Drainage of pelvis lesion 26990 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,067.00
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.
$3,180.00
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 $9,440.12 with MMO — 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% |
| Optum | Managed Medicaid Transplant | $336.00 | ↓ -84% |
| Paramount | Managed Medicaid | $364.29 | ↓ -82% |
| Caresource | Managed Medicaid | $371.36 | ↓ -82% |
| Buckeye | Managed Medicaid | $371.36 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $389.05 | ↓ -81% |
| Molina | Managed Medicaid | $389.05 | ↓ -81% |
| Summacare | Medicare Advantage Lower Level | $415.84 | ↓ -80% |
| Summacare | Medicare Advantage Psych | $475.64 | ↓ -77% |
| Summacare | Medicare Advantage CNA | $543.79 | ↓ -74% |
| United | Managed Medicaid | $565.79 | ↓ -73% |
| Summacare | Medicare Advantage MD | $607.76 | ↓ -71% |
| The Health Plan | Medicare Advantage | $634.19 | ↓ -69% |
| Humana | Medicare Advantage HMO | $634.19 | ↓ -69% |
| Valor | All Products | $634.19 | ↓ -69% |
| Aetna | Medicare Advantage | $634.19 | ↓ -69% |
| Aetna | Medicare Advantage Transplant | $634.19 | ↓ -69% |
| UPMC | Medicare Advantage | $634.19 | ↓ -69% |
| United | Medicare Advantage | $634.19 | ↓ -69% |
| Anthem | Medicare Advantage | $634.19 | ↓ -69% |
| Optum | Medicare Advantage Transplant | $634.19 | ↓ -69% |
| Devoted Health | Medicare Advantage | $639.75 | ↓ -69% |
| Cigna | Medicare Advantage | $653.22 | ↓ -68% |
| CommuniCare | Medicare Advantage | $665.90 | ↓ -68% |
| Perennial Health | Medicare Advantage | $684.93 | ↓ -67% |
| PPHP | All Products | $690.93 | ↓ -67% |
| Oscar | All Products | $808.04 | ↓ -61% |
| Humana Military | All Products | $827.89 | ↓ -60% |
| Aetna | All Products Transplant | $836.08 | ↓ -60% |
| Anthem | All Products Mid-Level Non-Facility | $908.16 | ↓ -56% |
| Anthem | All Products Mid-Level Facility | $908.16 | ↓ -56% |
| CC EHP | All Products | $1,215.53 | ↓ -41% |
| OHCP | All Products | $1,237.02 | ↓ -40% |
| Ohio Healthy | Transplant | $1,272.00 | ↓ -38% |
| Aultcare | PPO/HMO | $1,392.84 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,431.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,491.42 | ↓ -28% |
| Summacare | Preferred | $1,545.71 | ↓ -25% |
| OMAS | All Products | $1,590.00 | ↓ -23% |
| Summacare | Premier | $1,684.43 | ↓ -19% |
| The Health Plan | All Products | $1,749.00 | ↓ -15% |
| Healthsmart | All Products | $1,749.00 | ↓ -15% |
| Aetna | Acop | $1,757.09 | ↓ -15% |
| United | All Products - Mid-Level | $1,842.40 | ↓ -11% |
| Optum | All Products Transplant | $1,853.94 | ↓ -10% |
| UPMC | All Products | $1,908.00 | ↓ -8% |
| PHPHI | All Products | $1,908.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,930.26 | ↓ -7% |
| United | HMO & PPO | $1,985.74 | ↓ -4% |
| United | All Products | $1,985.74 | ↓ -4% |
| MMO | Medicare HMO | $2,052.92 | ↓ -1% |
| Clarity Health | All Products | $2,067.00 | ↑ +0% |
| Three Rivers | All Products | $2,067.00 | ↑ +0% |
| MMO | Medicare PPO | $2,114.51 | ↑ +2% |
| GMS | All Products | $2,226.00 | ↑ +8% |
| Quality Care Partners | All Products | $2,226.00 | ↑ +8% |
| Anthem | All Products Physician Non-Facility | $2,306.55 | ↑ +12% |
| Anthem | All Products Physician | $2,306.55 | ↑ +12% |
| Anthem | All Products Physician Facility | $2,306.55 | ↑ +12% |
| Consociate Health | All Products | $2,385.00 | ↑ +15% |
| Aetna | All Products First Health | $2,385.00 | ↑ +15% |
| Aetna | Asa | $2,544.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,544.00 | ↑ +23% |
| MMO | NASCO | $2,544.00 | ↑ +23% |
| UNITED | MEDICARE ADVANTAGE | $2,808.13 | ↑ +36% |
| Multiplan | All Products | $2,862.00 | ↑ +38% |
| USA Managed Care | All Products | $2,862.00 | ↑ +38% |
| HUMANA | Medicare Advantage HMO | $3,007.88 | ↑ +46% |
| MMO | Medicare Advantage HMO | $3,007.88 | ↑ +46% |
| OPTUM | All Products VA | $3,007.88 | ↑ +46% |
| OPTUM | Medicare Advantage Transplant | $3,007.88 | ↑ +46% |
| The Health Plan | MEDICARE ADVANTAGE | $3,007.88 | ↑ +46% |
| OPTUM | Managed Medicaid Transplant | $3,067.73 | ↑ +48% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↑ +50% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↑ +50% |
| Valor | ALL PRODUCTS | $3,095.56 | ↑ +50% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,095.56 | ↑ +50% |
| UPMC | MEDICARE ADVANTAGE | $3,095.56 | ↑ +50% |
| CIGNA | Medicare Advantage Lifesource | $3,095.56 | ↑ +50% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↑ +50% |
| MMO | Medicare Advantage PPO | $3,098.12 | ↑ +50% |
| Aetna | Qhp/Ifp | $3,180.00 | ↑ +54% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↑ +54% |
| CARESOURCE | Managed Medicaid | $3,229.19 | ↑ +56% |
| Perennial Health | MEDICARE ADVANTAGE | $3,248.51 | ↑ +57% |
| CommuniCare | MEDICARE ADVANTAGE | $3,250.34 | ↑ +57% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↑ +62% |
| ANTHEM | Managed Medicaid | $3,390.65 | ↑ +64% |
| MOLINA | Managed Medicaid | $3,390.65 | ↑ +64% |
| PPHP | ALL PRODUCTS | $3,405.12 | ↑ +65% |
| UNITED | Managed Medicaid | $3,455.23 | ↑ +67% |
| United BH | Managed Medicaid | $3,552.11 | ↑ +72% |
| MMO | SuperMed | $9,440.12 | ↑ +357% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| 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 | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Drainage of pelvis lesion 26990 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,263.77 – $4,937.00 |
| fairview hospital | Cleveland | not published | $2,513.62 – $3,405.12 |
| lutheran hospital | Cleveland | not published | $2,393.05 – $3,405.12 |
| akron general | Akron | $2,067.00 | $1.10 – $3,237.79 |
| mercy hospital | Canton | $2,067.00 | $1.10 – $3,188.43 |
| Tiffin Hospital | Tiffin | $4,030.80 | not published |
| Defiance Hospital | Defiance | $11,156.34 | $3,255.22 – $3,255.22 |
| St Anne Hospital | Toledo | $5,521.80 | not published |