Fusion of ureter & bowel at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$5,878.60
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.
$9,044.00
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 $9,044.00 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 | $869.71 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $871.49 | ↓ -85% |
| Paramount | Managed Medicaid | $942.94 | ↓ -84% |
| Caresource | Managed Medicaid | $961.25 | ↓ -84% |
| Buckeye | Managed Medicaid | $961.25 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $977.41 | ↓ -83% |
| United | Managed Medicaid | $995.93 | ↓ -83% |
| Molina | Managed Medicaid | $1,007.03 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $1,007.03 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $1,139.64 | ↓ -81% |
| Summacare | Medicare Advantage MD | $1,273.71 | ↓ -78% |
| Anthem | Medicare Advantage | $1,303.21 | ↓ -78% |
| Valor | All Products | $1,303.21 | ↓ -78% |
| Humana | Medicare Advantage HMO | $1,303.21 | ↓ -78% |
| United | Medicare Advantage | $1,303.21 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $1,303.21 | ↓ -78% |
| The Health Plan | Medicare Advantage | $1,303.21 | ↓ -78% |
| UPMC | Medicare Advantage | $1,303.21 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $1,303.21 | ↓ -78% |
| Aetna | Medicare Advantage | $1,303.21 | ↓ -78% |
| Devoted Health | Medicare Advantage | $1,340.75 | ↓ -77% |
| Cigna | Medicare Advantage | $1,342.31 | ↓ -77% |
| CommuniCare | Medicare Advantage | $1,368.37 | ↓ -77% |
| Perennial Health | Medicare Advantage | $1,407.47 | ↓ -76% |
| PPHP | All Products | $1,433.53 | ↓ -76% |
| Humana Military | All Products | $1,702.27 | ↓ -71% |
| Aetna | All Products Transplant | $1,713.58 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $1,898.80 | ↓ -68% |
| Anthem | All Products Mid-Level Non-Facility | $1,898.80 | ↓ -68% |
| Oscar | All Products | $2,298.08 | ↓ -61% |
| CC EHP | All Products | $2,547.43 | ↓ -57% |
| Summacare | Preferred | $3,110.56 | ↓ -47% |
| Summacare | Premier | $3,389.72 | ↓ -42% |
| OHCP | All Products | $3,518.12 | ↓ -40% |
| Aetna | Acop | $3,535.94 | ↓ -40% |
| Ohio Healthy | Transplant | $3,617.60 | ↓ -38% |
| MMO | ALL PRODUCTS | $3,699.96 | ↓ -37% |
| United | All Products - Mid-Level | $3,846.47 | ↓ -35% |
| Aultcare | PPO/HMO | $3,961.27 | ↓ -33% |
| Amish Community Aid Plan | All Products | $4,069.80 | ↓ -31% |
| MMO | SuperMed | $4,132.35 | ↓ -30% |
| United | All Products | $4,145.74 | ↓ -29% |
| United | HMO & PPO | $4,145.74 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $4,241.64 | ↓ -28% |
| OMAS | All Products | $4,522.00 | ↓ -23% |
| MMO | Medicare HMO | $4,611.00 | ↓ -22% |
| MMO | Medicare PPO | $4,749.33 | ↓ -19% |
| Anthem | All Products Physician | $4,822.53 | ↓ -18% |
| Anthem | All Products Physician Non-Facility | $4,822.53 | ↓ -18% |
| Anthem | All Products Physician Facility | $4,822.53 | ↓ -18% |
| Healthsmart | All Products | $4,974.20 | ↓ -15% |
| The Health Plan | All Products | $4,974.20 | ↓ -15% |
| Optum | All Products Transplant | $5,272.65 | ↓ -10% |
| UPMC | All Products | $5,426.40 | ↓ -8% |
| PHPHI | All Products | $5,426.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $5,489.71 | ↓ -7% |
| OPTUM | Managed Medicaid Transplant | $5,673.89 | ↓ -3% |
| Three Rivers | All Products | $5,878.60 | ↑ +0% |
| Clarity Health | All Products | $5,878.60 | ↑ +0% |
| CARESOURCE | Managed Medicaid | $5,972.52 | ↑ +2% |
| ANTHEM | Managed Medicaid | $6,271.15 | ↑ +7% |
| MOLINA | Managed Medicaid | $6,271.15 | ↑ +7% |
| GMS | All Products | $6,330.80 | ↑ +8% |
| Quality Care Partners | All Products | $6,330.80 | ↑ +8% |
| UNITED | Managed Medicaid | $6,390.60 | ↑ +9% |
| United BH | Managed Medicaid | $6,569.77 | ↑ +12% |
| Consociate Health | All Products | $6,783.00 | ↑ +15% |
| Aetna | All Products First Health | $6,783.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $7,235.20 | ↑ +23% |
| Aetna | Asa | $7,235.20 | ↑ +23% |
| MMO | NASCO | $7,235.20 | ↑ +23% |
| USA Managed Care | All Products | $8,139.60 | ↑ +38% |
| Multiplan | All Products | $8,139.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $9,044.00 | ↑ +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
Fusion of ureter & bowel at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,886.01 – $9,131.17 |
| fairview hospital | Cleveland | not published | $4,649.04 – $5,383.10 |
| lutheran hospital | Cleveland | not published | $4,426.04 – $5,124.89 |
| akron general | Akron | not published | $4,503.79 – $5,214.91 |
| avon hospital | Avon | not published | $4,830.22 – $4,922.22 |
| euclid hospital | Euclid | not published | $4,948.69 – $5,730.07 |
| hillcrest hospital | Mayfield Heights | not published | $4,843.58 – $5,608.35 |
| lodi hospital | Lodi | not published | $7,556.43 – $8,749.55 |