healthcosts.net
Ghs simple repair 12.6 - 20.0 cm - 12016 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$779.35
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.
$1,199.00
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 $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 |
|---|---|---|---|
| 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 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $79.40 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $91.31 | ↓ -88% |
| Optum | Managed Medicaid Transplant | $93.49 | ↓ -88% |
| Paramount | Managed Medicaid | $101.36 | ↓ -87% |
| Caresource | Managed Medicaid | $103.33 | ↓ -87% |
| Buckeye | Managed Medicaid | $103.33 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $103.84 | ↓ -87% |
| Molina | Managed Medicaid | $108.25 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $108.25 | ↓ -86% |
| Summacare | Medicare Advantage MD | $116.05 | ↓ -85% |
| United | Medicare Advantage | $121.74 | ↓ -84% |
| UPMC | Medicare Advantage | $121.74 | ↓ -84% |
| Aetna | Medicare Advantage Transplant | $121.74 | ↓ -84% |
| Aetna | Medicare Advantage | $121.74 | ↓ -84% |
| Anthem | Medicare Advantage | $121.74 | ↓ -84% |
| Valor | All Products | $121.74 | ↓ -84% |
| Humana | Medicare Advantage HMO | $121.74 | ↓ -84% |
| Optum | Medicare Advantage Transplant | $121.74 | ↓ -84% |
| The Health Plan | Medicare Advantage | $121.74 | ↓ -84% |
| Devoted Health | Medicare Advantage | $122.16 | ↓ -84% |
| Cigna | Medicare Advantage | $125.39 | ↓ -84% |
| CommuniCare | Medicare Advantage | $127.83 | ↓ -84% |
| Perennial Health | Medicare Advantage | $131.48 | ↓ -83% |
| PPHP | All Products | $131.93 | ↓ -83% |
| AETNA | Medicare Advantage Transplant | $157.64 | ↓ -80% |
| Humana Military | All Products | $160.85 | ↓ -79% |
| AETNA | All Products Transplant | $162.98 | ↓ -79% |
| Aetna | All Products Transplant | $162.98 | ↓ -79% |
| Anthem | All Products Mid-Level Facility | $174.19 | ↓ -78% |
| United | Managed Medicaid | $181.13 | ↓ -77% |
| OPTUM | Managed Medicaid Transplant | $186.25 | ↓ -76% |
| CARESOURCE | Managed Medicaid | $196.05 | ↓ -75% |
| ANTHEM | Managed Medicaid | $205.85 | ↓ -74% |
| MOLINA | Managed Medicaid | $205.85 | ↓ -74% |
| UNITED | Managed Medicaid | $209.77 | ↓ -73% |
| United BH | Managed Medicaid | $215.66 | ↓ -72% |
| CC EHP | All Products | $232.10 | ↓ -70% |
| Summacare | Preferred | $285.97 | ↓ -63% |
| Anthem | All Products Mid-Level Non-Facility | $291.92 | ↓ -63% |
| Oscar | All Products | $299.58 | ↓ -62% |
| Summacare | Premier | $311.64 | ↓ -60% |
| Aetna | Acop | $325.08 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $333.32 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $339.08 | ↓ -56% |
| UNITED | MEDICARE ADVANTAGE | $345.93 | ↓ -56% |
| The Health Plan | MEDICARE ADVANTAGE | $370.38 | ↓ -52% |
| OPTUM | All Products VA | $370.38 | ↓ -52% |
| HUMANA | Medicare Advantage HMO | $370.38 | ↓ -52% |
| OPTUM | Medicare Advantage Transplant | $370.38 | ↓ -52% |
| MMO | Medicare Advantage HMO | $370.38 | ↓ -52% |
| MMO | Medicare Advantage PPO | $381.49 | ↓ -51% |
| PHP | ALL PRODUCTS | $383.68 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $383.68 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $384.59 | ↓ -51% |
| CIGNA | Medicare Advantage Lifesource | $384.59 | ↓ -51% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $384.59 | ↓ -51% |
| ANTHEM | MEDICARE ADVANTAGE | $384.59 | ↓ -51% |
| Summacare | MEDICARE ADVANTAGE | $384.59 | ↓ -51% |
| UPMC | MEDICARE ADVANTAGE | $384.59 | ↓ -51% |
| Valor | ALL PRODUCTS | $384.59 | ↓ -51% |
| MMO | Medicare HMO | $394.20 | ↓ -49% |
| CIGNA | MEDICARE ADVANTAGE | $396.13 | ↓ -49% |
| Perennial Health | MEDICARE ADVANTAGE | $400.01 | ↓ -49% |
| CommuniCare | MEDICARE ADVANTAGE | $403.82 | ↓ -48% |
| MMO | Medicare PPO | $406.03 | ↓ -48% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $415.36 | ↓ -47% |
| PPHP | ALL PRODUCTS | $423.05 | ↓ -46% |
| Anthem | All Products Physician Facility | $442.40 | ↓ -43% |
| Anthem | All Products Physician | $442.40 | ↓ -43% |
| OHCP | All Products | $458.63 | ↓ -41% |
| Ohio Healthy | Transplant | $471.60 | ↓ -39% |
| Aultcare | PPO/HMO | $516.40 | ↓ -34% |
