healthcosts.net
Excision of tonsil tags at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$598.00
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.
$920.00
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 $9,391.15 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% |
| Optum | Managed Medicaid Transplant | $117.33 | ↓ -80% |
| Summacare | Medicare Advantage Lower Level | $119.33 | ↓ -80% |
| Paramount | Managed Medicaid | $127.21 | ↓ -79% |
| Summacare | Medicare Advantage Psych | $129.38 | ↓ -78% |
| Buckeye | Managed Medicaid | $129.68 | ↓ -78% |
| Caresource | Managed Medicaid | $129.68 | ↓ -78% |
| Molina | Managed Medicaid | $135.85 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $135.85 | ↓ -77% |
| Summacare | Medicare Advantage CNA | $156.05 | ↓ -74% |
| United | Managed Medicaid | $162.82 | ↓ -73% |
| Humana | Medicare Advantage HMO | $172.51 | ↓ -71% |
| Valor | All Products | $172.51 | ↓ -71% |
| Aetna | Medicare Advantage | $172.51 | ↓ -71% |
| Aetna | Medicare Advantage Transplant | $172.51 | ↓ -71% |
| UPMC | Medicare Advantage | $172.51 | ↓ -71% |
| United | Medicare Advantage | $172.51 | ↓ -71% |
| The Health Plan | Medicare Advantage | $172.51 | ↓ -71% |
| Anthem | Medicare Advantage | $172.51 | ↓ -71% |
| Optum | Medicare Advantage Transplant | $172.51 | ↓ -71% |
| Summacare | Medicare Advantage MD | $174.41 | ↓ -71% |
| Cigna | Medicare Advantage | $177.69 | ↓ -70% |
| CommuniCare | Medicare Advantage | $181.14 | ↓ -70% |
| Devoted Health | Medicare Advantage | $183.59 | ↓ -69% |
| Perennial Health | Medicare Advantage | $186.31 | ↓ -69% |
| PPHP | All Products | $189.76 | ↓ -68% |
| Oscar | All Products | $233.77 | ↓ -61% |
| Humana Military | All Products | $242.10 | ↓ -60% |
| Aetna | All Products Transplant | $243.67 | ↓ -59% |
| Anthem | All Products Mid-Level Facility | $258.08 | ↓ -57% |
| Anthem | All Products Mid-Level Non-Facility | $258.08 | ↓ -57% |
| CC EHP | All Products | $348.82 | ↓ -42% |
| OHCP | All Products | $357.88 | ↓ -40% |
| Ohio Healthy | Transplant | $368.00 | ↓ -38% |
| Aultcare | PPO/HMO | $402.96 | ↓ -33% |
| Amish Community Aid Plan | All Products | $414.00 | ↓ -31% |
| Summacare | Preferred | $420.43 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $431.48 | ↓ -28% |
| Summacare | Premier | $458.16 | ↓ -23% |
| OMAS | All Products | $460.00 | ↓ -23% |
| Aetna | Acop | $477.92 | ↓ -20% |
| Healthsmart | All Products | $506.00 | ↓ -15% |
| The Health Plan | All Products | $506.00 | ↓ -15% |
| MMO | Medicare HMO | $522.23 | ↓ -13% |
| United | All Products - Mid-Level | $526.83 | ↓ -12% |
| Optum | All Products Transplant | $536.36 | ↓ -10% |
| MMO | Medicare PPO | $537.90 | ↓ -10% |
| PHPHI | All Products | $552.00 | ↓ -8% |
| UPMC | All Products | $552.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $558.44 | ↓ -7% |
| United | All Products | $567.82 | ↓ -5% |
| United | HMO & PPO | $567.82 | ↓ -5% |
| Three Rivers | All Products | $598.00 | ↑ +0% |
| Clarity Health | All Products | $598.00 | ↑ +0% |
| Quality Care Partners | All Products | $644.00 | ↑ +8% |
| GMS | All Products | $644.00 | ↑ +8% |
| Anthem | All Products Physician | $655.45 | ↑ +10% |
| Anthem | All Products Physician Non-Facility | $655.45 | ↑ +10% |
| Anthem | All Products Physician Facility | $655.45 | ↑ +10% |
| Consociate Health | All Products | $690.00 | ↑ +15% |
| Aetna | All Products First Health | $690.00 | ↑ +15% |
| Aetna | Asa | $736.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $736.00 | ↑ +23% |
| MMO | NASCO | $736.00 | ↑ +23% |
| USA Managed Care | All Products | $828.00 | ↑ +38% |
| Multiplan | All Products | $828.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $920.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $1,434.54 | ↑ +140% |
| CARESOURCE | Managed Medicaid | $1,510.04 | ↑ +153% |
| MOLINA | Managed Medicaid | $1,585.54 | ↑ +165% |
| ANTHEM | Managed Medicaid | $1,585.54 | ↑ +165% |
| UNITED | Managed Medicaid | $1,615.74 | ↑ +170% |
| United BH | Managed Medicaid | $1,661.04 | ↑ +178% |
| UNITED | MEDICARE ADVANTAGE | $2,793.19 | ↑ +367% |
| HUMANA | Medicare Advantage HMO | $3,006.46 | ↑ +403% |
| OPTUM | All Products VA | $3,006.46 | ↑ +403% |
| OPTUM | Medicare Advantage Transplant | $3,006.46 | ↑ +403% |
| The Health Plan | MEDICARE ADVANTAGE | $3,006.46 | ↑ +403% |
| MMO | Medicare Advantage HMO | $3,006.46 | ↑ +403% |
| MMO | Medicare Advantage PPO | $3,096.65 | ↑ +418% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,136.68 | ↑ +425% |
| Summacare | MEDICARE ADVANTAGE | $3,136.68 | ↑ +425% |
| AETNA | MEDICARE ADVANTAGE | $3,136.68 | ↑ +425% |
| UPMC | MEDICARE ADVANTAGE | $3,136.68 | ↑ +425% |
| CIGNA | Medicare Advantage Lifesource | $3,136.68 | ↑ +425% |
| ANTHEM | MEDICARE ADVANTAGE | $3,136.68 | ↑ +425% |
| Valor | ALL PRODUCTS | $3,136.68 | ↑ +425% |
| CIGNA | MEDICARE ADVANTAGE | $3,230.78 | ↑ +440% |
| Perennial Health | MEDICARE ADVANTAGE | $3,246.97 | ↑ +443% |
| CommuniCare | MEDICARE ADVANTAGE | $3,293.51 | ↑ +451% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,387.61 | ↑ +466% |
| PPHP | ALL PRODUCTS | $3,450.35 | ↑ +477% |
| MMO | SuperMed | $9,391.15 | ↑ +1470% |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Excision of tonsil tags at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,993.83 – $2,308.65 |
| fairview hospital | Cleveland | not published | $1,175.43 – $3,450.35 |
| lutheran hospital | Cleveland | not published | $1,119.04 – $3,450.35 |
| akron general | Akron | not published | $1,138.70 – $3,450.35 |
| avon hospital | Avon | not published | $1,221.23 – $3,450.35 |
| euclid hospital | Euclid | not published | $1,251.18 – $3,450.35 |
| hillcrest hospital | Mayfield Heights | not published | $1,224.61 – $3,450.35 |
| lodi hospital | Lodi | not published | $1,910.51 – $2,212.17 |