healthcosts.net
Ghs layered repair 20.1 - 30.0 cm -12046 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,229.80
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.
$1,892.00
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 $5,265.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $155.51 | ↓ -87% |
| Paramount | Managed Medicaid | $168.60 | ↓ -86% |
| Caresource | Managed Medicaid | $171.87 | ↓ -86% |
| Buckeye | Managed Medicaid | $171.87 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $180.06 | ↓ -85% |
| Molina | Managed Medicaid | $180.06 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $195.51 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $227.46 | ↓ -82% |
| OPTUM | Managed Medicaid Transplant | $239.13 | ↓ -81% |
| CARESOURCE | Managed Medicaid | $251.72 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $255.67 | ↓ -79% |
| ANTHEM | Managed Medicaid | $264.31 | ↓ -79% |
| MOLINA | Managed Medicaid | $264.31 | ↓ -79% |
| UNITED | Managed Medicaid | $269.34 | ↓ -78% |
| United BH | Managed Medicaid | $276.89 | ↓ -77% |
| Summacare | Medicare Advantage MD | $285.75 | ↓ -77% |
| Devoted Health | Medicare Advantage | $300.79 | ↓ -76% |
| Valor | All Products | $303.28 | ↓ -75% |
| The Health Plan | Medicare Advantage | $303.28 | ↓ -75% |
| Optum | Medicare Advantage Transplant | $303.28 | ↓ -75% |
| Anthem | Medicare Advantage | $303.28 | ↓ -75% |
| Aetna | Medicare Advantage Transplant | $303.28 | ↓ -75% |
| Aetna | Medicare Advantage | $303.28 | ↓ -75% |
| United | Medicare Advantage | $303.28 | ↓ -75% |
| Humana | Medicare Advantage HMO | $303.28 | ↓ -75% |
| UPMC | Medicare Advantage | $303.28 | ↓ -75% |
| Cigna | Medicare Advantage | $312.38 | ↓ -75% |
| CommuniCare | Medicare Advantage | $318.44 | ↓ -74% |
| PPHP | All Products | $324.85 | ↓ -74% |
| Perennial Health | Medicare Advantage | $327.54 | ↓ -73% |
| AETNA | Medicare Advantage Transplant | $380.01 | ↓ -69% |
| Humana Military | All Products | $380.71 | ↓ -69% |
| AETNA | All Products Transplant | $383.49 | ↓ -69% |
| Aetna | All Products Transplant | $383.49 | ↓ -69% |
| United | Managed Medicaid | $410.61 | ↓ -67% |
| Anthem | All Products Mid-Level Facility | $423.96 | ↓ -66% |
| Oscar | All Products | $480.76 | ↓ -61% |
| CC EHP | ALL PRODUCTS | $510.41 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $519.22 | ↓ -58% |
| UNITED | MEDICARE ADVANTAGE | $544.87 | ↓ -56% |
| MMO | Medicare Advantage HMO | $567.47 | ↓ -54% |
| The Health Plan | MEDICARE ADVANTAGE | $567.47 | ↓ -54% |
| OPTUM | Medicare Advantage Transplant | $567.47 | ↓ -54% |
| OPTUM | All Products VA | $567.47 | ↓ -54% |
| HUMANA | Medicare Advantage HMO | $567.47 | ↓ -54% |
| CC EHP | All Products | $571.50 | ↓ -54% |
| MMO | Medicare Advantage PPO | $584.49 | ↓ -52% |
| PHP | ALL PRODUCTS | $587.52 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $587.52 | ↓ -52% |
