healthcosts.net
Excise oral mucosa for graft 40818 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$735.80
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.
$1,132.00
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 $4,392.00 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% |
| Optum | Managed Medicaid Transplant | $142.98 | ↓ -81% |
| Paramount | Managed Medicaid | $155.02 | ↓ -79% |
| Caresource | Managed Medicaid | $158.03 | ↓ -79% |
| Buckeye | Managed Medicaid | $158.03 | ↓ -79% |
| Summacare | Medicare Advantage Lower Level | $159.40 | ↓ -78% |
| Molina | Managed Medicaid | $165.55 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $165.55 | ↓ -78% |
| Summacare | Medicare Advantage Psych | $176.51 | ↓ -76% |
| Summacare | Medicare Advantage CNA | $208.45 | ↓ -72% |
| Summacare | Medicare Advantage MD | $232.97 | ↓ -68% |
| Optum | Medicare Advantage Transplant | $235.35 | ↓ -68% |
| Valor | All Products | $235.35 | ↓ -68% |
| Aetna | Medicare Advantage | $235.35 | ↓ -68% |
| Aetna | Medicare Advantage Transplant | $235.35 | ↓ -68% |
| UPMC | Medicare Advantage | $235.35 | ↓ -68% |
| United | Medicare Advantage | $235.35 | ↓ -68% |
| The Health Plan | Medicare Advantage | $235.35 | ↓ -68% |
| Anthem | Medicare Advantage | $235.35 | ↓ -68% |
| Humana | Medicare Advantage HMO | $235.35 | ↓ -68% |
| Cigna | Medicare Advantage | $242.41 | ↓ -67% |
| Devoted Health | Medicare Advantage | $245.23 | ↓ -67% |
| CommuniCare | Medicare Advantage | $247.12 | ↓ -66% |
| Perennial Health | Medicare Advantage | $254.18 | ↓ -65% |
| PPHP | All Products | $258.89 | ↓ -65% |
| Oscar | All Products | $287.64 | ↓ -61% |
| United | Managed Medicaid | $296.14 | ↓ -60% |
| Humana Military | All Products | $331.05 | ↓ -55% |
| Aetna | All Products Transplant | $334.36 | ↓ -55% |
| Anthem | All Products Mid-Level Facility | $349.78 | ↓ -52% |
| OHCP | All Products | $440.35 | ↓ -40% |
| Ohio Healthy | Transplant | $452.80 | ↓ -38% |
| CC EHP | All Products | $465.94 | ↓ -37% |
| HUMANA | Medicare Advantage HMO | $472.10 | ↓ -36% |
| OPTUM | All Products VA | $472.10 | ↓ -36% |
| The Health Plan | MEDICARE ADVANTAGE | $472.10 | ↓ -36% |
| MMO | Medicare Advantage HMO | $472.10 | ↓ -36% |
| OPTUM | Medicare Advantage Transplant | $472.10 | ↓ -36% |
| UNITED | MEDICARE ADVANTAGE | $477.33 | ↓ -35% |
| Anthem | All Products Mid-Level Non-Facility | $478.43 | ↓ -35% |
| MMO | Medicare Advantage PPO | $486.26 | ↓ -34% |
| Aultcare | PPO/HMO | $495.82 | ↓ -33% |
| Amish Community Aid Plan | All Products | $509.40 | ↓ -31% |
| Perennial Health | MEDICARE ADVANTAGE | $509.86 | ↓ -31% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $510.25 | ↓ -31% |
| AETNA | MEDICARE ADVANTAGE | $510.25 | ↓ -31% |
| CIGNA | Medicare Advantage Lifesource | $510.25 | ↓ -31% |
| Summacare | MEDICARE ADVANTAGE | $510.25 | ↓ -31% |
| Valor | ALL PRODUCTS | $510.25 | ↓ -31% |
| UPMC | MEDICARE ADVANTAGE | $510.25 | ↓ -31% |
| ANTHEM | MEDICARE ADVANTAGE | $510.25 | ↓ -31% |
