healthcosts.net
Diverticulectomy/hypophar/esoph 43130 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,583.45
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.
$5,513.00
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 $17,080.38 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 | $487.96 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $523.73 | ↓ -85% |
| Optum | Managed Medicaid Transplant | $581.91 | ↓ -84% |
| Paramount | Managed Medicaid | $630.92 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $638.10 | ↓ -82% |
| Buckeye | Managed Medicaid | $643.17 | ↓ -82% |
| Caresource | Managed Medicaid | $643.17 | ↓ -82% |
| United | Managed Medicaid | $654.31 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $673.79 | ↓ -81% |
| Molina | Managed Medicaid | $673.79 | ↓ -81% |
| Humana | Medicare Advantage HMO | $698.31 | ↓ -81% |
| Valor | All Products | $698.31 | ↓ -81% |
| Aetna | Medicare Advantage | $698.31 | ↓ -81% |
| Aetna | Medicare Advantage Transplant | $698.31 | ↓ -81% |
| UPMC | Medicare Advantage | $698.31 | ↓ -81% |
| United | Medicare Advantage | $698.31 | ↓ -81% |
| The Health Plan | Medicare Advantage | $698.31 | ↓ -81% |
| Anthem | Medicare Advantage | $698.31 | ↓ -81% |
| Optum | Medicare Advantage Transplant | $698.31 | ↓ -81% |
| Summacare | Medicare Advantage MD | $713.17 | ↓ -80% |
| Cigna | Medicare Advantage | $719.26 | ↓ -80% |
| CommuniCare | Medicare Advantage | $733.23 | ↓ -80% |
| Devoted Health | Medicare Advantage | $750.70 | ↓ -79% |
| Perennial Health | Medicare Advantage | $754.17 | ↓ -79% |
| PPHP | All Products | $768.14 | ↓ -79% |
| Humana Military | All Products | $971.68 | ↓ -73% |
| Aetna | All Products Transplant | $981.89 | ↓ -73% |
| Anthem | All Products Mid-Level Facility | $1,064.40 | ↓ -70% |
| Anthem | All Products Mid-Level Non-Facility | $1,064.40 | ↓ -70% |
| Oscar | All Products | $1,400.85 | ↓ -61% |
| CC EHP | All Products | $1,426.33 | ↓ -60% |
| Summacare | Preferred | $1,671.46 | ↓ -53% |
| Summacare | Premier | $1,821.47 | ↓ -49% |
| Aetna | Acop | $1,900.04 | ↓ -47% |
| OHCP | All Products | $2,144.56 | ↓ -40% |
| United | All Products - Mid-Level | $2,161.49 | ↓ -40% |
| Ohio Healthy | Transplant | $2,205.20 | ↓ -38% |
| MMO | Medicare HMO | $2,224.37 | ↓ -38% |
| MMO | Medicare PPO | $2,291.10 | ↓ -36% |
| United | All Products | $2,329.66 | ↓ -35% |
| United | HMO & PPO | $2,329.66 | ↓ -35% |
| Aultcare | PPO/HMO | $2,414.69 | ↓ -33% |
| Amish Community Aid Plan | All Products | $2,480.85 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $2,585.60 | ↓ -28% |
| Anthem | All Products Physician | $2,703.37 | ↓ -25% |
| Anthem | All Products Physician Facility | $2,703.37 | ↓ -25% |
| Anthem | All Products Physician Non-Facility | $2,703.37 | ↓ -25% |
| OMAS | All Products | $2,756.50 | ↓ -23% |
| The Health Plan | All Products | $3,032.15 | ↓ -15% |
| Healthsmart | All Products | $3,032.15 | ↓ -15% |
| OPTUM | Managed Medicaid Transplant | $3,156.08 | ↓ -12% |
| Optum | All Products Transplant | $3,214.08 | ↓ -10% |
| UPMC | All Products | $3,307.80 | ↓ -8% |
| PHPHI | All Products | $3,307.80 | ↓ -8% |
| CARESOURCE | Managed Medicaid | $3,322.19 | ↓ -7% |
| Optum | Commercial CHD Care Solutions | $3,346.39 | ↓ -7% |
| MOLINA | Managed Medicaid | $3,488.30 | ↓ -3% |
| ANTHEM | Managed Medicaid | $3,488.30 | ↓ -3% |
| UNITED | Managed Medicaid | $3,554.74 | ↓ -1% |
| Clarity Health | All Products | $3,583.45 | ↑ +0% |
| Three Rivers | All Products | $3,583.45 | ↑ +0% |
| United BH | Managed Medicaid | $3,654.41 | ↑ +2% |
| Quality Care Partners | All Products | $3,859.10 | ↑ +8% |
| GMS | All Products | $3,859.10 | ↑ +8% |
| Aetna | All Products First Health | $4,134.75 | ↑ +15% |
| Consociate Health | All Products | $4,134.75 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $4,410.40 | ↑ +23% |
| Aetna | Asa | $4,410.40 | ↑ +23% |
| MMO | NASCO | $4,410.40 | ↑ +23% |
| Multiplan | All Products | $4,961.70 | ↑ +38% |
| USA Managed Care | All Products | $4,961.70 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $5,080.55 | ↑ +42% |
| MMO | Medicare Advantage HMO | $5,484.05 | ↑ +53% |
| OPTUM | Medicare Advantage Transplant | $5,484.05 | ↑ +53% |
| HUMANA | Medicare Advantage HMO | $5,484.05 | ↑ +53% |
| OPTUM | All Products VA | $5,484.05 | ↑ +53% |
| The Health Plan | MEDICARE ADVANTAGE | $5,484.05 | ↑ +53% |
| Aetna | Qhp/Ifp | $5,513.00 | ↑ +54% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,600.62 | ↑ +56% |
| Summacare | MEDICARE ADVANTAGE | $5,600.62 | ↑ +56% |
| ANTHEM | MEDICARE ADVANTAGE | $5,600.62 | ↑ +56% |
| CIGNA | Medicare Advantage Lifesource | $5,600.62 | ↑ +56% |
| AETNA | MEDICARE ADVANTAGE | $5,600.62 | ↑ +56% |
| UPMC | MEDICARE ADVANTAGE | $5,600.62 | ↑ +56% |
| Valor | ALL PRODUCTS | $5,600.62 | ↑ +56% |
| MMO | Medicare Advantage PPO | $5,648.58 | ↑ +58% |
| CIGNA | MEDICARE ADVANTAGE | $5,768.63 | ↑ +61% |
| CommuniCare | MEDICARE ADVANTAGE | $5,880.65 | ↑ +64% |
| Perennial Health | MEDICARE ADVANTAGE | $5,922.78 | ↑ +65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,048.66 | ↑ +69% |
| PPHP | ALL PRODUCTS | $6,160.68 | ↑ +72% |
| MMO | ALL PRODUCTS | $15,288.41 | ↑ +327% |
| MMO | SuperMed | $17,080.38 | ↑ +377% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Diverticulectomy/hypophar/esoph 43130 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,386.56 – $5,079.17 |
| fairview hospital | Cleveland | not published | $2,586.01 – $6,160.68 |
| lutheran hospital | Cleveland | not published | $2,461.97 – $6,160.68 |
| akron general | Akron | not published | $2,505.22 – $6,160.68 |
| avon hospital | Avon | not published | $2,686.79 – $6,160.68 |
| euclid hospital | Euclid | not published | $2,752.69 – $6,160.68 |
| hillcrest hospital | Mayfield Heights | not published | $2,694.22 – $6,160.68 |
| lodi hospital | Lodi | not published | $4,203.24 – $4,866.91 |