healthcosts.net
Complx repair sal addl 5 cm/> 13122 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$471.90
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.
$726.00
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 $4,392.00 with MMO — 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 International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $39.67 | ↓ -92% |
| Paramount | Managed Medicaid | $43.01 | ↓ -91% |
| Caresource | Managed Medicaid | $43.85 | ↓ -91% |
| Buckeye | Managed Medicaid | $43.85 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $45.94 | ↓ -90% |
| Molina | Managed Medicaid | $45.94 | ↓ -90% |
| Summacare | Medicare Advantage Lower Level | $50.16 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $50.23 | ↓ -89% |
| Summacare | Medicare Advantage CNA | $65.59 | ↓ -86% |
| The Health Plan | Medicare Advantage | $66.97 | ↓ -86% |
| UPMC | Medicare Advantage | $66.97 | ↓ -86% |
| United | Medicare Advantage | $66.97 | ↓ -86% |
| Humana | Medicare Advantage HMO | $66.97 | ↓ -86% |
| Aetna | Medicare Advantage Transplant | $66.97 | ↓ -86% |
| Optum | Medicare Advantage Transplant | $66.97 | ↓ -86% |
| Aetna | Medicare Advantage | $66.97 | ↓ -86% |
| Anthem | Medicare Advantage | $66.97 | ↓ -86% |
| Valor | All Products | $66.97 | ↓ -86% |
| Cigna | Medicare Advantage | $68.98 | ↓ -85% |
| CommuniCare | Medicare Advantage | $70.32 | ↓ -85% |
| Perennial Health | Medicare Advantage | $72.33 | ↓ -85% |
| Summacare | Medicare Advantage MD | $73.31 | ↓ -84% |
| PPHP | All Products | $73.67 | ↓ -84% |
| Devoted Health | Medicare Advantage | $77.17 | ↓ -84% |
| AETNA | Medicare Advantage Transplant | $88.95 | ↓ -81% |
| Humana Military | All Products | $101.86 | ↓ -78% |
| AETNA | All Products Transplant | $102.96 | ↓ -78% |
| Aetna | All Products Transplant | $102.96 | ↓ -78% |
| United | Managed Medicaid | $103.00 | ↓ -78% |
| Anthem | All Products Mid-Level Facility | $110.39 | ↓ -77% |
| Oscar | All Products | $146.36 | ↓ -69% |
| CC EHP | All Products | $146.62 | ↓ -69% |
| AETNA | MEDICARE ADVANTAGE | $158.27 | ↓ -66% |
| Summacare | Preferred | $158.63 | ↓ -66% |
| Anthem | All Products Mid-Level Non-Facility | $167.99 | ↓ -64% |
| Summacare | Premier | $172.86 | ↓ -63% |
| Aetna | Acop | $180.32 | ↓ -62% |
| CC EHP | ALL PRODUCTS | $201.83 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $205.31 | ↓ -56% |
| OHCP | All Products | $224.06 | ↓ -53% |
| Ohio Healthy | Transplant | $230.40 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $232.32 | ↓ -51% |
| PHP | ALL PRODUCTS | $232.32 | ↓ -51% |
| Aultcare | PPO/HMO | $252.29 | ↓ -47% |
| MMO | SuperMed | $259.20 | ↓ -45% |
| Amish Community Aid Plan | All Products | $259.20 | ↓ -45% |
| MMO | Medicare HMO | $261.88 | ↓ -45% |
| MMO | Medicare PPO | $269.74 | ↓ -43% |
| Optum | Commercial CRS Care Solutions | $270.14 | ↓ -43% |
| Anthem | All Products Physician | $280.36 | ↓ -41% |
| Anthem | All Products Physician Facility | $280.36 | ↓ -41% |
| OMAS | All Products | $288.00 | ↓ -39% |
| Healthsmart | All Products | $316.80 | ↓ -33% |
| The Health Plan | All Products | $316.80 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $326.70 | ↓ -31% |
| ANTHEM | HPN | $327.72 | ↓ -31% |
| Summacare | PREMIER | $331.06 | ↓ -30% |
| Optum | All Products Transplant | $335.81 | ↓ -29% |
| United | All Products - Mid-Level | $337.33 | ↓ -29% |
| PHPHI | All Products | $345.60 | ↓ -27% |
| UPMC | All Products | $345.60 | ↓ -27% |
| Optum | Commercial CHD Care Solutions | $349.63 | ↓ -26% |
| OHCP | ALL PRODUCTS | $352.84 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $355.74 | ↓ -25% |
| OMAS | ALL PRODUCTS | $363.00 | ↓ -23% |
| United | HMO & PPO | $363.58 | ↓ -23% |
