Consultation pathology during surgery at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$266.50
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.
$410.00
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 $410.00 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 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $20.83 | ↓ -92% |
| Summacare | Medicare Advantage Lower Level | $21.09 | ↓ -92% |
| Summacare | Medicare Advantage CNA | $27.57 | ↓ -90% |
| UPMC | Medicare Advantage | $27.77 | ↓ -90% |
| Humana | Medicare Advantage HMO | $27.77 | ↓ -90% |
| United | Medicare Advantage | $27.77 | ↓ -90% |
| Optum | Medicare Advantage Transplant | $27.77 | ↓ -90% |
| Aetna | Medicare Advantage | $27.77 | ↓ -90% |
| Aetna | Medicare Advantage Transplant | $27.77 | ↓ -90% |
| Valor | All Products | $27.77 | ↓ -90% |
| Anthem | Medicare Advantage | $27.77 | ↓ -90% |
| The Health Plan | Medicare Advantage | $27.77 | ↓ -90% |
| Cigna | Medicare Advantage | $28.60 | ↓ -89% |
| CommuniCare | Medicare Advantage | $29.16 | ↓ -89% |
| Perennial Health | Medicare Advantage | $29.99 | ↓ -89% |
| PPHP | All Products | $30.55 | ↓ -89% |
| Summacare | Medicare Advantage MD | $30.82 | ↓ -88% |
| Cigna | All Products Physician | $31.75 | ↓ -88% |
| Cigna | All Products Mid-Level | $31.75 | ↓ -88% |
| Devoted Health | Medicare Advantage | $32.44 | ↓ -88% |
| OPTUM | Managed Medicaid Transplant | $34.71 | ↓ -87% |
| CARESOURCE | Managed Medicaid | $36.54 | ↓ -86% |
| Paramount | Managed Medicaid | $37.64 | ↓ -86% |
| MOLINA | Managed Medicaid | $38.37 | ↓ -86% |
| ANTHEM | Managed Medicaid | $38.37 | ↓ -86% |
| Buckeye | Managed Medicaid | $38.37 | ↓ -86% |
| AETNA | Medicare Advantage Transplant | $38.64 | ↓ -86% |
| UNITED | Managed Medicaid | $39.10 | ↓ -85% |
| United BH | Managed Medicaid | $40.19 | ↓ -85% |
| Humana Military | All Products | $44.46 | ↓ -83% |
| AETNA | All Products Transplant | $45.01 | ↓ -83% |
| Aetna | All Products Transplant | $45.01 | ↓ -83% |
| Anthem | All Products Mid-Level Facility | $46.72 | ↓ -82% |
| UNITED | ALL PRODUCTS | $50.76 | ↓ -81% |
| UNITED | MEDICARE ADVANTAGE | $53.07 | ↓ -80% |
| MMO | Medicare Advantage HMO | $55.07 | ↓ -79% |
| OPTUM | All Products VA | $55.07 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $55.07 | ↓ -79% |
| OPTUM | Medicare Advantage Transplant | $55.07 | ↓ -79% |
| The Health Plan | MEDICARE ADVANTAGE | $55.07 | ↓ -79% |
| ANTHEM | MEDICARE ADVANTAGE | $55.81 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $55.81 | ↓ -79% |
| Summacare | MEDICARE ADVANTAGE | $55.81 | ↓ -79% |
| UPMC | MEDICARE ADVANTAGE | $55.81 | ↓ -79% |
| CIGNA | Medicare Advantage Lifesource | $55.81 | ↓ -79% |
| Valor | ALL PRODUCTS | $55.81 | ↓ -79% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $55.81 | ↓ -79% |
| MMO | Medicare Advantage PPO | $56.72 | ↓ -79% |
| United | HMO & PPO | $56.88 | ↓ -79% |
| United | All Products | $56.88 | ↓ -79% |
| CIGNA | MEDICARE ADVANTAGE | $57.49 | ↓ -78% |
| CommuniCare | MEDICARE ADVANTAGE | $58.60 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $59.47 | ↓ -78% |
| United | All Products - Mid-Level | $60.22 | ↓ -77% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $60.28 | ↓ -77% |
| PPHP | ALL PRODUCTS | $61.39 | ↓ -77% |
| CC EHP | All Products | $61.64 | ↓ -77% |
| Aetna | Acop | $62.27 | ↓ -77% |
| Summacare | Preferred | $65.64 | ↓ -75% |
| Summacare | Premier | $71.53 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $73.19 | ↓ -73% |
| Oscar | All Products | $74.96 | ↓ -72% |
| UNITED | All Products International | $76.14 | ↓ -71% |
| CC EHP | ALL PRODUCTS | $78.89 | ↓ -70% |
| Anthem | All Products Physician | $83.18 | ↓ -69% |
| Anthem | All Products Physician Facility | $83.18 | ↓ -69% |
| CIGNA | ALL PRODUCTS | $85.79 | ↓ -68% |
| MMO | Medicare HMO | $110.25 | ↓ -59% |
| MMO | Medicare PPO | $113.56 | ↓ -57% |
| OHCP | All Products | $114.76 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $115.95 | ↓ -56% |
| Ohio Healthy | Transplant | $118.00 | ↓ -56% |
