Ercp lesion ablate w/dilate 43278 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$11,375.65
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.
$17,501.00
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 $17,501.00 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% |
| Summacare | Medicare Advantage Lower Level | $261.44 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $278.03 | ↓ -98% |
| Optum | Managed Medicaid Transplant | $334.49 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $341.89 | ↓ -97% |
| United | Managed Medicaid | $348.33 | ↓ -97% |
| Paramount | Managed Medicaid | $362.65 | ↓ -97% |
| Caresource | Managed Medicaid | $369.69 | ↓ -97% |
| Buckeye | Managed Medicaid | $369.69 | ↓ -97% |
| United | Medicare Advantage | $370.71 | ↓ -97% |
| Aetna | Medicare Advantage | $370.71 | ↓ -97% |
| Aetna | Medicare Advantage Transplant | $370.71 | ↓ -97% |
| Optum | Medicare Advantage Transplant | $370.71 | ↓ -97% |
| Valor | All Products | $370.71 | ↓ -97% |
| The Health Plan | Medicare Advantage | $370.71 | ↓ -97% |
| Anthem | Medicare Advantage | $370.71 | ↓ -97% |
| UPMC | Medicare Advantage | $370.71 | ↓ -97% |
| Humana | Medicare Advantage HMO | $370.71 | ↓ -97% |
| Cigna | Medicare Advantage | $381.83 | ↓ -97% |
| Summacare | Medicare Advantage MD | $382.11 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $387.30 | ↓ -97% |
| Molina | Managed Medicaid | $387.30 | ↓ -97% |
| CommuniCare | Medicare Advantage | $389.25 | ↓ -97% |
| Perennial Health | Medicare Advantage | $400.37 | ↓ -96% |
| Devoted Health | Medicare Advantage | $402.22 | ↓ -96% |
| PPHP | All Products | $407.78 | ↓ -96% |
| AETNA | Medicare Advantage Transplant | $498.13 | ↓ -96% |
| Humana Military | All Products | $538.30 | ↓ -95% |
| Aetna | All Products Transplant | $544.40 | ↓ -95% |
| AETNA | All Products Transplant | $544.40 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $570.32 | ↓ -95% |
| Anthem | All Products Mid-Level Facility | $570.32 | ↓ -95% |
| CC EHP | All Products | $764.22 | ↓ -93% |
| Oscar | All Products | $804.99 | ↓ -93% |
| Summacare | Preferred | $880.71 | ↓ -92% |
| Summacare | Premier | $959.74 | ↓ -92% |
| Aetna | Acop | $1,001.14 | ↓ -91% |
| United | All Products - Mid-Level | $1,159.08 | ↓ -90% |
| OHCP | All Products | $1,232.35 | ↓ -89% |
| United | All Products | $1,249.25 | ↓ -89% |
| United | HMO & PPO | $1,249.25 | ↓ -89% |
| MMO | Medicare HMO | $1,250.71 | ↓ -89% |
| Ohio Healthy | Transplant | $1,267.20 | ↓ -89% |
| MMO | Medicare PPO | $1,288.23 | ↓ -89% |
| Aultcare | PPO/HMO | $1,387.58 | ↓ -88% |
| Amish Community Aid Plan | All Products | $1,425.60 | ↓ -87% |
| Anthem | All Products Physician Non-Facility | $1,448.49 | ↓ -87% |
| Anthem | All Products Physician | $1,448.49 | ↓ -87% |
| Anthem | All Products Physician Facility | $1,448.49 | ↓ -87% |
| Optum | Commercial CRS Care Solutions | $1,485.79 | ↓ -87% |
| OMAS | All Products | $1,584.00 | ↓ -86% |
| The Health Plan | All Products | $1,742.40 | ↓ -85% |
| Healthsmart | All Products | $1,742.40 | ↓ -85% |
| Optum | All Products Transplant | $1,846.94 | ↓ -84% |
| UPMC | All Products | $1,900.80 | ↓ -83% |
| PHPHI | All Products | $1,900.80 | ↓ -83% |
| Optum | Commercial CHD Care Solutions | $1,922.98 | ↓ -83% |
| Three Rivers | All Products | $2,059.20 | ↓ -82% |
| Clarity Health | All Products | $2,059.20 | ↓ -82% |
| GMS | All Products | $2,217.60 | ↓ -81% |
| Quality Care Partners | All Products | $2,217.60 | ↓ -81% |
| Aetna | All Products First Health | $2,376.00 | ↓ -79% |
| Consociate Health | All Products | $2,376.00 | ↓ -79% |
| MMO | NASCO | $2,534.40 | ↓ -78% |
| Aetna | Asa | $2,534.40 | ↓ -78% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,534.40 | ↓ -78% |
| Multiplan | All Products | $2,851.20 | ↓ -75% |
| USA Managed Care | All Products | $2,851.20 | ↓ -75% |
| OPTUM | Managed Medicaid Transplant | $2,863.07 | ↓ -75% |
| CARESOURCE | Managed Medicaid | $3,013.76 | ↓ -74% |
| MOLINA | Managed Medicaid | $3,164.45 | ↓ -72% |
| ANTHEM | Managed Medicaid | $3,164.45 | ↓ -72% |
| Aetna | Qhp/Ifp | $3,168.00 | ↓ -72% |
| UNITED | Managed Medicaid | $3,224.72 | ↓ -72% |
| United BH | Managed Medicaid | $3,315.14 | ↓ -71% |
| UNITED | MEDICARE ADVANTAGE | $3,322.52 | ↓ -71% |
| OPTUM | All Products VA | $3,526.95 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $3,526.95 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $3,526.95 | ↓ -69% |
