Consult comp w/report rfrd material at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$815.10
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.
$1,254.00
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 $1,254.00 with Aetna — 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 | $2.66 | ↓ -100% |
| OPTUM | Managed Medicaid Transplant | $34.71 | ↓ -96% |
| CARESOURCE | Managed Medicaid | $36.54 | ↓ -96% |
| Paramount | Managed Medicaid | $37.64 | ↓ -95% |
| Buckeye | Managed Medicaid | $38.37 | ↓ -95% |
| ANTHEM | Managed Medicaid | $38.37 | ↓ -95% |
| MOLINA | Managed Medicaid | $38.37 | ↓ -95% |
| UNITED | Managed Medicaid | $39.10 | ↓ -95% |
| United BH | Managed Medicaid | $40.19 | ↓ -95% |
| Summacare | Medicare Advantage Lower Level | $81.90 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $83.81 | ↓ -90% |
| Cigna | All Products Physician | $89.44 | ↓ -89% |
| Cigna | All Products Mid-Level | $89.44 | ↓ -89% |
| Summacare | Medicare Advantage CNA | $107.10 | ↓ -87% |
| Humana | Medicare Advantage HMO | $111.75 | ↓ -86% |
| Aetna | Medicare Advantage | $111.75 | ↓ -86% |
| Aetna | Medicare Advantage Transplant | $111.75 | ↓ -86% |
| Valor | All Products | $111.75 | ↓ -86% |
| UPMC | Medicare Advantage | $111.75 | ↓ -86% |
| United | Medicare Advantage | $111.75 | ↓ -86% |
| The Health Plan | Medicare Advantage | $111.75 | ↓ -86% |
| Anthem | Medicare Advantage | $111.75 | ↓ -86% |
| Optum | Medicare Advantage Transplant | $111.75 | ↓ -86% |
| Cigna | Medicare Advantage | $115.10 | ↓ -86% |
| CommuniCare | Medicare Advantage | $117.34 | ↓ -86% |
| Summacare | Medicare Advantage MD | $119.70 | ↓ -85% |
| Perennial Health | Medicare Advantage | $120.69 | ↓ -85% |
| PPHP | All Products | $122.93 | ↓ -85% |
| Devoted Health | Medicare Advantage | $126.00 | ↓ -85% |
| CC EHP | ALL PRODUCTS | $135.12 | ↓ -83% |
| UNITED | MEDICARE ADVANTAGE | $148.18 | ↓ -82% |
| AETNA | Medicare Advantage Transplant | $158.38 | ↓ -81% |
| MMO | Medicare Advantage HMO | $158.86 | ↓ -81% |
| OPTUM | Medicare Advantage Transplant | $158.86 | ↓ -81% |
| OPTUM | All Products VA | $158.86 | ↓ -81% |
| HUMANA | Medicare Advantage HMO | $158.86 | ↓ -81% |
| The Health Plan | MEDICARE ADVANTAGE | $158.86 | ↓ -81% |
| UPMC | MEDICARE ADVANTAGE | $161.18 | ↓ -80% |
| Valor | ALL PRODUCTS | $161.18 | ↓ -80% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $161.18 | ↓ -80% |
| Summacare | MEDICARE ADVANTAGE | $161.18 | ↓ -80% |
| ANTHEM | MEDICARE ADVANTAGE | $161.18 | ↓ -80% |
| AETNA | MEDICARE ADVANTAGE | $161.18 | ↓ -80% |
| CIGNA | Medicare Advantage Lifesource | $161.18 | ↓ -80% |
| United | HMO & PPO | $162.78 | ↓ -80% |
| United | All Products | $162.78 | ↓ -80% |
| MMO | Medicare Advantage PPO | $163.62 | ↓ -80% |
| CIGNA | MEDICARE ADVANTAGE | $166.02 | ↓ -80% |
| CommuniCare | MEDICARE ADVANTAGE | $169.24 | ↓ -79% |
| Perennial Health | MEDICARE ADVANTAGE | $171.57 | ↓ -79% |
| United | All Products - Mid-Level | $172.34 | ↓ -79% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $174.08 | ↓ -79% |
| Humana Military | All Products | $175.74 | ↓ -78% |
| AETNA | All Products Transplant | $175.93 | ↓ -78% |
| Aetna | All Products Transplant | $175.93 | ↓ -78% |
| Anthem | All Products Mid-Level Facility | $177.21 | ↓ -78% |
| PPHP | ALL PRODUCTS | $177.30 | ↓ -78% |
| Anthem | All Products Mid-Level Non-Facility | $206.23 | ↓ -75% |
| UNITED | ALL PRODUCTS | $223.74 | ↓ -73% |
| CC EHP | All Products | $239.40 | ↓ -71% |
| Aetna | Acop | $249.86 | ↓ -69% |
| Summacare | Preferred | $263.37 | ↓ -68% |
| Summacare | Premier | $287.00 | ↓ -65% |
| Anthem | All Products Physician | $315.51 | ↓ -61% |
| Anthem | All Products Physician Facility | $315.51 | ↓ -61% |
| Oscar | All Products | $318.64 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $334.27 | ↓ -59% |
| UNITED | All Products International | $335.61 | ↓ -59% |
| Anthem | All Products Physician Non-Facility | $367.17 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $378.24 | ↓ -54% |
| PHP | ALL PRODUCTS | $378.24 | ↓ -54% |
| AETNA | Acop | $427.88 | ↓ -48% |
