healthcosts.net
Dstrj extensive retinopathy at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$910.00
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.
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What you pay up front if you don't use insurance.
$1,400.00
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 $11,276.72 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 | $152.07 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $156.12 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $198.87 | ↓ -78% |
| United | Medicare Advantage | $208.16 | ↓ -77% |
| Humana | Medicare Advantage HMO | $208.16 | ↓ -77% |
| Valor | All Products | $208.16 | ↓ -77% |
| Aetna | Medicare Advantage | $208.16 | ↓ -77% |
| Aetna | Medicare Advantage Transplant | $208.16 | ↓ -77% |
| UPMC | Medicare Advantage | $208.16 | ↓ -77% |
| The Health Plan | Medicare Advantage | $208.16 | ↓ -77% |
| Anthem | Medicare Advantage | $208.16 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $208.16 | ↓ -77% |
| Cigna | Medicare Advantage | $214.40 | ↓ -76% |
| CommuniCare | Medicare Advantage | $218.57 | ↓ -76% |
| Summacare | Medicare Advantage MD | $222.26 | ↓ -76% |
| Perennial Health | Medicare Advantage | $224.81 | ↓ -75% |
| PPHP | All Products | $228.98 | ↓ -75% |
| Devoted Health | Medicare Advantage | $233.96 | ↓ -74% |
| United | Managed Medicaid | $239.59 | ↓ -74% |
| Optum | Managed Medicaid Transplant | $240.98 | ↓ -74% |
| Paramount | Managed Medicaid | $261.27 | ↓ -71% |
| Caresource | Managed Medicaid | $266.34 | ↓ -71% |
| Buckeye | Managed Medicaid | $266.34 | ↓ -71% |
| AmeriHealth | Managed Medicaid | $279.03 | ↓ -69% |
| Molina | Managed Medicaid | $279.03 | ↓ -69% |
| Humana Military | All Products | $307.35 | ↓ -66% |
| Aetna | All Products Transplant | $310.94 | ↓ -66% |
| Anthem | All Products Mid-Level Facility | $330.15 | ↓ -64% |
| Oscar | All Products | $355.74 | ↓ -61% |
| Anthem | All Products Mid-Level Non-Facility | $382.70 | ↓ -58% |
| CC EHP | All Products | $444.52 | ↓ -51% |
| Summacare | Preferred | $503.29 | ↓ -45% |
| OHCP | All Products | $544.60 | ↓ -40% |
| Summacare | Premier | $548.45 | ↓ -40% |
| Ohio Healthy | Transplant | $560.00 | ↓ -38% |
| Aetna | Acop | $572.11 | ↓ -37% |
| Aultcare | PPO/HMO | $613.20 | ↓ -33% |
| Amish Community Aid Plan | All Products | $630.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $656.60 | ↓ -28% |
| OMAS | All Products | $700.00 | ↓ -23% |
| The Health Plan | All Products | $770.00 | ↓ -15% |
| Healthsmart | All Products | $770.00 | ↓ -15% |
| United | All Products - Mid-Level | $779.85 | ↓ -14% |
| Optum | All Products Transplant | $816.20 | ↓ -10% |
| Anthem | All Products Physician | $838.50 | ↓ -8% |
| Anthem | All Products Physician Facility | $838.50 | ↓ -8% |
| PHPHI | All Products | $840.00 | ↓ -8% |
| UPMC | All Products | $840.00 | ↓ -8% |
| United | All Products | $840.53 | ↓ -8% |
| United | HMO & PPO | $840.53 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $849.80 | ↓ -7% |
| MMO | Medicare HMO | $898.92 | ↓ -1% |
| Clarity Health | All Products | $910.00 | ↑ +0% |
| Three Rivers | All Products | $910.00 | ↑ +0% |
| MMO | Medicare PPO | $925.89 | ↑ +2% |
| Cigna | All Products Mid-Level | $932.55 | ↑ +2% |
| Anthem | All Products Physician Non-Facility | $971.98 | ↑ +7% |
| GMS | All Products | $980.00 | ↑ +8% |
| Quality Care Partners | All Products | $980.00 | ↑ +8% |
| Aetna | All Products First Health | $1,050.00 | ↑ +15% |
| Consociate Health | All Products | $1,050.00 | ↑ +15% |
| Cigna | All Products Physician | $1,096.83 | ↑ +21% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,120.00 | ↑ +23% |
| MMO | NASCO | $1,120.00 | ↑ +23% |
| Aetna | Asa | $1,120.00 | ↑ +23% |
| Multiplan | All Products | $1,260.00 | ↑ +38% |
| USA Managed Care | All Products | $1,260.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,400.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $2,885.13 | ↑ +217% |
| CARESOURCE | Managed Medicaid | $3,036.98 | ↑ +234% |
| ANTHEM | Managed Medicaid | $3,188.83 | ↑ +250% |
| MOLINA | Managed Medicaid | $3,188.83 | ↑ +250% |
| UNITED | Managed Medicaid | $3,249.57 | ↑ +257% |
| United BH | Managed Medicaid | $3,340.68 | ↑ +267% |
| UNITED | MEDICARE ADVANTAGE | $3,354.30 | ↑ +269% |
| MMO | Medicare Advantage HMO | $3,495.87 | ↑ +284% |
| HUMANA | Medicare Advantage HMO | $3,495.87 | ↑ +284% |
| OPTUM | Medicare Advantage Transplant | $3,495.87 | ↑ +284% |
| OPTUM | All Products VA | $3,495.87 | ↑ +284% |
| The Health Plan | MEDICARE ADVANTAGE | $3,495.87 | ↑ +284% |
| MMO | Medicare Advantage PPO | $3,600.74 | ↑ +296% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,719.41 | ↑ +309% |
| Summacare | MEDICARE ADVANTAGE | $3,719.41 | ↑ +309% |
| ANTHEM | MEDICARE ADVANTAGE | $3,719.41 | ↑ +309% |
| CIGNA | Medicare Advantage Lifesource | $3,719.41 | ↑ +309% |
| AETNA | MEDICARE ADVANTAGE | $3,719.41 | ↑ +309% |
| UPMC | MEDICARE ADVANTAGE | $3,719.41 | ↑ +309% |
| Valor | ALL PRODUCTS | $3,719.41 | ↑ +309% |
| Perennial Health | MEDICARE ADVANTAGE | $3,775.54 | ↑ +315% |
| CIGNA | MEDICARE ADVANTAGE | $3,830.99 | ↑ +321% |
| CommuniCare | MEDICARE ADVANTAGE | $3,905.38 | ↑ +329% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $4,016.96 | ↑ +341% |
| PPHP | ALL PRODUCTS | $4,091.35 | ↑ +350% |
| MMO | SuperMed | $11,276.72 | ↑ +1139% |
| 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
Dstrj extensive retinopathy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,009.98 – $4,643.13 |
| fairview hospital | Cleveland | not published | $2,364.01 – $4,091.35 |
| lutheran hospital | Cleveland | not published | $2,250.62 – $4,091.35 |
| akron general | Akron | not published | $2,290.15 – $4,091.35 |
| avon hospital | Avon | not published | $2,456.14 – $4,091.35 |
| euclid hospital | Euclid | not published | $2,516.37 – $4,091.35 |
| hillcrest hospital | Mayfield Heights | not published | $2,462.92 – $4,091.35 |
| lodi hospital | Lodi | not published | $3,771.00 – $4,449.08 |