| MMO | Medicare Advantage HMO | $3,526.95 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $3,526.95 | ↓ -69% |
| MMO | Medicare Advantage PPO | $3,632.76 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $3,647.57 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $3,647.57 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $3,647.57 | ↓ -68% |
| CIGNA | Medicare Advantage Lifesource | $3,647.57 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $3,647.57 | ↓ -68% |
| Valor | ALL PRODUCTS | $3,647.57 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,647.57 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $3,757.00 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $3,809.11 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $3,829.95 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,939.38 | ↓ -65% |
| PPHP | ALL PRODUCTS | $4,012.33 | ↓ -65% |
| CC EHP | ALL PRODUCTS | $4,865.28 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $4,949.28 | ↓ -56% |
| MMO | ALL PRODUCTS | $5,265.00 | ↓ -54% |
| PHPHI | ALL PRODUCTS | $5,600.32 | ↓ -51% |
| PHP | ALL PRODUCTS | $5,600.32 | ↓ -51% |
| UNITED | ALL PRODUCTS | $6,238.00 | ↓ -45% |
| UNITED | All Products International | $6,987.00 | ↓ -39% |
| AETNA | International | $7,431.00 | ↓ -35% |
| Amish Community Aid Plan | ALL PRODUCTS | $7,875.45 | ↓ -31% |
| Summacare | PREMIER | $7,980.46 | ↓ -30% |
| ANTHEM | HPN | $8,059.21 | ↓ -29% |
| OHCP | ALL PRODUCTS | $8,505.49 | ↓ -25% |
| OMAS | ALL PRODUCTS | $8,750.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $9,450.54 | ↓ -17% |
| ANTHEM | PPO/HMO | $9,482.04 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $9,625.55 | ↓ -15% |
| OPTUM | All Products Transplant | $9,905.57 | ↓ -13% |
| CIGNA | ALL PRODUCTS | $10,364.00 | ↓ -9% |
| The Health Plan | ALL PRODUCTS | $10,500.60 | ↓ -8% |
| UPMC | ALL PRODUCTS | $10,500.60 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $10,553.10 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $10,553.10 | ↓ -7% |
| AETNA | Acop | $10,955.63 | ↓ -4% |
| MMO | TRADITIONAL | $11,008.13 | ↓ -3% |
| MMO | SuperMed | $11,169.59 | ↓ -2% |
| Clarity Health | ALL PRODUCTS | $11,375.65 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $11,375.65 | ↑ +0% |
| Ohio Healthy | Transplant SMCP | $12,250.70 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $12,250.70 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $12,250.70 | ↑ +8% |
| GMS | ALL PRODUCTS | $12,250.70 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $12,250.70 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $12,250.70 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $12,408.21 | ↑ +9% |
| CIGNA | PPO | $12,985.74 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $13,125.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $13,125.75 | ↑ +15% |
| Consociate Health | TRANSPLANT | $13,125.75 | ↑ +15% |
| ANTHEM | TRADITIONAL | $13,461.77 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $14,000.80 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $14,000.80 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $14,875.85 | ↑ +31% |
| FrontPath | TRANSPLANT | $15,750.90 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $15,750.90 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $15,750.90 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $15,750.90 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $15,750.90 | ↑ +38% |
| AETNA | Qhp/Ipf | $17,501.00 | ↑ +54% |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | 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 | — |
Visitor-reported prices
Comments
Ercp lesion ablate w/dilate 43278 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,979.31 – $4,607.63 |
| fairview hospital | Cleveland | not published | $2,345.93 – $4,012.33 |
| lutheran hospital | Cleveland | not published | $2,233.40 – $4,012.33 |
| akron general | Akron | $2,059.20 | $1.10 – $3,796.53 |
| mercy hospital | Canton | $2,059.20 | $1.10 – $3,757.00 |
| University Hospitals Ahuja Medical Center | Beachwood | $5,948.25 | $900.00 – $7,137.90 |
| University Hospitals Beachwood Medical Center | Beachwood | $5,948.25 | $900.00 – $9,238.28 |
| University Hospitals Elyria Medical Center | Elyria | $5,948.25 | $3,647.57 – $6,565.63 |