Excision breast lesion at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,913.60
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.
$2,944.00
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 $11,117.55 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 | $226.68 | ↓ -88% |
| Paramount | Managed Medicaid | $245.77 | ↓ -87% |
| Buckeye | Managed Medicaid | $250.54 | ↓ -87% |
| Caresource | Managed Medicaid | $250.54 | ↓ -87% |
| Molina | Managed Medicaid | $262.47 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $262.47 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $287.12 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $329.75 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $375.46 | ↓ -80% |
| Summacare | Medicare Advantage MD | $419.63 | ↓ -78% |
| Anthem | Medicare Advantage | $439.67 | ↓ -77% |
| United | Medicare Advantage | $439.67 | ↓ -77% |
| Aetna | Medicare Advantage | $439.67 | ↓ -77% |
| UPMC | Medicare Advantage | $439.67 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $439.67 | ↓ -77% |
| Humana | Medicare Advantage HMO | $439.67 | ↓ -77% |
| Valor | All Products | $439.67 | ↓ -77% |
| The Health Plan | Medicare Advantage | $439.67 | ↓ -77% |
| Aetna | Medicare Advantage Transplant | $439.67 | ↓ -77% |
| Devoted Health | Medicare Advantage | $441.72 | ↓ -77% |
| Cigna | Medicare Advantage | $452.86 | ↓ -76% |
| CommuniCare | Medicare Advantage | $461.65 | ↓ -76% |
| Perennial Health | Medicare Advantage | $474.84 | ↓ -75% |
| United | Managed Medicaid | $475.36 | ↓ -75% |
| PPHP | All Products | $477.06 | ↓ -75% |
| Humana Military | All Products | $557.34 | ↓ -71% |
| Aetna | All Products Transplant | $560.28 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $621.85 | ↓ -68% |
| Oscar | All Products | $748.07 | ↓ -61% |
| Anthem | All Products Mid-Level Non-Facility | $761.84 | ↓ -60% |
| CC EHP | All Products | $839.27 | ↓ -56% |
| OPTUM | Managed Medicaid Transplant | $1,031.80 | ↓ -46% |
| Summacare | Preferred | $1,058.78 | ↓ -45% |
| MMO | Medicare HMO | $1,071.99 | ↓ -44% |
| CARESOURCE | Managed Medicaid | $1,086.10 | ↓ -43% |
| MMO | Medicare PPO | $1,104.15 | ↓ -42% |
| ANTHEM | Managed Medicaid | $1,140.41 | ↓ -40% |
| MOLINA | Managed Medicaid | $1,140.41 | ↓ -40% |
| OHCP | All Products | $1,145.22 | ↓ -40% |
| Summacare | Premier | $1,153.80 | ↓ -40% |
| UNITED | Managed Medicaid | $1,162.13 | ↓ -39% |
| Ohio Healthy | Transplant | $1,177.60 | ↓ -38% |
| United BH | Managed Medicaid | $1,194.71 | ↓ -38% |
| Aetna | Acop | $1,203.57 | ↓ -37% |
| Aultcare | PPO/HMO | $1,289.47 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,324.80 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,380.74 | ↓ -28% |
| OMAS | All Products | $1,472.00 | ↓ -23% |
| United | All Products - Mid-Level | $1,547.29 | ↓ -19% |
| Anthem | All Products Physician | $1,579.37 | ↓ -17% |
| Anthem | All Products Physician Facility | $1,579.37 | ↓ -17% |
| Healthsmart | All Products | $1,619.20 | ↓ -15% |
| The Health Plan | All Products | $1,619.20 | ↓ -15% |
| United | All Products | $1,667.67 | ↓ -13% |
