Fragmenting of kidney stone at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$11,672.05
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.
$17,957.00
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 $25,635.00 with MMO — 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 International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $331.09 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $351.69 | ↓ -97% |
| Paramount | Managed Medicaid | $358.98 | ↓ -97% |
| Caresource | Managed Medicaid | $365.95 | ↓ -97% |
| Buckeye | Managed Medicaid | $365.95 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $382.39 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $383.37 | ↓ -97% |
| Molina | Managed Medicaid | $383.37 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $459.90 | ↓ -96% |
| Humana | Medicare Advantage HMO | $509.85 | ↓ -96% |
| United | Medicare Advantage | $509.85 | ↓ -96% |
| Aetna | Medicare Advantage Transplant | $509.85 | ↓ -96% |
| Valor | All Products | $509.85 | ↓ -96% |
| Aetna | Medicare Advantage | $509.85 | ↓ -96% |
| Optum | Medicare Advantage Transplant | $509.85 | ↓ -96% |
| UPMC | Medicare Advantage | $509.85 | ↓ -96% |
| Anthem | Medicare Advantage | $509.85 | ↓ -96% |
| The Health Plan | Medicare Advantage | $509.85 | ↓ -96% |
| Summacare | Medicare Advantage MD | $514.01 | ↓ -96% |
| Cigna | Medicare Advantage | $525.15 | ↓ -96% |
| CommuniCare | Medicare Advantage | $535.34 | ↓ -95% |
| Devoted Health | Medicare Advantage | $541.06 | ↓ -95% |
| Perennial Health | Medicare Advantage | $550.64 | ↓ -95% |
| PPHP | All Products | $560.84 | ↓ -95% |
| United | Managed Medicaid | $605.41 | ↓ -95% |
| AETNA | Medicare Advantage Transplant | $672.27 | ↓ -94% |
| Humana Military | All Products | $717.08 | ↓ -94% |
| Aetna | All Products Transplant | $721.72 | ↓ -94% |
| AETNA | All Products Transplant | $721.72 | ↓ -94% |
| Anthem | All Products Mid-Level Facility | $756.93 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $973.04 | ↓ -92% |
| Oscar | All Products | $993.02 | ↓ -91% |
| CC EHP | All Products | $1,028.01 | ↓ -91% |
| Summacare | Preferred | $1,219.07 | ↓ -90% |
| Summacare | Premier | $1,328.47 | ↓ -89% |
| Aetna | Acop | $1,385.78 | ↓ -88% |
| OHCP | All Products | $1,520.21 | ↓ -87% |
| Ohio Healthy | Transplant | $1,563.20 | ↓ -87% |
| Aultcare | PPO/HMO | $1,711.70 | ↓ -85% |
| Amish Community Aid Plan | All Products | $1,758.60 | ↓ -85% |
| Optum | Commercial CRS Care Solutions | $1,832.85 | ↓ -84% |
| MMO | Medicare HMO | $1,863.75 | ↓ -84% |
| MMO | Medicare PPO | $1,919.66 | ↓ -84% |
| Anthem | All Products Physician | $1,922.44 | ↓ -84% |
| Anthem | All Products Physician Facility | $1,922.44 | ↓ -84% |
| OMAS | All Products | $1,954.00 | ↓ -83% |
| United | All Products - Mid-Level | $1,986.31 | ↓ -83% |
