Incision of breast lesion at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,159.65
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.
$4,861.00
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% |
| Optum | Managed Medicaid Transplant | $153.04 | ↓ -95% |
| Paramount | Managed Medicaid | $165.92 | ↓ -95% |
| Caresource | Managed Medicaid | $169.14 | ↓ -95% |
| Buckeye | Managed Medicaid | $169.14 | ↓ -95% |
| Molina | Managed Medicaid | $177.20 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $177.20 | ↓ -94% |
| Summacare | Medicare Advantage Lower Level | $192.37 | ↓ -94% |
| Summacare | Medicare Advantage Psych | $228.05 | ↓ -93% |
| Summacare | Medicare Advantage CNA | $251.56 | ↓ -92% |
| Summacare | Medicare Advantage MD | $281.15 | ↓ -91% |
| Devoted Health | Medicare Advantage | $295.95 | ↓ -91% |
| Humana | Medicare Advantage HMO | $304.06 | ↓ -90% |
| The Health Plan | Medicare Advantage | $304.06 | ↓ -90% |
| United | Medicare Advantage | $304.06 | ↓ -90% |
| Aetna | Medicare Advantage | $304.06 | ↓ -90% |
| Aetna | Medicare Advantage Transplant | $304.06 | ↓ -90% |
| Optum | Medicare Advantage Transplant | $304.06 | ↓ -90% |
| Valor | All Products | $304.06 | ↓ -90% |
| UPMC | Medicare Advantage | $304.06 | ↓ -90% |
| Anthem | Medicare Advantage | $304.06 | ↓ -90% |
| Cigna | Medicare Advantage | $313.18 | ↓ -90% |
| CommuniCare | Medicare Advantage | $319.26 | ↓ -90% |
| PPHP | All Products | $319.63 | ↓ -90% |
| Perennial Health | Medicare Advantage | $328.38 | ↓ -90% |
| Humana Military | All Products | $376.59 | ↓ -88% |
| United | Managed Medicaid | $377.83 | ↓ -88% |
| AETNA | All Products Transplant | $378.79 | ↓ -88% |
| Aetna | All Products Transplant | $378.79 | ↓ -88% |
| AETNA | Medicare Advantage Transplant | $386.91 | ↓ -88% |
| Oscar | All Products | $389.28 | ↓ -88% |
| Anthem | All Products Mid-Level Facility | $417.78 | ↓ -87% |
| CC EHP | All Products | $562.31 | ↓ -82% |
| OHCP | All Products | $595.95 | ↓ -81% |
| Ohio Healthy | Transplant | $612.80 | ↓ -81% |
| Anthem | All Products Mid-Level Non-Facility | $617.49 | ↓ -80% |
| Aultcare | PPO/HMO | $671.02 | ↓ -79% |
| Amish Community Aid Plan | All Products | $689.40 | ↓ -78% |
| MMO | Medicare HMO | $710.14 | ↓ -78% |
| Optum | Commercial CRS Care Solutions | $718.51 | ↓ -77% |
| MMO | Medicare PPO | $731.44 | ↓ -77% |
| Summacare | Preferred | $740.03 | ↓ -77% |
| OMAS | All Products | $766.00 | ↓ -76% |
| Summacare | Premier | $806.44 | ↓ -74% |
| Aetna | Acop | $841.23 | ↓ -73% |
| Healthsmart | All Products | $842.60 | ↓ -73% |
| The Health Plan | All Products | $842.60 | ↓ -73% |
| Optum | All Products Transplant | $893.16 | ↓ -72% |
| UPMC | All Products | $919.20 | ↓ -71% |
| PHPHI | All Products | $919.20 | ↓ -71% |
| Optum | Commercial CHD Care Solutions | $929.92 | ↓ -71% |
| Clarity Health | All Products | $995.80 | ↓ -68% |
| Three Rivers | All Products | $995.80 | ↓ -68% |
| OPTUM | Managed Medicaid Transplant | $1,031.80 | ↓ -67% |
| Anthem | All Products Physician Facility | $1,061.09 | ↓ -66% |
| Anthem | All Products Physician | $1,061.09 | ↓ -66% |
| Quality Care Partners | All Products | $1,072.40 | ↓ -66% |
| GMS | All Products | $1,072.40 | ↓ -66% |
| CARESOURCE | Managed Medicaid | $1,086.10 | ↓ -66% |
| MOLINA | Managed Medicaid | $1,140.41 | ↓ -64% |
| ANTHEM | Managed Medicaid | $1,140.41 | ↓ -64% |
| Consociate Health | All Products | $1,149.00 | ↓ -64% |
| Aetna | All Products First Health | $1,149.00 | ↓ -64% |
| UNITED | Managed Medicaid | $1,162.13 | ↓ -63% |
| United BH | Managed Medicaid | $1,194.71 | ↓ -62% |
| MMO | NASCO | $1,225.60 | ↓ -61% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,225.60 | ↓ -61% |
| Aetna | Asa | $1,225.60 | ↓ -61% |
| United | All Products - Mid-Level | $1,247.25 | ↓ -61% |
| United | HMO & PPO | $1,344.29 | ↓ -57% |
| United | All Products | $1,344.29 | ↓ -57% |
| CC EHP | ALL PRODUCTS | $1,351.36 | ↓ -57% |
| Cigna | All Products Mid-Level | $1,367.60 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $1,374.69 | ↓ -56% |
| USA Managed Care | All Products | $1,378.80 | ↓ -56% |
| Multiplan | All Products | $1,378.80 | ↓ -56% |
| UNITED | MEDICARE ADVANTAGE | $1,406.56 | ↓ -55% |
| MMO | Medicare Advantage HMO | $1,502.03 | ↓ -52% |
