Dest mal lesion tal <0.5 17260 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$387.40
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.
$596.00
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.
$0.01 with UNITED vs $12,500.00 with CIGNA — 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 |
|---|---|---|---|
| UNITED | All Products International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $42.94 | ↓ -89% |
| Summacare | Medicare Advantage Lower Level | $43.04 | ↓ -89% |
| Optum | Managed Medicaid Transplant | $47.67 | ↓ -88% |
| Paramount | Managed Medicaid | $51.69 | ↓ -87% |
| Caresource | Managed Medicaid | $52.69 | ↓ -86% |
| Buckeye | Managed Medicaid | $52.69 | ↓ -86% |
| Molina | Managed Medicaid | $55.20 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $55.20 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $56.29 | ↓ -85% |
| Valor | All Products | $57.25 | ↓ -85% |
| UPMC | Medicare Advantage | $57.25 | ↓ -85% |
| The Health Plan | Medicare Advantage | $57.25 | ↓ -85% |
| Anthem | Medicare Advantage | $57.25 | ↓ -85% |
| Optum | Medicare Advantage Transplant | $57.25 | ↓ -85% |
| Aetna | Medicare Advantage Transplant | $57.25 | ↓ -85% |
| United | Medicare Advantage | $57.25 | ↓ -85% |
| Humana | Medicare Advantage HMO | $57.25 | ↓ -85% |
| Aetna | Medicare Advantage | $57.25 | ↓ -85% |
| Cigna | Medicare Advantage | $58.97 | ↓ -85% |
| CommuniCare | Medicare Advantage | $60.11 | ↓ -84% |
| Perennial Health | Medicare Advantage | $61.83 | ↓ -84% |
| Summacare | Medicare Advantage MD | $62.91 | ↓ -84% |
| PPHP | All Products | $62.98 | ↓ -84% |
| Devoted Health | Medicare Advantage | $66.22 | ↓ -83% |
| AETNA | Medicare Advantage Transplant | $75.25 | ↓ -81% |
| United | Managed Medicaid | $81.96 | ↓ -79% |
| Humana Military | All Products | $86.26 | ↓ -78% |
| AETNA | All Products Transplant | $86.61 | ↓ -78% |
| Aetna | All Products Transplant | $86.61 | ↓ -78% |
| Anthem | All Products Mid-Level Facility | $92.89 | ↓ -76% |
| Oscar | All Products | $107.23 | ↓ -72% |
| CC EHP | All Products | $125.82 | ↓ -68% |
| Anthem | All Products Mid-Level Non-Facility | $130.73 | ↓ -66% |
| Summacare | Preferred | $138.32 | ↓ -64% |
| Summacare | Premier | $150.73 | ↓ -61% |
| Aetna | Acop | $157.23 | ↓ -59% |
| OHCP | All Products | $164.16 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $165.69 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $168.55 | ↓ -56% |
| OPTUM | Managed Medicaid Transplant | $168.79 | ↓ -56% |
| Ohio Healthy | Transplant | $168.80 | ↓ -56% |
| UNITED | MEDICARE ADVANTAGE | $173.69 | ↓ -55% |
| CARESOURCE | Managed Medicaid | $177.67 | ↓ -54% |
| HUMANA | Medicare Advantage HMO | $184.20 | ↓ -52% |
| The Health Plan | MEDICARE ADVANTAGE | $184.20 | ↓ -52% |
| OPTUM | Medicare Advantage Transplant | $184.20 | ↓ -52% |
| MMO | Medicare Advantage HMO | $184.20 | ↓ -52% |
| OPTUM | All Products VA | $184.20 | ↓ -52% |
| Aultcare | PPO/HMO | $184.84 | ↓ -52% |
| MOLINA | Managed Medicaid | $186.55 | ↓ -52% |
| ANTHEM | Managed Medicaid | $186.55 | ↓ -52% |
| MMO | Medicare Advantage PPO | $189.73 | ↓ -51% |
| ANTHEM | MEDICARE ADVANTAGE | $189.82 | ↓ -51% |
| UPMC | MEDICARE ADVANTAGE | $189.82 | ↓ -51% |
| Summacare | MEDICARE ADVANTAGE | $189.82 | ↓ -51% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $189.82 | ↓ -51% |
| CIGNA | Medicare Advantage Lifesource | $189.82 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $189.82 | ↓ -51% |
| Valor | ALL PRODUCTS | $189.82 | ↓ -51% |
| Amish Community Aid Plan | All Products | $189.90 | ↓ -51% |
| UNITED | Managed Medicaid | $190.11 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $190.72 | ↓ -51% |
| PHP | ALL PRODUCTS | $190.72 | ↓ -51% |
| United BH | Managed Medicaid | $195.44 | ↓ -50% |
| CIGNA | MEDICARE ADVANTAGE | $195.51 | ↓ -50% |
| Optum | Commercial CRS Care Solutions | $197.92 | ↓ -49% |
| Perennial Health | MEDICARE ADVANTAGE | $198.94 | ↓ -49% |
| CommuniCare | MEDICARE ADVANTAGE | $199.31 | ↓ -49% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $205.00 | ↓ -47% |
| PPHP | ALL PRODUCTS | $208.80 | ↓ -46% |
| OMAS | All Products | $211.00 | ↓ -46% |
| MMO | Medicare HMO | $212.64 | ↓ -45% |
| MMO | Medicare PPO | $219.02 | ↓ -43% |
