healthcosts.net
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,911.00
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.
$2,940.00
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 $20,863.78 with MMO — 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 | $263.50 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $290.21 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $344.58 | ↓ -82% |
| Optum | Managed Medicaid Transplant | $346.47 | ↓ -82% |
| United | Managed Medicaid | $347.00 | ↓ -82% |
| Paramount | Managed Medicaid | $375.65 | ↓ -80% |
| Buckeye | Managed Medicaid | $382.95 | ↓ -80% |
| Caresource | Managed Medicaid | $382.95 | ↓ -80% |
| Summacare | Medicare Advantage MD | $385.12 | ↓ -80% |
| Humana | Medicare Advantage HMO | $386.94 | ↓ -80% |
| Valor | All Products | $386.94 | ↓ -80% |
| Aetna | Medicare Advantage | $386.94 | ↓ -80% |
| Aetna | Medicare Advantage Transplant | $386.94 | ↓ -80% |
| UPMC | Medicare Advantage | $386.94 | ↓ -80% |
| United | Medicare Advantage | $386.94 | ↓ -80% |
| The Health Plan | Medicare Advantage | $386.94 | ↓ -80% |
| Anthem | Medicare Advantage | $386.94 | ↓ -80% |
| Optum | Medicare Advantage Transplant | $386.94 | ↓ -80% |
| Cigna | Medicare Advantage | $398.55 | ↓ -79% |
| Molina | Managed Medicaid | $401.18 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $401.18 | ↓ -79% |
| Devoted Health | Medicare Advantage | $405.39 | ↓ -79% |
| CommuniCare | Medicare Advantage | $406.29 | ↓ -79% |
| Perennial Health | Medicare Advantage | $417.90 | ↓ -78% |
| PPHP | All Products | $425.63 | ↓ -78% |
| Humana Military | All Products | $543.45 | ↓ -72% |
| Aetna | All Products Transplant | $546.40 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $564.74 | ↓ -70% |
| Anthem | All Products Mid-Level Non-Facility | $564.74 | ↓ -70% |
| Oscar | All Products | $747.05 | ↓ -61% |
| CC EHP | All Products | $770.24 | ↓ -60% |
| Summacare | Preferred | $928.42 | ↓ -51% |
| Summacare | Premier | $1,011.74 | ↓ -47% |
| Aetna | Acop | $1,055.38 | ↓ -45% |
| OHCP | All Products | $1,143.66 | ↓ -40% |
| United | All Products - Mid-Level | $1,159.50 | ↓ -39% |
| Ohio Healthy | Transplant | $1,176.00 | ↓ -38% |
| United | All Products | $1,249.71 | ↓ -35% |
| United | HMO & PPO | $1,249.71 | ↓ -35% |
| Aultcare | PPO/HMO | $1,287.72 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,323.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,378.86 | ↓ -28% |
| MMO | Medicare HMO | $1,395.11 | ↓ -27% |
| Anthem | All Products Physician Non-Facility | $1,434.32 | ↓ -25% |
| Anthem | All Products Physician Facility | $1,434.32 | ↓ -25% |
| Anthem | All Products Physician | $1,434.32 | ↓ -25% |
| MMO | Medicare PPO | $1,436.96 | ↓ -25% |
| OMAS | All Products | $1,470.00 | ↓ -23% |
| Healthsmart | All Products | $1,617.00 | ↓ -15% |
| The Health Plan | All Products | $1,617.00 | ↓ -15% |
| Optum | All Products Transplant | $1,714.02 | ↓ -10% |
| UPMC | All Products | $1,764.00 | ↓ -8% |
| PHPHI | All Products | $1,764.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,784.58 | ↓ -7% |
| Clarity Health | All Products | $1,911.00 | ↑ +0% |
| Three Rivers | All Products | $1,911.00 | ↑ +0% |
| GMS | All Products | $2,058.00 | ↑ +8% |
| Quality Care Partners | All Products | $2,058.00 | ↑ +8% |
| Aetna | All Products First Health | $2,205.00 | ↑ +15% |
| Consociate Health | All Products | $2,205.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,352.00 | ↑ +23% |
| Aetna | Asa | $2,352.00 | ↑ +23% |
| MMO | NASCO | $2,352.00 | ↑ +23% |
| USA Managed Care | All Products | $2,646.00 | ↑ +38% |
| Multiplan | All Products | $2,646.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,940.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $4,090.38 | ↑ +114% |
| CARESOURCE | Managed Medicaid | $4,305.66 | ↑ +125% |
| ANTHEM | Managed Medicaid | $4,520.94 | ↑ +137% |
| MOLINA | Managed Medicaid | $4,520.94 | ↑ +137% |
| UNITED | Managed Medicaid | $4,607.06 | ↑ +141% |
| United BH | Managed Medicaid | $4,736.23 | ↑ +148% |
| UNITED | MEDICARE ADVANTAGE | $6,206.54 | ↑ +225% |
| MMO | Medicare Advantage HMO | $6,622.52 | ↑ +247% |
| OPTUM | All Products VA | $6,622.52 | ↑ +247% |
| HUMANA | Medicare Advantage HMO | $6,622.52 | ↑ +247% |
| OPTUM | Medicare Advantage Transplant | $6,622.52 | ↑ +247% |
| The Health Plan | MEDICARE ADVANTAGE | $6,622.52 | ↑ +247% |
| MMO | Medicare Advantage PPO | $6,821.20 | ↑ +257% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $6,864.94 | ↑ +259% |
| Summacare | MEDICARE ADVANTAGE | $6,864.94 | ↑ +259% |
| ANTHEM | MEDICARE ADVANTAGE | $6,864.94 | ↑ +259% |
| CIGNA | Medicare Advantage Lifesource | $6,864.94 | ↑ +259% |
| AETNA | MEDICARE ADVANTAGE | $6,864.94 | ↑ +259% |
| UPMC | MEDICARE ADVANTAGE | $6,864.94 | ↑ +259% |
| Valor | ALL PRODUCTS | $6,864.94 | ↑ +259% |
| CIGNA | MEDICARE ADVANTAGE | $7,070.89 | ↑ +270% |
| Perennial Health | MEDICARE ADVANTAGE | $7,152.33 | ↑ +274% |
| CommuniCare | MEDICARE ADVANTAGE | $7,208.19 | ↑ +277% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,414.13 | ↑ +288% |
| PPHP | ALL PRODUCTS | $7,551.43 | ↑ +295% |
| MMO | SuperMed | $20,863.78 | ↑ +992% |
| Cigna | All Products Physician | 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 | — |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $5,685.11 – $6,582.76 |
| fairview hospital | Cleveland | not published | $3,351.55 – $7,551.43 |
| lutheran hospital | Cleveland | not published | $3,190.79 – $7,551.43 |
| akron general | Akron | not published | $3,246.83 – $7,551.43 |
| avon hospital | Avon | not published | $3,482.17 – $7,551.43 |
| euclid hospital | Euclid | not published | $3,567.57 – $7,551.43 |
| hillcrest hospital | Mayfield Heights | not published | $3,491.79 – $7,551.43 |
| lodi hospital | Lodi | not published | $5,447.53 – $6,307.66 |