healthcosts.net
Dilate biliary duct/ampulla at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,683.85
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.
?
What you pay up front if you don't use insurance.
$4,129.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $4,628.00 with UNITED — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $81.93 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $87.56 | ↓ -97% |
| Optum | Managed Medicaid Transplant | $103.52 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $107.13 | ↓ -96% |
| Paramount | Managed Medicaid | $112.24 | ↓ -96% |
| Buckeye | Managed Medicaid | $114.42 | ↓ -96% |
| Caresource | Managed Medicaid | $114.42 | ↓ -96% |
| UPMC | Medicare Advantage | $116.74 | ↓ -96% |
| Optum | Medicare Advantage Transplant | $116.74 | ↓ -96% |
| Aetna | Medicare Advantage | $116.74 | ↓ -96% |
| Aetna | Medicare Advantage Transplant | $116.74 | ↓ -96% |
| Valor | All Products | $116.74 | ↓ -96% |
| Anthem | Medicare Advantage | $116.74 | ↓ -96% |
| United | Medicare Advantage | $116.74 | ↓ -96% |
| Humana | Medicare Advantage HMO | $116.74 | ↓ -96% |
| The Health Plan | Medicare Advantage | $116.74 | ↓ -96% |
| Summacare | Medicare Advantage MD | $119.74 | ↓ -96% |
| Molina | Managed Medicaid | $119.87 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $119.87 | ↓ -96% |
| Cigna | Medicare Advantage | $120.24 | ↓ -96% |
| CommuniCare | Medicare Advantage | $122.58 | ↓ -95% |
| Devoted Health | Medicare Advantage | $126.04 | ↓ -95% |
| Perennial Health | Medicare Advantage | $126.08 | ↓ -95% |
| PPHP | All Products | $128.41 | ↓ -95% |
| AETNA | Medicare Advantage Transplant | $159.58 | ↓ -94% |
| Humana Military | All Products | $172.51 | ↓ -94% |
| AETNA | All Products Transplant | $173.41 | ↓ -94% |
| Aetna | All Products Transplant | $173.41 | ↓ -94% |
| Anthem | All Products Mid-Level Facility | $180.08 | ↓ -93% |
| CC EHP | All Products | $239.48 | ↓ -91% |
| Summacare | Preferred | $274.29 | ↓ -90% |
| Oscar | All Products | $289.67 | ↓ -89% |
| Summacare | Premier | $298.91 | ↓ -89% |
| Aetna | Acop | $311.81 | ↓ -88% |
| MMO | Medicare HMO | $391.65 | ↓ -85% |
| United | Managed Medicaid | $392.04 | ↓ -85% |
| MMO | Medicare PPO | $403.40 | ↓ -85% |
| OHCP | All Products | $443.46 | ↓ -83% |
| Ohio Healthy | Transplant | $456.00 | ↓ -83% |
| Anthem | All Products Physician Facility | $457.37 | ↓ -83% |
| Anthem | All Products Physician | $457.37 | ↓ -83% |
| Aultcare | PPO/HMO | $499.32 | ↓ -81% |
| Amish Community Aid Plan | All Products | $513.00 | ↓ -81% |
| MMO | SuperMed | $513.00 | ↓ -81% |
| Optum | Commercial CRS Care Solutions | $534.66 | ↓ -80% |
| OMAS | All Products | $570.00 | ↓ -79% |
| Healthsmart | All Products | $627.00 | ↓ -77% |
| The Health Plan | All Products | $627.00 | ↓ -77% |
| Anthem | All Products Mid-Level Non-Facility | $647.18 | ↓ -76% |
| Optum | All Products Transplant | $664.62 | ↓ -75% |
| PHPHI | All Products | $684.00 | ↓ -75% |
| UPMC | All Products | $684.00 | ↓ -75% |
| Optum | Commercial CHD Care Solutions | $691.98 | ↓ -74% |
| Clarity Health | All Products | $741.00 | ↓ -72% |
| Three Rivers | All Products | $741.00 | ↓ -72% |
| Quality Care Partners | All Products | $798.00 | ↓ -70% |
| GMS | All Products | $798.00 | ↓ -70% |
| Aetna | All Products First Health | $855.00 | ↓ -68% |
| Consociate Health | All Products | $855.00 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $900.12 | ↓ -66% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $912.00 | ↓ -66% |
| Aetna | Asa | $912.00 | ↓ -66% |
| MMO | NASCO | $912.00 | ↓ -66% |
| USA Managed Care | All Products | $1,026.00 | ↓ -62% |
| Multiplan | All Products | $1,026.00 | ↓ -62% |
| Aetna | Qhp/Ifp | $1,140.00 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $1,147.86 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $1,167.68 | ↓ -56% |
| United | All Products - Mid-Level | $1,271.88 | ↓ -53% |