| CIGNA | MEDICARE ADVANTAGE | $525.55 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $530.91 | ↓ -28% |
| CommuniCare | MEDICARE ADVANTAGE | $535.76 | ↓ -27% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $551.07 | ↓ -25% |
| PPHP | ALL PRODUCTS | $561.27 | ↓ -24% |
| OMAS | All Products | $566.00 | ↓ -23% |
| Summacare | Preferred | $576.76 | ↓ -22% |
| Healthsmart | All Products | $622.60 | ↓ -15% |
| The Health Plan | All Products | $622.60 | ↓ -15% |
| Summacare | Premier | $628.52 | ↓ -15% |
| Aetna | Acop | $655.64 | ↓ -11% |
| Optum | All Products Transplant | $659.96 | ↓ -10% |
| PHPHI | All Products | $679.20 | ↓ -8% |
| UPMC | All Products | $679.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $687.12 | ↓ -7% |
| Three Rivers | All Products | $735.80 | ↑ +0% |
| Clarity Health | All Products | $735.80 | ↑ +0% |
| MMO | Medicare HMO | $760.61 | ↑ +3% |
| MMO | Medicare PPO | $783.43 | ↑ +6% |
| Quality Care Partners | All Products | $792.40 | ↑ +8% |
| GMS | All Products | $792.40 | ↑ +8% |
| Aetna | All Products First Health | $849.00 | ↑ +15% |
| Consociate Health | All Products | $849.00 | ↑ +15% |
| Anthem | All Products Physician Facility | $888.36 | ↑ +21% |
| Anthem | All Products Physician | $888.36 | ↑ +21% |
| Aetna | Asa | $905.60 | ↑ +23% |
| MMO | NASCO | $905.60 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $905.60 | ↑ +23% |
| United | All Products - Mid-Level | $957.05 | ↑ +30% |
| Cigna | All Products Mid-Level | $988.93 | ↑ +34% |
| Multiplan | All Products | $1,018.80 | ↑ +38% |
| USA Managed Care | All Products | $1,018.80 | ↑ +38% |
| United | HMO & PPO | $1,031.51 | ↑ +40% |
| United | All Products | $1,031.51 | ↑ +40% |
| Aetna | Qhp/Ifp | $1,132.00 | ↑ +54% |
| Cigna | All Products Physician | $1,163.36 | ↑ +58% |
| Anthem | All Products Physician Non-Facility | $1,215.12 | ↑ +65% |
| OPTUM | Managed Medicaid Transplant | $1,358.50 | ↑ +85% |
| CARESOURCE | Managed Medicaid | $1,430.00 | ↑ +94% |
| ANTHEM | Managed Medicaid | $1,501.50 | ↑ +104% |
| MOLINA | Managed Medicaid | $1,501.50 | ↑ +104% |
| UNITED | Managed Medicaid | $1,530.10 | ↑ +108% |
| United BH | Managed Medicaid | $1,573.00 | ↑ +114% |
| MMO | SuperMed | $1,603.96 | ↑ +118% |
| ANTHEM | PPO/HMO | $2,453.00 | ↑ +233% |
| UNITED | ALL PRODUCTS | $4,132.00 | ↑ +462% |
| MMO | ALL PRODUCTS | $4,392.00 | ↑ +497% |
| United BH | All Products RN | 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 | — |
Visitor-reported prices
Comments
Excise oral mucosa for graft 40818 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,358.50 – $1,573.00 |
| fairview hospital | Cleveland | not published | $472.10 – $1,573.00 |
| lutheran hospital | Cleveland | not published | $472.10 – $1,573.00 |
| akron general | Akron | not published | $470.54 – $1,573.00 |
| avon hospital | Avon | not published | $472.10 – $1,530.10 |
| euclid hospital | Euclid | not published | $472.10 – $1,573.00 |
| hillcrest hospital | Mayfield Heights | not published | $472.10 – $1,573.00 |
| lodi hospital | Lodi | not published | $509.25 – $1,573.00 |