healthcosts.net
Cystostomy cystotomy w/drainage 51040 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$6,124.95
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.
$9,423.00
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 $10,789.00 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 | $179.52 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $198.72 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $234.75 | ↓ -96% |
| Optum | Managed Medicaid Transplant | $236.29 | ↓ -96% |
| United | Managed Medicaid | $242.06 | ↓ -96% |
| Paramount | Managed Medicaid | $256.19 | ↓ -96% |
| Buckeye | Managed Medicaid | $261.17 | ↓ -96% |
| Caresource | Managed Medicaid | $261.17 | ↓ -96% |
| Summacare | Medicare Advantage MD | $262.37 | ↓ -96% |
| Valor | All Products | $264.96 | ↓ -96% |
| Humana | Medicare Advantage HMO | $264.96 | ↓ -96% |
| The Health Plan | Medicare Advantage | $264.96 | ↓ -96% |
| Aetna | Medicare Advantage | $264.96 | ↓ -96% |
| Aetna | Medicare Advantage Transplant | $264.96 | ↓ -96% |
| Anthem | Medicare Advantage | $264.96 | ↓ -96% |
| United | Medicare Advantage | $264.96 | ↓ -96% |
| Optum | Medicare Advantage Transplant | $264.96 | ↓ -96% |
| UPMC | Medicare Advantage | $264.96 | ↓ -96% |
| Cigna | Medicare Advantage | $272.91 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $273.60 | ↓ -96% |
| Molina | Managed Medicaid | $273.60 | ↓ -96% |
| Devoted Health | Medicare Advantage | $276.18 | ↓ -95% |
| CommuniCare | Medicare Advantage | $278.21 | ↓ -95% |
| Perennial Health | Medicare Advantage | $286.16 | ↓ -95% |
| PPHP | All Products | $291.46 | ↓ -95% |
| AETNA | Medicare Advantage Transplant | $344.65 | ↓ -94% |
| Humana Military | All Products | $361.96 | ↓ -94% |
| AETNA | All Products Transplant | $364.28 | ↓ -94% |
| Aetna | All Products Transplant | $364.28 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $385.23 | ↓ -94% |
| Anthem | All Products Mid-Level Facility | $385.23 | ↓ -94% |
| Oscar | All Products | $456.36 | ↓ -93% |
| CC EHP | All Products | $524.74 | ↓ -91% |
| Summacare | Preferred | $638.47 | ↓ -90% |
| Summacare | Premier | $695.77 | ↓ -89% |
| OHCP | All Products | $698.64 | ↓ -89% |
| Ohio Healthy | Transplant | $718.40 | ↓ -88% |
| Aetna | Acop | $725.78 | ↓ -88% |
| Aultcare | PPO/HMO | $786.65 | ↓ -87% |
| United | All Products - Mid-Level | $791.26 | ↓ -87% |
| Amish Community Aid Plan | All Products | $808.20 | ↓ -87% |
| Optum | Commercial CRS Care Solutions | $842.32 | ↓ -86% |
| United | HMO & PPO | $852.82 | ↓ -86% |
| United | All Products | $852.82 | ↓ -86% |
| OMAS | All Products | $898.00 | ↓ -85% |
| MMO | Medicare HMO | $941.96 | ↓ -85% |
| MMO | Medicare PPO | $970.22 | ↓ -84% |
| Anthem | All Products Physician Non-Facility | $978.40 | ↓ -84% |
| Anthem | All Products Physician | $978.40 | ↓ -84% |
| Anthem | All Products Physician Facility | $978.40 | ↓ -84% |
| The Health Plan | All Products | $987.80 | ↓ -84% |
| Healthsmart | All Products | $987.80 | ↓ -84% |
| Optum | All Products Transplant | $1,047.07 | ↓ -83% |
| OPTUM | Managed Medicaid Transplant | $1,066.44 | ↓ -83% |
| UPMC | All Products | $1,077.60 | ↓ -82% |
| PHPHI | All Products | $1,077.60 | ↓ -82% |
| Optum | Commercial CHD Care Solutions | $1,090.17 | ↓ -82% |
| CARESOURCE | Managed Medicaid | $1,122.57 | ↓ -82% |
| Three Rivers | All Products | $1,167.40 | ↓ -81% |
| Clarity Health | All Products | $1,167.40 | ↓ -81% |
| ANTHEM | Managed Medicaid | $1,178.70 | ↓ -81% |
| MOLINA | Managed Medicaid | $1,178.70 | ↓ -81% |
| UNITED | Managed Medicaid | $1,201.15 | ↓ -80% |
| United BH | Managed Medicaid | $1,234.83 | ↓ -80% |
| Quality Care Partners | All Products | $1,257.20 | ↓ -79% |
| GMS | All Products | $1,257.20 | ↓ -79% |
| Aetna | All Products First Health | $1,347.00 | ↓ -78% |
| Consociate Health | All Products | $1,347.00 | ↓ -78% |
| MMO | NASCO | $1,436.80 | ↓ -77% |
| Aetna | Asa | $1,436.80 | ↓ -77% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,436.80 | ↓ -77% |
| USA Managed Care | All Products | $1,616.40 | ↓ -74% |
| Multiplan | All Products | $1,616.40 | ↓ -74% |
| UNITED | MEDICARE ADVANTAGE | $1,767.05 | ↓ -71% |
| Aetna | Qhp/Ifp | $1,796.00 | ↓ -71% |
| OPTUM | All Products VA | $1,899.05 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $1,899.05 | ↓ -69% |
