healthcosts.net
Excision of gum lesion at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$626.60
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.
$964.00
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 $4,447.63 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 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $124.28 | ↓ -80% |
| Optum | Managed Medicaid Transplant | $134.33 | ↓ -79% |
| Summacare | Medicare Advantage Psych | $135.81 | ↓ -78% |
| Paramount | Managed Medicaid | $145.64 | ↓ -77% |
| Buckeye | Managed Medicaid | $148.47 | ↓ -76% |
| Caresource | Managed Medicaid | $148.47 | ↓ -76% |
| Molina | Managed Medicaid | $155.54 | ↓ -75% |
| AmeriHealth | Managed Medicaid | $155.54 | ↓ -75% |
| Summacare | Medicare Advantage CNA | $162.52 | ↓ -74% |
| Humana | Medicare Advantage HMO | $181.08 | ↓ -71% |
| Valor | All Products | $181.08 | ↓ -71% |
| Aetna | Medicare Advantage | $181.08 | ↓ -71% |
| Aetna | Medicare Advantage Transplant | $181.08 | ↓ -71% |
| UPMC | Medicare Advantage | $181.08 | ↓ -71% |
| United | Medicare Advantage | $181.08 | ↓ -71% |
| The Health Plan | Medicare Advantage | $181.08 | ↓ -71% |
| Anthem | Medicare Advantage | $181.08 | ↓ -71% |
| Optum | Medicare Advantage Transplant | $181.08 | ↓ -71% |
| Summacare | Medicare Advantage MD | $181.64 | ↓ -71% |
| Cigna | Medicare Advantage | $186.51 | ↓ -70% |
| CommuniCare | Medicare Advantage | $190.13 | ↓ -70% |
| Devoted Health | Medicare Advantage | $191.20 | ↓ -69% |
| Perennial Health | Medicare Advantage | $195.57 | ↓ -69% |
| PPHP | All Products | $199.19 | ↓ -68% |
| United | Managed Medicaid | $229.61 | ↓ -63% |
| Oscar | All Products | $244.95 | ↓ -61% |
| Aetna | All Products Transplant | $246.64 | ↓ -61% |
| Humana Military | All Products | $247.91 | ↓ -60% |
| Anthem | All Products Mid-Level Facility | $266.37 | ↓ -57% |
| CC EHP | All Products | $363.28 | ↓ -42% |
| OHCP | All Products | $375.00 | ↓ -40% |
| Ohio Healthy | Transplant | $385.60 | ↓ -38% |
| Aultcare | PPO/HMO | $422.23 | ↓ -33% |
| Amish Community Aid Plan | All Products | $433.80 | ↓ -31% |
| Summacare | Preferred | $440.74 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $452.12 | ↓ -28% |
| Anthem | All Products Mid-Level Non-Facility | $463.12 | ↓ -26% |
| Summacare | Premier | $480.29 | ↓ -23% |
| OMAS | All Products | $482.00 | ↓ -23% |
| MMO | Medicare HMO | $495.02 | ↓ -21% |
| Aetna | Acop | $501.01 | ↓ -20% |
| MMO | Medicare PPO | $509.87 | ↓ -19% |
| The Health Plan | All Products | $530.20 | ↓ -15% |
| Healthsmart | All Products | $530.20 | ↓ -15% |
| Optum | All Products Transplant | $562.01 | ↓ -10% |
| UPMC | All Products | $578.40 | ↓ -8% |
| PHPHI | All Products | $578.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $585.15 | ↓ -7% |
| Three Rivers | All Products | $626.60 | ↑ +0% |
| Clarity Health | All Products | $626.60 | ↑ +0% |
| Quality Care Partners | All Products | $674.80 | ↑ +8% |