| Amish Community Aid Plan | All Products | $530.55 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $539.55 | ↓ -31% |
| Summacare | PREMIER | $546.74 | ↓ -30% |
| ANTHEM | HPN | $552.14 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $552.95 | ↓ -29% |
| OHCP | ALL PRODUCTS | $582.71 | ↓ -25% |
| United | All Products - Mid-Level | $587.50 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $587.51 | ↓ -25% |
| OMAS | All Products | $589.50 | ↓ -24% |
| OMAS | ALL PRODUCTS | $599.50 | ↓ -23% |
| United | All Products | $633.20 | ↓ -19% |
| United | HMO & PPO | $633.20 | ↓ -19% |
| Cigna | All Products Mid-Level | $646.52 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $647.46 | ↓ -17% |
| The Health Plan | All Products | $648.45 | ↓ -17% |
| Healthsmart | All Products | $648.45 | ↓ -17% |
| ANTHEM | PPO/HMO | $649.62 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $659.45 | ↓ -15% |
| OPTUM | All Products Transplant | $678.63 | ↓ -13% |
| Optum | All Products Transplant | $687.36 | ↓ -12% |
| UPMC | All Products | $707.40 | ↓ -9% |
| PHPHI | All Products | $707.40 | ↓ -9% |
| Optum | Commercial CHD Care Solutions | $715.65 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $719.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $719.40 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $723.00 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $723.00 | ↓ -7% |
| Anthem | All Products Physician Non-Facility | $741.42 | ↓ -5% |
| AETNA | Acop | $750.57 | ↓ -4% |
| MMO | NASCO | $754.17 | ↓ -3% |
| MMO | TRADITIONAL | $754.17 | ↓ -3% |
| Cigna | All Products Physician | $760.67 | ↓ -2% |
| Clarity Health | All Products | $766.35 | ↓ -2% |
| Three Rivers | All Products | $766.35 | ↓ -2% |
| THREE RIVERS | ALL PRODUCTS | $779.35 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $779.35 | ↑ +0% |
| Quality Care Partners | All Products | $825.30 | ↑ +6% |
| GMS | All Products | $825.30 | ↑ +6% |
| Quality Care Partners | ALL PRODUCTS | $839.30 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $839.30 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $839.30 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $839.30 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $839.30 | ↑ +8% |
| GMS | ALL PRODUCTS | $839.30 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $850.09 | ↑ +9% |
| Consociate Health | All Products | $884.25 | ↑ +13% |
| Aetna | All Products First Health | $884.25 | ↑ +13% |
| CIGNA | PPO | $889.66 | ↑ +14% |
| Consociate Health | TRANSPLANT | $899.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $899.25 | ↑ +15% |
| Humana Military | ALL PRODUCTS | $899.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $899.25 | ↑ +15% |
| ANTHEM | TRADITIONAL | $922.27 | ↑ +18% |
| Aetna | Asa | $943.20 | ↑ +21% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $943.20 | ↑ +21% |
| Community Health Alliance | ALL PRODUCTS | $959.20 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $959.20 | ↑ +23% |
| Multiplan | All Products | $1,061.10 | ↑ +36% |
| USA Managed Care | All Products | $1,061.10 | ↑ +36% |
| Tertiary Care Network | TRANSPLANT | $1,079.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,079.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,079.10 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,079.10 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $1,079.10 | ↑ +38% |
| MMO | SuperMed | $1,163.18 | ↑ +49% |
| Aetna | Qhp/Ifp | $1,179.00 | ↑ +51% |
| AETNA | Qhp/Ipf | $1,199.00 | ↑ +54% |
| AETNA | International | $4,337.00 | ↑ +456% |
| MMO | ALL PRODUCTS | $5,265.00 | ↑ +576% |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | HMO 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 | — |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12016 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $779.35 | $0.01 – $1,079.10 |
| lutheran hospital | Cleveland | $779.35 | $0.01 – $1,079.10 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $258.86 – $299.73 |
| akron general | Akron | $779.35 | $0.01 – $1,079.10 |
| avon hospital | Avon | $779.35 | $0.01 – $1,079.10 |
| euclid hospital | Euclid | $779.35 | $0.01 – $1,079.10 |
| hillcrest hospital | Mayfield Heights | $779.35 | $0.01 – $1,079.10 |
| lodi hospital | Lodi | $779.35 | $248.04 – $1,079.10 |