| MMO | Medicare Advantage HMO | $1,899.05 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $1,899.05 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $1,899.05 | ↓ -69% |
| MMO | Medicare Advantage PPO | $1,956.02 | ↓ -68% |
| CIGNA | Medicare Advantage Lifesource | $1,977.66 | ↓ -68% |
| Valor | ALL PRODUCTS | $1,977.66 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $1,977.66 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $1,977.66 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $1,977.66 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,977.66 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $1,977.66 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $2,036.99 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $2,050.97 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $2,076.55 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,135.88 | ↓ -65% |
| PPHP | ALL PRODUCTS | $2,175.43 | ↓ -64% |
| CC EHP | ALL PRODUCTS | $2,619.59 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $2,664.82 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $3,015.36 | ↓ -51% |
| PHP | ALL PRODUCTS | $3,015.36 | ↓ -51% |
| ANTHEM | HPN | $3,668.00 | ↓ -40% |
| Amish Community Aid Plan | ALL PRODUCTS | $4,240.35 | ↓ -31% |
| Summacare | PREMIER | $4,296.89 | ↓ -30% |
| ANTHEM | PPO/HMO | $4,315.00 | ↓ -30% |
| OHCP | ALL PRODUCTS | $4,579.58 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $4,617.27 | ↓ -25% |
| OMAS | ALL PRODUCTS | $4,711.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $5,088.42 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $5,182.65 | ↓ -15% |
| OPTUM | All Products Transplant | $5,333.42 | ↓ -13% |
| UPMC | ALL PRODUCTS | $5,653.80 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $5,653.80 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $5,682.07 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $5,682.07 | ↓ -7% |
| MMO | TRADITIONAL | $5,927.07 | ↓ -3% |
| MMO | SuperMed | $5,941.40 | ↓ -3% |
| AETNA | Acop | $6,021.00 | ↓ -2% |
| Clarity Health | ALL PRODUCTS | $6,124.95 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $6,124.95 | ↑ +0% |
| UNITED | ALL PRODUCTS | $6,238.00 | ↑ +2% |
| Ohio Healthy | Transplant SMCP | $6,596.10 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $6,596.10 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $6,596.10 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $6,596.10 | ↑ +8% |
| GMS | ALL PRODUCTS | $6,596.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $6,596.10 | ↑ +8% |
| UNITED | All Products International | $6,987.00 | ↑ +14% |
| CIGNA | PPO | $6,991.87 | ↑ +14% |
| AETNA | ALL PRODUCTS | $7,067.25 | ↑ +15% |
| Consociate Health | TRANSPLANT | $7,067.25 | ↑ +15% |
| Humana Military | ALL PRODUCTS | $7,067.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $7,067.25 | ↑ +15% |
| ANTHEM | TRADITIONAL | $7,248.17 | ↑ +18% |
| AETNA | Asa_Whirlpool_Peia | $7,342.00 | ↑ +20% |
| Community Health Alliance | TRANSPLANT | $7,538.40 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $7,538.40 | ↑ +23% |
| AETNA | International | $7,966.00 | ↑ +30% |
| FrontPath | TRANSPLANT | $8,480.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $8,480.70 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $8,480.70 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $8,480.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $8,480.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $9,423.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $10,789.00 | ↑ +76% |
| AETNA | NAP | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | 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 | All Products Physician | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $6,124.95 | $469.59 – $8,480.70 |
| lutheran hospital | Cleveland | $6,124.95 | $549.75 – $8,480.70 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,482.23 – $1,716.26 |
| akron general | Akron | $1,167.40 | $1.10 – $2,044.20 |
| avon hospital | Avon | $6,124.95 | $549.75 – $8,480.70 |
| euclid hospital | Euclid | $6,124.95 | $549.75 – $8,480.70 |
| hillcrest hospital | Mayfield Heights | $6,124.95 | $469.59 – $8,480.70 |
| marymount hospital | Garfield Heights | $6,124.95 | $549.75 – $8,480.70 |