| GMS | All Products | $674.80 | ↑ +8% |
| Anthem | All Products Physician | $676.52 | ↑ +8% |
| Anthem | All Products Physician Facility | $676.52 | ↑ +8% |
| Consociate Health | All Products | $723.00 | ↑ +15% |
| Aetna | All Products First Health | $723.00 | ↑ +15% |
| Aetna | Asa | $771.20 | ↑ +23% |
| MMO | NASCO | $771.20 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $771.20 | ↑ +23% |
| Multiplan | All Products | $867.60 | ↑ +38% |
| USA Managed Care | All Products | $867.60 | ↑ +38% |
| United | All Products - Mid-Level | $932.51 | ↑ +49% |
| Cigna | All Products Mid-Level | $957.30 | ↑ +53% |
| Aetna | Qhp/Ifp | $964.00 | ↑ +54% |
| United | HMO & PPO | $1,005.06 | ↑ +60% |
| United | All Products | $1,005.06 | ↑ +60% |
| Cigna | All Products Physician | $1,126.15 | ↑ +80% |
| Anthem | All Products Physician Non-Facility | $1,176.25 | ↑ +88% |
| UNITED | MEDICARE ADVANTAGE | $1,323.06 | ↑ +111% |
| OPTUM | Managed Medicaid Transplant | $1,358.50 | ↑ +117% |
| The Health Plan | MEDICARE ADVANTAGE | $1,373.21 | ↑ +119% |
| HUMANA | Medicare Advantage HMO | $1,373.21 | ↑ +119% |
| MMO | Medicare Advantage HMO | $1,373.21 | ↑ +119% |
| OPTUM | Medicare Advantage Transplant | $1,373.21 | ↑ +119% |
| OPTUM | All Products VA | $1,373.21 | ↑ +119% |
| MMO | Medicare Advantage PPO | $1,414.40 | ↑ +126% |
| CARESOURCE | Managed Medicaid | $1,430.00 | ↑ +128% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,467.92 | ↑ +134% |
| Valor | ALL PRODUCTS | $1,467.92 | ↑ +134% |
| Summacare | MEDICARE ADVANTAGE | $1,467.92 | ↑ +134% |
| ANTHEM | MEDICARE ADVANTAGE | $1,467.92 | ↑ +134% |
| UPMC | MEDICARE ADVANTAGE | $1,467.92 | ↑ +134% |
| CIGNA | Medicare Advantage Lifesource | $1,467.92 | ↑ +134% |
| AETNA | MEDICARE ADVANTAGE | $1,467.92 | ↑ +134% |
| Perennial Health | MEDICARE ADVANTAGE | $1,483.06 | ↑ +137% |
| MOLINA | Managed Medicaid | $1,501.50 | ↑ +140% |
| ANTHEM | Managed Medicaid | $1,501.50 | ↑ +140% |
| CIGNA | MEDICARE ADVANTAGE | $1,511.96 | ↑ +141% |
| UNITED | Managed Medicaid | $1,530.10 | ↑ +144% |
| CommuniCare | MEDICARE ADVANTAGE | $1,541.31 | ↑ +146% |
| United BH | Managed Medicaid | $1,573.00 | ↑ +151% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,585.35 | ↑ +153% |
| PPHP | ALL PRODUCTS | $1,614.71 | ↑ +158% |
| MMO | ALL PRODUCTS | $3,981.36 | ↑ +535% |
| MMO | SuperMed | $4,447.63 | ↑ +610% |
| 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 of gum lesion 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 | $1,323.06 – $1,614.71 |
| lutheran hospital | Cleveland | not published | $1,358.50 – $1,614.71 |
| akron general | Akron | not published | $1,358.50 – $1,614.71 |
| avon hospital | Avon | not published | $1,373.21 – $1,614.71 |
| euclid hospital | Euclid | not published | $1,323.06 – $1,614.71 |
| hillcrest hospital | Mayfield Heights | not published | $1,323.06 – $1,614.71 |
| lodi hospital | Lodi | not published | $1,358.50 – $1,573.00 |