Ins/rplc spi npg/rcvr pocket at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$26,310.05
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.
$40,477.00
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 $90,562.75 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 | $209.31 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $232.88 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $273.71 | ↓ -99% |
| United | Managed Medicaid | $280.84 | ↓ -99% |
| Summacare | Medicare Advantage MD | $305.91 | ↓ -99% |
| Humana | Medicare Advantage HMO | $310.50 | ↓ -99% |
| Aetna | Medicare Advantage | $310.50 | ↓ -99% |
| Aetna | Medicare Advantage Transplant | $310.50 | ↓ -99% |
| Optum | Medicare Advantage Transplant | $310.50 | ↓ -99% |
| United | Medicare Advantage | $310.50 | ↓ -99% |
| The Health Plan | Medicare Advantage | $310.50 | ↓ -99% |
| UPMC | Medicare Advantage | $310.50 | ↓ -99% |
| Anthem | Medicare Advantage | $310.50 | ↓ -99% |
| Valor | All Products | $310.50 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $316.96 | ↓ -99% |
| Cigna | Medicare Advantage | $319.82 | ↓ -99% |
| Devoted Health | Medicare Advantage | $322.01 | ↓ -99% |
| CommuniCare | Medicare Advantage | $326.03 | ↓ -99% |
| Perennial Health | Medicare Advantage | $335.34 | ↓ -99% |
| PPHP | All Products | $341.55 | ↓ -99% |
| Paramount | Managed Medicaid | $343.65 | ↓ -99% |
| Caresource | Managed Medicaid | $350.32 | ↓ -99% |
| Buckeye | Managed Medicaid | $350.32 | ↓ -99% |
| Molina | Managed Medicaid | $367.00 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $367.00 | ↓ -99% |
| AETNA | Medicare Advantage Transplant | $394.85 | ↓ -98% |
| Humana Military | All Products | $413.19 | ↓ -98% |
| Aetna | All Products Transplant | $417.31 | ↓ -98% |
| AETNA | All Products Transplant | $417.31 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $484.54 | ↓ -98% |
| Anthem | All Products Mid-Level Facility | $484.54 | ↓ -98% |
| Oscar | All Products | $580.36 | ↓ -98% |
| CC EHP | All Products | $611.82 | ↓ -98% |
| Summacare | Preferred | $745.45 | ↓ -97% |
| Summacare | Premier | $812.35 | ↓ -97% |
| Aetna | Acop | $847.40 | ↓ -97% |
| OHCP | All Products | $888.48 | ↓ -97% |
| Ohio Healthy | Transplant | $913.60 | ↓ -97% |
| United | All Products - Mid-Level | $929.20 | ↓ -96% |
| Aultcare | PPO/HMO | $1,000.39 | ↓ -96% |
| United | HMO & PPO | $1,001.49 | ↓ -96% |
| United | All Products | $1,001.49 | ↓ -96% |
| Amish Community Aid Plan | All Products | $1,027.80 | ↓ -96% |
| Optum | Commercial CRS Care Solutions | $1,071.20 | ↓ -96% |
| MMO | Medicare HMO | $1,095.17 | ↓ -96% |
| MMO | Medicare PPO | $1,128.03 | ↓ -96% |
| OMAS | All Products | $1,142.00 | ↓ -96% |
| Anthem | All Products Physician | $1,230.63 | ↓ -95% |
| Anthem | All Products Physician Non-Facility | $1,230.63 | ↓ -95% |
| Anthem | All Products Physician Facility | $1,230.63 | ↓ -95% |
| The Health Plan | All Products | $1,256.20 | ↓ -95% |
| Healthsmart | All Products | $1,256.20 | ↓ -95% |
| Optum | All Products Transplant | $1,331.57 | ↓ -95% |
| PHPHI | All Products | $1,370.40 | ↓ -95% |
| UPMC | All Products | $1,370.40 | ↓ -95% |
| Optum | Commercial CHD Care Solutions | $1,386.39 | ↓ -95% |
| Three Rivers | All Products | $1,484.60 | ↓ -94% |
| Clarity Health | All Products | $1,484.60 | ↓ -94% |
| GMS | All Products | $1,598.80 | ↓ -94% |
| Quality Care Partners | All Products | $1,598.80 | ↓ -94% |
| Aetna | All Products First Health | $1,713.00 | ↓ -93% |
| Consociate Health | All Products | $1,713.00 | ↓ -93% |
| MMO | NASCO | $1,827.20 | ↓ -93% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,827.20 | ↓ -93% |
| Aetna | Asa | $1,827.20 | ↓ -93% |
| Multiplan | All Products | $2,055.60 | ↓ -92% |
| USA Managed Care | All Products | $2,055.60 | ↓ -92% |
| Aetna | Qhp/Ifp | $2,284.00 | ↓ -91% |
| AETNA | Acop | $3,278.00 | ↓ -88% |
| CIGNA | ALL PRODUCTS | $3,528.00 | ↓ -87% |
| AETNA | Asa_Whirlpool_Peia | $3,997.00 | ↓ -85% |
| AETNA | International | $4,337.00 | ↓ -84% |
| MMO | ALL PRODUCTS | $5,265.00 | ↓ -80% |
| ANTHEM | HPN | $7,663.00 | ↓ -71% |
| UNITED | ALL PRODUCTS | $10,924.00 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $11,252.61 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $11,446.90 | ↓ -56% |
