Fitting of diaphragm/cap 57170 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$601.25
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.
$925.00
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.
$0.01 with UNITED vs $12,500.00 with CIGNA — 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| UNITED | All Products International | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $27.47 | ↓ -95% |
| Summacare | Medicare Advantage Lower Level | $29.32 | ↓ -95% |
| Paramount | Managed Medicaid | $29.79 | ↓ -95% |
| Caresource | Managed Medicaid | $30.37 | ↓ -95% |
| Buckeye | Managed Medicaid | $30.37 | ↓ -95% |
| Summacare | Medicare Advantage Psych | $30.83 | ↓ -95% |
| Molina | Managed Medicaid | $31.81 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $31.81 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $38.34 | ↓ -94% |
| Valor | All Products | $41.11 | ↓ -93% |
| Optum | Medicare Advantage Transplant | $41.11 | ↓ -93% |
| Aetna | Medicare Advantage Transplant | $41.11 | ↓ -93% |
| Humana | Medicare Advantage HMO | $41.11 | ↓ -93% |
| Aetna | Medicare Advantage | $41.11 | ↓ -93% |
| Anthem | Medicare Advantage | $41.11 | ↓ -93% |
| United | Medicare Advantage | $41.11 | ↓ -93% |
| The Health Plan | Medicare Advantage | $41.11 | ↓ -93% |
| UPMC | Medicare Advantage | $41.11 | ↓ -93% |
| Cigna | Medicare Advantage | $42.34 | ↓ -93% |
| Summacare | Medicare Advantage MD | $42.85 | ↓ -93% |
| CommuniCare | Medicare Advantage | $43.17 | ↓ -93% |
| Perennial Health | Medicare Advantage | $44.40 | ↓ -93% |
| Devoted Health | Medicare Advantage | $45.10 | ↓ -92% |
| PPHP | All Products | $45.22 | ↓ -92% |
| United | Managed Medicaid | $50.09 | ↓ -92% |
| AETNA | Medicare Advantage Transplant | $54.29 | ↓ -91% |
| Humana Military | All Products | $59.46 | ↓ -90% |
| AETNA | All Products Transplant | $59.99 | ↓ -90% |
| Aetna | All Products Transplant | $59.99 | ↓ -90% |
| Anthem | All Products Mid-Level Facility | $65.00 | ↓ -89% |
| OPTUM | Managed Medicaid Transplant | $68.60 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $72.21 | ↓ -88% |
| ANTHEM | Managed Medicaid | $75.82 | ↓ -87% |
| MOLINA | Managed Medicaid | $75.82 | ↓ -87% |
| UNITED | Managed Medicaid | $77.26 | ↓ -87% |
| United BH | Managed Medicaid | $79.43 | ↓ -87% |
| CC EHP | All Products | $85.69 | ↓ -86% |
| Oscar | All Products | $92.49 | ↓ -85% |
| Summacare | Preferred | $96.90 | ↓ -84% |
| Anthem | All Products Mid-Level Non-Facility | $104.10 | ↓ -83% |
| Summacare | Premier | $105.60 | ↓ -82% |
| Aetna | Acop | $110.15 | ↓ -82% |
| MMO | Medicare HMO | $135.72 | ↓ -77% |
| MMO | Medicare PPO | $139.79 | ↓ -77% |
| OHCP | All Products | $141.60 | ↓ -76% |
| Ohio Healthy | Transplant | $145.60 | ↓ -76% |
| Aultcare | PPO/HMO | $159.43 | ↓ -73% |
| Amish Community Aid Plan | All Products | $163.80 | ↓ -73% |
| Anthem | All Products Physician Facility | $165.08 | ↓ -73% |
| Anthem | All Products Physician | $165.08 | ↓ -73% |
| Optum | Commercial CRS Care Solutions | $170.72 | ↓ -72% |
| UNITED | MEDICARE ADVANTAGE | $172.88 | ↓ -71% |
| OMAS | All Products | $182.00 | ↓ -70% |
| OPTUM | Medicare Advantage Transplant | $186.49 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $186.49 | ↓ -69% |
| MMO | Medicare Advantage HMO | $186.49 | ↓ -69% |
| OPTUM | All Products VA | $186.49 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $186.49 | ↓ -69% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $191.27 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $191.27 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $191.27 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $191.27 | ↓ -68% |
| CIGNA | Medicare Advantage Lifesource | $191.27 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $191.27 | ↓ -68% |
| Valor | ALL PRODUCTS | $191.27 | ↓ -68% |
| MMO | Medicare Advantage PPO | $192.09 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $197.01 | ↓ -67% |
| Cigna | All Products Mid-Level | $199.87 | ↓ -67% |
| The Health Plan | All Products | $200.20 | ↓ -67% |
| Healthsmart | All Products | $200.20 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $200.83 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $201.41 | ↓ -67% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $206.57 | ↓ -66% |
