healthcosts.net
Create tear duct drain at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,626.00
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.
$4,040.00
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 $11,276.72 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $481.91 | ↓ -82% |
| Summacare | Medicare Advantage Lower Level | $508.88 | ↓ -81% |
| Paramount | Managed Medicaid | $522.49 | ↓ -80% |
| Caresource | Managed Medicaid | $532.63 | ↓ -80% |
| Buckeye | Managed Medicaid | $532.63 | ↓ -80% |
| Summacare | Medicare Advantage Psych | $538.87 | ↓ -79% |
| Molina | Managed Medicaid | $558.00 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $558.00 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $665.46 | ↓ -75% |
| United | Managed Medicaid | $695.83 | ↓ -74% |
| United | Medicare Advantage | $718.49 | ↓ -73% |
| The Health Plan | Medicare Advantage | $718.49 | ↓ -73% |
| Optum | Medicare Advantage Transplant | $718.49 | ↓ -73% |
| Anthem | Medicare Advantage | $718.49 | ↓ -73% |
| Valor | All Products | $718.49 | ↓ -73% |
| UPMC | Medicare Advantage | $718.49 | ↓ -73% |
| Aetna | Medicare Advantage | $718.49 | ↓ -73% |
| Aetna | Medicare Advantage Transplant | $718.49 | ↓ -73% |
| Humana | Medicare Advantage HMO | $718.49 | ↓ -73% |
| Cigna | Medicare Advantage | $740.04 | ↓ -72% |
| Summacare | Medicare Advantage MD | $743.75 | ↓ -72% |
| CommuniCare | Medicare Advantage | $754.41 | ↓ -71% |
| Perennial Health | Medicare Advantage | $775.97 | ↓ -70% |
| Devoted Health | Medicare Advantage | $782.89 | ↓ -70% |
| PPHP | All Products | $790.34 | ↓ -70% |
| Oscar | All Products | $1,026.56 | ↓ -61% |
| Humana Military | All Products | $1,049.31 | ↓ -60% |
| Aetna | All Products Transplant | $1,069.81 | ↓ -59% |
| Anthem | All Products Mid-Level Non-Facility | $1,117.19 | ↓ -57% |
| Anthem | All Products Mid-Level Facility | $1,117.19 | ↓ -57% |
| CC EHP | All Products | $1,487.49 | ↓ -43% |
| OPTUM | Managed Medicaid Transplant | $1,530.64 | ↓ -42% |
| OHCP | All Products | $1,571.56 | ↓ -40% |
| CARESOURCE | Managed Medicaid | $1,611.20 | ↓ -39% |
| Ohio Healthy | Transplant | $1,616.00 | ↓ -38% |
| MOLINA | Managed Medicaid | $1,691.76 | ↓ -36% |
| ANTHEM | Managed Medicaid | $1,691.76 | ↓ -36% |
| UNITED | Managed Medicaid | $1,723.98 | ↓ -34% |
| Summacare | Preferred | $1,752.17 | ↓ -33% |
| Aultcare | PPO/HMO | $1,769.52 | ↓ -33% |
| United BH | Managed Medicaid | $1,772.32 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,818.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,894.76 | ↓ -28% |
| Summacare | Premier | $1,909.41 | ↓ -27% |
| Aetna | Acop | $1,991.78 | ↓ -24% |
| OMAS | All Products | $2,020.00 | ↓ -23% |
| The Health Plan | All Products | $2,222.00 | ↓ -15% |
| Healthsmart | All Products | $2,222.00 | ↓ -15% |
| United | All Products - Mid-Level | $2,273.12 | ↓ -13% |
| Optum | All Products Transplant | $2,355.32 | ↓ -10% |
| UPMC | All Products | $2,424.00 | ↓ -8% |
