healthcosts.net
Drain shoulder lesion at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$902.20
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.
$1,388.00
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 $8,286.13 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% |
| Optum | Managed Medicaid Transplant | $124.76 | ↓ -86% |
| Paramount | Managed Medicaid | $135.27 | ↓ -85% |
| Caresource | Managed Medicaid | $137.90 | ↓ -85% |
| Buckeye | Managed Medicaid | $137.90 | ↓ -85% |
| Molina | Managed Medicaid | $144.46 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $144.46 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $157.66 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $176.87 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $206.18 | ↓ -77% |
| Summacare | Medicare Advantage MD | $230.43 | ↓ -74% |
| Humana | Medicare Advantage HMO | $235.83 | ↓ -74% |
| Valor | All Products | $235.83 | ↓ -74% |
| Aetna | Medicare Advantage | $235.83 | ↓ -74% |
| Aetna | Medicare Advantage Transplant | $235.83 | ↓ -74% |
| UPMC | Medicare Advantage | $235.83 | ↓ -74% |
| United | Medicare Advantage | $235.83 | ↓ -74% |
| The Health Plan | Medicare Advantage | $235.83 | ↓ -74% |
| Anthem | Medicare Advantage | $235.83 | ↓ -74% |
| Optum | Medicare Advantage Transplant | $235.83 | ↓ -74% |
| Devoted Health | Medicare Advantage | $242.56 | ↓ -73% |
| Cigna | Medicare Advantage | $242.90 | ↓ -73% |
| CommuniCare | Medicare Advantage | $247.62 | ↓ -73% |
| Perennial Health | Medicare Advantage | $254.70 | ↓ -72% |
| PPHP | All Products | $259.41 | ↓ -71% |
| Humana Military | All Products | $308.85 | ↓ -66% |
| Aetna | All Products Transplant | $310.01 | ↓ -66% |
| Anthem | All Products Mid-Level Facility | $340.52 | ↓ -62% |
| Oscar | All Products | $352.69 | ↓ -61% |
| United | Managed Medicaid | $360.08 | ↓ -60% |
| CC EHP | All Products | $460.86 | ↓ -49% |
| OHCP | All Products | $539.93 | ↓ -40% |
| Ohio Healthy | Transplant | $555.20 | ↓ -38% |
| Summacare | Preferred | $570.45 | ↓ -37% |
| Anthem | All Products Mid-Level Non-Facility | $577.23 | ↓ -36% |
| Aultcare | PPO/HMO | $607.94 | ↓ -33% |
| Summacare | Premier | $621.64 | ↓ -31% |
| Amish Community Aid Plan | All Products | $624.60 | ↓ -31% |
| Aetna | Acop | $648.45 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $650.97 | ↓ -28% |
| OMAS | All Products | $694.00 | ↓ -23% |
| The Health Plan | All Products | $763.40 | ↓ -15% |
| Healthsmart | All Products | $763.40 | ↓ -15% |
| Optum | All Products Transplant | $809.20 | ↓ -10% |
| MMO | Medicare HMO | $809.88 | ↓ -10% |
| PHPHI | All Products | $832.80 | ↓ -8% |
| UPMC | All Products | $832.80 | ↓ -8% |
| MMO | Medicare PPO | $834.18 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $842.52 | ↓ -7% |
| Anthem | All Products Physician | $864.83 | ↓ -4% |
| Anthem | All Products Physician Facility | $864.83 | ↓ -4% |
| Clarity Health | All Products | $902.20 | ↑ +0% |
| Three Rivers | All Products | $902.20 | ↑ +0% |
| Quality Care Partners | All Products | $971.60 | ↑ +8% |
| GMS | All Products | $971.60 | ↑ +8% |
| Consociate Health | All Products | $1,041.00 | ↑ +15% |
| Aetna | All Products First Health | $1,041.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,110.40 | ↑ +23% |
| Aetna | Asa | $1,110.40 | ↑ +23% |
| MMO | NASCO | $1,110.40 | ↑ +23% |
| United | All Products - Mid-Level | $1,163.47 | ↑ +29% |
| USA Managed Care | All Products | $1,249.20 | ↑ +38% |
| Multiplan | All Products | $1,249.20 | ↑ +38% |
| United | HMO & PPO | $1,253.99 | ↑ +39% |
| United | All Products | $1,253.99 | ↑ +39% |
| Cigna | All Products Mid-Level | $1,278.41 | ↑ +42% |
| OPTUM | Managed Medicaid Transplant | $1,351.24 | ↑ +50% |
| Aetna | Qhp/Ifp | $1,388.00 | ↑ +54% |
| CARESOURCE | Managed Medicaid | $1,422.36 | ↑ +58% |
| Anthem | All Products Physician Non-Facility | $1,466.03 | ↑ +62% |
| MOLINA | Managed Medicaid | $1,493.48 | ↑ +66% |
| ANTHEM | Managed Medicaid | $1,493.48 | ↑ +66% |
| Cigna | All Products Physician | $1,504.14 | ↑ +67% |
| UNITED | Managed Medicaid | $1,521.93 | ↑ +69% |
| United BH | Managed Medicaid | $1,564.60 | ↑ +73% |
| UNITED | MEDICARE ADVANTAGE | $2,465.15 | ↑ +173% |
| The Health Plan | MEDICARE ADVANTAGE | $2,653.23 | ↑ +194% |
| OPTUM | Medicare Advantage Transplant | $2,653.23 | ↑ +194% |
| OPTUM | All Products VA | $2,653.23 | ↑ +194% |
| HUMANA | Medicare Advantage HMO | $2,653.23 | ↑ +194% |
| MMO | Medicare Advantage HMO | $2,653.23 | ↑ +194% |
| MMO | Medicare Advantage PPO | $2,732.83 | ↑ +203% |
| Valor | ALL PRODUCTS | $2,748.08 | ↑ +205% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↑ +205% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↑ +205% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↑ +205% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,748.08 | ↑ +205% |
| CIGNA | Medicare Advantage Lifesource | $2,748.08 | ↑ +205% |
| UPMC | MEDICARE ADVANTAGE | $2,748.08 | ↑ +205% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↑ +214% |
| Perennial Health | MEDICARE ADVANTAGE | $2,865.49 | ↑ +218% |
| CommuniCare | MEDICARE ADVANTAGE | $2,885.49 | ↑ +220% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↑ +229% |
| PPHP | ALL PRODUCTS | $3,022.89 | ↑ +235% |
| MMO | SuperMed | $8,286.13 | ↑ +818% |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MA | 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
Drain shoulder lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $8,557.25 | $404.35 – $11,848.50 |
| lutheran hospital | Cleveland | $8,557.25 | $473.38 – $11,848.50 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,878.06 – $2,174.60 |
| akron general | Akron | $902.20 | $1.10 – $2,856.04 |
| avon hospital | Avon | $8,557.25 | $473.38 – $11,848.50 |
| euclid hospital | Euclid | $8,557.25 | $473.38 – $11,848.50 |
| hillcrest hospital | Mayfield Heights | $8,557.25 | $404.35 – $11,848.50 |
| marymount hospital | Garfield Heights | $8,557.25 | $473.38 – $11,848.50 |