healthcosts.net
Drng of salivary cyst 42409 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$756.60
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.
$1,164.00
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 $9,391.15 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% |
| Summacare | Medicare Advantage Lower Level | $142.92 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $151.23 | ↓ -80% |
| Summacare | Medicare Advantage Psych | $152.03 | ↓ -80% |
| Paramount | Managed Medicaid | $163.97 | ↓ -78% |
| Buckeye | Managed Medicaid | $167.15 | ↓ -78% |
| Caresource | Managed Medicaid | $167.15 | ↓ -78% |
| Molina | Managed Medicaid | $175.11 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $175.11 | ↓ -77% |
| Summacare | Medicare Advantage CNA | $186.90 | ↓ -75% |
| Humana | Medicare Advantage HMO | $202.71 | ↓ -73% |
| Valor | All Products | $202.71 | ↓ -73% |
| Aetna | Medicare Advantage | $202.71 | ↓ -73% |
| Aetna | Medicare Advantage Transplant | $202.71 | ↓ -73% |
| UPMC | Medicare Advantage | $202.71 | ↓ -73% |
| United | Medicare Advantage | $202.71 | ↓ -73% |
| The Health Plan | Medicare Advantage | $202.71 | ↓ -73% |
| Anthem | Medicare Advantage | $202.71 | ↓ -73% |
| Optum | Medicare Advantage Transplant | $202.71 | ↓ -73% |
| Cigna | Medicare Advantage | $208.79 | ↓ -72% |
| Summacare | Medicare Advantage MD | $208.89 | ↓ -72% |
| CommuniCare | Medicare Advantage | $212.85 | ↓ -72% |
| Perennial Health | Medicare Advantage | $218.93 | ↓ -71% |
| Devoted Health | Medicare Advantage | $219.88 | ↓ -71% |
| PPHP | All Products | $222.98 | ↓ -71% |
| Humana Military | All Products | $286.79 | ↓ -62% |
| Aetna | All Products Transplant | $287.78 | ↓ -62% |
| Oscar | All Products | $295.77 | ↓ -61% |
| Anthem | All Products Mid-Level Facility | $308.19 | ↓ -59% |
| United | Managed Medicaid | $321.56 | ↓ -57% |
| CC EHP | All Products | $417.77 | ↓ -45% |
| OHCP | All Products | $452.80 | ↓ -40% |
| Ohio Healthy | Transplant | $465.60 | ↓ -38% |
| Summacare | Preferred | $492.34 | ↓ -35% |
| Aultcare | PPO/HMO | $509.83 | ↓ -33% |
| Anthem | All Products Mid-Level Non-Facility | $519.27 | ↓ -31% |
| Amish Community Aid Plan | All Products | $523.80 | ↓ -31% |
| Summacare | Premier | $536.52 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $545.92 | ↓ -28% |
| Aetna | Acop | $559.66 | ↓ -26% |
| OMAS | All Products | $582.00 | ↓ -23% |
| MMO | Medicare HMO | $622.77 | ↓ -18% |
| Healthsmart | All Products | $640.20 | ↓ -15% |
| The Health Plan | All Products | $640.20 | ↓ -15% |
| MMO | Medicare PPO | $641.45 | ↓ -15% |
| Optum | All Products Transplant | $678.61 | ↓ -10% |
| PHPHI | All Products | $698.40 | ↓ -8% |
| UPMC | All Products | $698.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $706.55 | ↓ -7% |
| Three Rivers | All Products | $756.60 | ↑ +0% |
| Clarity Health | All Products | $756.60 | ↑ +0% |
| Anthem | All Products Physician Facility | $782.74 | ↑ +3% |
| Anthem | All Products Physician | $782.74 | ↑ +3% |
