Excision lesion mouth roof at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,185.60
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.
$1,824.00
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 $17,080.38 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 | $199.28 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $220.79 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $243.12 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $260.59 | ↓ -78% |
| Paramount | Managed Medicaid | $263.60 | ↓ -78% |
| Buckeye | Managed Medicaid | $268.72 | ↓ -77% |
| Caresource | Managed Medicaid | $268.72 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $281.51 | ↓ -76% |
| Molina | Managed Medicaid | $281.51 | ↓ -76% |
| Summacare | Medicare Advantage MD | $291.25 | ↓ -75% |
| Humana | Medicare Advantage HMO | $294.38 | ↓ -75% |
| Valor | All Products | $294.38 | ↓ -75% |
| Aetna | Medicare Advantage | $294.38 | ↓ -75% |
| Aetna | Medicare Advantage Transplant | $294.38 | ↓ -75% |
| UPMC | Medicare Advantage | $294.38 | ↓ -75% |
| United | Medicare Advantage | $294.38 | ↓ -75% |
| The Health Plan | Medicare Advantage | $294.38 | ↓ -75% |
| Anthem | Medicare Advantage | $294.38 | ↓ -75% |
| Optum | Medicare Advantage Transplant | $294.38 | ↓ -75% |
| Cigna | Medicare Advantage | $303.21 | ↓ -74% |
| Devoted Health | Medicare Advantage | $306.58 | ↓ -74% |
| CommuniCare | Medicare Advantage | $309.10 | ↓ -74% |
| Perennial Health | Medicare Advantage | $317.93 | ↓ -73% |
| PPHP | All Products | $323.82 | ↓ -73% |
| United | Managed Medicaid | $368.27 | ↓ -69% |
| Aetna | All Products Transplant | $399.16 | ↓ -66% |
| Humana Military | All Products | $399.55 | ↓ -66% |
| Anthem | All Products Mid-Level Facility | $436.05 | ↓ -63% |
| Oscar | All Products | $463.48 | ↓ -61% |
| CC EHP | All Products | $582.50 | ↓ -51% |
| Anthem | All Products Mid-Level Non-Facility | $595.81 | ↓ -50% |
| OHCP | All Products | $709.54 | ↓ -40% |
| Summacare | Preferred | $712.72 | ↓ -40% |
| Ohio Healthy | Transplant | $729.60 | ↓ -38% |
| Summacare | Premier | $776.68 | ↓ -34% |
| Aultcare | PPO/HMO | $798.91 | ↓ -33% |
| Aetna | Acop | $810.18 | ↓ -32% |
| Amish Community Aid Plan | All Products | $820.80 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $855.46 | ↓ -28% |
| OMAS | All Products | $912.00 | ↓ -23% |
| MMO | Medicare HMO | $966.59 | ↓ -18% |
| MMO | Medicare PPO | $995.59 | ↓ -16% |
| The Health Plan | All Products | $1,003.20 | ↓ -15% |
| Healthsmart | All Products | $1,003.20 | ↓ -15% |
| Optum | All Products Transplant | $1,063.39 | ↓ -10% |
| UPMC | All Products | $1,094.40 | ↓ -8% |
| PHPHI | All Products | $1,094.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,107.17 | ↓ -7% |
| Anthem | All Products Physician | $1,107.45 | ↓ -7% |
| Anthem | All Products Physician Facility | $1,107.45 | ↓ -7% |
| United | All Products - Mid-Level | $1,178.86 | ↓ -1% |
| Three Rivers | All Products | $1,185.60 | ↑ +0% |
| Clarity Health | All Products | $1,185.60 | ↑ +0% |
| Cigna | All Products Mid-Level | $1,231.54 | ↑ +4% |
| United | All Products | $1,270.57 | ↑ +7% |
| United | HMO & PPO | $1,270.57 | ↑ +7% |
| Quality Care Partners | All Products | $1,276.80 | ↑ +8% |
| GMS | All Products | $1,276.80 | ↑ +8% |
| Consociate Health | All Products | $1,368.00 | ↑ +15% |
| Aetna | All Products First Health | $1,368.00 | ↑ +15% |
| Cigna | All Products Physician | $1,448.77 | ↑ +22% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,459.20 | ↑ +23% |
| Aetna | Asa | $1,459.20 | ↑ +23% |
| MMO | NASCO | $1,459.20 | ↑ +23% |
| Anthem | All Products Physician Non-Facility | $1,513.22 | ↑ +28% |
| OPTUM | Managed Medicaid Transplant | $1,558.40 | ↑ +31% |
| CARESOURCE | Managed Medicaid | $1,640.42 | ↑ +38% |
| Multiplan | All Products | $1,641.60 | ↑ +38% |
| USA Managed Care | All Products | $1,641.60 | ↑ +38% |
| MOLINA | Managed Medicaid | $1,722.44 | ↑ +45% |
| ANTHEM | Managed Medicaid | $1,722.44 | ↑ +45% |
| UNITED | Managed Medicaid | $1,755.25 | ↑ +48% |
| United BH | Managed Medicaid | $1,804.46 | ↑ +52% |
| Aetna | Qhp/Ifp | $1,824.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $5,080.55 | ↑ +329% |
| MMO | Medicare Advantage HMO | $5,484.05 | ↑ +363% |
| OPTUM | All Products VA | $5,484.05 | ↑ +363% |
| The Health Plan | MEDICARE ADVANTAGE | $5,484.05 | ↑ +363% |
| HUMANA | Medicare Advantage HMO | $5,484.05 | ↑ +363% |
| OPTUM | Medicare Advantage Transplant | $5,484.05 | ↑ +363% |
| Summacare | MEDICARE ADVANTAGE | $5,600.62 | ↑ +372% |
| CIGNA | Medicare Advantage Lifesource | $5,600.62 | ↑ +372% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,600.62 | ↑ +372% |
| AETNA | MEDICARE ADVANTAGE | $5,600.62 | ↑ +372% |
| Valor | ALL PRODUCTS | $5,600.62 | ↑ +372% |
| UPMC | MEDICARE ADVANTAGE | $5,600.62 | ↑ +372% |
| ANTHEM | MEDICARE ADVANTAGE | $5,600.62 | ↑ +372% |
| MMO | Medicare Advantage PPO | $5,648.58 | ↑ +376% |
| CIGNA | MEDICARE ADVANTAGE | $5,768.63 | ↑ +387% |
| CommuniCare | MEDICARE ADVANTAGE | $5,880.65 | ↑ +396% |
| Perennial Health | MEDICARE ADVANTAGE | $5,922.78 | ↑ +400% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,048.66 | ↑ +410% |
| PPHP | ALL PRODUCTS | $6,160.68 | ↑ +420% |
| MMO | SuperMed | $17,080.38 | ↑ +1341% |
| 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
Excision lesion mouth roof at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,165.99 – $2,507.99 |
| fairview hospital | Cleveland | not published | $1,276.91 – $6,160.68 |
| lutheran hospital | Cleveland | not published | $1,215.67 – $6,160.68 |
| akron general | Akron | not published | $1,237.01 – $6,160.68 |
| avon hospital | Avon | not published | $1,326.68 – $6,160.68 |
| euclid hospital | Euclid | not published | $1,359.21 – $6,160.68 |
| hillcrest hospital | Mayfield Heights | not published | $1,330.34 – $6,160.68 |
| lodi hospital | Lodi | not published | $2,075.47 – $2,403.17 |