| United | All Products | $363.58 | ↓ -23% |
| Cigna | All Products Mid-Level | $372.04 | ↓ -21% |
| Clarity Health | All Products | $374.40 | ↓ -21% |
| Three Rivers | All Products | $374.40 | ↓ -21% |
| ANTHEM | PPO/HMO | $385.58 | ↓ -18% |
| OPTUM | Managed Medicaid Transplant | $389.36 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $392.04 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $399.30 | ↓ -15% |
| Quality Care Partners | All Products | $403.20 | ↓ -15% |
| GMS | All Products | $403.20 | ↓ -15% |
| CARESOURCE | Managed Medicaid | $409.85 | ↓ -13% |
| OPTUM | All Products Transplant | $410.92 | ↓ -13% |
| Anthem | All Products Physician Non-Facility | $426.64 | ↓ -10% |
| ANTHEM | Managed Medicaid | $430.34 | ↓ -9% |
| MOLINA | Managed Medicaid | $430.34 | ↓ -9% |
| Consociate Health | All Products | $432.00 | ↓ -8% |
| Aetna | All Products First Health | $432.00 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $435.60 | ↓ -8% |
| UPMC | ALL PRODUCTS | $435.60 | ↓ -8% |
| Cigna | All Products Physician | $437.73 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $437.78 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $437.78 | ↓ -7% |
| UNITED | Managed Medicaid | $438.54 | ↓ -7% |
| United BH | Managed Medicaid | $450.84 | ↓ -4% |
| AETNA | Acop | $454.48 | ↓ -4% |
| MMO | NASCO | $456.65 | ↓ -3% |
| MMO | TRADITIONAL | $456.65 | ↓ -3% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $460.80 | ↓ -2% |
| Aetna | Asa | $460.80 | ↓ -2% |
| Clarity Health | ALL PRODUCTS | $471.90 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $471.90 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $508.20 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $508.20 | ↑ +8% |
| GMS | ALL PRODUCTS | $508.20 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $508.20 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $508.20 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $508.20 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $514.73 | ↑ +9% |
| USA Managed Care | All Products | $518.40 | ↑ +10% |
| Multiplan | All Products | $518.40 | ↑ +10% |
| CIGNA | PPO | $538.69 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $544.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $544.50 | ↑ +15% |
| Humana Military | ALL PRODUCTS | $544.50 | ↑ +15% |
| Consociate Health | TRANSPLANT | $544.50 | ↑ +15% |
| ANTHEM | TRADITIONAL | $558.44 | ↑ +18% |
| Aetna | Qhp/Ifp | $576.00 | ↑ +22% |
| Community Health Alliance | ALL PRODUCTS | $580.80 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $580.80 | ↑ +23% |
| FrontPath | TRANSPLANT | $653.40 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $653.40 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $653.40 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $653.40 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $653.40 | ↑ +38% |
| AETNA | Qhp/Ipf | $726.00 | ↑ +54% |
| AETNA | International | $3,443.00 | ↑ +630% |
| MMO | ALL PRODUCTS | $4,392.00 | ↑ +831% |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | 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 | Medicare Advantage Lifesource | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair sal addl 5 cm/> 13122 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $471.90 | $0.01 – $653.40 |
| lutheran hospital | Cleveland | $471.90 | $0.01 – $653.40 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $541.16 – $626.60 |
| akron general | Akron | $471.90 | $1.10 – $653.40 |
| avon hospital | Avon | $471.90 | $0.01 – $653.40 |
| euclid hospital | Euclid | $471.90 | $0.01 – $653.40 |
| hillcrest hospital | Mayfield Heights | $471.90 | $0.01 – $653.40 |
| lodi hospital | Lodi | $471.90 | $205.31 – $653.40 |