| GMS | All Products | $814.80 | ↑ +8% |
| Quality Care Partners | All Products | $814.80 | ↑ +8% |
| Consociate Health | All Products | $873.00 | ↑ +15% |
| Aetna | All Products First Health | $873.00 | ↑ +15% |
| Aetna | Asa | $931.20 | ↑ +23% |
| MMO | NASCO | $931.20 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $931.20 | ↑ +23% |
| United | All Products - Mid-Level | $1,044.33 | ↑ +38% |
| Multiplan | All Products | $1,047.60 | ↑ +38% |
| USA Managed Care | All Products | $1,047.60 | ↑ +38% |
| Cigna | All Products Mid-Level | $1,073.31 | ↑ +42% |
| United | HMO & PPO | $1,125.58 | ↑ +49% |
| United | All Products | $1,125.58 | ↑ +49% |
| Aetna | Qhp/Ifp | $1,164.00 | ↑ +54% |
| Cigna | All Products Physician | $1,262.63 | ↑ +67% |
| Anthem | All Products Physician Non-Facility | $1,318.81 | ↑ +74% |
| OPTUM | Managed Medicaid Transplant | $1,358.50 | ↑ +80% |
| CARESOURCE | Managed Medicaid | $1,430.00 | ↑ +89% |
| MOLINA | Managed Medicaid | $1,501.50 | ↑ +98% |
| ANTHEM | Managed Medicaid | $1,501.50 | ↑ +98% |
| UNITED | Managed Medicaid | $1,530.10 | ↑ +102% |
| United BH | Managed Medicaid | $1,573.00 | ↑ +108% |
| UNITED | MEDICARE ADVANTAGE | $2,793.19 | ↑ +269% |
| The Health Plan | MEDICARE ADVANTAGE | $3,006.46 | ↑ +297% |
| OPTUM | Medicare Advantage Transplant | $3,006.46 | ↑ +297% |
| OPTUM | All Products VA | $3,006.46 | ↑ +297% |
| HUMANA | Medicare Advantage HMO | $3,006.46 | ↑ +297% |
| MMO | Medicare Advantage HMO | $3,006.46 | ↑ +297% |
| MMO | Medicare Advantage PPO | $3,096.65 | ↑ +309% |
| ANTHEM | MEDICARE ADVANTAGE | $3,136.68 | ↑ +315% |
| AETNA | MEDICARE ADVANTAGE | $3,136.68 | ↑ +315% |
| Summacare | MEDICARE ADVANTAGE | $3,136.68 | ↑ +315% |
| Valor | ALL PRODUCTS | $3,136.68 | ↑ +315% |
| UPMC | MEDICARE ADVANTAGE | $3,136.68 | ↑ +315% |
| CIGNA | Medicare Advantage Lifesource | $3,136.68 | ↑ +315% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,136.68 | ↑ +315% |
| CIGNA | MEDICARE ADVANTAGE | $3,230.78 | ↑ +327% |
| Perennial Health | MEDICARE ADVANTAGE | $3,246.97 | ↑ +329% |
| CommuniCare | MEDICARE ADVANTAGE | $3,293.51 | ↑ +335% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,387.61 | ↑ +348% |
| PPHP | ALL PRODUCTS | $3,450.35 | ↑ +356% |
| MMO | SuperMed | $9,391.15 | ↑ +1141% |
| 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 | — |
| United BH | All Products PHD | not published by hospital | — |
Visitor-reported prices
Comments
Drng of salivary cyst 42409 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,358.50 – $1,573.00 |
| fairview hospital | Cleveland | not published | $1,358.50 – $3,450.35 |
| lutheran hospital | Cleveland | not published | $1,358.50 – $3,450.35 |
| akron general | Akron | not published | $1,358.50 – $3,450.35 |
| avon hospital | Avon | not published | $1,501.50 – $3,450.35 |
| euclid hospital | Euclid | not published | $1,358.50 – $3,450.35 |
| hillcrest hospital | Mayfield Heights | not published | $1,358.50 – $3,450.35 |
| lodi hospital | Lodi | not published | $1,358.50 – $1,573.00 |