Exc/pilonidal cyst/sinus/simple 11770 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$5,580.90
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.
$8,586.00
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.
$0.01 with UNITED vs $8,586.00 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 |
|---|---|---|---|
| UNITED | All Products International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $107.20 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $113.78 | ↓ -98% |
| Paramount | Managed Medicaid | $116.23 | ↓ -98% |
| Caresource | Managed Medicaid | $118.48 | ↓ -98% |
| Buckeye | Managed Medicaid | $118.48 | ↓ -98% |
| Molina | Managed Medicaid | $124.12 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $124.12 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $131.72 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $148.78 | ↓ -97% |
| Summacare | Medicare Advantage MD | $166.29 | ↓ -97% |
| Devoted Health | Medicare Advantage | $175.04 | ↓ -97% |
| United | Medicare Advantage | $175.62 | ↓ -97% |
| Humana | Medicare Advantage HMO | $175.62 | ↓ -97% |
| Optum | Medicare Advantage Transplant | $175.62 | ↓ -97% |
| Aetna | Medicare Advantage | $175.62 | ↓ -97% |
| Aetna | Medicare Advantage Transplant | $175.62 | ↓ -97% |
| Valor | All Products | $175.62 | ↓ -97% |
| UPMC | Medicare Advantage | $175.62 | ↓ -97% |
| The Health Plan | Medicare Advantage | $175.62 | ↓ -97% |
| Anthem | Medicare Advantage | $175.62 | ↓ -97% |
| Cigna | Medicare Advantage | $180.89 | ↓ -97% |
| CommuniCare | Medicare Advantage | $184.40 | ↓ -97% |
| PPHP | All Products | $189.04 | ↓ -97% |
| Perennial Health | Medicare Advantage | $189.67 | ↓ -97% |
| AETNA | Medicare Advantage Transplant | $219.96 | ↓ -96% |
| Humana Military | All Products | $222.37 | ↓ -96% |
| Aetna | All Products Transplant | $225.11 | ↓ -96% |
| AETNA | All Products Transplant | $225.11 | ↓ -96% |
| Anthem | All Products Mid-Level Facility | $248.23 | ↓ -96% |
| United | Managed Medicaid | $284.94 | ↓ -95% |
| Oscar | All Products | $297.30 | ↓ -95% |
| CC EHP | All Products | $332.58 | ↓ -94% |
| Summacare | Preferred | $423.52 | ↓ -92% |
| OHCP | All Products | $455.13 | ↓ -92% |
| Summacare | Premier | $461.52 | ↓ -92% |
| Anthem | All Products Mid-Level Non-Facility | $465.60 | ↓ -92% |
| Ohio Healthy | Transplant | $468.00 | ↓ -92% |
| Aetna | Acop | $481.43 | ↓ -91% |
| Aultcare | PPO/HMO | $512.46 | ↓ -91% |
| Amish Community Aid Plan | All Products | $526.50 | ↓ -91% |
| Optum | Commercial CRS Care Solutions | $548.73 | ↓ -90% |
| MMO | Medicare HMO | $559.45 | ↓ -90% |
| MMO | Medicare PPO | $576.23 | ↓ -90% |
| OMAS | All Products | $585.00 | ↓ -90% |
| Anthem | All Products Physician | $630.48 | ↓ -89% |
| Anthem | All Products Physician Facility | $630.48 | ↓ -89% |
| The Health Plan | All Products | $643.50 | ↓ -88% |
| Healthsmart | All Products | $643.50 | ↓ -88% |
| Optum | All Products Transplant | $682.11 | ↓ -88% |
| UPMC | All Products | $702.00 | ↓ -87% |
| PHPHI | All Products | $702.00 | ↓ -87% |
| Optum | Commercial CHD Care Solutions | $710.19 | ↓ -87% |
| Clarity Health | All Products | $760.50 | ↓ -86% |
| Three Rivers | All Products | $760.50 | ↓ -86% |
| GMS | All Products | $819.00 | ↓ -85% |
| Quality Care Partners | All Products | $819.00 | ↓ -85% |
| Aetna | All Products First Health | $877.50 | ↓ -84% |
| Consociate Health | All Products | $877.50 | ↓ -84% |
| United | All Products - Mid-Level | $935.53 | ↓ -83% |
| Aetna | Asa | $936.00 | ↓ -83% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $936.00 | ↓ -83% |
| MMO | NASCO | $936.00 | ↓ -83% |
| United | All Products | $1,008.32 | ↓ -82% |
| United | HMO & PPO | $1,008.32 | ↓ -82% |
| Cigna | All Products Mid-Level | $1,031.21 | ↓ -82% |
| USA Managed Care | All Products | $1,053.00 | ↓ -81% |
| Multiplan | All Products | $1,053.00 | ↓ -81% |
| OPTUM | Managed Medicaid Transplant | $1,060.53 | ↓ -81% |
| CARESOURCE | Managed Medicaid | $1,116.35 | ↓ -80% |
| Aetna | Qhp/Ifp | $1,170.00 | ↓ -79% |
| ANTHEM | Managed Medicaid | $1,172.17 | ↓ -79% |
| MOLINA | Managed Medicaid | $1,172.17 | ↓ -79% |
| Anthem | All Products Physician Non-Facility | $1,182.54 | ↓ -79% |
| UNITED | Managed Medicaid | $1,194.49 | ↓ -79% |
| Cigna | All Products Physician | $1,213.29 | ↓ -78% |
