healthcosts.net
Drainage of mouth lesion at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$868.40
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.
$1,336.00
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 $4,447.63 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 | $139.57 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $143.31 | ↓ -83% |
| Paramount | Managed Medicaid | $151.33 | ↓ -83% |
| Caresource | Managed Medicaid | $154.27 | ↓ -82% |
| Buckeye | Managed Medicaid | $154.27 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $156.31 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $161.61 | ↓ -81% |
| Molina | Managed Medicaid | $161.61 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $187.40 | ↓ -78% |
| Humana | Medicare Advantage HMO | $208.41 | ↓ -76% |
| Valor | All Products | $208.41 | ↓ -76% |
| Aetna | Medicare Advantage | $208.41 | ↓ -76% |
| Aetna | Medicare Advantage Transplant | $208.41 | ↓ -76% |
| UPMC | Medicare Advantage | $208.41 | ↓ -76% |
| United | Medicare Advantage | $208.41 | ↓ -76% |
| The Health Plan | Medicare Advantage | $208.41 | ↓ -76% |
| Anthem | Medicare Advantage | $208.41 | ↓ -76% |
| Optum | Medicare Advantage Transplant | $208.41 | ↓ -76% |
| Summacare | Medicare Advantage MD | $209.45 | ↓ -76% |
| Cigna | Medicare Advantage | $214.66 | ↓ -75% |
| CommuniCare | Medicare Advantage | $218.83 | ↓ -75% |
| Devoted Health | Medicare Advantage | $220.47 | ↓ -75% |
| Perennial Health | Medicare Advantage | $225.08 | ↓ -74% |
| PPHP | All Products | $229.25 | ↓ -74% |
| United | Managed Medicaid | $280.84 | ↓ -68% |
| Aetna | All Products Transplant | $286.39 | ↓ -67% |
| Humana Military | All Products | $288.50 | ↓ -67% |
| Anthem | All Products Mid-Level Facility | $305.61 | ↓ -65% |
| Oscar | All Products | $339.48 | ↓ -61% |
| CC EHP | All Products | $418.89 | ↓ -52% |
| Anthem | All Products Mid-Level Non-Facility | $445.60 | ↓ -49% |
| Summacare | Preferred | $504.06 | ↓ -42% |
| OHCP | All Products | $519.70 | ↓ -40% |
| Ohio Healthy | Transplant | $534.40 | ↓ -38% |
| Summacare | Premier | $549.30 | ↓ -37% |
| Aetna | Acop | $572.99 | ↓ -34% |
| Aultcare | PPO/HMO | $585.17 | ↓ -33% |
| Amish Community Aid Plan | All Products | $601.20 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $626.58 | ↓ -28% |
| OMAS | All Products | $668.00 | ↓ -23% |
| MMO | Medicare HMO | $715.76 | ↓ -18% |
| The Health Plan | All Products | $734.80 | ↓ -15% |
| Healthsmart | All Products | $734.80 | ↓ -15% |
| MMO | Medicare PPO | $737.23 | ↓ -15% |
| Anthem | All Products Physician | $776.17 | ↓ -11% |
| Anthem | All Products Physician Facility | $776.17 | ↓ -11% |
| Optum | All Products Transplant | $778.89 | ↓ -10% |
| PHPHI | All Products | $801.60 | ↓ -8% |
| UPMC | All Products | $801.60 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $810.95 | ↓ -7% |
| Three Rivers | All Products | $868.40 | ↑ +0% |
| Clarity Health | All Products | $868.40 | ↑ +0% |
| United | All Products - Mid-Level | $896.58 | ↑ +3% |
| Cigna | All Products Mid-Level | $921.07 | ↑ +6% |
| GMS | All Products | $935.20 | ↑ +8% |
| Quality Care Partners | All Products | $935.20 | ↑ +8% |
| OPTUM | Managed Medicaid Transplant | $939.63 | ↑ +8% |
| United | HMO & PPO | $966.34 | ↑ +11% |
| United | All Products | $966.34 | ↑ +11% |
| CARESOURCE | Managed Medicaid | $989.08 | ↑ +14% |
| Aetna | All Products First Health | $1,002.00 | ↑ +15% |
| Consociate Health | All Products | $1,002.00 | ↑ +15% |
| ANTHEM | Managed Medicaid | $1,038.53 | ↑ +20% |
| MOLINA | Managed Medicaid | $1,038.53 | ↑ +20% |
| UNITED | Managed Medicaid | $1,058.32 | ↑ +22% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,068.80 | ↑ +23% |
| Aetna | Asa | $1,068.80 | ↑ +23% |
| MMO | NASCO | $1,068.80 | ↑ +23% |
| Cigna | All Products Physician | $1,083.54 | ↑ +25% |
| United BH | Managed Medicaid | $1,087.99 | ↑ +25% |
| Anthem | All Products Physician Non-Facility | $1,131.75 | ↑ +30% |
| USA Managed Care | All Products | $1,202.40 | ↑ +38% |
| Multiplan | All Products | $1,202.40 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $1,323.06 | ↑ +52% |
| Aetna | Qhp/Ifp | $1,336.00 | ↑ +54% |
| MMO | Medicare Advantage HMO | $1,373.21 | ↑ +58% |
| OPTUM | Medicare Advantage Transplant | $1,373.21 | ↑ +58% |
| The Health Plan | MEDICARE ADVANTAGE | $1,373.21 | ↑ +58% |
| HUMANA | Medicare Advantage HMO | $1,373.21 | ↑ +58% |
| OPTUM | All Products VA | $1,373.21 | ↑ +58% |
| MMO | Medicare Advantage PPO | $1,414.40 | ↑ +63% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,467.92 | ↑ +69% |
| Summacare | MEDICARE ADVANTAGE | $1,467.92 | ↑ +69% |
| ANTHEM | MEDICARE ADVANTAGE | $1,467.92 | ↑ +69% |
| CIGNA | Medicare Advantage Lifesource | $1,467.92 | ↑ +69% |
| AETNA | MEDICARE ADVANTAGE | $1,467.92 | ↑ +69% |
| UPMC | MEDICARE ADVANTAGE | $1,467.92 | ↑ +69% |
| Valor | ALL PRODUCTS | $1,467.92 | ↑ +69% |
| Perennial Health | MEDICARE ADVANTAGE | $1,483.06 | ↑ +71% |
| CIGNA | MEDICARE ADVANTAGE | $1,511.96 | ↑ +74% |
| CommuniCare | MEDICARE ADVANTAGE | $1,541.31 | ↑ +77% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,585.35 | ↑ +83% |
| PPHP | ALL PRODUCTS | $1,614.71 | ↑ +86% |
| MMO | SuperMed | $4,447.63 | ↑ +412% |
| United BH | All Products MD | 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 PHD | not published by hospital | — |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,305.97 – $1,512.17 |
| fairview hospital | Cleveland | not published | $769.90 – $1,614.71 |
| lutheran hospital | Cleveland | not published | $732.97 – $1,614.71 |
| akron general | Akron | not published | $745.85 – $1,614.71 |
| avon hospital | Avon | not published | $799.91 – $1,614.71 |
| euclid hospital | Euclid | not published | $819.53 – $1,614.71 |
| hillcrest hospital | Mayfield Heights | not published | $802.12 – $1,614.71 |
| lodi hospital | Lodi | not published | $1,251.39 – $1,448.98 |