healthcosts.net
Incision of eye at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,858.40
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.
$5,936.00
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 $6,795.42 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% |
| Summacare | Medicare Advantage Lower Level | $709.56 | ↓ -82% |
| Optum | Managed Medicaid Transplant | $718.90 | ↓ -81% |
| Summacare | Medicare Advantage Psych | $742.64 | ↓ -81% |
| Paramount | Managed Medicaid | $779.44 | ↓ -80% |
| Buckeye | Managed Medicaid | $794.58 | ↓ -79% |
| Caresource | Managed Medicaid | $794.58 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $832.41 | ↓ -78% |
| Molina | Managed Medicaid | $832.41 | ↓ -78% |
| Summacare | Medicare Advantage CNA | $927.89 | ↓ -76% |
| United | Managed Medicaid | $968.21 | ↓ -75% |
| Humana | Medicare Advantage HMO | $990.19 | ↓ -74% |
| Valor | All Products | $990.19 | ↓ -74% |
| Aetna | Medicare Advantage | $990.19 | ↓ -74% |
| Aetna | Medicare Advantage Transplant | $990.19 | ↓ -74% |
| UPMC | Medicare Advantage | $990.19 | ↓ -74% |
| United | Medicare Advantage | $990.19 | ↓ -74% |
| The Health Plan | Medicare Advantage | $990.19 | ↓ -74% |
| Anthem | Medicare Advantage | $990.19 | ↓ -74% |
| Optum | Medicare Advantage Transplant | $990.19 | ↓ -74% |
| Cigna | Medicare Advantage | $1,019.90 | ↓ -74% |
| Summacare | Medicare Advantage MD | $1,037.05 | ↓ -73% |
| CommuniCare | Medicare Advantage | $1,039.70 | ↓ -73% |
| Perennial Health | Medicare Advantage | $1,069.41 | ↓ -72% |
| PPHP | All Products | $1,089.21 | ↓ -72% |
| Devoted Health | Medicare Advantage | $1,091.63 | ↓ -72% |
| Humana Military | All Products | $1,451.39 | ↓ -62% |
| Aetna | All Products Transplant | $1,473.36 | ↓ -62% |
| Oscar | All Products | $1,508.34 | ↓ -61% |
| Anthem | All Products Mid-Level Facility | $1,545.07 | ↓ -60% |
| Anthem | All Products Mid-Level Non-Facility | $1,545.07 | ↓ -60% |
| UNITED | MEDICARE ADVANTAGE | $2,021.72 | ↓ -48% |
| CC EHP | All Products | $2,074.10 | ↓ -46% |
| MMO | Medicare Advantage HMO | $2,114.33 | ↓ -45% |
| OPTUM | All Products VA | $2,114.33 | ↓ -45% |
| OPTUM | Medicare Advantage Transplant | $2,114.33 | ↓ -45% |
| HUMANA | Medicare Advantage HMO | $2,114.33 | ↓ -45% |
| The Health Plan | MEDICARE ADVANTAGE | $2,114.33 | ↓ -45% |
| MMO | Medicare Advantage PPO | $2,177.76 | ↓ -44% |
| ANTHEM | MEDICARE ADVANTAGE | $2,183.38 | ↓ -43% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,183.38 | ↓ -43% |
| Valor | ALL PRODUCTS | $2,183.38 | ↓ -43% |
| AETNA | MEDICARE ADVANTAGE | $2,183.38 | ↓ -43% |
| CIGNA | Medicare Advantage Lifesource | $2,183.38 | ↓ -43% |
| Summacare | MEDICARE ADVANTAGE | $2,183.38 | ↓ -43% |
| UPMC | MEDICARE ADVANTAGE | $2,183.38 | ↓ -43% |
| CIGNA | MEDICARE ADVANTAGE | $2,248.88 | ↓ -42% |
| Perennial Health | MEDICARE ADVANTAGE | $2,283.47 | ↓ -41% |
| CommuniCare | MEDICARE ADVANTAGE | $2,292.55 | ↓ -41% |
