healthcosts.net
Exploration maxillary sinus at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,562.60
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.
$2,404.00
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% |
| Optum | Managed Medicaid Transplant | $251.34 | ↓ -84% |
| Paramount | Managed Medicaid | $272.51 | ↓ -83% |
| Caresource | Managed Medicaid | $277.80 | ↓ -82% |
| Buckeye | Managed Medicaid | $277.80 | ↓ -82% |
| Molina | Managed Medicaid | $291.03 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $291.03 | ↓ -81% |
| Summacare | Medicare Advantage Lower Level | $311.10 | ↓ -80% |
| Summacare | Medicare Advantage Psych | $341.09 | ↓ -78% |
| Summacare | Medicare Advantage CNA | $406.83 | ↓ -74% |
| Summacare | Medicare Advantage MD | $454.69 | ↓ -71% |
| Humana | Medicare Advantage HMO | $454.79 | ↓ -71% |
| Valor | All Products | $454.79 | ↓ -71% |
| Aetna | Medicare Advantage | $454.79 | ↓ -71% |
| Aetna | Medicare Advantage Transplant | $454.79 | ↓ -71% |
| UPMC | Medicare Advantage | $454.79 | ↓ -71% |
| United | Medicare Advantage | $454.79 | ↓ -71% |
| The Health Plan | Medicare Advantage | $454.79 | ↓ -71% |
| Anthem | Medicare Advantage | $454.79 | ↓ -71% |
| Optum | Medicare Advantage Transplant | $454.79 | ↓ -71% |
| Cigna | Medicare Advantage | $468.43 | ↓ -70% |
| CommuniCare | Medicare Advantage | $477.53 | ↓ -69% |
| Devoted Health | Medicare Advantage | $478.62 | ↓ -69% |
| Perennial Health | Medicare Advantage | $491.17 | ↓ -69% |
| PPHP | All Products | $500.27 | ↓ -68% |
| United | Managed Medicaid | $530.00 | ↓ -66% |
| Oscar | All Products | $610.86 | ↓ -61% |
| Humana Military | All Products | $637.03 | ↓ -59% |
| Aetna | All Products Transplant | $642.04 | ↓ -59% |
| Anthem | All Products Mid-Level Facility | $676.10 | ↓ -57% |
| Anthem | All Products Mid-Level Non-Facility | $836.29 | ↓ -46% |
| CC EHP | All Products | $909.38 | ↓ -42% |
| OHCP | All Products | $935.16 | ↓ -40% |
| Ohio Healthy | Transplant | $961.60 | ↓ -38% |
| Aultcare | PPO/HMO | $1,052.95 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,081.80 | ↓ -31% |
| Summacare | Preferred | $1,109.72 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $1,127.48 | ↓ -28% |
| OMAS | All Products | $1,202.00 | ↓ -23% |
| Summacare | Premier | $1,209.31 | ↓ -23% |
| Aetna | Acop | $1,261.48 | ↓ -19% |
| Healthsmart | All Products | $1,322.20 | ↓ -15% |
| The Health Plan | All Products | $1,322.20 | ↓ -15% |
| Optum | All Products Transplant | $1,401.53 | ↓ -10% |
| PHPHI | All Products | $1,442.40 | ↓ -8% |
| UPMC | All Products | $1,442.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,459.23 | ↓ -7% |
| MMO | Medicare HMO | $1,560.63 | ↓ -0% |
| Clarity Health | All Products | $1,562.60 | ↑ +0% |
| Three Rivers | All Products | $1,562.60 | ↑ +0% |
| MMO | Medicare PPO | $1,607.45 | ↑ +3% |
| Quality Care Partners | All Products | $1,682.80 | ↑ +8% |
| GMS | All Products | $1,682.80 | ↑ +8% |
| United | All Products - Mid-Level | $1,700.45 | ↑ +9% |
| Anthem | All Products Physician Facility | $1,717.16 | ↑ +10% |
| Anthem | All Products Physician | $1,717.16 | ↑ +10% |
| Cigna | All Products Mid-Level | $1,728.62 | ↑ +11% |
| Consociate Health | All Products | $1,803.00 | ↑ +15% |
| Aetna | All Products First Health | $1,803.00 | ↑ +15% |
| United | All Products | $1,832.75 | ↑ +17% |
| United | HMO & PPO | $1,832.75 | ↑ +17% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,923.20 | ↑ +23% |
| Aetna | Asa | $1,923.20 | ↑ +23% |
| MMO | NASCO | $1,923.20 | ↑ +23% |
| Cigna | All Products Physician | $2,033.52 | ↑ +30% |
| Anthem | All Products Physician Non-Facility | $2,124.01 | ↑ +36% |
| USA Managed Care | All Products | $2,163.60 | ↑ +38% |
| Multiplan | All Products | $2,163.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,404.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $2,710.76 | ↑ +73% |
| CARESOURCE | Managed Medicaid | $2,853.43 | ↑ +83% |
| MOLINA | Managed Medicaid | $2,996.10 | ↑ +92% |
| ANTHEM | Managed Medicaid | $2,996.10 | ↑ +92% |
| UNITED | Managed Medicaid | $3,053.17 | ↑ +95% |
| United BH | Managed Medicaid | $3,138.77 | ↑ +101% |
| UNITED | MEDICARE ADVANTAGE | $5,080.55 | ↑ +225% |
| OPTUM | Medicare Advantage Transplant | $5,484.05 | ↑ +251% |
| HUMANA | Medicare Advantage HMO | $5,484.05 | ↑ +251% |
| OPTUM | All Products VA | $5,484.05 | ↑ +251% |
| The Health Plan | MEDICARE ADVANTAGE | $5,484.05 | ↑ +251% |
| MMO | Medicare Advantage HMO | $5,484.05 | ↑ +251% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,600.62 | ↑ +258% |
| ANTHEM | MEDICARE ADVANTAGE | $5,600.62 | ↑ +258% |
| CIGNA | Medicare Advantage Lifesource | $5,600.62 | ↑ +258% |
| AETNA | MEDICARE ADVANTAGE | $5,600.62 | ↑ +258% |
| UPMC | MEDICARE ADVANTAGE | $5,600.62 | ↑ +258% |
| Valor | ALL PRODUCTS | $5,600.62 | ↑ +258% |
| Summacare | MEDICARE ADVANTAGE | $5,600.62 | ↑ +258% |
| MMO | Medicare Advantage PPO | $5,648.58 | ↑ +261% |
| CIGNA | MEDICARE ADVANTAGE | $5,768.63 | ↑ +269% |
| CommuniCare | MEDICARE ADVANTAGE | $5,880.65 | ↑ +276% |
| Perennial Health | MEDICARE ADVANTAGE | $5,922.78 | ↑ +279% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,048.66 | ↑ +287% |
| PPHP | ALL PRODUCTS | $6,160.68 | ↑ +294% |
| MMO | SuperMed | $17,080.38 | ↑ +993% |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
Visitor-reported prices
Comments
Exploration maxillary sinus at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,767.62 – $4,362.51 |
| fairview hospital | Cleveland | not published | $2,221.13 – $6,160.68 |
| lutheran hospital | Cleveland | not published | $2,114.59 – $6,160.68 |
| akron general | Akron | not published | $2,151.73 – $6,160.68 |
| avon hospital | Avon | not published | $2,307.69 – $6,160.68 |
| euclid hospital | Euclid | not published | $2,364.28 – $6,160.68 |
| hillcrest hospital | Mayfield Heights | not published | $2,314.07 – $6,160.68 |
| lodi hospital | Lodi | not published | $3,610.16 – $4,180.19 |