Incision of iris at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$995.80
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.
$1,532.00
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% |
| Optum | Managed Medicaid Transplant | $207.24 | ↓ -79% |
| Paramount | Managed Medicaid | $224.69 | ↓ -77% |
| Buckeye | Managed Medicaid | $229.06 | ↓ -77% |
| Caresource | Managed Medicaid | $229.06 | ↓ -77% |
| Summacare | Medicare Advantage Lower Level | $230.67 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $239.97 | ↓ -76% |
| Molina | Managed Medicaid | $239.97 | ↓ -76% |
| Summacare | Medicare Advantage Psych | $251.36 | ↓ -75% |
| Summacare | Medicare Advantage CNA | $301.65 | ↓ -70% |
| United | Managed Medicaid | $306.68 | ↓ -69% |
| Anthem | Medicare Advantage | $335.14 | ↓ -66% |
| The Health Plan | Medicare Advantage | $335.14 | ↓ -66% |
| Aetna | Medicare Advantage | $335.14 | ↓ -66% |
| UPMC | Medicare Advantage | $335.14 | ↓ -66% |
| Valor | All Products | $335.14 | ↓ -66% |
| Optum | Medicare Advantage Transplant | $335.14 | ↓ -66% |
| Humana | Medicare Advantage HMO | $335.14 | ↓ -66% |
| United | Medicare Advantage | $335.14 | ↓ -66% |
| Aetna | Medicare Advantage Transplant | $335.14 | ↓ -66% |
| Summacare | Medicare Advantage MD | $337.14 | ↓ -66% |
| Cigna | Medicare Advantage | $345.19 | ↓ -65% |
| CommuniCare | Medicare Advantage | $351.90 | ↓ -65% |
| Devoted Health | Medicare Advantage | $354.88 | ↓ -64% |
| Perennial Health | Medicare Advantage | $361.95 | ↓ -64% |
| PPHP | All Products | $368.65 | ↓ -63% |
| OPTUM | Managed Medicaid Transplant | $381.15 | ↓ -62% |
| Oscar | All Products | $389.28 | ↓ -61% |
| CARESOURCE | Managed Medicaid | $401.21 | ↓ -60% |
| ANTHEM | Managed Medicaid | $421.27 | ↓ -58% |
| MOLINA | Managed Medicaid | $421.27 | ↓ -58% |
| UNITED | Managed Medicaid | $429.29 | ↓ -57% |
| United BH | Managed Medicaid | $441.33 | ↓ -56% |
| Humana Military | All Products | $490.12 | ↓ -51% |
| Aetna | All Products Transplant | $503.38 | ↓ -49% |
| Anthem | All Products Mid-Level Facility | $510.73 | ↓ -49% |
| Anthem | All Products Mid-Level Non-Facility | $510.73 | ↓ -49% |
| OHCP | All Products | $595.95 | ↓ -40% |
| Ohio Healthy | Transplant | $612.80 | ↓ -38% |
| Aultcare | PPO/HMO | $671.02 | ↓ -33% |
| CC EHP | All Products | $674.27 | ↓ -32% |
| Amish Community Aid Plan | All Products | $689.40 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $718.51 | ↓ -28% |
| OMAS | All Products | $766.00 | ↓ -23% |
| Summacare | Preferred | $824.52 | ↓ -17% |
| The Health Plan | All Products | $842.60 | ↓ -15% |
| Healthsmart | All Products | $842.60 | ↓ -15% |
| Optum | All Products Transplant | $893.16 | ↓ -10% |
| Summacare | Premier | $898.52 | ↓ -10% |
| PHPHI | All Products | $919.20 | ↓ -8% |
| UPMC | All Products | $919.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $929.92 | ↓ -7% |
| Aetna | Acop | $937.28 | ↓ -6% |
| Three Rivers | All Products | $995.80 | ↑ +0% |
| Clarity Health | All Products | $995.80 | ↑ +0% |
| United | All Products - Mid-Level | $1,037.02 | ↑ +4% |
| GMS | All Products | $1,072.40 | ↑ +8% |
| Quality Care Partners | All Products | $1,072.40 | ↑ +8% |
| United | HMO & PPO | $1,117.70 | ↑ +12% |
| United | All Products | $1,117.70 | ↑ +12% |
| Consociate Health | All Products | $1,149.00 | ↑ +15% |
| Aetna | All Products First Health | $1,149.00 | ↑ +15% |
| MMO | NASCO | $1,225.60 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,225.60 | ↑ +23% |
| Aetna | Asa | $1,225.60 | ↑ +23% |
| MMO | Medicare HMO | $1,243.69 | ↑ +25% |
| MMO | Medicare PPO | $1,281.00 | ↑ +29% |
| Anthem | All Products Physician Facility | $1,297.14 | ↑ +30% |
| Anthem | All Products Physician Non-Facility | $1,297.14 | ↑ +30% |
| Anthem | All Products Physician | $1,297.14 | ↑ +30% |
| USA Managed Care | All Products | $1,378.80 | ↑ +38% |
| Multiplan | All Products | $1,378.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,532.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $2,021.72 | ↑ +103% |
| OPTUM | All Products VA | $2,114.33 | ↑ +112% |
| OPTUM | Medicare Advantage Transplant | $2,114.33 | ↑ +112% |
| HUMANA | Medicare Advantage HMO | $2,114.33 | ↑ +112% |
| The Health Plan | MEDICARE ADVANTAGE | $2,114.33 | ↑ +112% |
| MMO | Medicare Advantage HMO | $2,114.33 | ↑ +112% |
| MMO | Medicare Advantage PPO | $2,177.76 | ↑ +119% |
| Valor | ALL PRODUCTS | $2,183.38 | ↑ +119% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,183.38 | ↑ +119% |
| UPMC | MEDICARE ADVANTAGE | $2,183.38 | ↑ +119% |
| ANTHEM | MEDICARE ADVANTAGE | $2,183.38 | ↑ +119% |
| CIGNA | Medicare Advantage Lifesource | $2,183.38 | ↑ +119% |
| AETNA | MEDICARE ADVANTAGE | $2,183.38 | ↑ +119% |
| Summacare | MEDICARE ADVANTAGE | $2,183.38 | ↑ +119% |
| CIGNA | MEDICARE ADVANTAGE | $2,248.88 | ↑ +126% |
| Perennial Health | MEDICARE ADVANTAGE | $2,283.47 | ↑ +129% |
| CommuniCare | MEDICARE ADVANTAGE | $2,292.55 | ↑ +130% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,358.05 | ↑ +137% |
| PPHP | ALL PRODUCTS | $2,401.72 | ↑ +141% |
| ANTHEM | PPO/HMO | $4,315.00 | ↑ +333% |
| MMO | SuperMed | $6,795.42 | ↑ +582% |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
Visitor-reported prices
Comments
Incision of iris at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $529.75 – $613.39 |
| fairview hospital | Cleveland | not published | $312.30 – $2,401.72 |
| lutheran hospital | Cleveland | not published | $297.32 – $2,401.72 |
| St Elizabeth Boardman Hospital | Youngstown | $15,440.51 | $2,183.38 – $2,183.38 |
| St Joseph Warren Hospital | Warren | $11,876.91 | $3,910.54 – $3,910.54 |
| akron general | Akron | not published | $302.55 – $2,401.72 |
| avon hospital | Avon | not published | $324.47 – $2,401.72 |
| euclid hospital | Euclid | not published | $332.43 – $2,401.72 |