| Perennial Health | MEDICARE ADVANTAGE | $612.87 | ↓ -50% |
| Anthem | All Products Mid-Level Non-Facility | $656.88 | ↓ -47% |
| Summacare | MEDICARE ADVANTAGE | $699.22 | ↓ -43% |
| UPMC | MEDICARE ADVANTAGE | $699.22 | ↓ -43% |
| ANTHEM | MEDICARE ADVANTAGE | $699.22 | ↓ -43% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $699.22 | ↓ -43% |
| Valor | ALL PRODUCTS | $699.22 | ↓ -43% |
| AETNA | MEDICARE ADVANTAGE | $699.22 | ↓ -43% |
| CIGNA | Medicare Advantage Lifesource | $699.22 | ↓ -43% |
| CIGNA | MEDICARE ADVANTAGE | $720.20 | ↓ -41% |
| Summacare | Preferred | $732.96 | ↓ -40% |
| CommuniCare | MEDICARE ADVANTAGE | $734.18 | ↓ -40% |
| OHCP | All Products | $735.99 | ↓ -40% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $755.16 | ↓ -39% |
| Ohio Healthy | Transplant | $756.80 | ↓ -38% |
| PPHP | ALL PRODUCTS | $769.14 | ↓ -37% |
| Summacare | Premier | $798.74 | ↓ -35% |
| Aultcare | PPO/HMO | $804.17 | ↓ -35% |
| Amish Community Aid Plan | ALL PRODUCTS | $826.20 | ↓ -33% |
| Aetna | Acop | $833.19 | ↓ -32% |
| Summacare | PREMIER | $837.22 | ↓ -32% |
| Amish Community Aid Plan | All Products | $851.40 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $887.35 | ↓ -28% |
| OHCP | ALL PRODUCTS | $892.30 | ↓ -27% |
| CIGNA | ALL PRODUCTS | $899.64 | ↓ -27% |
| OMAS | ALL PRODUCTS | $918.00 | ↓ -25% |
| MMO | Medicare HMO | $943.82 | ↓ -23% |
| OMAS | All Products | $946.00 | ↓ -23% |
| MMO | Medicare PPO | $972.13 | ↓ -21% |
| Ohio Healthy | TRANSPLANT | $991.44 | ↓ -19% |
| HEALTHSMART | ALL PRODUCTS | $1,009.80 | ↓ -18% |
| OPTUM | All Products Transplant | $1,039.18 | ↓ -16% |
| The Health Plan | All Products | $1,040.60 | ↓ -15% |
| Healthsmart | All Products | $1,040.60 | ↓ -15% |
| Anthem | All Products Physician | $1,076.77 | ↓ -12% |
| Anthem | All Products Physician Facility | $1,076.77 | ↓ -12% |
| The Health Plan | ALL PRODUCTS | $1,101.60 | ↓ -10% |
| UPMC | ALL PRODUCTS | $1,101.60 | ↓ -10% |
| Optum | All Products Transplant | $1,103.04 | ↓ -10% |
| OPTUM | Commercial CRS Care Solutions | $1,107.11 | ↓ -10% |
| OPTUM | Commercial CHD Care Solutions | $1,107.11 | ↓ -10% |
| UPMC | All Products | $1,135.20 | ↓ -8% |
| PHPHI | All Products | $1,135.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,148.44 | ↓ -7% |
| MMO | TRADITIONAL | $1,154.84 | ↓ -6% |
| MMO | NASCO | $1,154.84 | ↓ -6% |
| THREE RIVERS | ALL PRODUCTS | $1,193.40 | ↓ -3% |
| Clarity Health | ALL PRODUCTS | $1,193.40 | ↓ -3% |
| Three Rivers | All Products | $1,229.80 | ↑ +0% |
| Clarity Health | All Products | $1,229.80 | ↑ +0% |
| UNITED | ALL PRODUCTS | $1,265.00 | ↑ +3% |
| GMS | ALL PRODUCTS | $1,285.20 | ↑ +5% |
| Medical Benefit Corp | Transplant SMCP | $1,285.20 | ↑ +5% |
| Quality Care Partners | Transplant SMCP | $1,285.20 | ↑ +5% |