| UNITED | All Products International | $12,235.00 | ↓ -53% |
| PHPHI | ALL PRODUCTS | $12,952.64 | ↓ -51% |
| PHP | ALL PRODUCTS | $12,952.64 | ↓ -51% |
| Amish Community Aid Plan | ALL PRODUCTS | $18,214.65 | ↓ -31% |
| Summacare | PREMIER | $18,457.51 | ↓ -30% |
| OPTUM | Managed Medicaid Transplant | $19,174.95 | ↓ -27% |
| OHCP | ALL PRODUCTS | $19,671.82 | ↓ -25% |
| CARESOURCE | Managed Medicaid | $20,184.16 | ↓ -23% |
| OMAS | ALL PRODUCTS | $20,238.50 | ↓ -23% |
| MOLINA | Managed Medicaid | $21,193.37 | ↓ -19% |
| ANTHEM | Managed Medicaid | $21,193.37 | ↓ -19% |
| UNITED | Managed Medicaid | $21,597.05 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $21,857.58 | ↓ -17% |
| United BH | Managed Medicaid | $22,202.58 | ↓ -16% |
| HEALTHSMART | ALL PRODUCTS | $22,262.35 | ↓ -15% |
| ANTHEM | PPO/HMO | $22,399.97 | ↓ -15% |
| OPTUM | All Products Transplant | $22,909.98 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $24,286.20 | ↓ -8% |
| UPMC | ALL PRODUCTS | $24,286.20 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $24,407.63 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $24,407.63 | ↓ -7% |
| MMO | TRADITIONAL | $25,460.03 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $26,310.05 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $26,310.05 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $26,939.50 | ↑ +2% |
| OPTUM | Medicare Advantage Transplant | $28,250.24 | ↑ +7% |
| HUMANA | Medicare Advantage HMO | $28,250.24 | ↑ +7% |
| MMO | Medicare Advantage HMO | $28,250.24 | ↑ +7% |
| OPTUM | All Products VA | $28,250.24 | ↑ +7% |
| The Health Plan | MEDICARE ADVANTAGE | $28,250.24 | ↑ +7% |
| Quality Care Partners | ALL PRODUCTS | $28,333.90 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $28,333.90 | ↑ +8% |
| GMS | ALL PRODUCTS | $28,333.90 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $28,333.90 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $28,333.90 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $28,333.90 | ↑ +8% |
| MMO | Medicare Advantage PPO | $29,097.74 | ↑ +11% |
| Summacare | MEDICARE ADVANTAGE | $29,193.76 | ↑ +11% |
| Valor | ALL PRODUCTS | $29,193.76 | ↑ +11% |
| ANTHEM | MEDICARE ADVANTAGE | $29,193.76 | ↑ +11% |
| UPMC | MEDICARE ADVANTAGE | $29,193.76 | ↑ +11% |
| CIGNA | Medicare Advantage Lifesource | $29,193.76 | ↑ +11% |
| AETNA | MEDICARE ADVANTAGE | $29,193.76 | ↑ +11% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $29,193.76 | ↑ +11% |
| CIGNA | PPO | $30,033.93 | ↑ +14% |
| CIGNA | MEDICARE ADVANTAGE | $30,069.57 | ↑ +14% |
| AETNA | ALL PRODUCTS | $30,357.75 | ↑ +15% |
| Managed Care Services | TRANSPLANT | $30,357.75 | ↑ +15% |
| Consociate Health | TRANSPLANT | $30,357.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $30,357.75 | ↑ +15% |
| Perennial Health | MEDICARE ADVANTAGE | $30,510.26 | ↑ +16% |
| CommuniCare | MEDICARE ADVANTAGE | $30,653.45 | ↑ +17% |
| ANTHEM | TRADITIONAL | $31,134.91 | ↑ +18% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $31,529.26 | ↑ +20% |
| PPHP | ALL PRODUCTS | $32,113.14 | ↑ +22% |
| Community Health Alliance | ALL PRODUCTS | $32,381.60 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $32,381.60 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $34,405.45 | ↑ +31% |
| MULTIPLAN | ALL PRODUCTS | $36,429.30 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $36,429.30 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $36,429.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $36,429.30 | ↑ +38% |
| AETNA | Qhp/Ipf | $40,477.00 | ↑ +54% |
| MMO | SuperMed | $90,562.75 | ↑ +244% |
| United BH | All Products MD | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rplc spi npg/rcvr pocket at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $26,650.80 – $30,858.82 |
| fairview hospital | Cleveland | not published | $15,711.47 – $32,113.14 |
| lutheran hospital | Cleveland | not published | $14,957.85 – $32,113.14 |
| Jewish Hospital | Cincinnati | $68,063.63 | $30,071.45 – $30,672.88 |
| Anderson Hospital | Cincinnati | $76,459.72 | $30,071.45 – $30,672.88 |
| St Ritas Medical Center | Lima | $111,458.28 | $30,593.52 – $30,593.52 |
| akron general | Akron | $1,484.60 | $1.10 – $30,409.55 |
| mercy hospital | Canton | $1,484.60 | $1.10 – $30,069.57 |