healthcosts.net
Emg 3 ext w-w/o paraspinal area 95863 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,188.20
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.
$1,828.00
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 $748.00 with Aetna — 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 | $2.94 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $59.23 | ↓ -95% |
| Summacare | Medicare Advantage Psych | $72.22 | ↓ -94% |
| Summacare | Medicare Advantage CNA | $77.45 | ↓ -93% |
| Summacare | Medicare Advantage MD | $86.56 | ↓ -93% |
| Devoted Health | Medicare Advantage | $91.12 | ↓ -92% |
| United | Medicare Advantage | $96.29 | ↓ -92% |
| The Health Plan | Medicare Advantage | $96.29 | ↓ -92% |
| Optum | Medicare Advantage Transplant | $96.29 | ↓ -92% |
| Valor | All Products | $96.29 | ↓ -92% |
| Aetna | Medicare Advantage | $96.29 | ↓ -92% |
| Aetna | Medicare Advantage Transplant | $96.29 | ↓ -92% |
| Humana | Medicare Advantage HMO | $96.29 | ↓ -92% |
| UPMC | Medicare Advantage | $96.29 | ↓ -92% |
| Anthem | Medicare Advantage | $96.29 | ↓ -92% |
| PPHP | All Products | $98.41 | ↓ -92% |
| Cigna | Medicare Advantage | $99.18 | ↓ -92% |
| CommuniCare | Medicare Advantage | $101.10 | ↓ -91% |
| Perennial Health | Medicare Advantage | $103.99 | ↓ -91% |
| Optum | Managed Medicaid Transplant | $105.20 | ↓ -91% |
| Paramount | Managed Medicaid | $114.06 | ↓ -90% |
| Caresource | Managed Medicaid | $116.28 | ↓ -90% |
| Buckeye | Managed Medicaid | $116.28 | ↓ -90% |
| UPMC | MEDICARE ADVANTAGE | $121.73 | ↓ -90% |
| CIGNA | Medicare Advantage Lifesource | $121.73 | ↓ -90% |
| AETNA | MEDICARE ADVANTAGE | $121.73 | ↓ -90% |
| Summacare | MEDICARE ADVANTAGE | $121.73 | ↓ -90% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $121.73 | ↓ -90% |
| ANTHEM | MEDICARE ADVANTAGE | $121.73 | ↓ -90% |
| Valor | ALL PRODUCTS | $121.73 | ↓ -90% |
| Molina | Managed Medicaid | $121.81 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $121.81 | ↓ -90% |
| CIGNA | MEDICARE ADVANTAGE | $125.39 | ↓ -89% |
| CommuniCare | MEDICARE ADVANTAGE | $127.82 | ↓ -89% |
| Anthem | All Products Mid-Level Facility | $129.64 | ↓ -89% |
| Anthem | All Products Mid-Level Non-Facility | $129.64 | ↓ -89% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $131.47 | ↓ -89% |
| PPHP | ALL PRODUCTS | $133.91 | ↓ -89% |
| UNITED | MEDICARE ADVANTAGE | $135.52 | ↓ -89% |
| The Health Plan | MEDICARE ADVANTAGE | $145.04 | ↓ -88% |
| OPTUM | Medicare Advantage Transplant | $145.04 | ↓ -88% |
| OPTUM | All Products VA | $145.04 | ↓ -88% |
| HUMANA | Medicare Advantage HMO | $145.04 | ↓ -88% |
| MMO | Medicare Advantage HMO | $145.04 | ↓ -88% |
| MMO | Medicare Advantage PPO | $149.40 | ↓ -87% |
| Perennial Health | MEDICARE ADVANTAGE | $156.65 | ↓ -87% |
| United | Managed Medicaid | $171.56 | ↓ -86% |
| CC EHP | All Products | $173.13 | ↓ -85% |
| Oscar | All Products | $190.07 | ↓ -84% |