| AETNA | Asa_Whirlpool_Peia | $447.98 | ↓ -45% |
| MMO | Medicare HMO | $455.31 | ↓ -44% |
| MMO | Medicare PPO | $468.97 | ↓ -42% |
| OHCP | All Products | $487.81 | ↓ -40% |
| MMO | SuperMed | $498.94 | ↓ -39% |
| Ohio Healthy | Transplant | $501.60 | ↓ -38% |
| Aultcare | PPO/HMO | $517.72 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $531.90 | ↓ -35% |
| ANTHEM | HPN | $533.55 | ↓ -35% |
| Summacare | PREMIER | $538.99 | ↓ -34% |
| Amish Community Aid Plan | All Products | $564.30 | ↓ -31% |
| OHCP | ALL PRODUCTS | $574.45 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $579.18 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $588.13 | ↓ -28% |
| OMAS | ALL PRODUCTS | $591.00 | ↓ -27% |
| OMAS | All Products | $627.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $627.76 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $638.28 | ↓ -22% |
| HEALTHSMART | ALL PRODUCTS | $650.10 | ↓ -20% |
| OPTUM | All Products Transplant | $669.01 | ↓ -18% |
| The Health Plan | All Products | $689.70 | ↓ -15% |
| Healthsmart | All Products | $689.70 | ↓ -15% |
| The Health Plan | ALL PRODUCTS | $709.20 | ↓ -13% |
| UPMC | ALL PRODUCTS | $709.20 | ↓ -13% |
| OPTUM | Commercial CRS Care Solutions | $712.75 | ↓ -13% |
| OPTUM | Commercial CHD Care Solutions | $712.75 | ↓ -13% |
| Optum | All Products Transplant | $731.08 | ↓ -10% |
| MMO | NASCO | $743.48 | ↓ -9% |
| MMO | TRADITIONAL | $743.48 | ↓ -9% |
| UPMC | All Products | $752.40 | ↓ -8% |
| PHPHI | All Products | $752.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $761.18 | ↓ -7% |
| THREE RIVERS | ALL PRODUCTS | $768.30 | ↓ -6% |
| Clarity Health | ALL PRODUCTS | $768.30 | ↓ -6% |
| Three Rivers | All Products | $815.10 | ↑ +0% |
| Clarity Health | All Products | $815.10 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $827.40 | ↑ +2% |
| GMS | ALL PRODUCTS | $827.40 | ↑ +2% |
| Parkview Health Plan | Transplant SMCP | $827.40 | ↑ +2% |
| Ohio Healthy | Transplant SMCP | $827.40 | ↑ +2% |
| Medical Benefit Corp | Transplant SMCP | $827.40 | ↑ +2% |
| Quality Care Partners | Transplant SMCP | $827.40 | ↑ +2% |
| AETNA | International | $849.86 | ↑ +4% |
| CIGNA | PPO | $877.04 | ↑ +8% |
| GMS | All Products | $877.80 | ↑ +8% |
| Quality Care Partners | All Products | $877.80 | ↑ +8% |
| AETNA | ALL PRODUCTS | $886.50 | ↑ +9% |
| Consociate Health | ALL PRODUCTS | $886.50 | ↑ +9% |
| Consociate Health | TRANSPLANT | $886.50 | ↑ +9% |
| ANTHEM | TRADITIONAL | $909.19 | ↑ +12% |
| Aetna | All Products First Health | $940.50 | ↑ +15% |
| Consociate Health | All Products | $940.50 | ↑ +15% |
| Community Health Alliance | ALL PRODUCTS | $945.60 | ↑ +16% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $945.60 | ↑ +16% |
| Community Health Alliance | TRANSPLANT | $945.60 | ↑ +16% |
| Aetna | Asa | $1,003.20 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $1,004.70 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $1,063.80 | ↑ +31% |
| MULTIPLAN | ALL PRODUCTS | $1,063.80 | ↑ +31% |
| Managed Care Services | TRANSPLANT | $1,063.80 | ↑ +31% |
| FrontPath | TRANSPLANT | $1,063.80 | ↑ +31% |
| USA Managed Care | ALL PRODUCTS | $1,063.80 | ↑ +31% |
| Multiplan | All Products | $1,128.60 | ↑ +38% |
| USA Managed Care | All Products | $1,128.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,182.00 | ↑ +45% |
| Aetna | Qhp/Ifp | $1,254.00 | ↑ +54% |
| 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 | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $48.25 – $55.87 |
| fairview hospital | Cleveland | not published | $28.44 – $177.30 |
| lutheran hospital | Cleveland | not published | $27.08 – $177.30 |
| University Hospitals Ahuja Medical Center | Beachwood | $777.75 | $50.00 – $933.30 |
| University Hospitals Beachwood Medical Center | Beachwood | $777.75 | $161.18 – $933.30 |
| University Hospitals Elyria Medical Center | Elyria | $777.75 | $138.32 – $290.13 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $777.75 | $52.00 – $290.13 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $777.75 | $127.80 – $290.13 |