| United BH | Managed Medicaid | $1,227.99 | ↓ -78% |
| CC EHP | ALL PRODUCTS | $2,386.91 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $2,428.12 | ↓ -56% |
| UNITED | MEDICARE ADVANTAGE | $2,465.15 | ↓ -56% |
| MMO | Medicare Advantage HMO | $2,653.23 | ↓ -52% |
| OPTUM | Medicare Advantage Transplant | $2,653.23 | ↓ -52% |
| The Health Plan | MEDICARE ADVANTAGE | $2,653.23 | ↓ -52% |
| HUMANA | Medicare Advantage HMO | $2,653.23 | ↓ -52% |
| OPTUM | All Products VA | $2,653.23 | ↓ -52% |
| MMO | Medicare Advantage PPO | $2,732.83 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $2,747.52 | ↓ -51% |
| PHP | ALL PRODUCTS | $2,747.52 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↓ -51% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↓ -51% |
| UPMC | MEDICARE ADVANTAGE | $2,748.08 | ↓ -51% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,748.08 | ↓ -51% |
| CIGNA | Medicare Advantage Lifesource | $2,748.08 | ↓ -51% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↓ -51% |
| Valor | ALL PRODUCTS | $2,748.08 | ↓ -51% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↓ -49% |
| Perennial Health | MEDICARE ADVANTAGE | $2,865.49 | ↓ -49% |
| CommuniCare | MEDICARE ADVANTAGE | $2,885.49 | ↓ -48% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↓ -47% |
| PPHP | ALL PRODUCTS | $3,022.89 | ↓ -46% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,863.70 | ↓ -31% |
| Summacare | PREMIER | $3,915.22 | ↓ -30% |
| ANTHEM | HPN | $3,953.85 | ↓ -29% |
| OHCP | ALL PRODUCTS | $4,172.80 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $4,207.14 | ↓ -25% |
| OMAS | ALL PRODUCTS | $4,293.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $4,636.44 | ↓ -17% |
| ANTHEM | PPO/HMO | $4,651.89 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $4,722.30 | ↓ -15% |
| OPTUM | All Products Transplant | $4,859.68 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $5,151.60 | ↓ -8% |
| UPMC | ALL PRODUCTS | $5,151.60 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $5,177.36 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $5,177.36 | ↓ -7% |
| AETNA | Acop | $5,374.84 | ↓ -4% |
| MMO | TRADITIONAL | $5,400.59 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $5,580.90 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $5,580.90 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $6,010.20 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $6,010.20 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $6,010.20 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $6,010.20 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $6,010.20 | ↑ +8% |
| GMS | ALL PRODUCTS | $6,010.20 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $6,087.47 | ↑ +9% |
| CIGNA | PPO | $6,370.81 | ↑ +14% |
| Consociate Health | TRANSPLANT | $6,439.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $6,439.50 | ↑ +15% |
| Humana Military | ALL PRODUCTS | $6,439.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $6,439.50 | ↑ +15% |
| ANTHEM | TRADITIONAL | $6,604.35 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $6,868.80 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $6,868.80 | ↑ +23% |
| AETNA | International | $7,431.00 | ↑ +33% |
| Managed Care Services | TRANSPLANT | $7,727.40 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $7,727.40 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $7,727.40 | ↑ +38% |
| FrontPath | TRANSPLANT | $7,727.40 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $7,727.40 | ↑ +38% |
| MMO | ALL PRODUCTS | $7,813.00 | ↑ +40% |
| MMO | SuperMed | $8,286.13 | ↑ +48% |
| AETNA | Qhp/Ipf | $8,586.00 | ↑ +54% |
| United BH | All Products RN | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
Visitor-reported prices
Comments
Exc/pilonidal cyst/sinus/simple 11770 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $5,580.90 | $0.01 – $7,727.40 |
| lutheran hospital | Cleveland | $5,580.90 | $0.01 – $7,727.40 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,474.01 – $1,706.75 |
| Jewish Hospital | Cincinnati | $16,811.10 | $2,830.70 – $2,887.32 |
| Anderson Hospital | Cincinnati | $6,231.60 | not published |
| Clermont Hospital | Batavia | $13,112.52 | $2,830.70 – $2,887.32 |
| Kings Mills Hospital | Mason | $6,231.60 | not published |
| Mercy West Hospital | Cincinnati | $11,185.98 | $2,879.85 – $2,937.44 |