| OPTUM | All Products VA | $1,502.03 | ↓ -52% |
| The Health Plan | MEDICARE ADVANTAGE | $1,502.03 | ↓ -52% |
| HUMANA | Medicare Advantage HMO | $1,502.03 | ↓ -52% |
| OPTUM | Medicare Advantage Transplant | $1,502.03 | ↓ -52% |
| Aetna | Qhp/Ifp | $1,532.00 | ↓ -52% |
| MMO | Medicare Advantage PPO | $1,547.09 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,555.52 | ↓ -51% |
| PHP | ALL PRODUCTS | $1,555.52 | ↓ -51% |
| ANTHEM | MEDICARE ADVANTAGE | $1,562.54 | ↓ -51% |
| UPMC | MEDICARE ADVANTAGE | $1,562.54 | ↓ -51% |
| CIGNA | Medicare Advantage Lifesource | $1,562.54 | ↓ -51% |
| Valor | ALL PRODUCTS | $1,562.54 | ↓ -51% |
| Summacare | MEDICARE ADVANTAGE | $1,562.54 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $1,562.54 | ↓ -51% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,562.54 | ↓ -51% |
| Anthem | All Products Physician Non-Facility | $1,568.30 | ↓ -50% |
| Cigna | All Products Physician | $1,609.08 | ↓ -49% |
| CIGNA | MEDICARE ADVANTAGE | $1,609.41 | ↓ -49% |
| Perennial Health | MEDICARE ADVANTAGE | $1,622.19 | ↓ -49% |
| CommuniCare | MEDICARE ADVANTAGE | $1,640.67 | ↓ -48% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,687.54 | ↓ -47% |
| PPHP | ALL PRODUCTS | $1,718.79 | ↓ -46% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,187.45 | ↓ -31% |
| Summacare | PREMIER | $2,216.62 | ↓ -30% |
| ANTHEM | HPN | $2,238.49 | ↓ -29% |
| OHCP | ALL PRODUCTS | $2,362.45 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $2,381.89 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,430.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $2,624.94 | ↓ -17% |
| ANTHEM | PPO/HMO | $2,633.69 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $2,673.55 | ↓ -15% |
| OPTUM | All Products Transplant | $2,751.33 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $2,916.60 | ↓ -8% |
| UPMC | ALL PRODUCTS | $2,916.60 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $2,931.18 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $2,931.18 | ↓ -7% |
| AETNA | Acop | $3,042.99 | ↓ -4% |
| MMO | TRADITIONAL | $3,057.57 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $3,159.65 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $3,159.65 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $3,402.70 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $3,402.70 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $3,402.70 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $3,402.70 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $3,402.70 | ↑ +8% |
| GMS | ALL PRODUCTS | $3,402.70 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $3,446.45 | ↑ +9% |
| CIGNA | PPO | $3,606.86 | ↑ +14% |
| Humana Military | ALL PRODUCTS | $3,645.75 | ↑ +15% |
| Consociate Health | TRANSPLANT | $3,645.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $3,645.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $3,645.75 | ↑ +15% |
| ANTHEM | TRADITIONAL | $3,739.08 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $3,888.80 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $3,888.80 | ↑ +23% |
| AETNA | International | $4,337.00 | ↑ +37% |
| MULTIPLAN | ALL PRODUCTS | $4,374.90 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $4,374.90 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $4,374.90 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $4,374.90 | ↑ +38% |
| FrontPath | TRANSPLANT | $4,374.90 | ↑ +38% |
| MMO | SuperMed | $4,729.25 | ↑ +50% |
| AETNA | Qhp/Ipf | $4,861.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $5,265.00 | ↑ +67% |
| CIGNA | PPO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | 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 | — |
| AETNA | NAP | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Incision of breast lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $3,159.65 | $0.01 – $4,374.90 |
| lutheran hospital | Cleveland | $3,159.65 | $0.01 – $4,374.90 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,434.07 – $1,660.51 |
| Jewish Hospital | Cincinnati | $17,505.44 | $1,609.51 – $1,641.71 |
| Anderson Hospital | Cincinnati | $3,650.40 | not published |
| Clermont Hospital | Batavia | $3,650.40 | not published |
| Kings Mills Hospital | Mason | $8,819.88 | $1,609.51 – $1,609.51 |
| Mercy West Hospital | Cincinnati | $3,650.40 | not published |