healthcosts.net
Exploration/repair of rectum 45563 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$6,858.80
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.
$10,552.00
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 $10,552.00 with Aetna — 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 | $845.16 | ↓ -88% |
| Paramount | Managed Medicaid | $916.33 | ↓ -87% |
| Caresource | Managed Medicaid | $934.12 | ↓ -86% |
| Buckeye | Managed Medicaid | $934.12 | ↓ -86% |
| Molina | Managed Medicaid | $978.60 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $978.60 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $1,023.54 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $1,153.05 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $1,338.47 | ↓ -80% |
| United | Managed Medicaid | $1,364.89 | ↓ -80% |
| Summacare | Medicare Advantage MD | $1,495.94 | ↓ -78% |
| The Health Plan | Medicare Advantage | $1,537.40 | ↓ -78% |
| Anthem | Medicare Advantage | $1,537.40 | ↓ -78% |
| Humana | Medicare Advantage HMO | $1,537.40 | ↓ -78% |
| UPMC | Medicare Advantage | $1,537.40 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $1,537.40 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $1,537.40 | ↓ -78% |
| Valor | All Products | $1,537.40 | ↓ -78% |
| United | Medicare Advantage | $1,537.40 | ↓ -78% |
| Aetna | Medicare Advantage | $1,537.40 | ↓ -78% |
| Devoted Health | Medicare Advantage | $1,574.67 | ↓ -77% |
| Cigna | Medicare Advantage | $1,583.52 | ↓ -77% |
| CommuniCare | Medicare Advantage | $1,614.27 | ↓ -76% |
| Perennial Health | Medicare Advantage | $1,660.39 | ↓ -76% |
| PPHP | All Products | $1,691.14 | ↓ -75% |
| OPTUM | Managed Medicaid Transplant | $1,836.64 | ↓ -73% |
| CARESOURCE | Managed Medicaid | $1,933.31 | ↓ -72% |
| Humana Military | All Products | $1,998.17 | ↓ -71% |
| Aetna | All Products Transplant | $2,011.71 | ↓ -71% |
| MOLINA | Managed Medicaid | $2,029.98 | ↓ -70% |
| ANTHEM | Managed Medicaid | $2,029.98 | ↓ -70% |
| UNITED | Managed Medicaid | $2,068.64 | ↓ -70% |
| United BH | Managed Medicaid | $2,126.64 | ↓ -69% |
| Anthem | All Products Mid-Level Facility | $2,235.96 | ↓ -67% |
| Anthem | All Products Mid-Level Non-Facility | $2,235.96 | ↓ -67% |
| Oscar | All Products | $2,681.26 | ↓ -61% |
| CC EHP | All Products | $2,991.87 | ↓ -56% |
| Summacare | Preferred | $3,672.35 | ↓ -46% |
| Summacare | Premier | $4,001.92 | ↓ -42% |
| OHCP | All Products | $4,104.73 | ↓ -40% |
| Aetna | Acop | $4,174.55 | ↓ -39% |
| Ohio Healthy | Transplant | $4,220.80 | ↓ -38% |
| MMO | ALL PRODUCTS | $4,345.50 | ↓ -37% |
| United | All Products - Mid-Level | $4,517.58 | ↓ -34% |
| Aultcare | PPO/HMO | $4,621.78 | ↓ -33% |
| MMO | Medicare HMO | $4,703.81 | ↓ -31% |
| Amish Community Aid Plan | All Products | $4,748.40 | ↓ -31% |
| MMO | Medicare PPO | $4,844.92 | ↓ -29% |
| MMO | SuperMed | $4,854.75 | ↓ -29% |
| United | All Products | $4,869.06 | ↓ -29% |
| United | HMO & PPO | $4,869.06 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $4,948.89 | ↓ -28% |
| OMAS | All Products | $5,276.00 | ↓ -23% |
| Anthem | All Products Physician | $5,678.88 | ↓ -17% |
| Anthem | All Products Physician Facility | $5,678.88 | ↓ -17% |
| Anthem | All Products Physician Non-Facility | $5,678.88 | ↓ -17% |
| The Health Plan | All Products | $5,803.60 | ↓ -15% |
| Healthsmart | All Products | $5,803.60 | ↓ -15% |
| Optum | All Products Transplant | $6,151.82 | ↓ -10% |
| PHPHI | All Products | $6,331.20 | ↓ -8% |
| UPMC | All Products | $6,331.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $6,405.06 | ↓ -7% |
| Clarity Health | All Products | $6,858.80 | ↑ +0% |
| Three Rivers | All Products | $6,858.80 | ↑ +0% |
| GMS | All Products | $7,386.40 | ↑ +8% |
| Quality Care Partners | All Products | $7,386.40 | ↑ +8% |
| Consociate Health | All Products | $7,914.00 | ↑ +15% |
| Aetna | All Products First Health | $7,914.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $8,441.60 | ↑ +23% |
| MMO | NASCO | $8,441.60 | ↑ +23% |
| Aetna | Asa | $8,441.60 | ↑ +23% |
| USA Managed Care | All Products | $9,496.80 | ↑ +38% |
| Multiplan | All Products | $9,496.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $10,552.00 | ↑ +54% |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| 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 | — |
Visitor-reported prices
Comments
Exploration/repair of rectum 45563 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 | $1,504.90 – $1,742.52 |
| lutheran hospital | Cleveland | not published | $1,432.71 – $1,658.93 |
| akron general | Akron | $6,858.80 | $1.10 – $9,496.80 |
| mercy hospital | Canton | $6,858.80 | $1.10 – $9,496.80 |
| avon hospital | Avon | not published | $1,563.54 – $1,593.33 |
| euclid hospital | Euclid | not published | $1,601.90 – $1,854.83 |
| hillcrest hospital | Mayfield Heights | not published | $1,567.87 – $1,815.43 |