healthcosts.net
Cystotomy excise/incise/repair 51535 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,614.00
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.
$5,560.00
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 $10,168.64 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 | $479.51 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $518.60 | ↓ -86% |
| Optum | Managed Medicaid Transplant | $544.05 | ↓ -85% |
| Paramount | Managed Medicaid | $589.86 | ↓ -84% |
| Buckeye | Managed Medicaid | $601.31 | ↓ -83% |
| Caresource | Managed Medicaid | $601.31 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $627.05 | ↓ -83% |
| Molina | Managed Medicaid | $629.95 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $629.95 | ↓ -83% |
| United | Managed Medicaid | $640.65 | ↓ -82% |
| Aetna | Medicare Advantage | $691.47 | ↓ -81% |
| United | Medicare Advantage | $691.47 | ↓ -81% |
| Optum | Medicare Advantage Transplant | $691.47 | ↓ -81% |
| The Health Plan | Medicare Advantage | $691.47 | ↓ -81% |
| Anthem | Medicare Advantage | $691.47 | ↓ -81% |
| Aetna | Medicare Advantage Transplant | $691.47 | ↓ -81% |
| Valor | All Products | $691.47 | ↓ -81% |
| Humana | Medicare Advantage HMO | $691.47 | ↓ -81% |
| UPMC | Medicare Advantage | $691.47 | ↓ -81% |
| Summacare | Medicare Advantage MD | $700.82 | ↓ -81% |
| Cigna | Medicare Advantage | $712.21 | ↓ -80% |
| CommuniCare | Medicare Advantage | $726.04 | ↓ -80% |
| Devoted Health | Medicare Advantage | $737.70 | ↓ -80% |
| Perennial Health | Medicare Advantage | $746.79 | ↓ -79% |
| PPHP | All Products | $760.62 | ↓ -79% |
| Humana Military | All Products | $981.62 | ↓ -73% |
| Aetna | All Products Transplant | $987.68 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $1,035.38 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $1,035.38 | ↓ -71% |
| OPTUM | Managed Medicaid Transplant | $1,066.44 | ↓ -70% |
| CARESOURCE | Managed Medicaid | $1,122.57 | ↓ -69% |
| MOLINA | Managed Medicaid | $1,178.70 | ↓ -67% |
| ANTHEM | Managed Medicaid | $1,178.70 | ↓ -67% |
| UNITED | Managed Medicaid | $1,201.15 | ↓ -67% |
| United BH | Managed Medicaid | $1,234.83 | ↓ -66% |
| CC EHP | All Products | $1,401.63 | ↓ -61% |
| Oscar | All Products | $1,412.80 | ↓ -61% |
| Summacare | Preferred | $1,648.09 | ↓ -54% |
| Summacare | Premier | $1,795.99 | ↓ -50% |
| Aetna | Acop | $1,873.46 | ↓ -48% |
| United | All Products - Mid-Level | $2,112.74 | ↓ -42% |
| OHCP | All Products | $2,162.84 | ↓ -40% |
| Ohio Healthy | Transplant | $2,224.00 | ↓ -38% |
| United | All Products | $2,277.11 | ↓ -37% |
| United | HMO & PPO | $2,277.11 | ↓ -37% |
| Aultcare | PPO/HMO | $2,435.28 | ↓ -33% |
| Amish Community Aid Plan | All Products | $2,502.00 | ↓ -31% |
| MMO | Medicare HMO | $2,559.11 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $2,607.64 | ↓ -28% |
| Anthem | All Products Physician | $2,629.64 | ↓ -27% |
| Anthem | All Products Physician Facility | $2,629.64 | ↓ -27% |
| Anthem | All Products Physician Non-Facility | $2,629.64 | ↓ -27% |
| MMO | Medicare PPO | $2,635.88 | ↓ -27% |
| OMAS | All Products | $2,780.00 | ↓ -23% |
| UNITED | MEDICARE ADVANTAGE | $3,024.43 | ↓ -16% |
| Healthsmart | All Products | $3,058.00 | ↓ -15% |
| The Health Plan | All Products | $3,058.00 | ↓ -15% |
| OPTUM | Medicare Advantage Transplant | $3,197.33 | ↓ -12% |
| The Health Plan | MEDICARE ADVANTAGE | $3,197.33 | ↓ -12% |
| MMO | Medicare Advantage HMO | $3,197.33 | ↓ -12% |
| HUMANA | Medicare Advantage HMO | $3,197.33 | ↓ -12% |
| OPTUM | All Products VA | $3,197.33 | ↓ -12% |
| Optum | All Products Transplant | $3,241.48 | ↓ -10% |
| MMO | Medicare Advantage PPO | $3,293.25 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $3,334.90 | ↓ -8% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,334.90 | ↓ -8% |
| CIGNA | Medicare Advantage Lifesource | $3,334.90 | ↓ -8% |
| Summacare | MEDICARE ADVANTAGE | $3,334.90 | ↓ -8% |
| ANTHEM | MEDICARE ADVANTAGE | $3,334.90 | ↓ -8% |
| UPMC | MEDICARE ADVANTAGE | $3,334.90 | ↓ -8% |
| Valor | ALL PRODUCTS | $3,334.90 | ↓ -8% |
| PHPHI | All Products | $3,336.00 | ↓ -8% |
| UPMC | All Products | $3,336.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $3,374.92 | ↓ -7% |
| CIGNA | MEDICARE ADVANTAGE | $3,434.95 | ↓ -5% |
| Perennial Health | MEDICARE ADVANTAGE | $3,453.12 | ↓ -4% |
| CommuniCare | MEDICARE ADVANTAGE | $3,501.65 | ↓ -3% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,601.70 | ↓ -0% |
| Clarity Health | All Products | $3,614.00 | ↑ +0% |
| Three Rivers | All Products | $3,614.00 | ↑ +0% |
| PPHP | ALL PRODUCTS | $3,668.39 | ↑ +2% |
| Quality Care Partners | All Products | $3,892.00 | ↑ +8% |
| GMS | All Products | $3,892.00 | ↑ +8% |
| Aetna | All Products First Health | $4,170.00 | ↑ +15% |
| Consociate Health | All Products | $4,170.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $4,448.00 | ↑ +23% |
| MMO | NASCO | $4,448.00 | ↑ +23% |
| Aetna | Asa | $4,448.00 | ↑ +23% |
| Multiplan | All Products | $5,004.00 | ↑ +38% |
| USA Managed Care | All Products | $5,004.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $5,560.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $9,101.13 | ↑ +152% |
| MMO | SuperMed | $10,168.64 | ↑ +181% |
| Cigna | All Products Physician | 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 Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Cystotomy excise/incise/repair 51535 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,482.23 – $1,716.26 |
| fairview hospital | Cleveland | not published | $873.82 – $3,668.39 |
| lutheran hospital | Cleveland | not published | $831.91 – $3,668.39 |
| akron general | Akron | not published | $846.52 – $3,668.39 |
| avon hospital | Avon | not published | $907.87 – $3,668.39 |
| euclid hospital | Euclid | not published | $930.14 – $3,668.39 |
| hillcrest hospital | Mayfield Heights | not published | $910.38 – $3,668.39 |
| lodi hospital | Lodi | not published | $1,420.28 – $1,644.53 |