| The Health Plan | All Products | $232.10 | ↓ -40% |
| Healthsmart | All Products | $232.10 | ↓ -40% |
| Anthem | All Products Physician Facility | $235.91 | ↓ -39% |
| Anthem | All Products Physician | $235.91 | ↓ -39% |
| Optum | All Products Transplant | $246.03 | ↓ -36% |
| UPMC | All Products | $253.20 | ↓ -35% |
| PHPHI | All Products | $253.20 | ↓ -35% |
| Optum | Commercial CHD Care Solutions | $256.15 | ↓ -34% |
| United | All Products - Mid-Level | $264.87 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $268.20 | ↓ -31% |
| Cigna | All Products Mid-Level | $270.20 | ↓ -30% |
| Summacare | PREMIER | $271.78 | ↓ -30% |
| Clarity Health | All Products | $274.30 | ↓ -29% |
| Three Rivers | All Products | $274.30 | ↓ -29% |
| ANTHEM | HPN | $274.46 | ↓ -29% |
| United | All Products | $285.48 | ↓ -26% |
| United | HMO & PPO | $285.48 | ↓ -26% |
| OHCP | ALL PRODUCTS | $289.66 | ↓ -25% |
| GMS | All Products | $295.40 | ↓ -24% |
| Quality Care Partners | All Products | $295.40 | ↓ -24% |
| OMAS | ALL PRODUCTS | $298.00 | ↓ -23% |
| Consociate Health | All Products | $316.50 | ↓ -18% |
| Aetna | All Products First Health | $316.50 | ↓ -18% |
| Cigna | All Products Physician | $317.87 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $321.84 | ↓ -17% |
| ANTHEM | PPO/HMO | $322.91 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $327.80 | ↓ -15% |
| Anthem | All Products Physician Non-Facility | $332.01 | ↓ -14% |
| MMO | ALL PRODUCTS | $335.72 | ↓ -13% |
| OPTUM | All Products Transplant | $337.34 | ↓ -13% |
| Aetna | Asa | $337.60 | ↓ -13% |
| MMO | NASCO | $337.60 | ↓ -13% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $337.60 | ↓ -13% |
| UPMC | ALL PRODUCTS | $357.60 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $357.60 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $359.39 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $359.39 | ↓ -7% |
| AETNA | Acop | $373.10 | ↓ -4% |
| MMO | TRADITIONAL | $374.88 | ↓ -3% |
| Multiplan | All Products | $379.80 | ↓ -2% |
| USA Managed Care | All Products | $379.80 | ↓ -2% |
| THREE RIVERS | ALL PRODUCTS | $387.40 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $387.40 | ↑ +0% |
| Ohio Healthy | Transplant SMCP | $417.20 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $417.20 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $417.20 | ↑ +8% |
| GMS | ALL PRODUCTS | $417.20 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $417.20 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $417.20 | ↑ +8% |
| Aetna | Qhp/Ifp | $422.00 | ↑ +9% |
| AETNA | Asa_Whirlpool_Peia | $422.56 | ↑ +9% |
| CIGNA | PPO | $442.23 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $447.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $447.00 | ↑ +15% |
| Consociate Health | TRANSPLANT | $447.00 | ↑ +15% |
| ANTHEM | TRADITIONAL | $458.44 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $476.80 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $476.80 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $506.60 | ↑ +31% |
| USA Managed Care | ALL PRODUCTS | $536.40 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $536.40 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $536.40 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $536.40 | ↑ +38% |
| FrontPath | TRANSPLANT | $536.40 | ↑ +38% |
| MMO | SuperMed | $584.65 | ↑ +51% |
| AETNA | Qhp/Ipf | $596.00 | ↑ +54% |
| AETNA | International | $3,443.00 | ↑ +789% |
| CIGNA | ALL PRODUCTS | $12,500.00 | ↑ +3127% |
| United BH | All Products MA | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| CIGNA | HMO Lifesource | 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 | MEDICARE ADVANTAGE | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Dest mal lesion tal <0.5 17260 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $387.40 | $0.01 – $536.40 |
| lutheran hospital | Cleveland | $387.40 | $0.01 – $536.40 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $234.59 – $271.63 |
| akron general | Akron | $274.30 | $1.10 – $198.28 |
| avon hospital | Avon | $387.40 | $0.01 – $536.40 |
| euclid hospital | Euclid | $387.40 | $0.01 – $536.40 |
| hillcrest hospital | Mayfield Heights | $387.40 | $0.01 – $536.40 |
| marymount hospital | Garfield Heights | $387.40 | $0.01 – $536.40 |