healthcosts.net
Cystoscopy stone removal at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,599.00
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.
$2,460.00
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 $15,090.73 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% |
| Summacare | Medicare Advantage Lower Level | $194.99 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $208.77 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $254.98 | ↓ -84% |
| United | Managed Medicaid | $258.99 | ↓ -84% |
| Humana | Medicare Advantage HMO | $278.36 | ↓ -83% |
| Valor | All Products | $278.36 | ↓ -83% |
| Aetna | Medicare Advantage | $278.36 | ↓ -83% |
| Aetna | Medicare Advantage Transplant | $278.36 | ↓ -83% |
| UPMC | Medicare Advantage | $278.36 | ↓ -83% |
| United | Medicare Advantage | $278.36 | ↓ -83% |
| The Health Plan | Medicare Advantage | $278.36 | ↓ -83% |
| Anthem | Medicare Advantage | $278.36 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $278.36 | ↓ -83% |
| Summacare | Medicare Advantage MD | $284.98 | ↓ -82% |
| Optum | Managed Medicaid Transplant | $285.84 | ↓ -82% |
| Cigna | Medicare Advantage | $286.71 | ↓ -82% |
| CommuniCare | Medicare Advantage | $292.28 | ↓ -82% |
| Devoted Health | Medicare Advantage | $299.98 | ↓ -81% |
| Perennial Health | Medicare Advantage | $300.63 | ↓ -81% |
| PPHP | All Products | $306.20 | ↓ -81% |
| Paramount | Managed Medicaid | $309.91 | ↓ -81% |
| Caresource | Managed Medicaid | $315.92 | ↓ -80% |
| Buckeye | Managed Medicaid | $315.92 | ↓ -80% |
| Molina | Managed Medicaid | $330.97 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $330.97 | ↓ -79% |
| Humana Military | All Products | $403.13 | ↓ -75% |
| Aetna | All Products Transplant | $405.96 | ↓ -75% |
| Anthem | All Products Mid-Level Facility | $422.72 | ↓ -74% |
| Anthem | All Products Mid-Level Non-Facility | $422.72 | ↓ -74% |
| CC EHP | All Products | $569.96 | ↓ -64% |
| Oscar | All Products | $625.09 | ↓ -61% |
| Summacare | Preferred | $658.76 | ↓ -59% |
| Summacare | Premier | $717.88 | ↓ -55% |
| Aetna | Acop | $748.84 | ↓ -53% |
| United | All Products - Mid-Level | $859.91 | ↓ -46% |
| United | All Products | $926.81 | ↓ -42% |
| United | HMO & PPO | $926.81 | ↓ -42% |
| OHCP | All Products | $956.94 | ↓ -40% |
| Ohio Healthy | Transplant | $984.00 | ↓ -38% |
| MMO | Medicare HMO | $1,057.24 | ↓ -34% |
| Anthem | All Products Physician Non-Facility | $1,073.63 | ↓ -33% |
| Anthem | All Products Physician Facility | $1,073.63 | ↓ -33% |
| Anthem | All Products Physician | $1,073.63 | ↓ -33% |
| Aultcare | PPO/HMO | $1,077.48 | ↓ -33% |
| MMO | Medicare PPO | $1,088.96 | ↓ -32% |
| Amish Community Aid Plan | All Products | $1,107.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,153.74 | ↓ -28% |
| OMAS | All Products | $1,230.00 | ↓ -23% |
| The Health Plan | All Products | $1,353.00 | ↓ -15% |
| Healthsmart | All Products | $1,353.00 | ↓ -15% |
| Optum | All Products Transplant | $1,434.18 | ↓ -10% |
| PHPHI | All Products | $1,476.00 | ↓ -8% |
| UPMC | All Products | $1,476.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,493.22 | ↓ -7% |
| Clarity Health | All Products | $1,599.00 | ↑ +0% |
| Three Rivers | All Products | $1,599.00 | ↑ +0% |
| GMS | All Products | $1,722.00 | ↑ +8% |
| Quality Care Partners | All Products | $1,722.00 | ↑ +8% |
| Aetna | All Products First Health | $1,845.00 | ↑ +15% |
| Consociate Health | All Products | $1,845.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,968.00 | ↑ +23% |
| Aetna | Asa | $1,968.00 | ↑ +23% |
| MMO | NASCO | $1,968.00 | ↑ +23% |
| USA Managed Care | All Products | $2,214.00 | ↑ +38% |
| Multiplan | All Products | $2,214.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,460.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $2,832.26 | ↑ +77% |
| CARESOURCE | Managed Medicaid | $2,981.33 | ↑ +86% |
| ANTHEM | Managed Medicaid | $3,130.40 | ↑ +96% |
| MOLINA | Managed Medicaid | $3,130.40 | ↑ +96% |
| UNITED | Managed Medicaid | $3,190.02 | ↑ +100% |
| United BH | Managed Medicaid | $3,279.46 | ↑ +105% |
| UNITED | MEDICARE ADVANTAGE | $4,489.04 | ↑ +181% |
| MMO | Medicare Advantage HMO | $4,712.72 | ↑ +195% |
| OPTUM | All Products VA | $4,712.72 | ↑ +195% |
| HUMANA | Medicare Advantage HMO | $4,712.72 | ↑ +195% |
| OPTUM | Medicare Advantage Transplant | $4,712.72 | ↑ +195% |
| The Health Plan | MEDICARE ADVANTAGE | $4,712.72 | ↑ +195% |
| MMO | Medicare Advantage PPO | $4,854.10 | ↑ +204% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,072.67 | ↑ +217% |
| Summacare | MEDICARE ADVANTAGE | $5,072.67 | ↑ +217% |
| ANTHEM | MEDICARE ADVANTAGE | $5,072.67 | ↑ +217% |
| CIGNA | Medicare Advantage Lifesource | $5,072.67 | ↑ +217% |
| AETNA | MEDICARE ADVANTAGE | $5,072.67 | ↑ +217% |
| UPMC | MEDICARE ADVANTAGE | $5,072.67 | ↑ +217% |
| Valor | ALL PRODUCTS | $5,072.67 | ↑ +217% |
| Perennial Health | MEDICARE ADVANTAGE | $5,089.74 | ↑ +218% |
| CIGNA | MEDICARE ADVANTAGE | $5,224.85 | ↑ +227% |
| CommuniCare | MEDICARE ADVANTAGE | $5,326.31 | ↑ +233% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $5,478.49 | ↑ +243% |
| PPHP | ALL PRODUCTS | $5,579.94 | ↑ +249% |
| MMO | SuperMed | $15,090.73 | ↑ +844% |
| Cigna | All Products Physician | 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 | All Products MA | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy stone removal 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 – $5,579.94 |
| lutheran hospital | Cleveland | not published | $2,209.37 – $5,579.94 |
| akron general | Akron | not published | $2,248.18 – $5,579.94 |
| avon hospital | Avon | not published | $2,411.13 – $5,579.94 |
| euclid hospital | Euclid | not published | $2,470.26 – $5,579.94 |
| hillcrest hospital | Mayfield Heights | not published | $2,417.79 – $5,579.94 |
| lodi hospital | Lodi | not published | $3,771.98 – $4,367.55 |