Fistula repair & colostomy at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$4,464.20
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.
$6,868.00
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 $6,868.00 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 | $609.45 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $659.80 | ↓ -85% |
| Paramount | Managed Medicaid | $660.78 | ↓ -85% |
| Caresource | Managed Medicaid | $673.61 | ↓ -85% |
| Buckeye | Managed Medicaid | $673.61 | ↓ -85% |
| Molina | Managed Medicaid | $705.68 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $705.68 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $729.46 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $862.81 | ↓ -81% |
| United | Managed Medicaid | $886.79 | ↓ -80% |
| Summacare | Medicare Advantage MD | $964.32 | ↓ -78% |
| Anthem | Medicare Advantage | $972.61 | ↓ -78% |
| Valor | All Products | $972.61 | ↓ -78% |
| Humana | Medicare Advantage HMO | $972.61 | ↓ -78% |
| United | Medicare Advantage | $972.61 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $972.61 | ↓ -78% |
| The Health Plan | Medicare Advantage | $972.61 | ↓ -78% |
| UPMC | Medicare Advantage | $972.61 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $972.61 | ↓ -78% |
| Aetna | Medicare Advantage | $972.61 | ↓ -78% |
| Cigna | Medicare Advantage | $1,001.79 | ↓ -78% |
| Devoted Health | Medicare Advantage | $1,015.07 | ↓ -77% |
| CommuniCare | Medicare Advantage | $1,021.24 | ↓ -77% |
| Perennial Health | Medicare Advantage | $1,050.42 | ↓ -76% |
| PPHP | All Products | $1,069.87 | ↓ -76% |
| Humana Military | All Products | $1,331.18 | ↓ -70% |
| Aetna | All Products Transplant | $1,347.04 | ↓ -70% |
| Anthem | All Products Mid-Level Facility | $1,447.34 | ↓ -68% |
| Anthem | All Products Mid-Level Non-Facility | $1,447.34 | ↓ -68% |
| Oscar | All Products | $1,745.16 | ↓ -61% |
| CC EHP | All Products | $1,928.63 | ↓ -57% |
| Summacare | Preferred | $2,335.76 | ↓ -48% |
| Summacare | Premier | $2,545.38 | ↓ -43% |
| Aetna | Acop | $2,655.19 | ↓ -41% |
| OHCP | All Products | $2,671.65 | ↓ -40% |
| Ohio Healthy | Transplant | $2,747.20 | ↓ -38% |
| MMO | ALL PRODUCTS | $2,814.77 | ↓ -37% |
| United | All Products - Mid-Level | $2,926.21 | ↓ -34% |
| MMO | Medicare HMO | $2,928.13 | ↓ -34% |
| Aultcare | PPO/HMO | $3,008.18 | ↓ -33% |
| MMO | Medicare PPO | $3,015.97 | ↓ -32% |
| Amish Community Aid Plan | All Products | $3,090.60 | ↓ -31% |
| MMO | SuperMed | $3,143.65 | ↓ -30% |
| United | HMO & PPO | $3,153.88 | ↓ -29% |
| United | All Products | $3,153.88 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $3,221.09 | ↓ -28% |
| OMAS | All Products | $3,434.00 | ↓ -23% |
| Anthem | All Products Physician Facility | $3,675.93 | ↓ -18% |
| Anthem | All Products Physician Non-Facility | $3,675.93 | ↓ -18% |
| Anthem | All Products Physician | $3,675.93 | ↓ -18% |
| Healthsmart | All Products | $3,777.40 | ↓ -15% |
| The Health Plan | All Products | $3,777.40 | ↓ -15% |
| Optum | All Products Transplant | $4,004.04 | ↓ -10% |
| OPTUM | Managed Medicaid Transplant | $4,028.01 | ↓ -10% |
| PHPHI | All Products | $4,120.80 | ↓ -8% |
| UPMC | All Products | $4,120.80 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $4,168.88 | ↓ -7% |
| CARESOURCE | Managed Medicaid | $4,240.01 | ↓ -5% |
| ANTHEM | Managed Medicaid | $4,452.01 | ↓ -0% |
| MOLINA | Managed Medicaid | $4,452.01 | ↓ -0% |
| Three Rivers | All Products | $4,464.20 | ↑ +0% |
| Clarity Health | All Products | $4,464.20 | ↑ +0% |
| UNITED | Managed Medicaid | $4,536.81 | ↑ +2% |
| United BH | Managed Medicaid | $4,664.01 | ↑ +4% |
| GMS | All Products | $4,807.60 | ↑ +8% |
| Quality Care Partners | All Products | $4,807.60 | ↑ +8% |
| Aetna | All Products First Health | $5,151.00 | ↑ +15% |
| Consociate Health | All Products | $5,151.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $5,494.40 | ↑ +23% |
| Aetna | Asa | $5,494.40 | ↑ +23% |
| MMO | NASCO | $5,494.40 | ↑ +23% |
| Multiplan | All Products | $6,181.20 | ↑ +38% |
| USA Managed Care | All Products | $6,181.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $6,868.00 | ↑ +54% |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products RN | 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 | — |
Visitor-reported prices
Comments
Fistula repair & colostomy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $5,598.44 – $6,482.40 |
| fairview hospital | Cleveland | not published | $3,300.45 – $3,821.58 |
| lutheran hospital | Cleveland | not published | $3,142.13 – $3,638.26 |
| akron general | Akron | not published | $3,197.33 – $3,702.17 |
| avon hospital | Avon | not published | $3,429.07 – $3,494.38 |
| euclid hospital | Euclid | not published | $3,513.18 – $4,067.89 |
| hillcrest hospital | Mayfield Heights | not published | $3,438.55 – $3,981.48 |
| lodi hospital | Lodi | not published | $5,364.46 – $6,211.48 |