Injection of sinus tract at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$4,429.10
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.
?
What you pay up front if you don't use insurance.
$6,814.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $12,500.00 with CIGNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $55.29 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $60.56 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $64.03 | ↓ -99% |
| Paramount | Managed Medicaid | $69.42 | ↓ -98% |
| Caresource | Managed Medicaid | $70.77 | ↓ -98% |
| Buckeye | Managed Medicaid | $70.77 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $72.30 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $74.14 | ↓ -98% |
| Molina | Managed Medicaid | $74.14 | ↓ -98% |
| Anthem | Medicare Advantage | $80.75 | ↓ -98% |
| Humana | Medicare Advantage HMO | $80.75 | ↓ -98% |
| Aetna | Medicare Advantage | $80.75 | ↓ -98% |
| Aetna | Medicare Advantage Transplant | $80.75 | ↓ -98% |
| Valor | All Products | $80.75 | ↓ -98% |
| UPMC | Medicare Advantage | $80.75 | ↓ -98% |
| United | Medicare Advantage | $80.75 | ↓ -98% |
| The Health Plan | Medicare Advantage | $80.75 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $80.75 | ↓ -98% |
| Summacare | Medicare Advantage MD | $80.81 | ↓ -98% |
| Cigna | Medicare Advantage | $83.17 | ↓ -98% |
| CommuniCare | Medicare Advantage | $84.79 | ↓ -98% |
| Devoted Health | Medicare Advantage | $85.06 | ↓ -98% |
| Perennial Health | Medicare Advantage | $87.21 | ↓ -98% |
| PPHP | All Products | $88.83 | ↓ -98% |
| United | Managed Medicaid | $103.54 | ↓ -98% |
| AETNA | Medicare Advantage Transplant | $104.52 | ↓ -98% |
| AETNA | All Products Transplant | $110.38 | ↓ -98% |
| Aetna | All Products Transplant | $110.38 | ↓ -98% |
| Humana Military | All Products | $110.63 | ↓ -98% |
| Anthem | All Products Mid-Level Facility | $118.21 | ↓ -97% |
| Oscar | All Products | $130.10 | ↓ -97% |
| CC EHP | All Products | $161.61 | ↓ -96% |
| Anthem | All Products Mid-Level Non-Facility | $162.78 | ↓ -96% |
| Summacare | Preferred | $195.37 | ↓ -96% |
| OHCP | All Products | $199.17 | ↓ -96% |
| Ohio Healthy | Transplant | $204.80 | ↓ -95% |
| Summacare | Premier | $212.90 | ↓ -95% |
| Aetna | Acop | $222.08 | ↓ -95% |
| Aultcare | PPO/HMO | $224.26 | ↓ -95% |
| Amish Community Aid Plan | All Products | $230.40 | ↓ -95% |
| Optum | Commercial CRS Care Solutions | $240.13 | ↓ -95% |
| OMAS | All Products | $256.00 | ↓ -94% |
| MMO | Medicare HMO | $275.58 | ↓ -94% |
| The Health Plan | All Products | $281.60 | ↓ -94% |
| Healthsmart | All Products | $281.60 | ↓ -94% |
| MMO | Medicare PPO | $283.85 | ↓ -94% |
| Optum | All Products Transplant | $298.50 | ↓ -93% |
| Anthem | All Products Physician | $300.22 | ↓ -93% |
| Anthem | All Products Physician Facility | $300.22 | ↓ -93% |
| PHPHI | All Products | $307.20 | ↓ -93% |
| UPMC | All Products | $307.20 | ↓ -93% |
| Optum | Commercial CHD Care Solutions | $310.78 | ↓ -93% |
| United | All Products - Mid-Level | $329.26 | ↓ -93% |
| Three Rivers | All Products | $332.80 | ↓ -92% |
| Clarity Health | All Products | $332.80 | ↓ -92% |
| United | HMO & PPO | $354.88 | ↓ -92% |
| United | All Products | $354.88 | ↓ -92% |
| Quality Care Partners | All Products | $358.40 | ↓ -92% |
| GMS | All Products | $358.40 | ↓ -92% |
| Cigna | All Products Mid-Level | $360.52 | ↓ -92% |
| Consociate Health | All Products | $384.00 | ↓ -91% |
| Aetna | All Products First Health | $384.00 | ↓ -91% |
| Aetna | Asa | $409.60 | ↓ -91% |
| MMO | NASCO | $409.60 | ↓ -91% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $409.60 | ↓ -91% |
| Anthem | All Products Physician Non-Facility | $413.42 | ↓ -91% |
| Cigna | All Products Physician | $424.17 | ↓ -90% |
| Multiplan | All Products | $460.80 | ↓ -90% |
| USA Managed Care | All Products | $460.80 | ↓ -90% |
| Aetna | Qhp/Ifp | $512.00 | ↓ -88% |
| OPTUM | Managed Medicaid Transplant | $939.63 | ↓ -79% |
| CARESOURCE | Managed Medicaid | $989.08 | ↓ -78% |
| MOLINA | Managed Medicaid | $1,038.53 | ↓ -77% |
| ANTHEM | Managed Medicaid | $1,038.53 | ↓ -77% |
| UNITED | Managed Medicaid | $1,058.32 | ↓ -76% |
| United BH | Managed Medicaid | $1,087.99 | ↓ -75% |
| UNITED | MEDICARE ADVANTAGE | $1,323.06 | ↓ -70% |
