Ins/rpl pm gen exist dual lead at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$16,998.80
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.
$26,152.00
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 $31,142.61 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 | $204.64 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $223.13 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $267.61 | ↓ -98% |
| United | Managed Medicaid | $273.47 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $297.51 | ↓ -98% |
| Anthem | Medicare Advantage | $297.51 | ↓ -98% |
| The Health Plan | Medicare Advantage | $297.51 | ↓ -98% |
| United | Medicare Advantage | $297.51 | ↓ -98% |
| Aetna | Medicare Advantage | $297.51 | ↓ -98% |
| Aetna | Medicare Advantage Transplant | $297.51 | ↓ -98% |
| Humana | Medicare Advantage HMO | $297.51 | ↓ -98% |
| UPMC | Medicare Advantage | $297.51 | ↓ -98% |
| Valor | All Products | $297.51 | ↓ -98% |
| Summacare | Medicare Advantage MD | $299.09 | ↓ -98% |
| Optum | Managed Medicaid Transplant | $303.42 | ↓ -98% |
| Cigna | Medicare Advantage | $306.44 | ↓ -98% |
| CommuniCare | Medicare Advantage | $312.39 | ↓ -98% |
| Devoted Health | Medicare Advantage | $314.83 | ↓ -98% |
| Perennial Health | Medicare Advantage | $321.31 | ↓ -98% |
| PPHP | All Products | $327.26 | ↓ -98% |
| Paramount | Managed Medicaid | $328.97 | ↓ -98% |
| Caresource | Managed Medicaid | $335.36 | ↓ -98% |
| Buckeye | Managed Medicaid | $335.36 | ↓ -98% |
| Molina | Managed Medicaid | $351.33 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $351.33 | ↓ -98% |
| AETNA | Medicare Advantage Transplant | $377.23 | ↓ -98% |
| Humana Military | All Products | $402.91 | ↓ -98% |
| Aetna | All Products Transplant | $407.03 | ↓ -98% |
| AETNA | All Products Transplant | $407.03 | ↓ -98% |
| Anthem | All Products Mid-Level Facility | $447.98 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $447.98 | ↓ -97% |
| Oscar | All Products | $536.66 | ↓ -97% |
| CC EHP | All Products | $598.18 | ↓ -96% |
| Summacare | Preferred | $710.26 | ↓ -96% |
| Summacare | Premier | $774.00 | ↓ -95% |
| Aetna | Acop | $807.39 | ↓ -95% |
| OHCP | All Products | $821.57 | ↓ -95% |
| Ohio Healthy | Transplant | $844.80 | ↓ -95% |
| United | All Products - Mid-Level | $907.32 | ↓ -95% |
| Aultcare | PPO/HMO | $925.06 | ↓ -95% |
| Amish Community Aid Plan | All Products | $950.40 | ↓ -94% |
| MMO | Medicare HMO | $958.71 | ↓ -94% |
| United | All Products | $977.91 | ↓ -94% |
| United | HMO & PPO | $977.91 | ↓ -94% |
| MMO | Medicare PPO | $987.47 | ↓ -94% |
| Optum | Commercial CRS Care Solutions | $990.53 | ↓ -94% |
| OMAS | All Products | $1,056.00 | ↓ -94% |
| Anthem | All Products Physician Non-Facility | $1,137.75 | ↓ -93% |
| Anthem | All Products Physician Facility | $1,137.75 | ↓ -93% |
| Anthem | All Products Physician | $1,137.75 | ↓ -93% |
| Healthsmart | All Products | $1,161.60 | ↓ -93% |
| The Health Plan | All Products | $1,161.60 | ↓ -93% |
| Optum | All Products Transplant | $1,231.30 | ↓ -93% |
| PHPHI | All Products | $1,267.20 | ↓ -93% |
| UPMC | All Products | $1,267.20 | ↓ -93% |
| Optum | Commercial CHD Care Solutions | $1,281.98 | ↓ -92% |
| Clarity Health | All Products | $1,372.80 | ↓ -92% |
| Three Rivers | All Products | $1,372.80 | ↓ -92% |
| Quality Care Partners | All Products | $1,478.40 | ↓ -91% |
| GMS | All Products | $1,478.40 | ↓ -91% |
| Consociate Health | All Products | $1,584.00 | ↓ -91% |
| Aetna | All Products First Health | $1,584.00 | ↓ -91% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,689.60 | ↓ -90% |
| Aetna | Asa | $1,689.60 | ↓ -90% |
| MMO | NASCO | $1,689.60 | ↓ -90% |
| Multiplan | All Products | $1,900.80 | ↓ -89% |
| USA Managed Care | All Products | $1,900.80 | ↓ -89% |
| Aetna | Qhp/Ifp | $2,112.00 | ↓ -88% |
| ANTHEM | HPN | $3,924.00 | ↓ -77% |
| CIGNA | ALL PRODUCTS | $5,597.00 | ↓ -67% |
| AETNA | Acop | $5,616.00 | ↓ -67% |
| OPTUM | Managed Medicaid Transplant | $6,303.75 | ↓ -63% |
| CARESOURCE | Managed Medicaid | $6,635.53 | ↓ -61% |
| AETNA | Asa_Whirlpool_Peia | $6,849.00 | ↓ -60% |
| ANTHEM | Managed Medicaid | $6,967.31 | ↓ -59% |
| MOLINA | Managed Medicaid | $6,967.31 | ↓ -59% |
