healthcosts.net
Cystorrhaphy wound comp 51865 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$4,108.00
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.
$6,320.00
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 $6,320.00 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 | $3.19 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $549.32 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $596.43 | ↓ -85% |
| Optum | Managed Medicaid Transplant | $679.96 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $718.34 | ↓ -83% |
| United | Managed Medicaid | $733.54 | ↓ -82% |
| Paramount | Managed Medicaid | $737.22 | ↓ -82% |
| Buckeye | Managed Medicaid | $751.54 | ↓ -82% |
| Caresource | Managed Medicaid | $751.54 | ↓ -82% |
| Molina | Managed Medicaid | $787.33 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $787.33 | ↓ -81% |
| Optum | Medicare Advantage Transplant | $795.24 | ↓ -81% |
| Aetna | Medicare Advantage | $795.24 | ↓ -81% |
| Aetna | Medicare Advantage Transplant | $795.24 | ↓ -81% |
| Anthem | Medicare Advantage | $795.24 | ↓ -81% |
| Humana | Medicare Advantage HMO | $795.24 | ↓ -81% |
| The Health Plan | Medicare Advantage | $795.24 | ↓ -81% |
| United | Medicare Advantage | $795.24 | ↓ -81% |
| UPMC | Medicare Advantage | $795.24 | ↓ -81% |
| Valor | All Products | $795.24 | ↓ -81% |
| Summacare | Medicare Advantage MD | $802.85 | ↓ -80% |
| Cigna | Medicare Advantage | $819.10 | ↓ -80% |
| CommuniCare | Medicare Advantage | $835.00 | ↓ -80% |
| Devoted Health | Medicare Advantage | $845.10 | ↓ -79% |
| Perennial Health | Medicare Advantage | $858.86 | ↓ -79% |
| PPHP | All Products | $874.76 | ↓ -79% |
| Humana Military | All Products | $1,119.30 | ↓ -73% |
| Aetna | All Products Transplant | $1,128.88 | ↓ -73% |
| Anthem | All Products Mid-Level Facility | $1,192.74 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $1,192.74 | ↓ -71% |
| CC EHP | All Products | $1,605.69 | ↓ -61% |
| Oscar | All Products | $1,605.91 | ↓ -61% |
| Summacare | Preferred | $1,894.98 | ↓ -54% |
| Summacare | Premier | $2,065.04 | ↓ -50% |
| Aetna | Acop | $2,154.12 | ↓ -48% |
| MMO | ALL PRODUCTS | $2,336.32 | ↓ -43% |
| United | All Products - Mid-Level | $2,428.80 | ↓ -41% |
| OHCP | All Products | $2,458.48 | ↓ -40% |
| Ohio Healthy | Transplant | $2,528.00 | ↓ -38% |
| MMO | SuperMed | $2,611.03 | ↓ -36% |
| United | All Products | $2,617.77 | ↓ -36% |
| United | HMO & PPO | $2,617.77 | ↓ -36% |
| Aultcare | PPO/HMO | $2,768.16 | ↓ -33% |
| OPTUM | Managed Medicaid Transplant | $2,832.26 | ↓ -31% |
| Amish Community Aid Plan | All Products | $2,844.00 | ↓ -31% |
| MMO | Medicare HMO | $2,947.49 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $2,964.08 | ↓ -28% |
| CARESOURCE | Managed Medicaid | $2,981.33 | ↓ -27% |
| Anthem | All Products Physician | $3,029.30 | ↓ -26% |
| Anthem | All Products Physician Facility | $3,029.30 | ↓ -26% |
| Anthem | All Products Physician Non-Facility | $3,029.30 | ↓ -26% |
| MMO | Medicare PPO | $3,035.91 | ↓ -26% |
| MOLINA | Managed Medicaid | $3,130.40 | ↓ -24% |
| ANTHEM | Managed Medicaid | $3,130.40 | ↓ -24% |
| OMAS | All Products | $3,160.00 | ↓ -23% |
| UNITED | Managed Medicaid | $3,190.02 | ↓ -22% |
| United BH | Managed Medicaid | $3,279.46 | ↓ -20% |
| Healthsmart | All Products | $3,476.00 | ↓ -15% |
| The Health Plan | All Products | $3,476.00 | ↓ -15% |
| Optum | All Products Transplant | $3,684.56 | ↓ -10% |
| PHPHI | All Products | $3,792.00 | ↓ -8% |
| UPMC | All Products | $3,792.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $3,836.24 | ↓ -7% |
| Clarity Health | All Products | $4,108.00 | ↑ +0% |
| Three Rivers | All Products | $4,108.00 | ↑ +0% |
| GMS | All Products | $4,424.00 | ↑ +8% |
| Quality Care Partners | All Products | $4,424.00 | ↑ +8% |
| Consociate Health | All Products | $4,740.00 | ↑ +15% |
| Aetna | All Products First Health | $4,740.00 | ↑ +15% |
| MMO | NASCO | $5,056.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $5,056.00 | ↑ +23% |
| Aetna | Asa | $5,056.00 | ↑ +23% |
| USA Managed Care | All Products | $5,688.00 | ↑ +38% |
| Multiplan | All Products | $5,688.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $6,320.00 | ↑ +54% |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Cystorrhaphy wound comp 51865 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,936.50 – $4,558.05 |
| fairview hospital | Cleveland | not published | $2,320.68 – $2,687.10 |
| lutheran hospital | Cleveland | not published | $2,209.37 – $2,558.22 |
| akron general | Akron | $4,108.00 | $1.10 – $2,603.15 |
| mercy hospital | Canton | $4,108.00 | $1.10 – $2,540.29 |
| avon hospital | Avon | not published | $2,411.13 – $2,457.05 |
| euclid hospital | Euclid | not published | $2,470.26 – $2,860.30 |
| hillcrest hospital | Mayfield Heights | not published | $2,417.79 – $2,799.54 |