healthcosts.net
Incision of sperm duct at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,183.00
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.
$1,820.00
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 $10,168.64 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 | $90.05 | ↓ -92% |
| Paramount | Managed Medicaid | $97.63 | ↓ -92% |
| Caresource | Managed Medicaid | $99.53 | ↓ -92% |
| Buckeye | Managed Medicaid | $99.53 | ↓ -92% |
| Molina | Managed Medicaid | $104.27 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $104.27 | ↓ -91% |
| Summacare | Medicare Advantage Lower Level | $171.39 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $188.74 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $224.13 | ↓ -81% |
| Summacare | Medicare Advantage MD | $250.50 | ↓ -79% |
| Humana | Medicare Advantage HMO | $251.65 | ↓ -79% |
| Valor | All Products | $251.65 | ↓ -79% |
| Aetna | Medicare Advantage | $251.65 | ↓ -79% |
| Aetna | Medicare Advantage Transplant | $251.65 | ↓ -79% |
| UPMC | Medicare Advantage | $251.65 | ↓ -79% |
| United | Medicare Advantage | $251.65 | ↓ -79% |
| The Health Plan | Medicare Advantage | $251.65 | ↓ -79% |
| Anthem | Medicare Advantage | $251.65 | ↓ -79% |
| Optum | Medicare Advantage Transplant | $251.65 | ↓ -79% |
| Cigna | Medicare Advantage | $259.20 | ↓ -78% |
| Devoted Health | Medicare Advantage | $263.68 | ↓ -78% |
| CommuniCare | Medicare Advantage | $264.23 | ↓ -78% |
| Perennial Health | Medicare Advantage | $271.78 | ↓ -77% |
| PPHP | All Products | $276.82 | ↓ -77% |
| United | Managed Medicaid | $277.68 | ↓ -77% |
| Humana Military | All Products | $347.74 | ↓ -71% |
| Aetna | All Products Transplant | $349.53 | ↓ -70% |
| Anthem | All Products Mid-Level Facility | $368.31 | ↓ -69% |
| Oscar | All Products | $462.46 | ↓ -61% |
| CC EHP | All Products | $500.99 | ↓ -58% |
| Anthem | All Products Mid-Level Non-Facility | $503.69 | ↓ -57% |
| Summacare | Preferred | $604.07 | ↓ -49% |
| Summacare | Premier | $658.28 | ↓ -44% |
| Aetna | Acop | $686.68 | ↓ -42% |
| OHCP | All Products | $707.98 | ↓ -40% |
| Ohio Healthy | Transplant | $728.00 | ↓ -38% |
| Aultcare | PPO/HMO | $797.16 | ↓ -33% |
| Amish Community Aid Plan | All Products | $819.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $853.58 | ↓ -28% |
| MMO | Medicare HMO | $908.45 | ↓ -23% |
| OMAS | All Products | $910.00 | ↓ -23% |
| Anthem | All Products Physician | $935.42 | ↓ -21% |
| Anthem | All Products Physician Facility | $935.42 | ↓ -21% |
| MMO | Medicare PPO | $935.70 | ↓ -21% |
| The Health Plan | All Products | $1,001.00 | ↓ -15% |
| Healthsmart | All Products | $1,001.00 | ↓ -15% |
| United | All Products - Mid-Level | $1,023.74 | ↓ -13% |
| Optum | All Products Transplant | $1,061.06 | ↓ -10% |
| PHPHI | All Products | $1,092.00 | ↓ -8% |
| UPMC | All Products | $1,092.00 | ↓ -8% |
| United | All Products | $1,103.39 | ↓ -7% |
| United | HMO & PPO | $1,103.39 | ↓ -7% |
| Optum | Commercial CHD Care Solutions | $1,104.74 | ↓ -7% |
| Cigna | All Products Mid-Level | $1,115.55 | ↓ -6% |
| Clarity Health | All Products | $1,183.00 | ↑ +0% |
| Three Rivers | All Products | $1,183.00 | ↑ +0% |
| Quality Care Partners | All Products | $1,274.00 | ↑ +8% |
| GMS | All Products | $1,274.00 | ↑ +8% |
| Anthem | All Products Physician Non-Facility | $1,279.28 | ↑ +8% |
| Cigna | All Products Physician | $1,312.52 | ↑ +11% |
| Aetna | All Products First Health | $1,365.00 | ↑ +15% |
| Consociate Health | All Products | $1,365.00 | ↑ +15% |
| Aetna | Asa | $1,456.00 | ↑ +23% |
| MMO | NASCO | $1,456.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,456.00 | ↑ +23% |
| OPTUM | Managed Medicaid Transplant | $1,494.77 | ↑ +26% |
| CARESOURCE | Managed Medicaid | $1,573.44 | ↑ +33% |
| Multiplan | All Products | $1,638.00 | ↑ +38% |
| USA Managed Care | All Products | $1,638.00 | ↑ +38% |
| ANTHEM | Managed Medicaid | $1,652.11 | ↑ +40% |
| MOLINA | Managed Medicaid | $1,652.11 | ↑ +40% |
| UNITED | Managed Medicaid | $1,683.58 | ↑ +42% |
| United BH | Managed Medicaid | $1,730.78 | ↑ +46% |
| Aetna | Qhp/Ifp | $1,820.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $3,024.43 | ↑ +156% |
| MMO | Medicare Advantage HMO | $3,197.33 | ↑ +170% |
| OPTUM | Medicare Advantage Transplant | $3,197.33 | ↑ +170% |
| OPTUM | All Products VA | $3,197.33 | ↑ +170% |
| The Health Plan | MEDICARE ADVANTAGE | $3,197.33 | ↑ +170% |
| HUMANA | Medicare Advantage HMO | $3,197.33 | ↑ +170% |
| MMO | Medicare Advantage PPO | $3,293.25 | ↑ +178% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,334.90 | ↑ +182% |
| AETNA | MEDICARE ADVANTAGE | $3,334.90 | ↑ +182% |
| CIGNA | Medicare Advantage Lifesource | $3,334.90 | ↑ +182% |
| UPMC | MEDICARE ADVANTAGE | $3,334.90 | ↑ +182% |
| Valor | ALL PRODUCTS | $3,334.90 | ↑ +182% |
| ANTHEM | MEDICARE ADVANTAGE | $3,334.90 | ↑ +182% |
| Summacare | MEDICARE ADVANTAGE | $3,334.90 | ↑ +182% |
| CIGNA | MEDICARE ADVANTAGE | $3,434.95 | ↑ +190% |
| Perennial Health | MEDICARE ADVANTAGE | $3,453.12 | ↑ +192% |
| CommuniCare | MEDICARE ADVANTAGE | $3,501.65 | ↑ +196% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,601.70 | ↑ +204% |
| PPHP | ALL PRODUCTS | $3,668.39 | ↑ +210% |
| MMO | SuperMed | $10,168.64 | ↑ +760% |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Incision of sperm duct at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,077.54 – $2,405.57 |
| fairview hospital | Cleveland | not published | $1,224.77 – $3,668.39 |
| lutheran hospital | Cleveland | not published | $1,166.02 – $3,668.39 |
| akron general | Akron | not published | $1,186.50 – $3,668.39 |
| avon hospital | Avon | not published | $1,272.51 – $3,668.39 |
| euclid hospital | Euclid | not published | $1,303.71 – $3,668.39 |
| hillcrest hospital | Mayfield Heights | not published | $1,276.02 – $3,668.39 |
| lodi hospital | Lodi | not published | $1,990.72 – $2,305.04 |