healthcosts.net
Enterorrhaphy 1perforation 44602 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$6,427.20
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.
$9,888.00
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 $9,888.00 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 | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $691.14 | ↓ -89% |
| Paramount | Managed Medicaid | $749.35 | ↓ -88% |
| Buckeye | Managed Medicaid | $763.90 | ↓ -88% |
| Caresource | Managed Medicaid | $763.90 | ↓ -88% |
| Molina | Managed Medicaid | $800.27 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $800.27 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $868.77 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $955.06 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $1,136.08 | ↓ -82% |
| United | Managed Medicaid | $1,151.80 | ↓ -82% |
| Summacare | Medicare Advantage MD | $1,269.74 | ↓ -80% |
| Humana | Medicare Advantage HMO | $1,273.41 | ↓ -80% |
| Valor | All Products | $1,273.41 | ↓ -80% |
| Aetna | Medicare Advantage | $1,273.41 | ↓ -80% |
| Aetna | Medicare Advantage Transplant | $1,273.41 | ↓ -80% |
| UPMC | Medicare Advantage | $1,273.41 | ↓ -80% |
| United | Medicare Advantage | $1,273.41 | ↓ -80% |
| The Health Plan | Medicare Advantage | $1,273.41 | ↓ -80% |
| Anthem | Medicare Advantage | $1,273.41 | ↓ -80% |
| Optum | Medicare Advantage Transplant | $1,273.41 | ↓ -80% |
| Cigna | Medicare Advantage | $1,311.61 | ↓ -80% |
| Devoted Health | Medicare Advantage | $1,336.57 | ↓ -79% |
| CommuniCare | Medicare Advantage | $1,337.08 | ↓ -79% |
| Perennial Health | Medicare Advantage | $1,375.28 | ↓ -79% |
| PPHP | All Products | $1,400.75 | ↓ -78% |
| Humana Military | All Products | $1,716.85 | ↓ -73% |
| Aetna | All Products Transplant | $1,730.73 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $1,901.11 | ↓ -70% |
| Anthem | All Products Mid-Level Facility | $1,901.11 | ↓ -70% |
| Oscar | All Products | $2,512.54 | ↓ -61% |
| CC EHP | All Products | $2,539.48 | ↓ -60% |
| Summacare | Preferred | $3,018.32 | ↓ -53% |
| Summacare | Premier | $3,289.19 | ↓ -49% |
| Aetna | Acop | $3,431.08 | ↓ -47% |
| OPTUM | Managed Medicaid Transplant | $3,466.13 | ↓ -46% |
| Valor | ALL PRODUCTS | $3,647.57 | ↓ -43% |
| UPMC | MEDICARE ADVANTAGE | $3,647.57 | ↓ -43% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,647.57 | ↓ -43% |
| AETNA | MEDICARE ADVANTAGE | $3,647.57 | ↓ -43% |
| ANTHEM | MEDICARE ADVANTAGE | $3,647.57 | ↓ -43% |
| CIGNA | Medicare Advantage Lifesource | $3,647.57 | ↓ -43% |
| Summacare | MEDICARE ADVANTAGE | $3,647.57 | ↓ -43% |
| CARESOURCE | Managed Medicaid | $3,648.56 | ↓ -43% |
| MMO | ALL PRODUCTS | $3,696.29 | ↓ -42% |
| CIGNA | MEDICARE ADVANTAGE | $3,757.00 | ↓ -42% |
| CommuniCare | MEDICARE ADVANTAGE | $3,829.95 | ↓ -40% |
| MOLINA | Managed Medicaid | $3,830.99 | ↓ -40% |
| ANTHEM | Managed Medicaid | $3,830.99 | ↓ -40% |
| United | All Products - Mid-Level | $3,842.63 | ↓ -40% |
| OHCP | All Products | $3,846.43 | ↓ -40% |
| UNITED | Managed Medicaid | $3,903.96 | ↓ -39% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,939.38 | ↓ -39% |
| Ohio Healthy | Transplant | $3,955.20 | ↓ -38% |
| PPHP | ALL PRODUCTS | $4,012.33 | ↓ -38% |
| United BH | Managed Medicaid | $4,013.42 | ↓ -38% |
| MMO | Medicare HMO | $4,057.23 | ↓ -37% |
| MMO | SuperMed | $4,129.29 | ↓ -36% |
| United | All Products | $4,141.60 | ↓ -36% |
| United | HMO & PPO | $4,141.60 | ↓ -36% |
| MMO | Medicare PPO | $4,178.95 | ↓ -35% |
| Aultcare | PPO/HMO | $4,330.94 | ↓ -33% |
| Amish Community Aid Plan | All Products | $4,449.60 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $4,637.47 | ↓ -28% |
| Anthem | All Products Physician Facility | $4,828.42 | ↓ -25% |
| Anthem | All Products Physician Non-Facility | $4,828.42 | ↓ -25% |
| Anthem | All Products Physician | $4,828.42 | ↓ -25% |
| OMAS | All Products | $4,944.00 | ↓ -23% |
| The Health Plan | All Products | $5,438.40 | ↓ -15% |
| Healthsmart | All Products | $5,438.40 | ↓ -15% |
| Optum | All Products Transplant | $5,764.70 | ↓ -10% |
| UPMC | All Products | $5,932.80 | ↓ -8% |
| PHPHI | All Products | $5,932.80 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $6,002.02 | ↓ -7% |
| Three Rivers | All Products | $6,427.20 | ↑ +0% |
| Clarity Health | All Products | $6,427.20 | ↑ +0% |
| Quality Care Partners | All Products | $6,921.60 | ↑ +8% |
| GMS | All Products | $6,921.60 | ↑ +8% |
| Consociate Health | All Products | $7,416.00 | ↑ +15% |
| Aetna | All Products First Health | $7,416.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $7,910.40 | ↑ +23% |
| Aetna | Asa | $7,910.40 | ↑ +23% |
| MMO | NASCO | $7,910.40 | ↑ +23% |
| USA Managed Care | All Products | $8,899.20 | ↑ +38% |
| Multiplan | All Products | $8,899.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $9,888.00 | ↑ +54% |
| 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
Enterorrhaphy 1perforation 44602 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,817.50 – $5,578.16 |
| fairview hospital | Cleveland | not published | $2,840.06 – $10,030.83 |
| lutheran hospital | Cleveland | not published | $2,703.83 – $4,012.33 |
| akron general | Akron | $6,427.20 | $1.10 – $3,939.38 |
| mercy hospital | Canton | $6,427.20 | $1.10 – $3,757.00 |
| avon hospital | Avon | not published | $2,950.74 – $4,012.33 |
| euclid hospital | Euclid | not published | $3,023.11 – $4,012.33 |
| hillcrest hospital | Mayfield Heights | not published | $2,958.90 – $10,030.83 |