healthcosts.net
Echo exam of eye at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$543.40
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.
$836.00
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 $89,463.30 with ANTHEM — 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 | $3.22 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $18.93 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $23.34 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $24.75 | ↓ -95% |
| Summacare | Medicare Advantage MD | $27.66 | ↓ -95% |
| Devoted Health | Medicare Advantage | $29.12 | ↓ -95% |
| Optum | Medicare Advantage Transplant | $31.12 | ↓ -94% |
| Valor | All Products | $31.12 | ↓ -94% |
| UPMC | Medicare Advantage | $31.12 | ↓ -94% |
| Aetna | Medicare Advantage | $31.12 | ↓ -94% |
| Aetna | Medicare Advantage Transplant | $31.12 | ↓ -94% |
| United | Medicare Advantage | $31.12 | ↓ -94% |
| The Health Plan | Medicare Advantage | $31.12 | ↓ -94% |
| Humana | Medicare Advantage HMO | $31.12 | ↓ -94% |
| Anthem | Medicare Advantage | $31.12 | ↓ -94% |
| PPHP | All Products | $31.45 | ↓ -94% |
| Cigna | Medicare Advantage | $32.05 | ↓ -94% |
| CommuniCare | Medicare Advantage | $32.68 | ↓ -94% |
| Perennial Health | Medicare Advantage | $33.61 | ↓ -94% |
| Anthem | All Products Mid-Level Facility | $41.90 | ↓ -92% |
| Anthem | All Products Mid-Level Non-Facility | $41.90 | ↓ -92% |
| OPTUM | Managed Medicaid Transplant | $47.73 | ↓ -91% |
| CARESOURCE | Managed Medicaid | $50.24 | ↓ -91% |
| Paramount | Managed Medicaid | $51.75 | ↓ -90% |
| MOLINA | Managed Medicaid | $52.75 | ↓ -90% |
| ANTHEM | Managed Medicaid | $52.75 | ↓ -90% |
| Buckeye | Managed Medicaid | $52.75 | ↓ -90% |
| UNITED | Managed Medicaid | $53.76 | ↓ -90% |
| United BH | Managed Medicaid | $55.26 | ↓ -90% |
| CC EHP | All Products | $55.33 | ↓ -90% |
| Oscar | All Products | $57.93 | ↓ -89% |
| Optum | Managed Medicaid Transplant | $59.35 | ↓ -89% |
| Caresource | Managed Medicaid | $65.59 | ↓ -88% |
| Molina | Managed Medicaid | $68.72 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $68.72 | ↓ -87% |
| Summacare | Preferred | $75.02 | ↓ -86% |
| UNITED | MEDICARE ADVANTAGE | $78.83 | ↓ -85% |
| United | All Products - Mid-Level | $79.19 | ↓ -85% |
| OPTUM | Medicare Advantage Transplant | $81.63 | ↓ -85% |
| HUMANA | Medicare Advantage HMO | $81.63 | ↓ -85% |
| The Health Plan | MEDICARE ADVANTAGE | $81.63 | ↓ -85% |
| MMO | Medicare Advantage HMO | $81.63 | ↓ -85% |
| OPTUM | All Products VA | $81.63 | ↓ -85% |
| Summacare | Premier | $81.75 | ↓ -85% |
| ANTHEM | MEDICARE ADVANTAGE | $82.33 | ↓ -85% |
| Valor | ALL PRODUCTS | $82.33 | ↓ -85% |
| AETNA | MEDICARE ADVANTAGE | $82.33 | ↓ -85% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $82.33 | ↓ -85% |
| UPMC | MEDICARE ADVANTAGE | $82.33 | ↓ -85% |
| Summacare | MEDICARE ADVANTAGE | $82.33 | ↓ -85% |
| CIGNA | Medicare Advantage Lifesource | $82.33 | ↓ -85% |
| MMO | Medicare Advantage PPO | $84.07 | ↓ -85% |
| CIGNA | MEDICARE ADVANTAGE | $84.80 | ↓ -84% |