| Parkview Health Plan | Transplant SMCP | $1,285.20 | ↑ +5% |
| Quality Care Partners | ALL PRODUCTS | $1,285.20 | ↑ +5% |
| Ohio Healthy | Transplant SMCP | $1,285.20 | ↑ +5% |
| Quality Care Partners | All Products | $1,324.40 | ↑ +8% |
| GMS | All Products | $1,324.40 | ↑ +8% |
| United | All Products - Mid-Level | $1,328.93 | ↑ +8% |
| CIGNA | PPO | $1,362.31 | ↑ +11% |
| Consociate Health | ALL PRODUCTS | $1,377.00 | ↑ +12% |
| Consociate Health | TRANSPLANT | $1,377.00 | ↑ +12% |
| Humana Military | ALL PRODUCTS | $1,377.00 | ↑ +12% |
| AETNA | ALL PRODUCTS | $1,377.00 | ↑ +12% |
| ANTHEM | TRADITIONAL | $1,412.25 | ↑ +15% |
| Aetna | All Products First Health | $1,419.00 | ↑ +15% |
| Consociate Health | All Products | $1,419.00 | ↑ +15% |
| United | HMO & PPO | $1,432.33 | ↑ +16% |
| United | All Products | $1,432.33 | ↑ +16% |
| Cigna | All Products Mid-Level | $1,454.84 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $1,468.80 | ↑ +19% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,468.80 | ↑ +19% |
| Community Health Alliance | ALL PRODUCTS | $1,468.80 | ↑ +19% |
| Aetna | Asa | $1,513.60 | ↑ +23% |
| UNITED | All Products International | $1,560.60 | ↑ +27% |
| FrontPath | TRANSPLANT | $1,652.40 | ↑ +34% |
| MULTIPLAN | ALL PRODUCTS | $1,652.40 | ↑ +34% |
| USA Managed Care | ALL PRODUCTS | $1,652.40 | ↑ +34% |
| Tertiary Care Network | TRANSPLANT | $1,652.40 | ↑ +34% |
| Managed Care Services | TRANSPLANT | $1,652.40 | ↑ +34% |
| Anthem | All Products Physician Non-Facility | $1,668.33 | ↑ +36% |
| Multiplan | All Products | $1,702.80 | ↑ +38% |
| USA Managed Care | All Products | $1,702.80 | ↑ +38% |
| Cigna | All Products Physician | $1,711.71 | ↑ +39% |
| MMO | SuperMed | $1,830.48 | ↑ +49% |
| AETNA | Qhp/Ipf | $1,836.00 | ↑ +49% |
| Aetna | Qhp/Ifp | $1,892.00 | ↑ +54% |
| ANTHEM | HPN | $2,085.00 | ↑ +70% |
| ANTHEM | PPO/HMO | $2,453.00 | ↑ +99% |
| AETNA | Acop | $3,278.00 | ↑ +167% |
| AETNA | Asa_Whirlpool_Peia | $3,997.00 | ↑ +225% |
| AETNA | International | $4,337.00 | ↑ +253% |
| MMO | ALL PRODUCTS | $5,265.00 | ↑ +328% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | Indemnity Lifesource | 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 | — |
Visitor-reported prices
Comments
Ghs layered repair 20.1 - 30.0 cm -12046 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $1,193.40 | $195.94 – $1,652.40 |
| lutheran hospital | Cleveland | $1,193.40 | $186.54 – $1,652.40 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $332.37 – $384.85 |
| akron general | Akron | $1,846.00 | $1.10 – $2,556.00 |
| avon hospital | Avon | $1,193.40 | $203.57 – $1,652.40 |
| euclid hospital | Euclid | $1,193.40 | $208.56 – $1,652.40 |
| hillcrest hospital | Mayfield Heights | $1,193.40 | $204.14 – $1,652.40 |
| marymount hospital | Garfield Heights | $1,193.40 | $184.19 – $1,652.40 |