healthcosts.net
Excision of rectal stricture at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,521.00
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.
$2,340.00
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 $3,440.56 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 | $254.08 | ↓ -83% |
| Summacare | Medicare Advantage Lower Level | $262.65 | ↓ -83% |
| Paramount | Managed Medicaid | $275.47 | ↓ -82% |
| Caresource | Managed Medicaid | $280.82 | ↓ -82% |
| Buckeye | Managed Medicaid | $280.82 | ↓ -82% |
| Molina | Managed Medicaid | $294.20 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $294.20 | ↓ -81% |
| Summacare | Medicare Advantage Psych | $303.87 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $343.46 | ↓ -77% |
| United | Managed Medicaid | $353.52 | ↓ -77% |
| Summacare | Medicare Advantage MD | $383.87 | ↓ -75% |
| Devoted Health | Medicare Advantage | $404.07 | ↓ -73% |
| Humana | Medicare Advantage HMO | $405.16 | ↓ -73% |
| Valor | All Products | $405.16 | ↓ -73% |
| Aetna | Medicare Advantage | $405.16 | ↓ -73% |
| Aetna | Medicare Advantage Transplant | $405.16 | ↓ -73% |
| UPMC | Medicare Advantage | $405.16 | ↓ -73% |
| United | Medicare Advantage | $405.16 | ↓ -73% |
| The Health Plan | Medicare Advantage | $405.16 | ↓ -73% |
| Anthem | Medicare Advantage | $405.16 | ↓ -73% |
| Optum | Medicare Advantage Transplant | $405.16 | ↓ -73% |
| Cigna | Medicare Advantage | $417.31 | ↓ -73% |
| CommuniCare | Medicare Advantage | $425.42 | ↓ -72% |
| PPHP | All Products | $436.40 | ↓ -71% |
| Perennial Health | Medicare Advantage | $437.57 | ↓ -71% |
| Humana Military | All Products | $511.23 | ↓ -66% |
| Aetna | All Products Transplant | $514.21 | ↓ -66% |
| Anthem | All Products Mid-Level Non-Facility | $569.68 | ↓ -63% |
| Anthem | All Products Mid-Level Facility | $569.68 | ↓ -63% |
| Oscar | All Products | $594.59 | ↓ -61% |
| CC EHP | All Products | $767.73 | ↓ -50% |
| OHCP | All Products | $910.26 | ↓ -40% |
| Ohio Healthy | Transplant | $936.00 | ↓ -38% |
| Summacare | Preferred | $978.31 | ↓ -36% |
| UNITED | MEDICARE ADVANTAGE | $1,023.77 | ↓ -33% |
| Aultcare | PPO/HMO | $1,024.92 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,053.00 | ↓ -31% |
| Summacare | Premier | $1,066.10 | ↓ -30% |
| OPTUM | Medicare Advantage Transplant | $1,093.05 | ↓ -28% |
| HUMANA | Medicare Advantage HMO | $1,093.05 | ↓ -28% |
| MMO | Medicare Advantage HMO | $1,093.05 | ↓ -28% |
| The Health Plan | MEDICARE ADVANTAGE | $1,093.05 | ↓ -28% |
| OPTUM | All Products VA | $1,093.05 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $1,097.46 | ↓ -28% |
| Aetna | Acop | $1,112.09 | ↓ -27% |
| MMO | Medicare Advantage PPO | $1,125.85 | ↓ -26% |
| UPMC | MEDICARE ADVANTAGE | $1,132.12 | ↓ -26% |
| ANTHEM | MEDICARE ADVANTAGE | $1,132.12 | ↓ -26% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,132.12 | ↓ -26% |
| Valor | ALL PRODUCTS | $1,132.12 | ↓ -26% |
| AETNA | MEDICARE ADVANTAGE | $1,132.12 | ↓ -26% |
| Summacare | MEDICARE ADVANTAGE | $1,132.12 | ↓ -26% |
| CIGNA | Medicare Advantage Lifesource | $1,132.12 | ↓ -26% |
| United | All Products - Mid-Level | $1,157.62 | ↓ -24% |
| CIGNA | MEDICARE ADVANTAGE | $1,166.08 | ↓ -23% |
| OMAS | All Products | $1,170.00 | ↓ -23% |
| MMO | Medicare HMO | $1,176.50 | ↓ -23% |
| Perennial Health | MEDICARE ADVANTAGE | $1,180.50 | ↓ -22% |
| CommuniCare | MEDICARE ADVANTAGE | $1,188.72 | ↓ -22% |
| MMO | Medicare PPO | $1,211.80 | ↓ -20% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,222.68 | ↓ -20% |
| PPHP | ALL PRODUCTS | $1,245.33 | ↓ -18% |
| United | HMO & PPO | $1,247.68 | ↓ -18% |
| United | All Products | $1,247.68 | ↓ -18% |
| The Health Plan | All Products | $1,287.00 | ↓ -15% |
| Healthsmart | All Products | $1,287.00 | ↓ -15% |
| Optum | All Products Transplant | $1,364.22 | ↓ -10% |
| PHPHI | All Products | $1,404.00 | ↓ -8% |
| UPMC | All Products | $1,404.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,420.38 | ↓ -7% |
| Anthem | All Products Physician | $1,446.86 | ↓ -5% |
| Anthem | All Products Physician Non-Facility | $1,446.86 | ↓ -5% |
| Anthem | All Products Physician Facility | $1,446.86 | ↓ -5% |
| Clarity Health | All Products | $1,521.00 | ↑ +0% |
| Three Rivers | All Products | $1,521.00 | ↑ +0% |
| Quality Care Partners | All Products | $1,638.00 | ↑ +8% |
| GMS | All Products | $1,638.00 | ↑ +8% |
| Aetna | All Products First Health | $1,755.00 | ↑ +15% |
| Consociate Health | All Products | $1,755.00 | ↑ +15% |
| OPTUM | Managed Medicaid Transplant | $1,836.64 | ↑ +21% |
| Aetna | Asa | $1,872.00 | ↑ +23% |
| MMO | NASCO | $1,872.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,872.00 | ↑ +23% |
| CARESOURCE | Managed Medicaid | $1,933.31 | ↑ +27% |
| MOLINA | Managed Medicaid | $2,029.98 | ↑ +33% |
| ANTHEM | Managed Medicaid | $2,029.98 | ↑ +33% |
| UNITED | Managed Medicaid | $2,068.64 | ↑ +36% |
| Multiplan | All Products | $2,106.00 | ↑ +38% |
| USA Managed Care | All Products | $2,106.00 | ↑ +38% |
| United BH | Managed Medicaid | $2,126.64 | ↑ +40% |
| Aetna | Qhp/Ifp | $2,340.00 | ↑ +54% |
| MMO | SuperMed | $3,440.56 | ↑ +126% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| 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 | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
Visitor-reported prices
Comments
Excision of rectal stricture at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,552.71 – $2,955.77 |
| fairview hospital | Cleveland | not published | $1,023.77 – $1,742.52 |
| lutheran hospital | Cleveland | not published | $1,093.05 – $1,658.93 |
| akron general | Akron | not published | $1,089.45 – $1,688.07 |
| avon hospital | Avon | not published | $1,093.05 – $1,593.33 |
| euclid hospital | Euclid | not published | $1,023.77 – $1,854.83 |
| hillcrest hospital | Mayfield Heights | not published | $1,023.77 – $1,815.43 |
| lodi hospital | Lodi | not published | $1,179.08 – $2,832.25 |