| OPTUM | Managed Medicaid Transplant | $2,117.28 | ↓ -82% |
| United | All Products | $2,140.85 | ↓ -82% |
| United | HMO & PPO | $2,140.85 | ↓ -82% |
| Healthsmart | All Products | $2,149.40 | ↓ -82% |
| The Health Plan | All Products | $2,149.40 | ↓ -82% |
| Cigna | All Products Mid-Level | $2,155.02 | ↓ -82% |
| CARESOURCE | Managed Medicaid | $2,228.72 | ↓ -81% |
| Optum | All Products Transplant | $2,278.36 | ↓ -80% |
| ANTHEM | Managed Medicaid | $2,340.16 | ↓ -80% |
| MOLINA | Managed Medicaid | $2,340.16 | ↓ -80% |
| UPMC | All Products | $2,344.80 | ↓ -80% |
| PHPHI | All Products | $2,344.80 | ↓ -80% |
| Optum | Commercial CHD Care Solutions | $2,372.16 | ↓ -80% |
| UNITED | Managed Medicaid | $2,384.73 | ↓ -80% |
| United BH | Managed Medicaid | $2,451.59 | ↓ -79% |
| Anthem | All Products Physician Non-Facility | $2,471.28 | ↓ -79% |
| Cigna | All Products Physician | $2,535.53 | ↓ -78% |
| Clarity Health | All Products | $2,540.20 | ↓ -78% |
| Three Rivers | All Products | $2,540.20 | ↓ -78% |
| Quality Care Partners | All Products | $2,735.60 | ↓ -77% |
| GMS | All Products | $2,735.60 | ↓ -77% |
| Aetna | All Products First Health | $2,931.00 | ↓ -75% |
| Consociate Health | All Products | $2,931.00 | ↓ -75% |
| UNITED | MEDICARE ADVANTAGE | $3,024.43 | ↓ -74% |
| Aetna | Asa | $3,126.40 | ↓ -73% |
| MMO | NASCO | $3,126.40 | ↓ -73% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,126.40 | ↓ -73% |
| The Health Plan | MEDICARE ADVANTAGE | $3,197.33 | ↓ -73% |
| MMO | Medicare Advantage HMO | $3,197.33 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $3,197.33 | ↓ -73% |
| OPTUM | All Products VA | $3,197.33 | ↓ -73% |
| OPTUM | Medicare Advantage Transplant | $3,197.33 | ↓ -73% |
| MMO | Medicare Advantage PPO | $3,293.25 | ↓ -72% |
| ANTHEM | MEDICARE ADVANTAGE | $3,334.90 | ↓ -71% |
| Valor | ALL PRODUCTS | $3,334.90 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $3,334.90 | ↓ -71% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,334.90 | ↓ -71% |
| CIGNA | Medicare Advantage Lifesource | $3,334.90 | ↓ -71% |
| Summacare | MEDICARE ADVANTAGE | $3,334.90 | ↓ -71% |
| UPMC | MEDICARE ADVANTAGE | $3,334.90 | ↓ -71% |
| CIGNA | MEDICARE ADVANTAGE | $3,434.95 | ↓ -71% |
| Perennial Health | MEDICARE ADVANTAGE | $3,453.12 | ↓ -70% |
| CommuniCare | MEDICARE ADVANTAGE | $3,501.65 | ↓ -70% |
| USA Managed Care | All Products | $3,517.20 | ↓ -70% |
| Multiplan | All Products | $3,517.20 | ↓ -70% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,601.70 | ↓ -69% |
| PPHP | ALL PRODUCTS | $3,668.39 | ↓ -69% |
| Aetna | Qhp/Ifp | $3,908.00 | ↓ -67% |
| CC EHP | ALL PRODUCTS | $4,410.47 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $4,486.62 | ↓ -62% |
| PHP | ALL PRODUCTS | $5,076.80 | ↓ -57% |
| PHPHI | ALL PRODUCTS | $5,076.80 | ↓ -57% |
| ANTHEM | HPN | $6,481.00 | ↓ -44% |