| Aultcare | PPO/HMO | $129.21 | ↓ -52% |
| Anthem | All Products Physician Non-Facility | $130.34 | ↓ -51% |
| PHP | ALL PRODUCTS | $131.20 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $131.20 | ↓ -51% |
| Amish Community Aid Plan | All Products | $132.75 | ↓ -50% |
| Optum | Commercial CRS Care Solutions | $138.36 | ↓ -48% |
| OMAS | All Products | $147.50 | ↓ -45% |
| AETNA | Acop | $148.42 | ↓ -44% |
| AETNA | Asa_Whirlpool_Peia | $155.39 | ↓ -42% |
| Healthsmart | All Products | $162.25 | ↓ -39% |
| The Health Plan | All Products | $162.25 | ↓ -39% |
| Optum | All Products Transplant | $171.99 | ↓ -35% |
| UPMC | All Products | $177.00 | ↓ -34% |
| PHPHI | All Products | $177.00 | ↓ -34% |
| MMO | SuperMed | $177.54 | ↓ -33% |
| Optum | Commercial CHD Care Solutions | $179.07 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $184.50 | ↓ -31% |
| ANTHEM | HPN | $185.07 | ↓ -31% |
| Summacare | PREMIER | $186.96 | ↓ -30% |
| Three Rivers | All Products | $191.75 | ↓ -28% |
| Clarity Health | All Products | $191.75 | ↓ -28% |
| OHCP | ALL PRODUCTS | $199.26 | ↓ -25% |
| OMAS | ALL PRODUCTS | $205.00 | ↓ -23% |
| GMS | All Products | $206.50 | ↓ -23% |
| Quality Care Partners | All Products | $206.50 | ↓ -23% |
| ANTHEM | PPO/HMO | $217.75 | ↓ -18% |
| Consociate Health | All Products | $221.25 | ↓ -17% |
| Aetna | All Products First Health | $221.25 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $221.40 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $225.50 | ↓ -15% |
| OPTUM | All Products Transplant | $232.06 | ↓ -13% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $236.00 | ↓ -11% |
| MMO | NASCO | $236.00 | ↓ -11% |
| Aetna | Asa | $236.00 | ↓ -11% |
| The Health Plan | ALL PRODUCTS | $246.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $246.00 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $247.23 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $247.23 | ↓ -7% |
| MMO | TRADITIONAL | $257.89 | ↓ -3% |
| Multiplan | All Products | $265.50 | ↓ -0% |
| USA Managed Care | All Products | $265.50 | ↓ -0% |
| THREE RIVERS | ALL PRODUCTS | $266.50 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $266.50 | ↑ +0% |
| Quality Care Partners | Transplant SMCP | $287.00 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $287.00 | ↑ +8% |
| GMS | ALL PRODUCTS | $287.00 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $287.00 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $287.00 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $287.00 | ↑ +8% |
| AETNA | International | $294.79 | ↑ +11% |
| Aetna | Qhp/Ifp | $295.00 | ↑ +11% |
| CIGNA | PPO | $304.22 | ↑ +14% |
| AETNA | ALL PRODUCTS | $307.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $307.50 | ↑ +15% |
| Consociate Health | TRANSPLANT | $307.50 | ↑ +15% |
| ANTHEM | TRADITIONAL | $315.37 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $328.00 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $328.00 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $348.50 | ↑ +31% |
| MULTIPLAN | ALL PRODUCTS | $369.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $369.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $369.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $369.00 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $369.00 | ↑ +38% |
| AETNA | Qhp/Ipf | $410.00 | ↑ +54% |
| United | Managed Medicaid | 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 | PPO Lifesource | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery 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 – $73.04 |
| lutheran hospital | Cleveland | not published | $27.08 – $73.04 |
| St Ritas Medical Center | Lima | $96.60 | not published |
| University Hospitals Ahuja Medical Center | Beachwood | $141.75 | $34.54 – $170.10 |
| University Hospitals Beachwood Medical Center | Beachwood | $141.75 | $55.81 – $170.10 |
| University Hospitals Conneaut Medical Center | Conneaut | $131.25 | $34.54 – $80.13 |
| University Hospitals Elyria Medical Center | Elyria | $141.75 | $44.64 – $100.46 |