| United | HMO & PPO | $1,667.67 | ↓ -13% |
| Cigna | All Products Mid-Level | $1,687.32 | ↓ -12% |
| Optum | All Products Transplant | $1,716.35 | ↓ -10% |
| PHPHI | All Products | $1,766.40 | ↓ -8% |
| UPMC | All Products | $1,766.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,787.01 | ↓ -7% |
| Three Rivers | All Products | $1,913.60 | ↑ +0% |
| Clarity Health | All Products | $1,913.60 | ↑ +0% |
| Anthem | All Products Physician Non-Facility | $1,934.93 | ↑ +1% |
| Cigna | All Products Physician | $1,985.24 | ↑ +4% |
| GMS | All Products | $2,060.80 | ↑ +8% |
| Quality Care Partners | All Products | $2,060.80 | ↑ +8% |
| Aetna | All Products First Health | $2,208.00 | ↑ +15% |
| Consociate Health | All Products | $2,208.00 | ↑ +15% |
| Aetna | Asa | $2,355.20 | ↑ +23% |
| MMO | NASCO | $2,355.20 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,355.20 | ↑ +23% |
| Multiplan | All Products | $2,649.60 | ↑ +38% |
| USA Managed Care | All Products | $2,649.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,944.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $3,306.89 | ↑ +73% |
| OPTUM | All Products VA | $3,549.90 | ↑ +86% |
| MMO | Medicare Advantage HMO | $3,549.90 | ↑ +86% |
| OPTUM | Medicare Advantage Transplant | $3,549.90 | ↑ +86% |
| HUMANA | Medicare Advantage HMO | $3,549.90 | ↑ +86% |
| The Health Plan | MEDICARE ADVANTAGE | $3,549.90 | ↑ +86% |
| MMO | Medicare Advantage PPO | $3,656.39 | ↑ +91% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,704.30 | ↑ +94% |
| Valor | ALL PRODUCTS | $3,704.30 | ↑ +94% |
| UPMC | MEDICARE ADVANTAGE | $3,704.30 | ↑ +94% |
| CIGNA | Medicare Advantage Lifesource | $3,704.30 | ↑ +94% |
| Summacare | MEDICARE ADVANTAGE | $3,704.30 | ↑ +94% |
| ANTHEM | MEDICARE ADVANTAGE | $3,704.30 | ↑ +94% |
| AETNA | MEDICARE ADVANTAGE | $3,704.30 | ↑ +94% |
| CIGNA | MEDICARE ADVANTAGE | $3,815.43 | ↑ +99% |
| Perennial Health | MEDICARE ADVANTAGE | $3,833.89 | ↑ +100% |
| CommuniCare | MEDICARE ADVANTAGE | $3,889.52 | ↑ +103% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $4,000.65 | ↑ +109% |
| PPHP | ALL PRODUCTS | $4,074.73 | ↑ +113% |
| CIGNA | ALL PRODUCTS | $5,597.00 | ↑ +192% |
| UNITED | ALL PRODUCTS | $6,238.00 | ↑ +226% |
| ANTHEM | PPO/HMO | $7,624.00 | ↑ +298% |
| MMO | ALL PRODUCTS | $7,813.00 | ↑ +308% |
| MMO | SuperMed | $11,117.55 | ↑ +481% |
| United BH | All Products MA | not published by hospital | — |
| 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 | — |
Visitor-reported prices
Comments
Excision breast lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,434.07 – $1,660.51 |
| fairview hospital | Cleveland | not published | $845.42 – $4,074.73 |
| lutheran hospital | Cleveland | not published | $804.88 – $4,074.73 |
| Jewish Hospital | Cincinnati | $18,053.50 | $3,815.67 – $3,815.67 |
| Anderson Hospital | Cincinnati | $21,275.44 | $3,815.67 – $3,891.98 |
| Mercy West Hospital | Cincinnati | $16,674.18 | $3,881.91 – $3,881.91 |
| St Ritas Medical Center | Lima | $25,738.42 | $3,881.91 – $3,959.55 |
| akron general | Akron | $1,913.60 | $1.10 – $3,821.23 |