Incision of tibia at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,823.60
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.
$4,344.00
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 $20,863.78 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 | $459.85 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $504.60 | ↓ -82% |
| Optum | Managed Medicaid Transplant | $577.88 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $601.34 | ↓ -79% |
| United | Managed Medicaid | $619.88 | ↓ -78% |
| Paramount | Managed Medicaid | $626.54 | ↓ -78% |
| Caresource | Managed Medicaid | $638.70 | ↓ -77% |
| Buckeye | Managed Medicaid | $638.70 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $669.12 | ↓ -76% |
| Molina | Managed Medicaid | $669.12 | ↓ -76% |
| Summacare | Medicare Advantage MD | $672.09 | ↓ -76% |
| Humana | Medicare Advantage HMO | $672.80 | ↓ -76% |
| Valor | All Products | $672.80 | ↓ -76% |
| Aetna | Medicare Advantage | $672.80 | ↓ -76% |
| Aetna | Medicare Advantage Transplant | $672.80 | ↓ -76% |
| UPMC | Medicare Advantage | $672.80 | ↓ -76% |
| United | Medicare Advantage | $672.80 | ↓ -76% |
| The Health Plan | Medicare Advantage | $672.80 | ↓ -76% |
| Anthem | Medicare Advantage | $672.80 | ↓ -76% |
| Optum | Medicare Advantage Transplant | $672.80 | ↓ -76% |
| Cigna | Medicare Advantage | $692.98 | ↓ -75% |
| CommuniCare | Medicare Advantage | $706.44 | ↓ -75% |
| Devoted Health | Medicare Advantage | $707.46 | ↓ -75% |
| Perennial Health | Medicare Advantage | $726.62 | ↓ -74% |
| PPHP | All Products | $740.08 | ↓ -74% |
| Humana Military | All Products | $910.21 | ↓ -68% |
| Aetna | All Products Transplant | $920.79 | ↓ -67% |
| Anthem | All Products Mid-Level Facility | $1,010.49 | ↓ -64% |
| Anthem | All Products Mid-Level Non-Facility | $1,010.49 | ↓ -64% |
| Oscar | All Products | $1,103.81 | ↓ -61% |
| CC EHP | All Products | $1,344.17 | ↓ -52% |
| Summacare | Preferred | $1,620.68 | ↓ -43% |
| OHCP | All Products | $1,689.82 | ↓ -40% |
| Ohio Healthy | Transplant | $1,737.60 | ↓ -38% |
| Summacare | Premier | $1,766.13 | ↓ -37% |
| Aetna | Acop | $1,842.32 | ↓ -35% |
| Aultcare | PPO/HMO | $1,902.67 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,954.80 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $2,037.34 | ↓ -28% |
| United | All Products - Mid-Level | $2,041.51 | ↓ -28% |
| OMAS | All Products | $2,172.00 | ↓ -23% |
| United | HMO & PPO | $2,200.34 | ↓ -22% |
| United | All Products | $2,200.34 | ↓ -22% |
| The Health Plan | All Products | $2,389.20 | ↓ -15% |
| Healthsmart | All Products | $2,389.20 | ↓ -15% |
| MMO | Medicare HMO | $2,464.06 | ↓ -13% |
| Optum | All Products Transplant | $2,532.55 | ↓ -10% |
| MMO | Medicare PPO | $2,537.98 | ↓ -10% |
| Anthem | All Products Physician | $2,566.45 | ↓ -9% |
| Anthem | All Products Physician Facility | $2,566.45 | ↓ -9% |
| Anthem | All Products Physician Non-Facility | $2,566.45 | ↓ -9% |
| UPMC | All Products | $2,606.40 | ↓ -8% |
| PHPHI | All Products | $2,606.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $2,636.81 | ↓ -7% |
| Clarity Health | All Products | $2,823.60 | ↑ +0% |
| Three Rivers | All Products | $2,823.60 | ↑ +0% |
| GMS | All Products | $3,040.80 | ↑ +8% |
| Quality Care Partners | All Products | $3,040.80 | ↑ +8% |
| Aetna | All Products First Health | $3,258.00 | ↑ +15% |
| Consociate Health | All Products | $3,258.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,475.20 | ↑ +23% |
| Aetna | Asa | $3,475.20 | ↑ +23% |
| MMO | NASCO | $3,475.20 | ↑ +23% |
| USA Managed Care | All Products | $3,909.60 | ↑ +38% |
| Multiplan | All Products | $3,909.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $4,344.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $5,335.20 | ↑ +89% |
| CARESOURCE | Managed Medicaid | $5,616.00 | ↑ +99% |
| ANTHEM | Managed Medicaid | $5,896.80 | ↑ +109% |
| MOLINA | Managed Medicaid | $5,896.80 | ↑ +109% |
| UNITED | Managed Medicaid | $6,009.12 | ↑ +113% |
| United BH | Managed Medicaid | $6,177.60 | ↑ +119% |
| UNITED | MEDICARE ADVANTAGE | $6,206.54 | ↑ +120% |
| MMO | Medicare Advantage HMO | $6,622.52 | ↑ +135% |
| OPTUM | All Products VA | $6,622.52 | ↑ +135% |
| HUMANA | Medicare Advantage HMO | $6,622.52 | ↑ +135% |
| OPTUM | Medicare Advantage Transplant | $6,622.52 | ↑ +135% |
| The Health Plan | MEDICARE ADVANTAGE | $6,622.52 | ↑ +135% |
| MMO | Medicare Advantage PPO | $6,821.20 | ↑ +142% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $6,864.94 | ↑ +143% |
| Summacare | MEDICARE ADVANTAGE | $6,864.94 | ↑ +143% |
| ANTHEM | MEDICARE ADVANTAGE | $6,864.94 | ↑ +143% |
| CIGNA | Medicare Advantage Lifesource | $6,864.94 | ↑ +143% |
| AETNA | MEDICARE ADVANTAGE | $6,864.94 | ↑ +143% |
| UPMC | MEDICARE ADVANTAGE | $6,864.94 | ↑ +143% |
| Valor | ALL PRODUCTS | $6,864.94 | ↑ +143% |
| CIGNA | MEDICARE ADVANTAGE | $7,070.89 | ↑ +150% |
| Perennial Health | MEDICARE ADVANTAGE | $7,152.33 | ↑ +153% |
| CommuniCare | MEDICARE ADVANTAGE | $7,208.19 | ↑ +155% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,414.13 | ↑ +163% |
| PPHP | ALL PRODUCTS | $7,551.43 | ↑ +167% |
| MMO | SuperMed | $20,863.78 | ↑ +639% |
| Cigna | All Products Physician | 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 | All Products MA | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Incision of tibia at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,415.27 – $8,586.11 |
| fairview hospital | Cleveland | not published | $4,371.53 – $7,551.43 |
| lutheran hospital | Cleveland | not published | $4,161.85 – $7,551.43 |
| akron general | Akron | $2,823.60 | $1.10 – $7,128.72 |
| mercy hospital | Canton | $2,823.60 | $1.10 – $7,070.89 |
| Barnesville Hospital | Barnesville | $837.00 | not published |
| avon hospital | Avon | not published | $4,541.89 – $7,551.43 |
| euclid hospital | Euclid | not published | $4,653.29 – $7,551.43 |