healthcosts.net
Ercp biliary & pancreas at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$771.55
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.
$1,187.00
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 $927.00 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 | $3.22 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $16.43 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $20.36 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $21.48 | ↓ -97% |
| Summacare | Medicare Advantage MD | $24.01 | ↓ -97% |
| Devoted Health | Medicare Advantage | $25.27 | ↓ -97% |
| UPMC | Medicare Advantage | $27.14 | ↓ -96% |
| Optum | Medicare Advantage Transplant | $27.14 | ↓ -96% |
| Valor | All Products | $27.14 | ↓ -96% |
| Anthem | Medicare Advantage | $27.14 | ↓ -96% |
| The Health Plan | Medicare Advantage | $27.14 | ↓ -96% |
| Aetna | Medicare Advantage | $27.14 | ↓ -96% |
| Aetna | Medicare Advantage Transplant | $27.14 | ↓ -96% |
| United | Medicare Advantage | $27.14 | ↓ -96% |
| Humana | Medicare Advantage HMO | $27.14 | ↓ -96% |
| PPHP | All Products | $27.29 | ↓ -96% |
| Cigna | Medicare Advantage | $27.95 | ↓ -96% |
| CommuniCare | Medicare Advantage | $28.50 | ↓ -96% |
| Perennial Health | Medicare Advantage | $29.31 | ↓ -96% |
| Anthem | All Products Mid-Level Facility | $37.03 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $37.03 | ↓ -95% |
| CC EHP | All Products | $48.01 | ↓ -94% |
| Summacare | Preferred | $64.86 | ↓ -92% |
| Oscar | All Products | $66.07 | ↓ -91% |
| United | All Products - Mid-Level | $67.53 | ↓ -91% |
| Summacare | Premier | $70.69 | ↓ -91% |
| United | All Products | $74.22 | ↓ -90% |
| United | HMO & PPO | $74.22 | ↓ -90% |
| Aetna | Acop | $74.57 | ↓ -90% |
| Anthem | All Products Physician | $94.04 | ↓ -88% |
| Anthem | All Products Physician Non-Facility | $94.04 | ↓ -88% |
| Anthem | All Products Physician Facility | $94.04 | ↓ -88% |
| OHCP | All Products | $101.14 | ↓ -87% |
| Ohio Healthy | Transplant | $104.00 | ↓ -87% |
| Optum | Managed Medicaid Transplant | $111.81 | ↓ -86% |
| OPTUM | Managed Medicaid Transplant | $112.68 | ↓ -85% |
| Aultcare | PPO/HMO | $113.88 | ↓ -85% |
| MMO | SuperMed | $117.00 | ↓ -85% |
| Amish Community Aid Plan | All Products | $117.00 | ↓ -85% |
| CARESOURCE | Managed Medicaid | $118.61 | ↓ -85% |
| Paramount | Managed Medicaid | $121.23 | ↓ -84% |
| Optum | Commercial CRS Care Solutions | $121.94 | ↓ -84% |
| Caresource | Managed Medicaid | $123.58 | ↓ -84% |
| Buckeye | Managed Medicaid | $123.58 | ↓ -84% |
| MOLINA | Managed Medicaid | $124.54 | ↓ -84% |
| ANTHEM | Managed Medicaid | $124.54 | ↓ -84% |
| UNITED | Managed Medicaid | $126.91 | ↓ -84% |
| MMO | Medicare HMO | $127.65 | ↓ -83% |
| Molina | Managed Medicaid | $129.47 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $129.47 | ↓ -83% |
| OMAS | All Products | $130.00 | ↓ -83% |
| United BH | Managed Medicaid | $130.47 | ↓ -83% |
| MMO | Medicare PPO | $131.48 | ↓ -83% |
| The Health Plan | All Products | $143.00 | ↓ -81% |
| Healthsmart | All Products | $143.00 | ↓ -81% |
| Optum | All Products Transplant | $151.58 | ↓ -80% |
| UPMC | All Products | $156.00 | ↓ -80% |
| PHPHI | All Products | $156.00 | ↓ -80% |
| Optum | Commercial CHD Care Solutions | $157.82 | ↓ -80% |
| Clarity Health | All Products | $169.00 | ↓ -78% |
| Three Rivers | All Products | $169.00 | ↓ -78% |
| GMS | All Products | $182.00 | ↓ -76% |
| Quality Care Partners | All Products | $182.00 | ↓ -76% |
| Consociate Health | All Products | $195.00 | ↓ -75% |
| Aetna | All Products First Health | $195.00 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $202.09 | ↓ -74% |
