healthcosts.net
Ghs windowing of cast at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$471.90
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.
?
What you pay up front if you don't use insurance.
$726.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$49.81 with AETNA vs $2,453.00 with ANTHEM — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AETNA | Medicare Advantage Transplant | $49.81 | ↓ -89% |
| AETNA | All Products Transplant | $55.64 | ↓ -88% |
| OPTUM | Managed Medicaid Transplant | $105.30 | ↓ -78% |
| CARESOURCE | Managed Medicaid | $110.84 | ↓ -77% |
| Paramount | Managed Medicaid | $114.17 | ↓ -76% |
| MOLINA | Managed Medicaid | $116.38 | ↓ -75% |
| Buckeye | Managed Medicaid | $116.38 | ↓ -75% |
| ANTHEM | Managed Medicaid | $116.38 | ↓ -75% |
| UNITED | Managed Medicaid | $118.60 | ↓ -75% |
| United BH | Managed Medicaid | $121.92 | ↓ -74% |
| UNITED | MEDICARE ADVANTAGE | $136.70 | ↓ -71% |
| HUMANA | Medicare Advantage HMO | $146.28 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $146.28 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $146.28 | ↓ -69% |
| OPTUM | All Products VA | $146.28 | ↓ -69% |
| MMO | Medicare Advantage HMO | $146.28 | ↓ -69% |
| MMO | Medicare Advantage PPO | $150.67 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $153.74 | ↓ -67% |
| ANTHEM | MEDICARE ADVANTAGE | $153.74 | ↓ -67% |
| UPMC | MEDICARE ADVANTAGE | $153.74 | ↓ -67% |
| CIGNA | Medicare Advantage Lifesource | $153.74 | ↓ -67% |
| Valor | ALL PRODUCTS | $153.74 | ↓ -67% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $153.74 | ↓ -67% |
| Summacare | MEDICARE ADVANTAGE | $153.74 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $157.98 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $158.35 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $161.42 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $166.04 | ↓ -65% |
| Zing Health | Medicare Advantage | $169.11 | ↓ -64% |
| PPHP | ALL PRODUCTS | $169.11 | ↓ -64% |
| CC EHP | ALL PRODUCTS | $201.83 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $205.31 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $232.32 | ↓ -51% |
| PHP | ALL PRODUCTS | $232.32 | ↓ -51% |
| AETNA | Asa_Whirlpool_Peia | $275.15 | ↓ -42% |
| Summacare | Preferred | $304.92 | ↓ -35% |
| Aultcare | PPO/HMO | $317.99 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $326.70 | ↓ -31% |
| Summacare | PREMIER | $331.06 | ↓ -30% |
| OHCP | ALL PRODUCTS | $352.84 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $355.74 | ↓ -25% |
| OMAS | ALL PRODUCTS | $363.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $392.04 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $399.30 | ↓ -15% |
| OPTUM | All Products Transplant | $410.92 | ↓ -13% |
| UPMC | ALL PRODUCTS | $435.60 | ↓ -8% |
| AETNA | Acop | $435.60 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $435.60 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $437.78 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $437.78 | ↓ -7% |
| MMO | TRADITIONAL | $456.65 | ↓ -3% |
| MMO | NASCO | $456.65 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $471.90 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $471.90 | ↑ +0% |
| UNITED | ALL PRODUCTS | $500.21 | ↑ +6% |
| Quality Care Partners | ALL PRODUCTS | $508.20 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $508.20 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $508.20 | ↑ +8% |
| GMS | ALL PRODUCTS | $508.20 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $508.20 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $508.20 | ↑ +8% |
| AETNA | International | $521.99 | ↑ +11% |
| CIGNA | PPO | $538.69 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $544.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $544.50 | ↑ +15% |
| Consociate Health | TRANSPLANT | $544.50 | ↑ +15% |
| ANTHEM | TRADITIONAL | $558.44 | ↑ +18% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $580.80 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $580.80 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $580.80 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $617.10 | ↑ +31% |
| UNITED | All Products International | $617.10 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $653.40 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $653.40 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $653.40 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $653.40 | ↑ +38% |
| FrontPath | TRANSPLANT | $653.40 | ↑ +38% |
| AETNA | Qhp/Ipf | $726.00 | ↑ +54% |
| ANTHEM | HPN | $2,085.00 | ↑ +342% |
| ANTHEM | PPO/HMO | $2,453.00 | ↑ +420% |
| AETNA | NAP | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs windowing of cast at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $146.35 – $169.46 |
| fairview hospital | Cleveland | not published | $86.28 – $169.11 |
| lutheran hospital | Cleveland | not published | $82.14 – $169.11 |
| akron general | Akron | not published | $83.58 – $169.11 |
| avon hospital | Avon | not published | $89.64 – $169.11 |
| euclid hospital | Euclid | not published | $91.84 – $169.11 |
| hillcrest hospital | Mayfield Heights | not published | $89.89 – $169.11 |
| lodi hospital | Lodi | not published | $140.23 – $162.37 |