Consultation/report referred material w/preparation of slides at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$523.25
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.
$805.00
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 $805.00 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% |
| OPTUM | Managed Medicaid Transplant | $34.71 | ↓ -93% |
| CARESOURCE | Managed Medicaid | $36.54 | ↓ -93% |
| Paramount | Managed Medicaid | $37.64 | ↓ -93% |
| MOLINA | Managed Medicaid | $38.37 | ↓ -93% |
| ANTHEM | Managed Medicaid | $38.37 | ↓ -93% |
| Buckeye | Managed Medicaid | $38.37 | ↓ -93% |
| UNITED | Managed Medicaid | $39.10 | ↓ -93% |
| United BH | Managed Medicaid | $40.19 | ↓ -92% |
| UNITED | MEDICARE ADVANTAGE | $47.01 | ↓ -91% |
| CIGNA | Medicare Advantage Lifesource | $49.30 | ↓ -91% |
| UPMC | MEDICARE ADVANTAGE | $49.30 | ↓ -91% |
| AETNA | MEDICARE ADVANTAGE | $49.30 | ↓ -91% |
| ANTHEM | MEDICARE ADVANTAGE | $49.30 | ↓ -91% |
| Summacare | MEDICARE ADVANTAGE | $49.30 | ↓ -91% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $49.30 | ↓ -91% |
| Valor | ALL PRODUCTS | $49.30 | ↓ -91% |
| HUMANA | Medicare Advantage HMO | $49.53 | ↓ -91% |
| The Health Plan | MEDICARE ADVANTAGE | $49.53 | ↓ -91% |
| OPTUM | Medicare Advantage Transplant | $49.53 | ↓ -91% |
| OPTUM | All Products VA | $49.53 | ↓ -91% |
| MMO | Medicare Advantage HMO | $49.53 | ↓ -91% |
| CIGNA | MEDICARE ADVANTAGE | $50.78 | ↓ -90% |
| MMO | Medicare Advantage PPO | $51.02 | ↓ -90% |
| CommuniCare | MEDICARE ADVANTAGE | $51.77 | ↓ -90% |
| Summacare | Medicare Advantage Lower Level | $52.89 | ↓ -90% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $53.25 | ↓ -90% |
| Perennial Health | MEDICARE ADVANTAGE | $53.49 | ↓ -90% |
| PPHP | ALL PRODUCTS | $54.23 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $61.16 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $69.16 | ↓ -87% |
| UNITED | ALL PRODUCTS | $74.64 | ↓ -86% |
| Summacare | Medicare Advantage MD | $77.30 | ↓ -85% |
| Devoted Health | Medicare Advantage | $81.37 | ↓ -84% |
| Aetna | Medicare Advantage | $81.54 | ↓ -84% |
| Valor | All Products | $81.54 | ↓ -84% |
| The Health Plan | Medicare Advantage | $81.54 | ↓ -84% |
| Aetna | Medicare Advantage Transplant | $81.54 | ↓ -84% |
| United | Medicare Advantage | $81.54 | ↓ -84% |
| Humana | Medicare Advantage HMO | $81.54 | ↓ -84% |
| UPMC | Medicare Advantage | $81.54 | ↓ -84% |
| Optum | Medicare Advantage Transplant | $81.54 | ↓ -84% |
| Anthem | Medicare Advantage | $81.54 | ↓ -84% |
| Cigna | Medicare Advantage | $83.99 | ↓ -84% |
| CommuniCare | Medicare Advantage | $85.62 | ↓ -84% |
| PPHP | All Products | $87.88 | ↓ -83% |
| Perennial Health | Medicare Advantage | $88.06 | ↓ -83% |
| United | HMO & PPO | $90.61 | ↓ -83% |
| United | All Products | $90.61 | ↓ -83% |
| AETNA | International | $95.05 | ↓ -82% |
| United | All Products - Mid-Level | $95.93 | ↓ -82% |
| AETNA | Asa_Whirlpool_Peia | $104.02 | ↓ -80% |
| OSCAR | ALL PRODUCTS | $104.35 | ↓ -80% |
| UNITED | All Products International | $111.96 | ↓ -79% |
| Anthem | All Products Mid-Level Facility | $114.28 | ↓ -78% |
| Anthem | All Products Mid-Level Non-Facility | $114.28 | ↓ -78% |
| PHPHI | ALL PRODUCTS | $118.08 | ↓ -77% |
| PHP | ALL PRODUCTS | $118.08 | ↓ -77% |
| CIGNA | ALL PRODUCTS | $129.13 | ↓ -75% |
| AETNA | Acop | $133.58 | ↓ -74% |
| AETNA | Medicare Advantage Transplant | $145.75 | ↓ -72% |
| Humana Military | All Products | $146.01 | ↓ -72% |
| AETNA | All Products Transplant | $146.74 | ↓ -72% |
| Aetna | All Products Transplant | $146.74 | ↓ -72% |
| CC EHP | All Products | $154.60 | ↓ -70% |
| Summacare | Preferred | $154.98 | ↓ -70% |
| MMO | SuperMed | $159.17 | ↓ -70% |
| Aultcare | PPO/HMO | $161.62 | ↓ -69% |
| Amish Community Aid Plan | ALL PRODUCTS | $166.05 | ↓ -68% |
| ANTHEM | HPN | $166.57 | ↓ -68% |
| Summacare | PREMIER | $168.26 | ↓ -68% |
