healthcosts.net
Knee arthroscopy/surgery at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$4,089.80
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.
$6,292.00
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 | $600.72 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $649.19 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $760.02 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $785.55 | ↓ -81% |
| United | Managed Medicaid | $808.66 | ↓ -80% |
| Paramount | Managed Medicaid | $824.02 | ↓ -80% |
| Buckeye | Managed Medicaid | $840.02 | ↓ -79% |
| Caresource | Managed Medicaid | $840.02 | ↓ -79% |
| Humana | Medicare Advantage HMO | $865.58 | ↓ -79% |
| Valor | All Products | $865.58 | ↓ -79% |
| Aetna | Medicare Advantage | $865.58 | ↓ -79% |
| Aetna | Medicare Advantage Transplant | $865.58 | ↓ -79% |
| UPMC | Medicare Advantage | $865.58 | ↓ -79% |
| United | Medicare Advantage | $865.58 | ↓ -79% |
| Anthem | Medicare Advantage | $865.58 | ↓ -79% |
| The Health Plan | Medicare Advantage | $865.58 | ↓ -79% |
| Optum | Medicare Advantage Transplant | $865.58 | ↓ -79% |
| Summacare | Medicare Advantage MD | $877.97 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $880.02 | ↓ -78% |
| Molina | Managed Medicaid | $880.02 | ↓ -78% |
| Cigna | Medicare Advantage | $891.55 | ↓ -78% |
| CommuniCare | Medicare Advantage | $908.86 | ↓ -78% |
| Devoted Health | Medicare Advantage | $924.18 | ↓ -77% |
| Perennial Health | Medicare Advantage | $934.83 | ↓ -77% |
| PPHP | All Products | $952.14 | ↓ -77% |
| Humana Military | All Products | $1,185.64 | ↓ -71% |
| Aetna | All Products Transplant | $1,193.20 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $1,306.25 | ↓ -68% |
| Anthem | All Products Mid-Level Non-Facility | $1,306.25 | ↓ -68% |
| Oscar | All Products | $1,598.80 | ↓ -61% |
| CC EHP | All Products | $1,755.94 | ↓ -57% |
| Summacare | Preferred | $2,080.92 | ↓ -49% |
| Summacare | Premier | $2,267.66 | ↓ -45% |
| Aetna | Acop | $2,365.48 | ↓ -42% |
| OHCP | All Products | $2,447.59 | ↓ -40% |
| Ohio Healthy | Transplant | $2,516.80 | ↓ -38% |
| United | All Products - Mid-Level | $2,650.05 | ↓ -35% |
| Aultcare | PPO/HMO | $2,755.90 | ↓ -33% |
| Amish Community Aid Plan | All Products | $2,831.40 | ↓ -31% |
| United | All Products | $2,856.23 | ↓ -30% |
| United | HMO & PPO | $2,856.23 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $2,950.95 | ↓ -28% |
| OMAS | All Products | $3,146.00 | ↓ -23% |
| MMO | Medicare HMO | $3,196.87 | ↓ -22% |
| MMO | Medicare PPO | $3,292.78 | ↓ -19% |
| Anthem | All Products Physician | $3,317.60 | ↓ -19% |
| Anthem | All Products Physician Facility | $3,317.60 | ↓ -19% |
| Anthem | All Products Physician Non-Facility | $3,317.60 | ↓ -19% |
| The Health Plan | All Products | $3,460.60 | ↓ -15% |
| Healthsmart | All Products | $3,460.60 | ↓ -15% |
| Optum | All Products Transplant | $3,668.24 | ↓ -10% |
| PHPHI | All Products | $3,775.20 | ↓ -8% |
| UPMC | All Products | $3,775.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $3,819.24 | ↓ -7% |