| United | All Products - Mid-Level | $208.10 | ↓ -65% |
| PPHP | ALL PRODUCTS | $210.40 | ↓ -65% |
| Optum | All Products Transplant | $212.21 | ↓ -65% |
| PHPHI | All Products | $218.40 | ↓ -64% |
| UPMC | All Products | $218.40 | ↓ -64% |
| Optum | Commercial CHD Care Solutions | $220.95 | ↓ -63% |
| United | HMO & PPO | $224.30 | ↓ -63% |
| United | All Products | $224.30 | ↓ -63% |
| Cigna | All Products Physician | $234.99 | ↓ -61% |
| Three Rivers | All Products | $236.60 | ↓ -61% |
| Clarity Health | All Products | $236.60 | ↓ -61% |
| GMS | All Products | $254.80 | ↓ -58% |
| Quality Care Partners | All Products | $254.80 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $257.15 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $261.59 | ↓ -56% |
| Anthem | All Products Physician Non-Facility | $264.40 | ↓ -56% |
| Aetna | All Products First Health | $273.00 | ↓ -55% |
| Consociate Health | All Products | $273.00 | ↓ -55% |
| MMO | NASCO | $291.20 | ↓ -52% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $291.20 | ↓ -52% |
| Aetna | Asa | $291.20 | ↓ -52% |
| PHP | ALL PRODUCTS | $296.00 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $296.00 | ↓ -51% |
| USA Managed Care | All Products | $327.60 | ↓ -46% |
| Multiplan | All Products | $327.60 | ↓ -46% |
| MMO | ALL PRODUCTS | $334.15 | ↓ -44% |
| Aetna | Qhp/Ifp | $364.00 | ↓ -39% |
| Amish Community Aid Plan | ALL PRODUCTS | $416.25 | ↓ -31% |
| Summacare | PREMIER | $421.80 | ↓ -30% |
| ANTHEM | HPN | $425.96 | ↓ -29% |
| OHCP | ALL PRODUCTS | $449.55 | ↓ -25% |
| OMAS | ALL PRODUCTS | $462.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $499.50 | ↓ -17% |
| ANTHEM | PPO/HMO | $501.17 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $508.75 | ↓ -15% |
| OPTUM | All Products Transplant | $523.55 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $555.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $555.00 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $557.78 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $557.78 | ↓ -7% |
| AETNA | Acop | $579.05 | ↓ -4% |
| MMO | SuperMed | $581.59 | ↓ -3% |
| MMO | TRADITIONAL | $581.83 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $601.25 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $601.25 | ↑ +0% |
| GMS | ALL PRODUCTS | $647.50 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $647.50 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $647.50 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $647.50 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $647.50 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $647.50 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $655.83 | ↑ +9% |
| CIGNA | PPO | $686.35 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $693.75 | ↑ +15% |
| Consociate Health | TRANSPLANT | $693.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $693.75 | ↑ +15% |
| AETNA | International | $708.55 | ↑ +18% |
| ANTHEM | TRADITIONAL | $711.51 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $740.00 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $740.00 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $786.25 | ↑ +31% |
| FrontPath | TRANSPLANT | $832.50 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $832.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $832.50 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $832.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $832.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $925.00 | ↑ +54% |
| CIGNA | ALL PRODUCTS | $12,500.00 | ↑ +1979% |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
Visitor-reported prices
Comments
Fitting of diaphragm/cap 57170 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $95.34 – $110.40 |
| fairview hospital | Cleveland | not published | $56.20 – $210.40 |
| lutheran hospital | Cleveland | not published | $53.50 – $210.40 |
| akron general | Akron | $236.60 | $1.10 – $327.60 |
| mercy hospital | Canton | $236.60 | $1.10 – $327.60 |
| avon hospital | Avon | not published | $58.39 – $210.40 |
| euclid hospital | Euclid | not published | $59.83 – $210.40 |
| hillcrest hospital | Mayfield Heights | not published | $58.56 – $210.40 |