Ghs simple repair 7.6 - 12.5 cm - 12004 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$412.10
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.
$634.00
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 $4,392.00 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 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $37.35 | ↓ -91% |
| Paramount | Managed Medicaid | $40.50 | ↓ -90% |
| Caresource | Managed Medicaid | $41.29 | ↓ -90% |
| Buckeye | Managed Medicaid | $41.29 | ↓ -90% |
| Molina | Managed Medicaid | $43.25 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $43.25 | ↓ -90% |
| Summacare | Medicare Advantage Lower Level | $45.36 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $53.51 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $59.31 | ↓ -86% |
| Summacare | Medicare Advantage MD | $66.29 | ↓ -84% |
| Devoted Health | Medicare Advantage | $69.78 | ↓ -83% |
| Anthem | Medicare Advantage | $71.34 | ↓ -83% |
| Aetna | Medicare Advantage | $71.34 | ↓ -83% |
| Aetna | Medicare Advantage Transplant | $71.34 | ↓ -83% |
| Valor | All Products | $71.34 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $71.34 | ↓ -83% |
| UPMC | Medicare Advantage | $71.34 | ↓ -83% |
| Humana | Medicare Advantage HMO | $71.34 | ↓ -83% |
| The Health Plan | Medicare Advantage | $71.34 | ↓ -83% |
| United | Medicare Advantage | $71.34 | ↓ -83% |
| Cigna | Medicare Advantage | $73.48 | ↓ -82% |
| CommuniCare | Medicare Advantage | $74.91 | ↓ -82% |
| PPHP | All Products | $75.36 | ↓ -82% |
| Perennial Health | Medicare Advantage | $77.05 | ↓ -81% |
| AETNA | Medicare Advantage Transplant | $91.51 | ↓ -78% |
| Humana Military | All Products | $91.66 | ↓ -78% |
| Aetna | All Products Transplant | $92.99 | ↓ -77% |
| AETNA | All Products Transplant | $92.99 | ↓ -77% |
| Anthem | All Products Mid-Level Facility | $98.96 | ↓ -76% |
| United | Managed Medicaid | $109.00 | ↓ -74% |
| CC EHP | All Products | $132.58 | ↓ -68% |
| Oscar | All Products | $161.10 | ↓ -61% |
| CC EHP | ALL PRODUCTS | $165.69 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $168.55 | ↓ -59% |
| Summacare | Preferred | $168.76 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $173.69 | ↓ -58% |
| Anthem | All Products Mid-Level Non-Facility | $174.64 | ↓ -58% |
| Summacare | Premier | $183.91 | ↓ -55% |
| The Health Plan | MEDICARE ADVANTAGE | $184.20 | ↓ -55% |
| OPTUM | Medicare Advantage Transplant | $184.20 | ↓ -55% |
| OPTUM | All Products VA | $184.20 | ↓ -55% |
| HUMANA | Medicare Advantage HMO | $184.20 | ↓ -55% |
| MMO | Medicare Advantage HMO | $184.20 | ↓ -55% |
| OPTUM | Managed Medicaid Transplant | $186.25 | ↓ -55% |
| MMO | Medicare Advantage PPO | $189.73 | ↓ -54% |
| ANTHEM | MEDICARE ADVANTAGE | $189.82 | ↓ -54% |
| UPMC | MEDICARE ADVANTAGE | $189.82 | ↓ -54% |
| Summacare | MEDICARE ADVANTAGE | $189.82 | ↓ -54% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $189.82 | ↓ -54% |
| CIGNA | Medicare Advantage Lifesource | $189.82 | ↓ -54% |
| AETNA | MEDICARE ADVANTAGE | $189.82 | ↓ -54% |
| Valor | ALL PRODUCTS | $189.82 | ↓ -54% |
| PHP | ALL PRODUCTS | $190.72 | ↓ -54% |
| PHPHI | ALL PRODUCTS | $190.72 | ↓ -54% |
| Aetna | Acop | $191.84 | ↓ -53% |
| CIGNA | MEDICARE ADVANTAGE | $195.51 | ↓ -53% |
| CARESOURCE | Managed Medicaid | $196.05 | ↓ -52% |
| Perennial Health | MEDICARE ADVANTAGE | $198.94 | ↓ -52% |
| CommuniCare | MEDICARE ADVANTAGE | $199.31 | ↓ -52% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $205.00 | ↓ -50% |
| ANTHEM | Managed Medicaid | $205.85 | ↓ -50% |
| MOLINA | Managed Medicaid | $205.85 | ↓ -50% |
| PPHP | ALL PRODUCTS | $208.80 | ↓ -49% |
| UNITED | Managed Medicaid | $209.77 | ↓ -49% |
| United BH | Managed Medicaid | $215.66 | ↓ -48% |
| MMO | Medicare HMO | $223.46 | ↓ -46% |
| MMO | Medicare PPO | $230.16 | ↓ -44% |
| OHCP | All Products | $246.63 | ↓ -40% |
| Anthem | All Products Physician | $251.33 | ↓ -39% |
| Anthem | All Products Physician Facility | $251.33 | ↓ -39% |
| Ohio Healthy | Transplant | $253.60 | ↓ -38% |
| Aultcare | PPO/HMO | $261.05 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $268.20 | ↓ -35% |