| Aetna | Asa | $208.00 | ↓ -73% |
| MMO | NASCO | $208.00 | ↓ -73% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $208.00 | ↓ -73% |
| USA Managed Care | All Products | $234.00 | ↓ -70% |
| Multiplan | All Products | $234.00 | ↓ -70% |
| CC EHP | ALL PRODUCTS | $257.71 | ↓ -67% |
| Aetna | Qhp/Ifp | $260.00 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $262.16 | ↓ -66% |
| PHPHI | ALL PRODUCTS | $296.64 | ↓ -62% |
| PHP | ALL PRODUCTS | $296.64 | ↓ -62% |
| AETNA | Asa_Whirlpool_Peia | $351.33 | ↓ -54% |
| Amish Community Aid Plan | ALL PRODUCTS | $417.15 | ↓ -46% |
| ANTHEM | HPN | $418.45 | ↓ -46% |
| Summacare | PREMIER | $422.71 | ↓ -45% |
| OHCP | ALL PRODUCTS | $450.52 | ↓ -42% |
| CIGNA | ALL PRODUCTS | $454.23 | ↓ -41% |
| OMAS | ALL PRODUCTS | $463.50 | ↓ -40% |
| ANTHEM | PPO/HMO | $492.33 | ↓ -36% |
| Ohio Healthy | TRANSPLANT | $500.58 | ↓ -35% |
| HEALTHSMART | ALL PRODUCTS | $509.85 | ↓ -34% |
| OPTUM | All Products Transplant | $524.68 | ↓ -32% |
| UPMC | ALL PRODUCTS | $556.20 | ↓ -28% |
| AETNA | Acop | $556.20 | ↓ -28% |
| The Health Plan | ALL PRODUCTS | $556.20 | ↓ -28% |
| OPTUM | Commercial CRS Care Solutions | $558.98 | ↓ -28% |
| OPTUM | Commercial CHD Care Solutions | $558.98 | ↓ -28% |
| MMO | TRADITIONAL | $583.08 | ↓ -24% |
| Clarity Health | ALL PRODUCTS | $602.55 | ↓ -22% |
| THREE RIVERS | ALL PRODUCTS | $602.55 | ↓ -22% |
| UNITED | ALL PRODUCTS | $638.70 | ↓ -17% |
| Medical Benefit Corp | Transplant SMCP | $648.90 | ↓ -16% |
| GMS | ALL PRODUCTS | $648.90 | ↓ -16% |
| Ohio Healthy | Transplant SMCP | $648.90 | ↓ -16% |
| Parkview Health Plan | Transplant SMCP | $648.90 | ↓ -16% |
| Quality Care Partners | Transplant SMCP | $648.90 | ↓ -16% |
| Quality Care Partners | ALL PRODUCTS | $648.90 | ↓ -16% |
| AETNA | International | $666.51 | ↓ -14% |
| CIGNA | PPO | $687.83 | ↓ -11% |
| Consociate Health | TRANSPLANT | $695.25 | ↓ -10% |
| Consociate Health | ALL PRODUCTS | $695.25 | ↓ -10% |
| AETNA | ALL PRODUCTS | $695.25 | ↓ -10% |
| ANTHEM | TRADITIONAL | $713.05 | ↓ -8% |
| Community Health Alliance | ALL PRODUCTS | $741.60 | ↓ -4% |
| Community Health Alliance | TRANSPLANT | $741.60 | ↓ -4% |
| Humana Military | ALL PRODUCTS | $787.95 | ↑ +2% |
| UNITED | All Products International | $787.95 | ↑ +2% |
| FrontPath | TRANSPLANT | $834.30 | ↑ +8% |
| MULTIPLAN | ALL PRODUCTS | $834.30 | ↑ +8% |
| USA Managed Care | ALL PRODUCTS | $834.30 | ↑ +8% |
| Managed Care Services | TRANSPLANT | $834.30 | ↑ +8% |
| Tertiary Care Network | TRANSPLANT | $834.30 | ↑ +8% |
| AETNA | Qhp/Ipf | $927.00 | ↑ +20% |
| Cigna | All Products Physician | not published by hospital | — |
| Humana Military | All Products | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | 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 | — |
| United BH | All Products RN | not published by hospital | — |
| AETNA | Medicare Advantage Transplant | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| AETNA | All Products Transplant | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Aetna | All Products Transplant | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| CIGNA | Medicare Advantage Lifesource | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $602.55 | $0.87 – $834.30 |
| lutheran hospital | Cleveland | $602.55 | $0.87 – $834.30 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $156.62 – $181.35 |
| akron general | Akron | $602.55 | $0.87 – $834.30 |
| avon hospital | Avon | $602.55 | $0.87 – $834.30 |
| euclid hospital | Euclid | $602.55 | $0.87 – $834.30 |
| hillcrest hospital | Mayfield Heights | $602.55 | $0.87 – $834.30 |
| marymount hospital | Garfield Heights | $602.55 | $0.87 – $834.30 |