Eye surgery follow-up add-on at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$520.00
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.
$800.00
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 $2,241.93 with United BH — 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 Psych | $74.07 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $75.60 | ↓ -85% |
| Humana | Medicare Advantage HMO | $98.76 | ↓ -81% |
| The Health Plan | Medicare Advantage | $98.76 | ↓ -81% |
| Anthem | Medicare Advantage | $98.76 | ↓ -81% |
| Aetna | Medicare Advantage | $98.76 | ↓ -81% |
| Valor | All Products | $98.76 | ↓ -81% |
| Aetna | Medicare Advantage Transplant | $98.76 | ↓ -81% |
| Optum | Medicare Advantage Transplant | $98.76 | ↓ -81% |
| UPMC | Medicare Advantage | $98.76 | ↓ -81% |
| United | Medicare Advantage | $98.76 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $98.86 | ↓ -81% |
| Cigna | Medicare Advantage | $101.72 | ↓ -80% |
| CommuniCare | Medicare Advantage | $103.70 | ↓ -80% |
| Perennial Health | Medicare Advantage | $106.66 | ↓ -79% |
| PPHP | All Products | $108.64 | ↓ -79% |
| Summacare | Medicare Advantage MD | $110.49 | ↓ -79% |
| Devoted Health | Medicare Advantage | $116.30 | ↓ -78% |
| United | Managed Medicaid | $154.03 | ↓ -70% |
| Humana Military | All Products | $155.00 | ↓ -70% |
| Aetna | All Products Transplant | $190.09 | ↓ -63% |
| Oscar | All Products | $203.28 | ↓ -61% |
| Optum | Managed Medicaid Transplant | $209.11 | ↓ -60% |
| CC EHP | All Products | $220.97 | ↓ -58% |
| Paramount | Managed Medicaid | $226.72 | ↓ -56% |
| Caresource | Managed Medicaid | $231.13 | ↓ -56% |
| Buckeye | Managed Medicaid | $231.13 | ↓ -56% |
| Summacare | Preferred | $236.01 | ↓ -55% |
| Molina | Managed Medicaid | $242.13 | ↓ -53% |
| AmeriHealth | Managed Medicaid | $242.13 | ↓ -53% |
| Anthem | All Products Mid-Level Non-Facility | $248.52 | ↓ -52% |
| Anthem | All Products Mid-Level Facility | $248.52 | ↓ -52% |
| Summacare | Premier | $257.19 | ↓ -51% |
| Aetna | Acop | $268.29 | ↓ -48% |
| OHCP | All Products | $311.20 | ↓ -40% |
| Ohio Healthy | Transplant | $320.00 | ↓ -38% |
| Aultcare | PPO/HMO | $350.40 | ↓ -33% |
| MMO | SuperMed | $360.00 | ↓ -31% |
| Amish Community Aid Plan | All Products | $360.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $375.20 | ↓ -28% |
| OMAS | All Products | $400.00 | ↓ -23% |
| United | All Products - Mid-Level | $410.13 | ↓ -21% |
| The Health Plan | All Products | $440.00 | ↓ -15% |
| Healthsmart | All Products | $440.00 | ↓ -15% |
| United | HMO & PPO | $442.04 | ↓ -15% |
| United | All Products | $442.04 | ↓ -15% |
| Optum | All Products Transplant | $466.40 | ↓ -10% |
| PHPHI | All Products | $480.00 | ↓ -8% |
| UPMC | All Products | $480.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $485.60 | ↓ -7% |
| Clarity Health | All Products | $520.00 | ↑ +0% |
| Three Rivers | All Products | $520.00 | ↑ +0% |
| GMS | All Products | $560.00 | ↑ +8% |
| Quality Care Partners | All Products | $560.00 | ↑ +8% |
| Consociate Health | All Products | $600.00 | ↑ +15% |
| Aetna | All Products First Health | $600.00 | ↑ +15% |
| Anthem | All Products Physician Facility | $631.20 | ↑ +21% |
| Anthem | All Products Physician Non-Facility | $631.20 | ↑ +21% |
| Anthem | All Products Physician | $631.20 | ↑ +21% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $640.00 | ↑ +23% |
| Aetna | Asa | $640.00 | ↑ +23% |
| MMO | NASCO | $640.00 | ↑ +23% |
| Multiplan | All Products | $720.00 | ↑ +38% |
| USA Managed Care | All Products | $720.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $800.00 | ↑ +54% |
| MMO | Medicare HMO | $1,082.34 | ↑ +108% |
| MMO | Medicare PPO | $1,114.81 | ↑ +114% |
| OPTUM | Managed Medicaid Transplant | $1,936.21 | ↑ +272% |
| CARESOURCE | Managed Medicaid | $2,038.12 | ↑ +292% |
| MOLINA | Managed Medicaid | $2,140.03 | ↑ +312% |
| ANTHEM | Managed Medicaid | $2,140.03 | ↑ +312% |
| UNITED | Managed Medicaid | $2,180.79 | ↑ +319% |
| United BH | Managed Medicaid | $2,241.93 | ↑ +331% |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | 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 RN | not published by hospital | — |
Visitor-reported prices
Comments
Eye surgery follow-up add-on at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,691.10 – $3,116.01 |
| fairview hospital | Cleveland | not published | $1,586.49 – $1,836.99 |
| lutheran hospital | Cleveland | not published | $1,510.39 – $1,748.87 |
| akron general | Akron | not published | $1,536.92 – $1,779.59 |
| avon hospital | Avon | not published | $1,648.31 – $1,679.71 |
| euclid hospital | Euclid | not published | $1,688.74 – $1,955.38 |
| hillcrest hospital | Mayfield Heights | not published | $1,652.87 – $1,913.85 |
| lodi hospital | Lodi | not published | $2,578.63 – $2,985.79 |