| Summacare | Preferred | $231.33 | ↓ -81% |
| Aetna | Acop | $242.21 | ↓ -80% |
| United | All Products - Mid-Level | $244.09 | ↓ -79% |
| Summacare | Premier | $252.09 | ↓ -79% |
| United | HMO & PPO | $257.98 | ↓ -78% |
| United | All Products | $257.98 | ↓ -78% |
| Aetna | All Products Transplant | $268.70 | ↓ -77% |
| Humana Military | All Products | $268.97 | ↓ -77% |
| OHCP | All Products | $290.97 | ↓ -76% |
| Ohio Healthy | Transplant | $299.20 | ↓ -75% |
| MMO | Medicare HMO | $302.26 | ↓ -75% |
| MMO | Medicare PPO | $311.33 | ↓ -74% |
| Aultcare | PPO/HMO | $327.62 | ↓ -72% |
| Anthem | All Products Physician Non-Facility | $329.29 | ↓ -72% |
| Anthem | All Products Physician | $329.29 | ↓ -72% |
| Anthem | All Products Physician Facility | $329.29 | ↓ -72% |
| MMO | SuperMed | $336.60 | ↓ -72% |
| Amish Community Aid Plan | All Products | $336.60 | ↓ -72% |
| Optum | Commercial CRS Care Solutions | $350.81 | ↓ -70% |
| OMAS | All Products | $374.00 | ↓ -69% |
| OPTUM | Managed Medicaid Transplant | $391.75 | ↓ -67% |
| MMO | ALL PRODUCTS | $407.79 | ↓ -66% |
| The Health Plan | All Products | $411.40 | ↓ -65% |
| Healthsmart | All Products | $411.40 | ↓ -65% |
| CARESOURCE | Managed Medicaid | $412.37 | ↓ -65% |
| ANTHEM | Managed Medicaid | $432.99 | ↓ -64% |
| MOLINA | Managed Medicaid | $432.99 | ↓ -64% |
| Optum | All Products Transplant | $436.08 | ↓ -63% |
| UNITED | Managed Medicaid | $441.24 | ↓ -63% |
| UPMC | All Products | $448.80 | ↓ -62% |
| PHPHI | All Products | $448.80 | ↓ -62% |
| United BH | Managed Medicaid | $453.61 | ↓ -62% |
| Optum | Commercial CHD Care Solutions | $454.04 | ↓ -62% |
| Clarity Health | All Products | $486.20 | ↓ -59% |
| Three Rivers | All Products | $486.20 | ↓ -59% |
| GMS | All Products | $523.60 | ↓ -56% |
| Quality Care Partners | All Products | $523.60 | ↓ -56% |
| Aetna | All Products First Health | $561.00 | ↓ -53% |
| Consociate Health | All Products | $561.00 | ↓ -53% |
| MMO | NASCO | $598.40 | ↓ -50% |
| Aetna | Asa | $598.40 | ↓ -50% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $598.40 | ↓ -50% |
| USA Managed Care | All Products | $673.20 | ↓ -43% |
| Multiplan | All Products | $673.20 | ↓ -43% |
| Aetna | Qhp/Ifp | $748.00 | ↓ -37% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Emg 3 ext w-w/o paraspinal area 95863 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $544.48 – $630.45 |
| fairview hospital | Cleveland | not published | $121.73 – $371.67 |
| lutheran hospital | Cleveland | not published | $121.73 – $353.85 |
| akron general | Akron | $486.20 | $1.10 – $673.20 |
| mercy hospital | Canton | $486.20 | $1.10 – $673.20 |
| University Hospitals Ahuja Medical Center | Beachwood | $869.25 | $121.73 – $1,043.10 |
| University Hospitals Beachwood Medical Center | Beachwood | $869.25 | $121.73 – $1,043.10 |
| University Hospitals Elyria Medical Center | Elyria | $869.25 | $121.73 – $219.12 |