| UNITED | Managed Medicaid | $7,100.02 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $7,270.26 | ↓ -57% |
| United BH | Managed Medicaid | $7,299.08 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $7,395.79 | ↓ -56% |
| AETNA | International | $7,431.00 | ↓ -56% |
| MMO | ALL PRODUCTS | $7,813.00 | ↓ -54% |
| PHP | ALL PRODUCTS | $8,368.64 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $8,368.64 | ↓ -51% |
| UNITED | MEDICARE ADVANTAGE | $9,263.98 | ↓ -46% |
| OPTUM | Medicare Advantage Transplant | $9,701.78 | ↓ -43% |
| HUMANA | Medicare Advantage HMO | $9,701.78 | ↓ -43% |
| MMO | Medicare Advantage HMO | $9,701.78 | ↓ -43% |
| OPTUM | All Products VA | $9,701.78 | ↓ -43% |
| The Health Plan | MEDICARE ADVANTAGE | $9,701.78 | ↓ -43% |
| AETNA | MEDICARE ADVANTAGE | $9,888.39 | ↓ -42% |
| UPMC | MEDICARE ADVANTAGE | $9,888.39 | ↓ -42% |
| Summacare | MEDICARE ADVANTAGE | $9,888.39 | ↓ -42% |
| CIGNA | Medicare Advantage Lifesource | $9,888.39 | ↓ -42% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $9,888.39 | ↓ -42% |
| ANTHEM | MEDICARE ADVANTAGE | $9,888.39 | ↓ -42% |
| Valor | ALL PRODUCTS | $9,888.39 | ↓ -42% |
| MMO | Medicare Advantage PPO | $9,992.83 | ↓ -41% |
| CIGNA | MEDICARE ADVANTAGE | $10,185.05 | ↓ -40% |
| CommuniCare | MEDICARE ADVANTAGE | $10,382.81 | ↓ -39% |
| Perennial Health | MEDICARE ADVANTAGE | $10,477.92 | ↓ -38% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $10,679.46 | ↓ -37% |
| PPHP | ALL PRODUCTS | $10,877.23 | ↓ -36% |
| UNITED | ALL PRODUCTS | $11,553.00 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $11,768.40 | ↓ -31% |
| Summacare | PREMIER | $11,925.31 | ↓ -30% |
| OHCP | ALL PRODUCTS | $12,709.87 | ↓ -25% |
| UNITED | All Products International | $12,939.00 | ↓ -24% |
| OMAS | ALL PRODUCTS | $13,076.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $14,122.08 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $14,383.60 | ↓ -15% |
| ANTHEM | PPO/HMO | $14,472.52 | ↓ -15% |
| OPTUM | All Products Transplant | $14,802.03 | ↓ -13% |
| UPMC | ALL PRODUCTS | $15,691.20 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $15,691.20 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $15,769.66 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $15,769.66 | ↓ -7% |
| MMO | TRADITIONAL | $16,449.61 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $16,998.80 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $16,998.80 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $18,306.40 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $18,306.40 | ↑ +8% |
| GMS | ALL PRODUCTS | $18,306.40 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $18,306.40 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $18,306.40 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $18,306.40 | ↑ +8% |
| CIGNA | PPO | $19,404.78 | ↑ +14% |
| Consociate Health | TRANSPLANT | $19,614.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $19,614.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $19,614.00 | ↑ +15% |
| ANTHEM | TRADITIONAL | $20,116.12 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $20,921.60 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $20,921.60 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $22,229.20 | ↑ +31% |
| Managed Care Services | TRANSPLANT | $23,536.80 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $23,536.80 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $23,536.80 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $23,536.80 | ↑ +38% |
| FrontPath | TRANSPLANT | $23,536.80 | ↑ +38% |
| AETNA | Qhp/Ipf | $26,152.00 | ↑ +54% |
| MMO | SuperMed | $31,142.61 | ↑ +83% |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| United BH | ALL PRODUCTS | 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 | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $16,998.80 | $513.98 – $23,536.80 |
| lutheran hospital | Cleveland | $16,998.80 | $601.72 – $23,536.80 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $8,761.42 – $10,144.81 |
| Jewish Hospital | Cincinnati | $8,416.80 | not published |
| Anderson Hospital | Cincinnati | $8,416.80 | not published |
| Kings Mills Hospital | Mason | $8,416.80 | not published |
| Mercy West Hospital | Cincinnati | $8,416.80 | not published |
| akron general | Akron | $16,998.80 | $1.10 – $23,536.80 |