healthcosts.net
Esoph fundoplasty lap 43327 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,471.00
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.
$5,340.00
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 $5,526.65 with United BH — 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 | $410.22 | ↓ -88% |
| Paramount | Managed Medicaid | $444.76 | ↓ -87% |
| Buckeye | Managed Medicaid | $453.40 | ↓ -87% |
| Caresource | Managed Medicaid | $453.40 | ↓ -87% |
| Molina | Managed Medicaid | $474.99 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $474.99 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $516.79 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $581.34 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $675.80 | ↓ -81% |
| United | Managed Medicaid | $689.01 | ↓ -80% |
| Summacare | Medicare Advantage MD | $755.31 | ↓ -78% |
| UPMC | Medicare Advantage | $775.12 | ↓ -78% |
| United | Medicare Advantage | $775.12 | ↓ -78% |
| The Health Plan | Medicare Advantage | $775.12 | ↓ -78% |
| Anthem | Medicare Advantage | $775.12 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $775.12 | ↓ -78% |
| Aetna | Medicare Advantage | $775.12 | ↓ -78% |
| Valor | All Products | $775.12 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $775.12 | ↓ -78% |
| Humana | Medicare Advantage HMO | $775.12 | ↓ -78% |
| Devoted Health | Medicare Advantage | $795.06 | ↓ -77% |
| Cigna | Medicare Advantage | $798.37 | ↓ -77% |
| CommuniCare | Medicare Advantage | $813.88 | ↓ -77% |
| Perennial Health | Medicare Advantage | $837.13 | ↓ -76% |
| PPHP | All Products | $852.63 | ↓ -75% |
| Aetna | All Products Transplant | $997.21 | ↓ -71% |
| Humana Military | All Products | $1,008.85 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $1,107.07 | ↓ -68% |
| Anthem | All Products Mid-Level Facility | $1,107.07 | ↓ -68% |
| Oscar | All Products | $1,356.89 | ↓ -61% |
| CC EHP | All Products | $1,510.61 | ↓ -56% |
| Summacare | Preferred | $1,851.03 | ↓ -47% |
| Summacare | Premier | $2,017.15 | ↓ -42% |
| OHCP | All Products | $2,077.26 | ↓ -40% |
| Aetna | Acop | $2,104.17 | ↓ -39% |
| Ohio Healthy | Transplant | $2,136.00 | ↓ -38% |
| United | All Products - Mid-Level | $2,230.36 | ↓ -36% |
| Aultcare | PPO/HMO | $2,338.92 | ↓ -33% |
| MMO | Medicare HMO | $2,344.08 | ↓ -32% |
| MMO | SuperMed | $2,396.76 | ↓ -31% |
| Amish Community Aid Plan | All Products | $2,403.00 | ↓ -31% |
| United | HMO & PPO | $2,403.89 | ↓ -31% |
| United | All Products | $2,403.89 | ↓ -31% |
| MMO | Medicare PPO | $2,414.40 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $2,504.46 | ↓ -28% |
| OMAS | All Products | $2,670.00 | ↓ -23% |
| Anthem | All Products Physician Non-Facility | $2,811.72 | ↓ -19% |
| Anthem | All Products Physician | $2,811.72 | ↓ -19% |
| Anthem | All Products Physician Facility | $2,811.72 | ↓ -19% |
| The Health Plan | All Products | $2,937.00 | ↓ -15% |
| Healthsmart | All Products | $2,937.00 | ↓ -15% |
| Optum | All Products Transplant | $3,113.22 | ↓ -10% |
| PHPHI | All Products | $3,204.00 | ↓ -8% |
| UPMC | All Products | $3,204.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $3,241.38 | ↓ -7% |
| Three Rivers | All Products | $3,471.00 | ↑ +0% |
| Clarity Health | All Products | $3,471.00 | ↑ +0% |
| Quality Care Partners | All Products | $3,738.00 | ↑ +8% |
| GMS | All Products | $3,738.00 | ↑ +8% |
| Consociate Health | All Products | $4,005.00 | ↑ +15% |
| Aetna | All Products First Health | $4,005.00 | ↑ +15% |
| MMO | NASCO | $4,272.00 | ↑ +23% |
| Aetna | Asa | $4,272.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $4,272.00 | ↑ +23% |
| OPTUM | Managed Medicaid Transplant | $4,773.02 | ↑ +38% |
| USA Managed Care | All Products | $4,806.00 | ↑ +38% |
| Multiplan | All Products | $4,806.00 | ↑ +38% |
| CARESOURCE | Managed Medicaid | $5,024.23 | ↑ +45% |
| MOLINA | Managed Medicaid | $5,275.44 | ↑ +52% |
| ANTHEM | Managed Medicaid | $5,275.44 | ↑ +52% |
| Aetna | Qhp/Ifp | $5,340.00 | ↑ +54% |
| UNITED | Managed Medicaid | $5,375.93 | ↑ +55% |
| United BH | Managed Medicaid | $5,526.65 | ↑ +59% |
| 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 | — |
| Cigna | All Products Mid-Level | 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
Esoph fundoplasty lap 43327 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $6,633.90 – $7,681.36 |
| fairview hospital | Cleveland | not published | $3,910.89 – $4,528.40 |
| lutheran hospital | Cleveland | not published | $3,723.30 – $4,311.19 |
| akron general | Akron | not published | $3,788.70 – $4,386.91 |
| avon hospital | Avon | not published | $4,063.30 – $4,140.70 |
| euclid hospital | Euclid | not published | $4,162.96 – $4,820.27 |
| hillcrest hospital | Mayfield Heights | not published | $4,074.53 – $4,717.88 |
| lodi hospital | Lodi | not published | $6,356.66 – $7,360.34 |