| Aetna | Acop | $86.24 | ↓ -84% |
| CommuniCare | MEDICARE ADVANTAGE | $86.45 | ↓ -84% |
| United | All Products | $87.04 | ↓ -84% |
| United | HMO & PPO | $87.04 | ↓ -84% |
| Perennial Health | MEDICARE ADVANTAGE | $88.16 | ↓ -84% |
| OHCP | All Products | $88.69 | ↓ -84% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $88.92 | ↓ -84% |
| PPHP | ALL PRODUCTS | $90.57 | ↓ -83% |
| Ohio Healthy | Transplant | $91.20 | ↓ -83% |
| MMO | Medicare HMO | $95.40 | ↓ -82% |
| MMO | Medicare PPO | $98.26 | ↓ -82% |
| Aultcare | PPO/HMO | $99.86 | ↓ -82% |
| MMO | SuperMed | $102.60 | ↓ -81% |
| Amish Community Aid Plan | All Products | $102.60 | ↓ -81% |
| Anthem | All Products Physician Non-Facility | $106.41 | ↓ -80% |
| Anthem | All Products Physician Facility | $106.41 | ↓ -80% |
| Anthem | All Products Physician | $106.41 | ↓ -80% |
| Optum | Commercial CRS Care Solutions | $106.93 | ↓ -80% |
| Humana Military | All Products | $109.95 | ↓ -80% |
| Aetna | All Products Transplant | $113.93 | ↓ -79% |
| OMAS | All Products | $114.00 | ↓ -79% |
| CIGNA | PPO | $122.31 | ↓ -77% |
| Healthsmart | All Products | $125.40 | ↓ -77% |
| The Health Plan | All Products | $125.40 | ↓ -77% |
| CIGNA | ALL PRODUCTS | $130.85 | ↓ -76% |
| Optum | All Products Transplant | $132.92 | ↓ -76% |
| UPMC | All Products | $136.80 | ↓ -75% |
| PHPHI | All Products | $136.80 | ↓ -75% |
| Optum | Commercial CHD Care Solutions | $138.40 | ↓ -75% |
| Three Rivers | All Products | $148.20 | ↓ -73% |
| Clarity Health | All Products | $148.20 | ↓ -73% |
| Quality Care Partners | All Products | $159.60 | ↓ -71% |
| GMS | All Products | $159.60 | ↓ -71% |
| Consociate Health | All Products | $171.00 | ↓ -69% |
| Aetna | All Products First Health | $171.00 | ↓ -69% |
| UNITED | ALL PRODUCTS | $182.03 | ↓ -67% |
| MMO | NASCO | $182.40 | ↓ -66% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $182.40 | ↓ -66% |
| Aetna | Asa | $182.40 | ↓ -66% |
| AETNA | Asa_Whirlpool_Peia | $204.99 | ↓ -62% |
| Multiplan | All Products | $205.20 | ↓ -62% |
| USA Managed Care | All Products | $205.20 | ↓ -62% |
| AETNA | International | $205.96 | ↓ -62% |
| Aetna | Qhp/Ifp | $228.00 | ↓ -58% |
| MMO | ALL PRODUCTS | $237.23 | ↓ -56% |
| UNITED | All Products International | $409.57 | ↓ -25% |
| ANTHEM | HPN | $76,044.21 | ↑ +13894% |
| ANTHEM | PPO/HMO | $89,463.30 | ↑ +16364% |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
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Echo exam of eye at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $66.34 – $76.81 |
| fairview hospital | Cleveland | not published | $39.10 – $90.57 |
| lutheran hospital | Cleveland | not published | $37.23 – $90.57 |
| akron general | Akron | $148.20 | $1.10 – $205.20 |
| mercy hospital | Canton | $148.20 | $1.10 – $205.20 |
| avon hospital | Avon | not published | $40.62 – $90.57 |
| euclid hospital | Euclid | not published | $41.63 – $90.57 |
| hillcrest hospital | Mayfield Heights | not published | $40.75 – $90.57 |