| Clarity Health | All Products | $4,089.80 | ↑ +0% |
| Three Rivers | All Products | $4,089.80 | ↑ +0% |
| OPTUM | Managed Medicaid Transplant | $4,348.01 | ↑ +6% |
| Quality Care Partners | All Products | $4,404.40 | ↑ +8% |
| GMS | All Products | $4,404.40 | ↑ +8% |
| CARESOURCE | Managed Medicaid | $4,576.85 | ↑ +12% |
| Aetna | All Products First Health | $4,719.00 | ↑ +15% |
| Consociate Health | All Products | $4,719.00 | ↑ +15% |
| MOLINA | Managed Medicaid | $4,805.69 | ↑ +18% |
| ANTHEM | Managed Medicaid | $4,805.69 | ↑ +18% |
| UNITED | Managed Medicaid | $4,897.23 | ↑ +20% |
| Aetna | Asa | $5,033.60 | ↑ +23% |
| MMO | NASCO | $5,033.60 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $5,033.60 | ↑ +23% |
| United BH | Managed Medicaid | $5,034.54 | ↑ +23% |
| CIGNA | ALL PRODUCTS | $5,597.00 | ↑ +37% |
| USA Managed Care | All Products | $5,662.80 | ↑ +38% |
| Multiplan | All Products | $5,662.80 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $6,206.54 | ↑ +52% |
| Aetna | Qhp/Ifp | $6,292.00 | ↑ +54% |
| OPTUM | Medicare Advantage Transplant | $6,622.52 | ↑ +62% |
| HUMANA | Medicare Advantage HMO | $6,622.52 | ↑ +62% |
| MMO | Medicare Advantage HMO | $6,622.52 | ↑ +62% |
| The Health Plan | MEDICARE ADVANTAGE | $6,622.52 | ↑ +62% |
| OPTUM | All Products VA | $6,622.52 | ↑ +62% |
| MMO | Medicare Advantage PPO | $6,821.20 | ↑ +67% |
| UPMC | MEDICARE ADVANTAGE | $6,864.94 | ↑ +68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $6,864.94 | ↑ +68% |
| ANTHEM | MEDICARE ADVANTAGE | $6,864.94 | ↑ +68% |
| CIGNA | Medicare Advantage Lifesource | $6,864.94 | ↑ +68% |
| AETNA | MEDICARE ADVANTAGE | $6,864.94 | ↑ +68% |
| Summacare | MEDICARE ADVANTAGE | $6,864.94 | ↑ +68% |
| Valor | ALL PRODUCTS | $6,864.94 | ↑ +68% |
| CIGNA | MEDICARE ADVANTAGE | $7,070.89 | ↑ +73% |
| Perennial Health | MEDICARE ADVANTAGE | $7,152.33 | ↑ +75% |
| CommuniCare | MEDICARE ADVANTAGE | $7,208.19 | ↑ +76% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,414.13 | ↑ +81% |
| PPHP | ALL PRODUCTS | $7,551.43 | ↑ +85% |
| MMO | ALL PRODUCTS | $7,813.00 | ↑ +91% |
| UNITED | ALL PRODUCTS | $9,457.00 | ↑ +131% |
| ANTHEM | PPO/HMO | $11,170.00 | ↑ +173% |
| MMO | SuperMed | $20,863.78 | ↑ +410% |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Mid-Level | 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 | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Knee arthroscopy/surgery at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $6,043.19 – $6,997.38 |
| fairview hospital | Cleveland | not published | $3,562.64 – $7,551.43 |
| lutheran hospital | Cleveland | not published | $3,321.00 – $7,551.43 |
| akron general | Akron | $4,089.80 | $1.10 – $7,128.72 |
| mercy hospital | Canton | $4,089.80 | $1.10 – $7,070.89 |
| avon hospital | Avon | not published | $3,701.48 – $7,551.43 |
| euclid hospital | Euclid | not published | $3,792.27 – $7,551.43 |
| hillcrest hospital | Mayfield Heights | not published | $3,711.72 – $7,551.43 |