healthcosts.net
Excise intrspinl lesion lmbr at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$5,057.00
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.
$7,780.00
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 | $857.64 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $967.79 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $1,020.23 | ↓ -80% |
| Paramount | Managed Medicaid | $1,106.15 | ↓ -78% |
| Summacare | Medicare Advantage CNA | $1,121.53 | ↓ -78% |
| Caresource | Managed Medicaid | $1,127.63 | ↓ -78% |
| Buckeye | Managed Medicaid | $1,127.63 | ↓ -78% |
| United | Managed Medicaid | $1,146.88 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $1,181.32 | ↓ -77% |
| Molina | Managed Medicaid | $1,181.32 | ↓ -77% |
| Summacare | Medicare Advantage MD | $1,253.48 | ↓ -75% |
| Humana | Medicare Advantage HMO | $1,290.39 | ↓ -74% |
| Valor | All Products | $1,290.39 | ↓ -74% |
| Aetna | Medicare Advantage | $1,290.39 | ↓ -74% |
| Aetna | Medicare Advantage Transplant | $1,290.39 | ↓ -74% |
| UPMC | Medicare Advantage | $1,290.39 | ↓ -74% |
| United | Medicare Advantage | $1,290.39 | ↓ -74% |
| The Health Plan | Medicare Advantage | $1,290.39 | ↓ -74% |
| Anthem | Medicare Advantage | $1,290.39 | ↓ -74% |
| Optum | Medicare Advantage Transplant | $1,290.39 | ↓ -74% |
| Devoted Health | Medicare Advantage | $1,319.45 | ↓ -74% |
| Cigna | Medicare Advantage | $1,329.10 | ↓ -74% |
| CommuniCare | Medicare Advantage | $1,354.91 | ↓ -73% |
| Perennial Health | Medicare Advantage | $1,393.62 | ↓ -72% |
| PPHP | All Products | $1,419.43 | ↓ -72% |
| Humana Military | All Products | $1,698.41 | ↓ -66% |
| Aetna | All Products Transplant | $1,712.98 | ↓ -66% |
| Anthem | All Products Mid-Level Facility | $1,864.42 | ↓ -63% |
| Anthem | All Products Mid-Level Non-Facility | $1,864.42 | ↓ -63% |
| Oscar | All Products | $1,976.90 | ↓ -61% |
| CC EHP | All Products | $2,506.96 | ↓ -50% |
| OHCP | All Products | $3,026.42 | ↓ -40% |
| Summacare | Preferred | $3,094.02 | ↓ -39% |
| Ohio Healthy | Transplant | $3,112.00 | ↓ -38% |
| Summacare | Premier | $3,371.69 | ↓ -33% |
| Aultcare | PPO/HMO | $3,407.64 | ↓ -33% |
| Amish Community Aid Plan | All Products | $3,501.00 | ↓ -31% |
| Aetna | Acop | $3,517.13 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $3,648.82 | ↓ -28% |
| United | All Products - Mid-Level | $3,785.17 | ↓ -25% |
| OPTUM | Managed Medicaid Transplant | $3,812.17 | ↓ -25% |
| OMAS | All Products | $3,890.00 | ↓ -23% |
| CARESOURCE | Managed Medicaid | $4,012.81 | ↓ -21% |
| United | HMO & PPO | $4,079.66 | ↓ -19% |
| United | All Products | $4,079.66 | ↓ -19% |
| MOLINA | Managed Medicaid | $4,213.45 | ↓ -17% |
| ANTHEM | Managed Medicaid | $4,213.45 | ↓ -17% |
| MMO | Medicare HMO | $4,213.55 | ↓ -17% |
| The Health Plan | All Products | $4,279.00 | ↓ -15% |
| Healthsmart | All Products | $4,279.00 | ↓ -15% |
