Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at cleveland clinic main campus

9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919

Source: hospital's published price file ↗ · Published Jun 16, 2026 · Ingested Aug 12, 2026

$2,123.55

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$3,267.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.01 with UNITED vs $4,392.00 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 →

Payer
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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
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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 ↓ -100%
Optum Managed Medicaid Transplant $28.44 ↓ -99%
Paramount Managed Medicaid $30.84 ↓ -99%
Caresource Managed Medicaid $31.44 ↓ -99%
Buckeye Managed Medicaid $31.44 ↓ -99%
AmeriHealth Managed Medicaid $32.93 ↓ -98%
Molina Managed Medicaid $32.93 ↓ -98%
Summacare Medicare Advantage Lower Level $36.19 ↓ -98%
Summacare Medicare Advantage Psych $37.67 ↓ -98%
Summacare Medicare Advantage CNA $47.33 ↓ -98%
Anthem Medicare Advantage $50.23 ↓ -98%
Aetna Medicare Advantage $50.23 ↓ -98%
Aetna Medicare Advantage Transplant $50.23 ↓ -98%
Valor All Products $50.23 ↓ -98%
The Health Plan Medicare Advantage $50.23 ↓ -98%
UPMC Medicare Advantage $50.23 ↓ -98%
Humana Medicare Advantage HMO $50.23 ↓ -98%
Optum Medicare Advantage Transplant $50.23 ↓ -98%
United Medicare Advantage $50.23 ↓ -98%
Cigna Medicare Advantage $51.74 ↓ -98%
CommuniCare Medicare Advantage $52.74 ↓ -98%
Summacare Medicare Advantage MD $52.90 ↓ -98%
Perennial Health Medicare Advantage $54.25 ↓ -97%
PPHP All Products $55.25 ↓ -97%
Devoted Health Medicare Advantage $55.68 ↓ -97%
AETNA Medicare Advantage Transplant $68.60 ↓ -97%
Humana Military All Products $75.36 ↓ -96%
AETNA All Products Transplant $75.74 ↓ -96%
Aetna All Products Transplant $75.74 ↓ -96%
Anthem All Products Mid-Level Facility $78.63 ↓ -96%
CC EHP All Products $105.79 ↓ -95%
Summacare Preferred $118.78 ↓ -94%
Summacare Premier $129.44 ↓ -94%
Oscar All Products $129.59 ↓ -94%
Aetna Acop $135.02 ↓ -94%
United Managed Medicaid $172.67 ↓ -92%
MMO Medicare HMO $182.04 ↓ -91%
MMO Medicare PPO $187.50 ↓ -91%
OHCP All Products $198.39 ↓ -91%
Anthem All Products Physician $199.70 ↓ -91%
Anthem All Products Physician Facility $199.70 ↓ -91%
Ohio Healthy Transplant $204.00 ↓ -90%
Aultcare PPO/HMO $223.38 ↓ -89%
Amish Community Aid Plan All Products $229.50 ↓ -89%
MMO SuperMed $229.50 ↓ -89%
Optum Commercial CRS Care Solutions $239.19 ↓ -89%
OMAS All Products $255.00 ↓ -88%
Healthsmart All Products $280.50 ↓ -87%
The Health Plan All Products $280.50 ↓ -87%
Optum All Products Transplant $297.33 ↓ -86%
UPMC All Products $306.00 ↓ -86%
PHPHI All Products $306.00 ↓ -86%
Optum Commercial CHD Care Solutions $309.57 ↓ -85%
Anthem All Products Mid-Level Non-Facility $310.28 ↓ -85%
Clarity Health All Products $331.50 ↓ -84%
Three Rivers All Products $331.50 ↓ -84%
Quality Care Partners All Products $357.00 ↓ -83%
GMS All Products $357.00 ↓ -83%
Consociate Health All Products $382.50 ↓ -82%
Aetna All Products First Health $382.50 ↓ -82%
Evernorth (Cigna BH) All Products Psychiatrist $408.00 ↓ -81%
Aetna Asa $408.00 ↓ -81%
MMO NASCO $408.00 ↓ -81%
USA Managed Care All Products $459.00 ↓ -78%
Multiplan All Products $459.00 ↓ -78%
Aetna Qhp/Ifp $510.00 ↓ -76%
United All Products - Mid-Level $622.66 ↓ -71%
Cigna All Products Mid-Level $641.37 ↓ -70%
United HMO & PPO $671.10 ↓ -68%
United All Products $671.10 ↓ -68%
OPTUM Managed Medicaid Transplant $703.77 ↓ -67%
AETNA MEDICARE ADVANTAGE $712.21 ↓ -66%
CARESOURCE Managed Medicaid $740.81 ↓ -65%
Cigna All Products Physician $754.50 ↓ -64%
ANTHEM Managed Medicaid $777.85 ↓ -63%
MOLINA Managed Medicaid $777.85 ↓ -63%
Anthem All Products Physician Non-Facility $788.06 ↓ -63%
UNITED Managed Medicaid $792.67 ↓ -63%
United BH Managed Medicaid $814.89 ↓ -62%
