healthcosts.net
Cystouretero w/lithotripsy at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,950.00
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.
$3,000.00
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 | $238.50 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $254.75 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $311.89 | ↓ -84% |
| United | Managed Medicaid | $316.91 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $339.38 | ↓ -83% |
| Humana | Medicare Advantage HMO | $339.67 | ↓ -83% |
| Valor | All Products | $339.67 | ↓ -83% |
| Aetna | Medicare Advantage | $339.67 | ↓ -83% |
| Aetna | Medicare Advantage Transplant | $339.67 | ↓ -83% |
| UPMC | Medicare Advantage | $339.67 | ↓ -83% |
| United | Medicare Advantage | $339.67 | ↓ -83% |
| The Health Plan | Medicare Advantage | $339.67 | ↓ -83% |
| Anthem | Medicare Advantage | $339.67 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $339.67 | ↓ -83% |
| Summacare | Medicare Advantage MD | $348.58 | ↓ -82% |
| Cigna | Medicare Advantage | $349.86 | ↓ -82% |
| CommuniCare | Medicare Advantage | $356.65 | ↓ -82% |
| Perennial Health | Medicare Advantage | $366.84 | ↓ -81% |
| Devoted Health | Medicare Advantage | $366.93 | ↓ -81% |
| Paramount | Managed Medicaid | $367.96 | ↓ -81% |
| PPHP | All Products | $373.64 | ↓ -81% |
| Caresource | Managed Medicaid | $375.10 | ↓ -81% |
| Buckeye | Managed Medicaid | $375.10 | ↓ -81% |
| Molina | Managed Medicaid | $392.96 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $392.96 | ↓ -80% |
| Humana Military | All Products | $493.18 | ↓ -75% |
| Aetna | All Products Transplant | $496.64 | ↓ -75% |
| Anthem | All Products Mid-Level Non-Facility | $517.27 | ↓ -73% |
| Anthem | All Products Mid-Level Facility | $517.27 | ↓ -73% |
| CC EHP | All Products | $697.17 | ↓ -64% |
| Oscar | All Products | $762.30 | ↓ -61% |
| Summacare | Preferred | $804.09 | ↓ -59% |
| Summacare | Premier | $876.26 | ↓ -55% |
| Aetna | Acop | $914.06 | ↓ -53% |
| United | All Products - Mid-Level | $1,053.30 | ↓ -46% |
| United | HMO & PPO | $1,135.25 | ↓ -42% |
| United | All Products | $1,135.25 | ↓ -42% |
| OHCP | All Products | $1,167.00 | ↓ -40% |
| Ohio Healthy | Transplant | $1,200.00 | ↓ -38% |
| MMO | Medicare HMO | $1,292.97 | ↓ -34% |
| Anthem | All Products Physician Facility | $1,313.72 | ↓ -33% |
| Anthem | All Products Physician Non-Facility | $1,313.72 | ↓ -33% |
| Anthem | All Products Physician | $1,313.72 | ↓ -33% |
| Aultcare | PPO/HMO | $1,314.00 | ↓ -33% |
| MMO | Medicare PPO | $1,331.76 | ↓ -32% |
| Amish Community Aid Plan | All Products | $1,350.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,407.00 | ↓ -28% |
| OMAS | All Products | $1,500.00 | ↓ -23% |
| The Health Plan | All Products | $1,650.00 | ↓ -15% |
| Healthsmart | All Products | $1,650.00 | ↓ -15% |
| Optum | All Products Transplant | $1,749.00 | ↓ -10% |
| PHPHI | All Products | $1,800.00 | ↓ -8% |
| UPMC | All Products | $1,800.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,821.00 | ↓ -7% |
| Clarity Health | All Products | $1,950.00 | ↑ +0% |
| Three Rivers | All Products | $1,950.00 | ↑ +0% |
| GMS | All Products | $2,100.00 | ↑ +8% |
| Quality Care Partners | All Products | $2,100.00 | ↑ +8% |
| OPTUM | Managed Medicaid Transplant | $2,117.28 | ↑ +9% |
| CARESOURCE | Managed Medicaid | $2,228.72 | ↑ +14% |
| Aetna | All Products First Health | $2,250.00 | ↑ +15% |
| Consociate Health | All Products | $2,250.00 | ↑ +15% |
| ANTHEM | Managed Medicaid | $2,340.16 | ↑ +20% |
| MOLINA | Managed Medicaid | $2,340.16 | ↑ +20% |
| UNITED | Managed Medicaid | $2,384.73 | ↑ +22% |
| Aetna | Asa | $2,400.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,400.00 | ↑ +23% |
| MMO | NASCO | $2,400.00 | ↑ +23% |
| United BH | Managed Medicaid | $2,451.59 | ↑ +26% |
| Multiplan | All Products | $2,700.00 | ↑ +38% |
| USA Managed Care | All Products | $2,700.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $3,000.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $4,489.04 | ↑ +130% |
| The Health Plan | MEDICARE ADVANTAGE | $4,712.72 | ↑ +142% |
| MMO | Medicare Advantage HMO | $4,712.72 | ↑ +142% |
| HUMANA | Medicare Advantage HMO | $4,712.72 | ↑ +142% |
| OPTUM | All Products VA | $4,712.72 | ↑ +142% |
| OPTUM | Medicare Advantage Transplant | $4,712.72 | ↑ +142% |
| MMO | Medicare Advantage PPO | $4,854.10 | ↑ +149% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,072.67 | ↑ +160% |
| Valor | ALL PRODUCTS | $5,072.67 | ↑ +160% |
| Summacare | MEDICARE ADVANTAGE | $5,072.67 | ↑ +160% |
| ANTHEM | MEDICARE ADVANTAGE | $5,072.67 | ↑ +160% |
| CIGNA | Medicare Advantage Lifesource | $5,072.67 | ↑ +160% |
| UPMC | MEDICARE ADVANTAGE | $5,072.67 | ↑ +160% |
| AETNA | MEDICARE ADVANTAGE | $5,072.67 | ↑ +160% |
| Perennial Health | MEDICARE ADVANTAGE | $5,089.74 | ↑ +161% |
| CIGNA | MEDICARE ADVANTAGE | $5,224.85 | ↑ +168% |
| CommuniCare | MEDICARE ADVANTAGE | $5,326.31 | ↑ +173% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $5,478.49 | ↑ +181% |
| PPHP | ALL PRODUCTS | $5,579.94 | ↑ +186% |
| ANTHEM | PPO/HMO | $9,509.00 | ↑ +388% |
| MMO | SuperMed | $15,090.73 | ↑ +674% |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
Visitor-reported prices
Comments
Cystouretero w/lithotripsy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,942.76 – $3,407.40 |
| fairview hospital | Cleveland | not published | $1,734.84 – $5,579.94 |
| lutheran hospital | Cleveland | not published | $1,651.63 – $5,579.94 |
| akron general | Akron | $1,950.00 | $1.10 – $5,224.85 |
| mercy hospital | Canton | $1,950.00 | $1.10 – $5,224.85 |
| University Hospitals Ahuja Medical Center | Beachwood | $11,789.25 | $900.00 – $14,147.10 |
| University Hospitals Beachwood Medical Center | Beachwood | $11,789.25 | $900.00 – $14,147.10 |
| University Hospitals Conneaut Medical Center | Conneaut | $10,899.75 | not published |