS | ALL PRODUCTS | $3,525.60 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $3,525.60 | ↑ +0% |
| CIGNA | ALL PRODUCTS | $3,528.00 | ↑ +0% |
| Parkview Health Plan | Transplant SMCP | $3,796.80 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $3,796.80 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $3,796.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $3,796.80 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $3,796.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $3,796.80 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $3,845.62 | ↑ +9% |
| CIGNA | PPO | $4,024.61 | ↑ +14% |
| Consociate Health | TRANSPLANT | $4,068.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $4,068.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $4,068.00 | ↑ +15% |
| AETNA | International | $4,154.78 | ↑ +18% |
| ANTHEM | TRADITIONAL | $4,172.14 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $4,339.20 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $4,339.20 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $4,610.40 | ↑ +31% |
| MULTIPLAN | ALL PRODUCTS | $4,881.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $4,881.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $4,881.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $4,881.60 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $4,881.60 | ↑ +38% |
| MMO | ALL PRODUCTS | $5,265.00 | ↑ +49% |
| AETNA | Qhp/Ipf | $5,424.00 | ↑ +54% |
| UNITED | ALL PRODUCTS | $5,457.00 | ↑ +55% |
| UNITED | All Products International | $6,112.00 | ↑ +73% |
| United BH | All Products PHD | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy (with biopsy) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $3,525.60 | $316.71 – $4,881.60 |
| lutheran hospital | Cleveland | $3,525.60 | $370.78 – $4,881.60 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,237.30 – $1,432.66 |
| akron general | Akron | $1,017.90 | $1.10 – $1,176.60 |
| avon hospital | Avon | $3,525.60 | $370.78 – $4,881.60 |
| euclid hospital | Euclid | $3,525.60 | $370.78 – $4,881.60 |
| hillcrest hospital | Mayfield Heights | $3,525.60 | $316.71 – $4,881.60 |
| marymount hospital | Garfield Heights | $3,525.60 | $370.78 – $4,881.60 |