| OPTUM | Medicare Advantage Transplant | $1,373.21 | ↓ -69% |
| MMO | Medicare Advantage HMO | $1,373.21 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $1,373.21 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $1,373.21 | ↓ -69% |
| OPTUM | All Products VA | $1,373.21 | ↓ -69% |
| MMO | Medicare Advantage PPO | $1,414.40 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $1,467.92 | ↓ -67% |
| UPMC | MEDICARE ADVANTAGE | $1,467.92 | ↓ -67% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,467.92 | ↓ -67% |
| Summacare | MEDICARE ADVANTAGE | $1,467.92 | ↓ -67% |
| CIGNA | Medicare Advantage Lifesource | $1,467.92 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $1,467.92 | ↓ -67% |
| Valor | ALL PRODUCTS | $1,467.92 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $1,483.06 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $1,511.96 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $1,541.31 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,585.35 | ↓ -64% |
| PPHP | ALL PRODUCTS | $1,614.71 | ↓ -64% |
| CC EHP | ALL PRODUCTS | $1,894.29 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $1,927.00 | ↓ -56% |
| PHP | ALL PRODUCTS | $2,180.48 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $2,180.48 | ↓ -51% |
| AETNA | Acop | $2,602.00 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,066.30 | ↓ -31% |
| Summacare | PREMIER | $3,107.18 | ↓ -30% |
| AETNA | Asa_Whirlpool_Peia | $3,174.00 | ↓ -28% |
| OHCP | ALL PRODUCTS | $3,311.60 | ↓ -25% |
| OMAS | ALL PRODUCTS | $3,407.00 | ↓ -23% |
| AETNA | International | $3,443.00 | ↓ -22% |
| ANTHEM | HPN | $3,668.00 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $3,679.56 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $3,747.70 | ↓ -15% |
| ANTHEM | PPO/HMO | $3,770.87 | ↓ -15% |
| OPTUM | All Products Transplant | $3,856.72 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $4,088.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $4,088.40 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $4,108.84 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $4,108.84 | ↓ -7% |
| MMO | TRADITIONAL | $4,286.01 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $4,429.10 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $4,429.10 | ↑ +0% |
| MMO | SuperMed | $4,447.63 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $4,769.80 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $4,769.80 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $4,769.80 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $4,769.80 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $4,769.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $4,769.80 | ↑ +8% |
| CIGNA | PPO | $5,055.99 | ↑ +14% |
| Consociate Health | TRANSPLANT | $5,110.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $5,110.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $5,110.50 | ↑ +15% |
| ANTHEM | TRADITIONAL | $5,241.33 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $5,451.20 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $5,451.20 | ↑ +23% |
| UNITED | ALL PRODUCTS | $5,457.00 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $5,791.90 | ↑ +31% |
| UNITED | All Products International | $6,112.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $6,132.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $6,132.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $6,132.60 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $6,132.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $6,132.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $6,814.00 | ↑ +54% |
| CIGNA | ALL PRODUCTS | $12,500.00 | ↑ +182% |
| United BH | All Products RN | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
Visitor-reported prices
Comments
Injection of sinus tract at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $4,429.10 | $142.41 – $6,132.60 |
| lutheran hospital | Cleveland | $4,429.10 | $166.72 – $6,132.60 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,305.97 – $1,512.17 |
| Jewish Hospital | Cincinnati | $1,546.20 | not published |
| Kings Mills Hospital | Mason | $1,546.20 | not published |
| Mercy West Hospital | Cincinnati | $1,546.20 | not published |
| St Ritas Medical Center | Lima | $1,747.80 | not published |
| Trinity Medical Center East | Steubenville | $558.92 | $676.20 – $901.60 |