| OHCP | All Products | $2,309.10 | ↓ -40% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,358.05 | ↓ -39% |
| Ohio Healthy | Transplant | $2,374.40 | ↓ -38% |
| PPHP | ALL PRODUCTS | $2,401.72 | ↓ -38% |
| Summacare | Preferred | $2,407.86 | ↓ -38% |
| OPTUM | Managed Medicaid Transplant | $2,420.84 | ↓ -37% |
| CARESOURCE | Managed Medicaid | $2,548.25 | ↓ -34% |
| Aultcare | PPO/HMO | $2,599.97 | ↓ -33% |
| Summacare | Premier | $2,623.95 | ↓ -32% |
| Amish Community Aid Plan | All Products | $2,671.20 | ↓ -31% |
| MOLINA | Managed Medicaid | $2,675.66 | ↓ -31% |
| ANTHEM | Managed Medicaid | $2,675.66 | ↓ -31% |
| UNITED | Managed Medicaid | $2,726.63 | ↓ -29% |
| Aetna | Acop | $2,737.14 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $2,783.98 | ↓ -28% |
| United BH | Managed Medicaid | $2,803.08 | ↓ -27% |
| OMAS | All Products | $2,968.00 | ↓ -23% |
| United | All Products - Mid-Level | $3,156.45 | ↓ -18% |
| The Health Plan | All Products | $3,264.80 | ↓ -15% |
| Healthsmart | All Products | $3,264.80 | ↓ -15% |
| United | HMO & PPO | $3,402.03 | ↓ -12% |
| United | All Products | $3,402.03 | ↓ -12% |
| Optum | All Products Transplant | $3,460.69 | ↓ -10% |
| UPMC | All Products | $3,561.60 | ↓ -8% |
| PHPHI | All Products | $3,561.60 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $3,603.15 | ↓ -7% |
| Clarity Health | All Products | $3,858.40 | ↑ +0% |
| Three Rivers | All Products | $3,858.40 | ↑ +0% |
| Anthem | All Products Physician Non-Facility | $3,924.15 | ↑ +2% |
| Anthem | All Products Physician Facility | $3,924.15 | ↑ +2% |
| Anthem | All Products Physician | $3,924.15 | ↑ +2% |
| GMS | All Products | $4,155.20 | ↑ +8% |
| Quality Care Partners | All Products | $4,155.20 | ↑ +8% |
| MMO | Medicare HMO | $4,157.99 | ↑ +8% |
| MMO | Medicare PPO | $4,282.73 | ↑ +11% |
| Aetna | All Products First Health | $4,452.00 | ↑ +15% |
| Consociate Health | All Products | $4,452.00 | ↑ +15% |
| Aetna | Asa | $4,748.80 | ↑ +23% |
| MMO | NASCO | $4,748.80 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $4,748.80 | ↑ +23% |
| Multiplan | All Products | $5,342.40 | ↑ +38% |
| USA Managed Care | All Products | $5,342.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $5,936.00 | ↑ +54% |
| MMO | SuperMed | $6,795.42 | ↑ +76% |
| Cigna | All Products Mid-Level | 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 | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Incision of eye at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,364.66 – $3,895.93 |
| fairview hospital | Cleveland | not published | $1,983.57 – $2,401.72 |
| lutheran hospital | Cleveland | not published | $1,888.43 – $2,401.72 |
| akron general | Akron | not published | $1,921.59 – $2,401.72 |
| avon hospital | Avon | not published | $2,060.88 – $2,401.72 |
| euclid hospital | Euclid | not published | $2,021.72 – $2,444.81 |
| hillcrest hospital | Mayfield Heights | not published | $2,021.72 – $2,401.72 |
| lodi hospital | Lodi | not published | $2,280.73 – $3,733.10 |