| UNITED | Managed Medicaid | $4,293.71 | ↓ -15% |
| MMO | Medicare PPO | $4,339.96 | ↓ -14% |
| United BH | Managed Medicaid | $4,414.09 | ↓ -13% |
| Optum | All Products Transplant | $4,535.74 | ↓ -10% |
| UPMC | All Products | $4,668.00 | ↓ -8% |
| PHPHI | All Products | $4,668.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $4,722.46 | ↓ -7% |
| Anthem | All Products Physician Facility | $4,735.22 | ↓ -6% |
| Anthem | All Products Physician | $4,735.22 | ↓ -6% |
| Anthem | All Products Physician Non-Facility | $4,735.22 | ↓ -6% |
| Three Rivers | All Products | $5,057.00 | ↑ +0% |
| Clarity Health | All Products | $5,057.00 | ↑ +0% |
| Quality Care Partners | All Products | $5,446.00 | ↑ +8% |
| GMS | All Products | $5,446.00 | ↑ +8% |
| Aetna | All Products First Health | $5,835.00 | ↑ +15% |
| Consociate Health | All Products | $5,835.00 | ↑ +15% |
| UNITED | MEDICARE ADVANTAGE | $6,206.54 | ↑ +23% |
| Aetna | Asa | $6,224.00 | ↑ +23% |
| MMO | NASCO | $6,224.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $6,224.00 | ↑ +23% |
| OPTUM | All Products VA | $6,622.52 | ↑ +31% |
| MMO | Medicare Advantage HMO | $6,622.52 | ↑ +31% |
| The Health Plan | MEDICARE ADVANTAGE | $6,622.52 | ↑ +31% |
| HUMANA | Medicare Advantage HMO | $6,622.52 | ↑ +31% |
| OPTUM | Medicare Advantage Transplant | $6,622.52 | ↑ +31% |
| MMO | Medicare Advantage PPO | $6,821.20 | ↑ +35% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $6,864.94 | ↑ +36% |
| Summacare | MEDICARE ADVANTAGE | $6,864.94 | ↑ +36% |
| ANTHEM | MEDICARE ADVANTAGE | $6,864.94 | ↑ +36% |
| CIGNA | Medicare Advantage Lifesource | $6,864.94 | ↑ +36% |
| AETNA | MEDICARE ADVANTAGE | $6,864.94 | ↑ +36% |
| UPMC | MEDICARE ADVANTAGE | $6,864.94 | ↑ +36% |
| Valor | ALL PRODUCTS | $6,864.94 | ↑ +36% |
| Multiplan | All Products | $7,002.00 | ↑ +38% |
| USA Managed Care | All Products | $7,002.00 | ↑ +38% |
| CIGNA | MEDICARE ADVANTAGE | $7,070.89 | ↑ +40% |
| Perennial Health | MEDICARE ADVANTAGE | $7,152.33 | ↑ +41% |
| CommuniCare | MEDICARE ADVANTAGE | $7,208.19 | ↑ +43% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,414.13 | ↑ +47% |
| PPHP | ALL PRODUCTS | $7,551.43 | ↑ +49% |
| Aetna | Qhp/Ifp | $7,780.00 | ↑ +54% |
| ANTHEM | PPO/HMO | $11,170.00 | ↑ +121% |
| MMO | SuperMed | $20,863.78 | ↑ +313% |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Excise intrspinl lesion lmbr at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $5,298.44 – $6,135.03 |
| fairview hospital | Cleveland | not published | $3,123.59 – $7,551.43 |
| lutheran hospital | Cleveland | not published | $2,973.77 – $7,551.43 |
| akron general | Akron | $5,057.00 | $1.10 – $7,128.72 |
| mercy hospital | Canton | $5,057.00 | $1.10 – $7,070.89 |
| avon hospital | Avon | not published | $3,245.32 – $7,551.43 |
| euclid hospital | Euclid | not published | $3,324.91 – $7,551.43 |
| hillcrest hospital | Mayfield Heights | not published | $3,254.29 – $7,551.43 |