healthcosts.net
Fna bx w/mr gdn ea addl at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$946.40
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.
?
What you pay up front if you don't use insurance.
$1,456.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.01 with UNITED vs $4,392.00 with MMO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| United | Managed Medicaid | $103.53 | ↓ -89% |
| Anthem | All Products Mid-Level Facility | $114.86 | ↓ -88% |
| Oscar | All Products | $153.73 | ↓ -84% |
| OHCP | All Products | $235.35 | ↓ -75% |
| Ohio Healthy | Transplant | $242.00 | ↓ -74% |
| Aultcare | PPO/HMO | $264.99 | ↓ -72% |
| MMO | SuperMed | $272.25 | ↓ -71% |
| Amish Community Aid Plan | All Products | $272.25 | ↓ -71% |
| Optum | Commercial CRS Care Solutions | $283.75 | ↓ -70% |
| Anthem | All Products Physician | $291.72 | ↓ -69% |
| Anthem | All Products Physician Facility | $291.72 | ↓ -69% |
| CC EHP | All Products | $301.90 | ↓ -68% |
| OMAS | All Products | $302.50 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $317.41 | ↓ -66% |
| Healthsmart | All Products | $332.75 | ↓ -65% |
| The Health Plan | All Products | $332.75 | ↓ -65% |
| Optum | All Products Transplant | $352.72 | ↓ -63% |
| PHPHI | All Products | $363.00 | ↓ -62% |
| UPMC | All Products | $363.00 | ↓ -62% |
| Anthem | All Products Mid-Level Non-Facility | $366.16 | ↓ -61% |
| Optum | Commercial CHD Care Solutions | $367.24 | ↓ -61% |
| OPTUM | Managed Medicaid Transplant | $384.69 | ↓ -59% |
| Three Rivers | All Products | $393.25 | ↓ -58% |
| Clarity Health | All Products | $393.25 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $404.77 | ↓ -57% |
| CARESOURCE | Managed Medicaid | $404.94 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $411.76 | ↓ -56% |
| Paramount | Managed Medicaid | $417.09 | ↓ -56% |
| Summacare | Medicare Advantage Psych | $423.50 | ↓ -55% |
| Summacare | Medicare Advantage MD | $423.50 | ↓ -55% |
| GMS | All Products | $423.50 | ↓ -55% |
| Quality Care Partners | All Products | $423.50 | ↓ -55% |
| Summacare | Medicare Advantage CNA | $423.50 | ↓ -55% |
| Summacare | Premier | $423.50 | ↓ -55% |
| Summacare | Preferred | $423.50 | ↓ -55% |
| Summacare | Medicare Advantage Lower Level | $423.50 | ↓ -55% |
| ANTHEM | Managed Medicaid | $425.19 | ↓ -55% |
| Buckeye | Managed Medicaid | $425.19 | ↓ -55% |
| MOLINA | Managed Medicaid | $425.19 | ↓ -55% |
| UNITED | Managed Medicaid | $433.29 | ↓ -54% |
| United BH | Managed Medicaid | $445.43 | ↓ -53% |
| Consociate Health | All Products | $453.75 | ↓ -52% |
| Aetna | All Products First Health | $453.75 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $465.92 | ↓ -51% |
| PHP | ALL PRODUCTS | $465.92 | ↓ -51% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $484.00 | ↓ -49% |
| MMO | NASCO | $484.00 | ↓ -49% |
| Aetna | Asa | $484.00 | ↓ -49% |
| United | All Products - Mid-Level | $539.53 | ↓ -43% |
| Multiplan | All Products | $544.50 | ↓ -42% |
| USA Managed Care | All Products | $544.50 | ↓ -42% |
| United | HMO & PPO | $581.50 | ↓ -39% |
| United | All Products | $581.50 | ↓ -39% |
| Aetna | Qhp/Ifp | $605.00 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $655.20 | ↓ -31% |
| Summacare | PREMIER | $663.94 | ↓ -30% |
| ANTHEM | HPN | $670.49 | ↓ -29% |
| OHCP | ALL PRODUCTS | $707.62 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $713.44 | ↓ -25% |
| OMAS | ALL PRODUCTS | $728.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $786.24 | ↓ -17% |
| ANTHEM | PPO/HMO | $788.86 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $800.80 | ↓ -15% |
| OPTUM | All Products Transplant | $824.10 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $873.60 | ↓ -8% |
| UPMC | ALL PRODUCTS | $873.60 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $877.97 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $877.97 | ↓ -7% |
| AETNA | Acop | $911.46 | ↓ -4% |
| MMO | TRADITIONAL | $915.82 | ↓ -3% |
| Anthem | All Products Physician Non-Facility | $929.99 | ↓ -2% |
| THREE RIVERS | ALL PRODUCTS | $946.40 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $946.40 | ↑ +0% |
| GMS | ALL PRODUCTS | $1,019.20 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $1,019.20 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $1,019.20 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $1,019.20 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,019.20 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $1,019.20 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $1,032.30 | ↑ +9% |
| CIGNA | PPO | $1,080.35 | ↑ +14% |
| AETNA | ALL PRODUCTS | $1,092.00 | ↑ +15% |
| Consociate Health | TRANSPLANT | $1,092.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,092.00 | ↑ +15% |
| ANTHEM | TRADITIONAL | $1,119.96 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $1,164.80 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $1,164.80 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $1,237.60 | ↑ +31% |
| FrontPath | TRANSPLANT | $1,310.40 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,310.40 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $1,310.40 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $1,310.40 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,310.40 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,456.00 | ↑ +54% |
| AETNA | International | $3,443.00 | ↑ +264% |
| MMO | ALL PRODUCTS | $4,392.00 | ↑ +364% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| AETNA | Medicare Advantage Transplant | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | 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 | — |
| AETNA | All Products Transplant | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Medicare Advantage Transplant | not published by hospital | — |
| UPMC | Medicare Advantage | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare HMO | not published by hospital | — |
| Aetna | All Products Transplant | not published by hospital | — |
| MMO | Medicare PPO | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| Humana Military | All Products | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| Devoted Health | Medicare Advantage | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| PPHP | All Products | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| CIGNA | Medicare Advantage Lifesource | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Fna bx w/mr gdn ea addl at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $534.67 – $619.09 |
| fairview hospital | Cleveland | not published | $315.20 – $364.97 |
| lutheran hospital | Cleveland | not published | $300.09 – $347.47 |
| akron general | Akron | $393.25 | $1.10 – $544.50 |
| mercy hospital | Canton | $393.25 | $1.10 – $544.50 |
| University Hospitals Ahuja Medical Center | Beachwood | $847.50 | $249.73 – $2,292.78 |
| University Hospitals Beachwood Medical Center | Beachwood | $847.50 | $452.00 – $2,246.00 |
| University Hospitals Conneaut Medical Center | Conneaut | $833.25 | not published |