| PHP | ALL PRODUCTS | $1,321.28 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,321.28 | ↓ -51% |
| United | All Products | $1,370.84 | ↓ -49% |
| United | HMO & PPO | $1,370.84 | ↓ -49% |
| Cigna | All Products Mid-Level | $1,433.35 | ↓ -47% |
| Anthem | All Products Physician Non-Facility | $1,643.70 | ↓ -39% |
| Cigna | All Products Physician | $1,686.44 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,858.05 | ↓ -31% |
| Summacare | PREMIER | $1,882.82 | ↓ -30% |
| ANTHEM | HPN | $1,901.40 | ↓ -29% |
| OHCP | ALL PRODUCTS | $2,006.69 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $2,023.21 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,064.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $2,229.66 | ↓ -17% |
| ANTHEM | PPO/HMO | $2,237.09 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $2,270.95 | ↓ -15% |
| OPTUM | All Products Transplant | $2,337.01 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $2,477.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $2,477.40 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $2,489.79 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $2,489.79 | ↓ -7% |
| AETNA | Acop | $2,584.75 | ↓ -4% |
| MMO | TRADITIONAL | $2,597.14 | ↓ -3% |
| Clarity Health | ALL PRODUCTS | $2,683.85 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $2,683.85 | ↑ +0% |
| Parkview Health Plan | Transplant SMCP | $2,890.30 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $2,890.30 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $2,890.30 | ↑ +8% |
| GMS | ALL PRODUCTS | $2,890.30 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $2,890.30 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $2,890.30 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $2,927.46 | ↑ +9% |
| CIGNA | PPO | $3,063.72 | ↑ +14% |
| AETNA | ALL PRODUCTS | $3,096.75 | ↑ +15% |
| Consociate Health | TRANSPLANT | $3,096.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $3,096.75 | ↑ +15% |
| ANTHEM | TRADITIONAL | $3,176.03 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $3,303.20 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $3,303.20 | ↑ +23% |
| AETNA | International | $3,443.00 | ↑ +28% |
| OPTUM | Managed Medicaid Transplant | $3,471.98 | ↑ +29% |
| Humana Military | ALL PRODUCTS | $3,509.65 | ↑ +31% |
| CARESOURCE | Managed Medicaid | $3,654.72 | ↑ +36% |
| MULTIPLAN | ALL PRODUCTS | $3,716.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $3,716.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $3,716.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $3,716.10 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $3,716.10 | ↑ +38% |
| ANTHEM | Managed Medicaid | $3,837.46 | ↑ +43% |
| MOLINA | Managed Medicaid | $3,837.46 | ↑ +43% |
| UNITED | Managed Medicaid | $3,910.55 | ↑ +46% |
| United BH | Managed Medicaid | $4,020.19 | ↑ +50% |
| AETNA | Qhp/Ipf | $4,129.00 | ↑ +54% |
| UNITED | ALL PRODUCTS | $4,132.00 | ↑ +54% |
| UNITED | All Products International | $4,628.00 | ↑ +72% |
| 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 | — |
| AETNA | NAP | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Medicare Advantage Lifesource | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | ALL PRODUCTS | 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 | — |
Visitor-reported prices
Comments
Dilate biliary duct/ampulla at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $2,683.85 | $217.43 – $3,716.10 |
| lutheran hospital | Cleveland | $2,683.85 | $254.55 – $3,716.10 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,825.63 – $5,587.57 |
| akron general | Akron | $2,683.85 | $232.78 – $3,716.10 |
| avon hospital | Avon | $2,683.85 | $254.55 – $3,716.10 |
| euclid hospital | Euclid | $2,683.85 | $254.55 – $3,716.10 |
| hillcrest hospital | Mayfield Heights | $2,683.85 | $217.43 – $3,716.10 |
| marymount hospital | Garfield Heights | $2,683.85 | $254.55 – $3,716.10 |