CC EHP ALL PRODUCTS $908.23 ↓ -57%
OSCAR ALL PRODUCTS $923.91 ↓ -56%
PHP ALL PRODUCTS $1,045.44 ↓ -51%
PHPHI ALL PRODUCTS $1,045.44 ↓ -51%
Amish Community Aid Plan ALL PRODUCTS $1,470.15 ↓ -31%
Summacare PREMIER $1,489.75 ↓ -30%
ANTHEM HPN $1,504.45 ↓ -29%
OHCP ALL PRODUCTS $1,587.76 ↓ -25%
CIGNA ALL PRODUCTS $1,600.83 ↓ -25%
OMAS ALL PRODUCTS $1,633.50 ↓ -23%
Ohio Healthy TRANSPLANT $1,764.18 ↓ -17%
ANTHEM PPO/HMO $1,770.06 ↓ -17%
HEALTHSMART ALL PRODUCTS $1,796.85 ↓ -15%
OPTUM All Products Transplant $1,849.12 ↓ -13%
The Health Plan ALL PRODUCTS $1,960.20 ↓ -8%
UPMC ALL PRODUCTS $1,960.20 ↓ -8%
OPTUM Commercial CRS Care Solutions $1,970.00 ↓ -7%
OPTUM Commercial CHD Care Solutions $1,970.00 ↓ -7%
AETNA Acop $2,045.14 ↓ -4%
MMO TRADITIONAL $2,054.94 ↓ -3%
Clarity Health ALL PRODUCTS $2,123.55 ↑ +0%
THREE RIVERS ALL PRODUCTS $2,123.55 ↑ +0%
Parkview Health Plan Transplant SMCP $2,286.90 ↑ +8%
GMS ALL PRODUCTS $2,286.90 ↑ +8%
Quality Care Partners ALL PRODUCTS $2,286.90 ↑ +8%
Quality Care Partners Transplant SMCP $2,286.90 ↑ +8%
Ohio Healthy Transplant SMCP $2,286.90 ↑ +8%
Medical Benefit Corp Transplant SMCP $2,286.90 ↑ +8%
AETNA Asa_Whirlpool_Peia $2,316.30 ↑ +9%
CIGNA PPO $2,424.11 ↑ +14%
AETNA ALL PRODUCTS $2,450.25 ↑ +15%
Managed Care Services TRANSPLANT $2,450.25 ↑ +15%
Consociate Health ALL PRODUCTS $2,450.25 ↑ +15%
Consociate Health TRANSPLANT $2,450.25 ↑ +15%
ANTHEM TRADITIONAL $2,512.98 ↑ +18%
Community Health Alliance TRANSPLANT $2,613.60 ↑ +23%
Community Health Alliance ALL PRODUCTS $2,613.60 ↑ +23%
Humana Military ALL PRODUCTS $2,776.95 ↑ +31%
USA Managed Care ALL PRODUCTS $2,940.30 ↑ +38%
MULTIPLAN ALL PRODUCTS $2,940.30 ↑ +38%
Tertiary Care Network TRANSPLANT $2,940.30 ↑ +38%
FrontPath TRANSPLANT $2,940.30 ↑ +38%
AETNA Qhp/Ipf $3,267.00 ↑ +54%
AETNA International $3,443.00 ↑ +62%
MMO ALL PRODUCTS $4,392.00 ↑ +107%
CIGNA MEDICARE ADVANTAGE not published by hospital —
The Health Plan MEDICARE ADVANTAGE not published by hospital —
CIGNA Medicare Advantage Lifesource not published by hospital —
CIGNA PPO Lifesource not published by hospital —
Summacare MEDICARE ADVANTAGE not published by hospital —
ANTHEM MEDICARE ADVANTAGE not published by hospital —
PPHP ALL PRODUCTS not published by hospital —
CommuniCare MEDICARE ADVANTAGE not published by hospital —
Perennial Health MEDICARE ADVANTAGE not published by hospital —
Perennial Health HMO I-SNP and HMO C-SNP not published by hospital —
MMO Medicare Advantage PPO not published by hospital —
OPTUM Medicare Advantage Transplant not published by hospital —
UNITED MEDICARE ADVANTAGE 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 —
DEVOTED HEALTH MEDICARE ADVANTAGE not published by hospital —
United BH MEDICARE ADVANTAGE not published by hospital —
AETNA NAP not published by hospital —
OPTUM All Products VA not published by hospital —
UPMC MEDICARE ADVANTAGE not published by hospital —
HUMANA Medicare Advantage HMO not published by hospital —
Kaiser Transplant ALL PRODUCTS not published by hospital —
Valor ALL PRODUCTS not published by hospital —
CIGNA HMO Lifesource not published by hospital —
MMO Medicare Advantage HMO not published by hospital —
CIGNA Indemnity Lifesource not published by hospital —

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Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at other Ohio hospitals

Hospital City Cash price Negotiated range
fairview hospital Cleveland $2,123.55 $0.01 – $2,940.30
lutheran hospital Cleveland $2,123.55 $0.01 – $2,940.30
cleveland clinic childrens hospital for rehabilitation Cleveland not published $978.15 – $1,132.59
Jewish Hospital Cincinnati $1,577.40 not published
Anderson Hospital Cincinnati $10,384.27 $1,902.97 – $1,941.03
Kings Mills Hospital Mason $1,577.40 not published
Mercy West Hospital Cincinnati $1,577.40 not published
St Ritas Medical Center Lima $11,007.90 $1,936.01 – $1,974.73

All Ohio hospitals for this procedure →