| Summacare | PREMIER | $271.78 | ↓ -34% |
| ANTHEM | HPN | $274.46 | ↓ -33% |
| Amish Community Aid Plan | All Products | $285.30 | ↓ -31% |
| OHCP | ALL PRODUCTS | $289.66 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $292.04 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $297.35 | ↓ -28% |
| OMAS | ALL PRODUCTS | $298.00 | ↓ -28% |
| OMAS | All Products | $317.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $321.84 | ↓ -22% |
| ANTHEM | PPO/HMO | $322.91 | ↓ -22% |
| HEALTHSMART | ALL PRODUCTS | $327.80 | ↓ -20% |
| OPTUM | All Products Transplant | $337.34 | ↓ -18% |
| Healthsmart | All Products | $348.70 | ↓ -15% |
| The Health Plan | All Products | $348.70 | ↓ -15% |
| United | All Products - Mid-Level | $355.99 | ↓ -14% |
| The Health Plan | ALL PRODUCTS | $357.60 | ↓ -13% |
| UPMC | ALL PRODUCTS | $357.60 | ↓ -13% |
| OPTUM | Commercial CRS Care Solutions | $359.39 | ↓ -13% |
| OPTUM | Commercial CHD Care Solutions | $359.39 | ↓ -13% |
| Cigna | All Products Mid-Level | $360.97 | ↓ -12% |
| Optum | All Products Transplant | $369.62 | ↓ -10% |
| AETNA | Acop | $373.10 | ↓ -9% |
| MMO | TRADITIONAL | $374.88 | ↓ -9% |
| MMO | NASCO | $374.88 | ↓ -9% |
| PHPHI | All Products | $380.40 | ↓ -8% |
| UPMC | All Products | $380.40 | ↓ -8% |
| United | HMO & PPO | $383.69 | ↓ -7% |
| United | All Products | $383.69 | ↓ -7% |
| Optum | Commercial CHD Care Solutions | $384.84 | ↓ -7% |
| Clarity Health | ALL PRODUCTS | $387.40 | ↓ -6% |
| THREE RIVERS | ALL PRODUCTS | $387.40 | ↓ -6% |
| Clarity Health | All Products | $412.10 | ↑ +0% |
| Three Rivers | All Products | $412.10 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $417.20 | ↑ +1% |
| Quality Care Partners | Transplant SMCP | $417.20 | ↑ +1% |
| Parkview Health Plan | Transplant SMCP | $417.20 | ↑ +1% |
| Ohio Healthy | Transplant SMCP | $417.20 | ↑ +1% |
| GMS | ALL PRODUCTS | $417.20 | ↑ +1% |
| Medical Benefit Corp | Transplant SMCP | $417.20 | ↑ +1% |
| AETNA | Asa_Whirlpool_Peia | $422.56 | ↑ +3% |
| Cigna | All Products Physician | $424.65 | ↑ +3% |
| CIGNA | PPO | $442.23 | ↑ +7% |
| Anthem | All Products Physician Non-Facility | $443.54 | ↑ +8% |
| Quality Care Partners | All Products | $443.80 | ↑ +8% |
| GMS | All Products | $443.80 | ↑ +8% |
| Humana Military | ALL PRODUCTS | $447.00 | ↑ +8% |
| Consociate Health | TRANSPLANT | $447.00 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $447.00 | ↑ +8% |
| AETNA | ALL PRODUCTS | $447.00 | ↑ +8% |
| ANTHEM | TRADITIONAL | $458.44 | ↑ +11% |
| Consociate Health | All Products | $475.50 | ↑ +15% |
| Aetna | All Products First Health | $475.50 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $476.80 | ↑ +16% |
| Community Health Alliance | ALL PRODUCTS | $476.80 | ↑ +16% |
| Community Health Alliance | TRANSPLANT | $476.80 | ↑ +16% |
| Aetna | Asa | $507.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $536.40 | ↑ +30% |
| USA Managed Care | ALL PRODUCTS | $536.40 | ↑ +30% |
| FrontPath | TRANSPLANT | $536.40 | ↑ +30% |
| Tertiary Care Network | TRANSPLANT | $536.40 | ↑ +30% |
| Managed Care Services | TRANSPLANT | $536.40 | ↑ +30% |
| USA Managed Care | All Products | $570.60 | ↑ +38% |
| Multiplan | All Products | $570.60 | ↑ +38% |
| MMO | SuperMed | $584.65 | ↑ +42% |
| AETNA | Qhp/Ipf | $596.00 | ↑ +45% |
| Aetna | Qhp/Ifp | $634.00 | ↑ +54% |
| AETNA | International | $3,443.00 | ↑ +735% |
| MMO | ALL PRODUCTS | $4,392.00 | ↑ +966% |
| United BH | All Products MD | not published by hospital | — |
| CIGNA | Indemnity 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 | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $387.40 | $0.01 – $536.40 |
| lutheran hospital | Cleveland | $387.40 | $0.01 – $536.40 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $258.86 – $299.73 |
| Jewish Hospital | Cincinnati | $460.80 | not published |
| Anderson Hospital | Cincinnati | $460.80 | not published |
| Clermont Hospital | Batavia | $460.80 | not published |
| Kings Mills Hospital | Mason | $460.80 | not published |
| Mercy West Hospital | Cincinnati | $460.80 | not published |