| OHCP | ALL PRODUCTS | $179.33 | ↓ -66% |
| CC EHP | ALL PRODUCTS | $183.58 | ↓ -65% |
| OMAS | ALL PRODUCTS | $184.50 | ↓ -65% |
| Aetna | Acop | $184.64 | ↓ -65% |
| ANTHEM | PPO/HMO | $195.98 | ↓ -63% |
| Ohio Healthy | TRANSPLANT | $199.26 | ↓ -62% |
| HEALTHSMART | ALL PRODUCTS | $202.95 | ↓ -61% |
| Anthem | All Products Physician | $203.48 | ↓ -61% |
| Anthem | All Products Physician Non-Facility | $203.48 | ↓ -61% |
| Anthem | All Products Physician Facility | $203.48 | ↓ -61% |
| Oscar | All Products | $204.55 | ↓ -61% |
| OPTUM | All Products Transplant | $208.85 | ↓ -60% |
| Summacare | Premier | $212.08 | ↓ -59% |
| UPMC | ALL PRODUCTS | $221.40 | ↓ -58% |
| The Health Plan | ALL PRODUCTS | $221.40 | ↓ -58% |
| OPTUM | Commercial CHD Care Solutions | $222.51 | ↓ -57% |
| OPTUM | Commercial CRS Care Solutions | $222.51 | ↓ -57% |
| MMO | NASCO | $232.10 | ↓ -56% |
| MMO | TRADITIONAL | $232.10 | ↓ -56% |
| Clarity Health | ALL PRODUCTS | $239.85 | ↓ -54% |
| THREE RIVERS | ALL PRODUCTS | $239.85 | ↓ -54% |
| GMS | ALL PRODUCTS | $258.30 | ↓ -51% |
| Ohio Healthy | Transplant SMCP | $258.30 | ↓ -51% |
| Medical Benefit Corp | Transplant SMCP | $258.30 | ↓ -51% |
| Quality Care Partners | Transplant SMCP | $258.30 | ↓ -51% |
| Parkview Health Plan | Transplant SMCP | $258.30 | ↓ -51% |
| Quality Care Partners | ALL PRODUCTS | $258.30 | ↓ -51% |
| MMO | Medicare HMO | $269.36 | ↓ -49% |
| CIGNA | PPO | $273.80 | ↓ -48% |
| Consociate Health | ALL PRODUCTS | $276.75 | ↓ -47% |
| AETNA | ALL PRODUCTS | $276.75 | ↓ -47% |
| Consociate Health | TRANSPLANT | $276.75 | ↓ -47% |
| MMO | Medicare PPO | $277.44 | ↓ -47% |
| ANTHEM | TRADITIONAL | $283.83 | ↓ -46% |
| Community Health Alliance | ALL PRODUCTS | $295.20 | ↓ -44% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $295.20 | ↓ -44% |
| Community Health Alliance | TRANSPLANT | $295.20 | ↓ -44% |
| OHCP | All Products | $313.15 | ↓ -40% |
| Humana Military | ALL PRODUCTS | $313.65 | ↓ -40% |
| Ohio Healthy | Transplant | $322.00 | ↓ -38% |
| MULTIPLAN | ALL PRODUCTS | $332.10 | ↓ -37% |
| Tertiary Care Network | TRANSPLANT | $332.10 | ↓ -37% |
| FrontPath | TRANSPLANT | $332.10 | ↓ -37% |
| USA Managed Care | ALL PRODUCTS | $332.10 | ↓ -37% |
| Managed Care Services | TRANSPLANT | $332.10 | ↓ -37% |
| Amish Community Aid Plan | All Products | $362.25 | ↓ -31% |
| AETNA | Qhp/Ipf | $369.00 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $377.55 | ↓ -28% |
| OMAS | All Products | $402.50 | ↓ -23% |
| Healthsmart | All Products | $442.75 | ↓ -15% |
| The Health Plan | All Products | $442.75 | ↓ -15% |
| Optum | All Products Transplant | $469.32 | ↓ -10% |
| UPMC | All Products | $483.00 | ↓ -8% |
| PHPHI | All Products | $483.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $488.64 | ↓ -7% |
| Clarity Health | All Products | $523.25 | ↑ +0% |
| Three Rivers | All Products | $523.25 | ↑ +0% |
| GMS | All Products | $563.50 | ↑ +8% |
| Quality Care Partners | All Products | $563.50 | ↑ +8% |
| Consociate Health | All Products | $603.75 | ↑ +15% |
| Aetna | All Products First Health | $603.75 | ↑ +15% |
| Aetna | Asa | $644.00 | ↑ +23% |
| Multiplan | All Products | $724.50 | ↑ +38% |
| USA Managed Care | All Products | $724.50 | ↑ +38% |
| Aetna | Qhp/Ifp | $805.00 | ↑ +54% |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| AmeriHealth | 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 | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $239.85 | $0.95 – $332.10 |
| lutheran hospital | Cleveland | $239.85 | $0.95 – $332.10 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $48.25 – $55.87 |
| St Ritas Medical Center | Lima | $417.00 | not published |
| Trinity Medical Center East | Steubenville | $191.93 | $22.33 – $297.99 |
| akron general | Akron | $239.85 | $0.95 – $332.10 |
| avon hospital | Avon | $239.85 | $0.95 – $332.10 |
| euclid hospital | Euclid | $239.85 | $0.95 – $332.10 |