| PHPHI | All Products | $2,424.00 | ↓ -8% |
| United | All Products | $2,449.98 | ↓ -7% |
| United | HMO & PPO | $2,449.98 | ↓ -7% |
| Optum | Commercial CHD Care Solutions | $2,452.28 | ↓ -7% |
| Three Rivers | All Products | $2,626.00 | ↑ +0% |
| Clarity Health | All Products | $2,626.00 | ↑ +0% |
| MMO | Medicare HMO | $2,762.03 | ↑ +5% |
| GMS | All Products | $2,828.00 | ↑ +8% |
| Quality Care Partners | All Products | $2,828.00 | ↑ +8% |
| Anthem | All Products Physician Non-Facility | $2,837.43 | ↑ +8% |
| Anthem | All Products Physician | $2,837.43 | ↑ +8% |
| Anthem | All Products Physician Facility | $2,837.43 | ↑ +8% |
| MMO | Medicare PPO | $2,844.89 | ↑ +8% |
| Aetna | All Products First Health | $3,030.00 | ↑ +15% |
| Consociate Health | All Products | $3,030.00 | ↑ +15% |
| MMO | NASCO | $3,232.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,232.00 | ↑ +23% |
| Aetna | Asa | $3,232.00 | ↑ +23% |
| UNITED | MEDICARE ADVANTAGE | $3,354.30 | ↑ +28% |
| HUMANA | Medicare Advantage HMO | $3,495.87 | ↑ +33% |
| MMO | Medicare Advantage HMO | $3,495.87 | ↑ +33% |
| OPTUM | All Products VA | $3,495.87 | ↑ +33% |
| OPTUM | Medicare Advantage Transplant | $3,495.87 | ↑ +33% |
| The Health Plan | MEDICARE ADVANTAGE | $3,495.87 | ↑ +33% |
| MMO | Medicare Advantage PPO | $3,600.74 | ↑ +37% |
| USA Managed Care | All Products | $3,636.00 | ↑ +38% |
| Multiplan | All Products | $3,636.00 | ↑ +38% |
| ANTHEM | MEDICARE ADVANTAGE | $3,719.41 | ↑ +42% |
| Summacare | MEDICARE ADVANTAGE | $3,719.41 | ↑ +42% |
| UPMC | MEDICARE ADVANTAGE | $3,719.41 | ↑ +42% |
| Valor | ALL PRODUCTS | $3,719.41 | ↑ +42% |
| CIGNA | Medicare Advantage Lifesource | $3,719.41 | ↑ +42% |
| AETNA | MEDICARE ADVANTAGE | $3,719.41 | ↑ +42% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,719.41 | ↑ +42% |
| Perennial Health | MEDICARE ADVANTAGE | $3,775.54 | ↑ +44% |
| CIGNA | MEDICARE ADVANTAGE | $3,830.99 | ↑ +46% |
| CommuniCare | MEDICARE ADVANTAGE | $3,905.38 | ↑ +49% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $4,016.96 | ↑ +53% |
| Aetna | Qhp/Ifp | $4,040.00 | ↑ +54% |
| PPHP | ALL PRODUCTS | $4,091.35 | ↑ +56% |
| MMO | ALL PRODUCTS | $10,789.00 | ↑ +311% |
| MMO | SuperMed | $11,276.72 | ↑ +329% |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | 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 | — |
Visitor-reported prices
Comments
Create tear duct drain at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,127.40 – $2,463.31 |
| fairview hospital | Cleveland | not published | $1,254.16 – $4,091.35 |
| lutheran hospital | Cleveland | not published | $1,194.01 – $4,091.35 |
| akron general | Akron | not published | $1,214.97 – $4,091.35 |
| avon hospital | Avon | not published | $1,303.04 – $4,091.35 |
| euclid hospital | Euclid | not published | $1,335.00 – $4,091.35 |
| hillcrest hospital | Mayfield Heights | not published | $1,306.64 – $4,091.35 |
| lodi hospital | Lodi | not published | $2,038.49 – $2,360.36 |