| Amish Community Aid Plan | ALL PRODUCTS | $7,139.25 | ↓ -39% |
| Summacare | PREMIER | $7,234.44 | ↓ -38% |
| OHCP | ALL PRODUCTS | $7,710.39 | ↓ -34% |
| OMAS | ALL PRODUCTS | $7,932.50 | ↓ -32% |
| Ohio Healthy | TRANSPLANT | $8,567.10 | ↓ -27% |
| ANTHEM | PPO/HMO | $8,595.66 | ↓ -26% |
| HEALTHSMART | ALL PRODUCTS | $8,725.75 | ↓ -25% |
| OPTUM | All Products Transplant | $8,979.59 | ↓ -23% |
| UPMC | ALL PRODUCTS | $9,519.00 | ↓ -18% |
| The Health Plan | ALL PRODUCTS | $9,519.00 | ↓ -18% |
| OPTUM | Commercial CHD Care Solutions | $9,566.60 | ↓ -18% |
| OPTUM | Commercial CRS Care Solutions | $9,566.60 | ↓ -18% |
| AETNA | Acop | $9,602.00 | ↓ -18% |
| MMO | TRADITIONAL | $9,979.09 | ↓ -15% |
| MMO | SuperMed | $10,168.64 | ↓ -13% |
| Clarity Health | ALL PRODUCTS | $10,312.25 | ↓ -12% |
| THREE RIVERS | ALL PRODUCTS | $10,312.25 | ↓ -12% |
| CIGNA | ALL PRODUCTS | $10,364.00 | ↓ -11% |
| Ohio Healthy | Transplant SMCP | $11,105.50 | ↓ -5% |
| Quality Care Partners | ALL PRODUCTS | $11,105.50 | ↓ -5% |
| GMS | ALL PRODUCTS | $11,105.50 | ↓ -5% |
| Parkview Health Plan | Transplant SMCP | $11,105.50 | ↓ -5% |
| Quality Care Partners | Transplant SMCP | $11,105.50 | ↓ -5% |
| Medical Benefit Corp | Transplant SMCP | $11,105.50 | ↓ -5% |
| AETNA | Asa_Whirlpool_Peia | $11,709.00 | ↑ +0% |
| CIGNA | PPO | $11,771.83 | ↑ +1% |
| Consociate Health | TRANSPLANT | $11,898.75 | ↑ +2% |
| AETNA | ALL PRODUCTS | $11,898.75 | ↑ +2% |
| Consociate Health | ALL PRODUCTS | $11,898.75 | ↑ +2% |
| ANTHEM | TRADITIONAL | $12,203.36 | ↑ +5% |
| Community Health Alliance | ALL PRODUCTS | $12,692.00 | ↑ +9% |
| Community Health Alliance | TRANSPLANT | $12,692.00 | ↑ +9% |
| AETNA | International | $12,705.00 | ↑ +9% |
| Humana Military | ALL PRODUCTS | $13,485.25 | ↑ +16% |
| FrontPath | TRANSPLANT | $14,278.50 | ↑ +22% |
| MULTIPLAN | ALL PRODUCTS | $14,278.50 | ↑ +22% |
| Tertiary Care Network | TRANSPLANT | $14,278.50 | ↑ +22% |
| USA Managed Care | ALL PRODUCTS | $14,278.50 | ↑ +22% |
| Managed Care Services | TRANSPLANT | $14,278.50 | ↑ +22% |
| AETNA | Qhp/Ipf | $15,865.00 | ↑ +36% |
| MMO | ALL PRODUCTS | $25,635.00 | ↑ +120% |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | 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 MD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $10,312.25 | $0.01 – $14,278.50 |
| lutheran hospital | Cleveland | $10,312.25 | $0.01 – $14,278.50 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,942.76 – $3,407.40 |
| St Ritas Medical Center | Lima | $23,630.31 | $3,494.80 – $3,564.70 |
| akron general | Akron | $2,540.20 | $1.10 – $3,517.20 |
| avon hospital | Avon | $10,312.25 | $0.01 – $14,278.50 |
| euclid hospital | Euclid | $10,312.25 | $0.01 – $14,278.50 |
| hillcrest hospital | Mayfield Heights | $10,312.25 | $0.01 – $14,278.50 |