Lap paraesophag hern repair at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$6,916.00
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.
$10,640.00
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 $30,022.29 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% |
| Optum | Managed Medicaid Transplant | $877.14 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $949.81 | ↓ -86% |
| Paramount | Managed Medicaid | $951.01 | ↓ -86% |
| Caresource | Managed Medicaid | $969.48 | ↓ -86% |
| Buckeye | Managed Medicaid | $969.48 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $1,015.64 | ↓ -85% |
| Molina | Managed Medicaid | $1,015.64 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $1,053.52 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $1,242.05 | ↓ -82% |
| United | Managed Medicaid | $1,259.44 | ↓ -82% |
| Summacare | Medicare Advantage MD | $1,388.18 | ↓ -80% |
| Humana | Medicare Advantage HMO | $1,404.69 | ↓ -80% |
| Valor | All Products | $1,404.69 | ↓ -80% |
| Aetna | Medicare Advantage | $1,404.69 | ↓ -80% |
| Aetna | Medicare Advantage Transplant | $1,404.69 | ↓ -80% |
| UPMC | Medicare Advantage | $1,404.69 | ↓ -80% |
| United | Medicare Advantage | $1,404.69 | ↓ -80% |
| The Health Plan | Medicare Advantage | $1,404.69 | ↓ -80% |
| Anthem | Medicare Advantage | $1,404.69 | ↓ -80% |
| Optum | Medicare Advantage Transplant | $1,404.69 | ↓ -80% |
| Cigna | Medicare Advantage | $1,446.83 | ↓ -79% |
| Devoted Health | Medicare Advantage | $1,461.24 | ↓ -79% |
| CommuniCare | Medicare Advantage | $1,474.92 | ↓ -79% |
| Perennial Health | Medicare Advantage | $1,517.07 | ↓ -78% |
| PPHP | All Products | $1,545.16 | ↓ -78% |
| Humana Military | All Products | $1,867.45 | ↓ -73% |
| Aetna | All Products Transplant | $1,883.46 | ↓ -73% |
| Anthem | All Products Mid-Level Facility | $2,079.20 | ↓ -70% |
| Anthem | All Products Mid-Level Non-Facility | $2,079.20 | ↓ -70% |
| Oscar | All Products | $2,703.62 | ↓ -61% |
| CC EHP | All Products | $2,776.36 | ↓ -60% |
| Summacare | Preferred | $3,333.17 | ↓ -52% |
| Summacare | Premier | $3,632.30 | ↓ -47% |
| Aetna | Acop | $3,788.98 | ↓ -45% |
| OHCP | All Products | $4,138.96 | ↓ -40% |
| United | All Products - Mid-Level | $4,200.81 | ↓ -39% |
| Ohio Healthy | Transplant | $4,256.00 | ↓ -38% |
| MMO | Medicare HMO | $4,432.80 | ↓ -36% |
| United | HMO & PPO | $4,527.64 | ↓ -35% |
| United | All Products | $4,527.64 | ↓ -35% |
| MMO | Medicare PPO | $4,565.78 | ↓ -34% |
| Aultcare | PPO/HMO | $4,660.32 | ↓ -33% |
| Amish Community Aid Plan | All Products | $4,788.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $4,990.16 | ↓ -28% |
| Anthem | All Products Physician | $5,280.73 | ↓ -24% |
| Anthem | All Products Physician Facility | $5,280.73 | ↓ -24% |
| Anthem | All Products Physician Non-Facility | $5,280.73 | ↓ -24% |
| OMAS | All Products | $5,320.00 | ↓ -23% |
| OPTUM | Managed Medicaid Transplant | $5,578.94 | ↓ -19% |
| Healthsmart | All Products | $5,852.00 | ↓ -15% |
| The Health Plan | All Products | $5,852.00 | ↓ -15% |
| CARESOURCE | Managed Medicaid | $5,872.57 | ↓ -15% |
| MOLINA | Managed Medicaid | $6,166.20 | ↓ -11% |
| ANTHEM | Managed Medicaid | $6,166.20 | ↓ -11% |
| Optum | All Products Transplant | $6,203.12 | ↓ -10% |
| UNITED | Managed Medicaid | $6,283.65 | ↓ -9% |
| UPMC | All Products | $6,384.00 | ↓ -8% |
| PHPHI | All Products | $6,384.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $6,458.48 | ↓ -7% |
| United BH | Managed Medicaid | $6,459.83 | ↓ -7% |
| Clarity Health | All Products | $6,916.00 | ↑ +0% |
| Three Rivers | All Products | $6,916.00 | ↑ +0% |
| Quality Care Partners | All Products | $7,448.00 | ↑ +8% |
| GMS | All Products | $7,448.00 | ↑ +8% |
| Aetna | All Products First Health | $7,980.00 | ↑ +15% |
| Consociate Health | All Products | $7,980.00 | ↑ +15% |
| MMO | NASCO | $8,512.00 | ↑ +23% |
| Aetna | Asa | $8,512.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $8,512.00 | ↑ +23% |
| UNITED | MEDICARE ADVANTAGE | $8,930.36 | ↑ +29% |
| Multiplan | All Products | $9,576.00 | ↑ +38% |
| USA Managed Care | All Products | $9,576.00 | ↑ +38% |
| HUMANA | Medicare Advantage HMO | $9,651.62 | ↑ +40% |
| MMO | Medicare Advantage HMO | $9,651.62 | ↑ +40% |
| The Health Plan | MEDICARE ADVANTAGE | $9,651.62 | ↑ +40% |
| OPTUM | Medicare Advantage Transplant | $9,651.62 | ↑ +40% |
| OPTUM | All Products VA | $9,651.62 | ↑ +40% |
| MMO | Medicare Advantage PPO | $9,941.17 | ↑ +44% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $10,056.64 | ↑ +45% |
| Summacare | MEDICARE ADVANTAGE | $10,056.64 | ↑ +45% |
| ANTHEM | MEDICARE ADVANTAGE | $10,056.64 | ↑ +45% |
| CIGNA | Medicare Advantage Lifesource | $10,056.64 | ↑ +45% |
| AETNA | MEDICARE ADVANTAGE | $10,056.64 | ↑ +45% |
| UPMC | MEDICARE ADVANTAGE | $10,056.64 | ↑ +45% |
| Valor | ALL PRODUCTS | $10,056.64 | ↑ +45% |
| CIGNA | MEDICARE ADVANTAGE | $10,358.34 | ↑ +50% |
| Perennial Health | MEDICARE ADVANTAGE | $10,423.75 | ↑ +51% |
| CommuniCare | MEDICARE ADVANTAGE | $10,559.47 | ↑ +53% |
| Aetna | Qhp/Ifp | $10,640.00 | ↑ +54% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $10,861.17 | ↑ +57% |
| PPHP | ALL PRODUCTS | $11,062.31 | ↑ +60% |
| MMO | ALL PRODUCTS | $26,873.26 | ↑ +289% |
| MMO | SuperMed | $30,022.29 | ↑ +334% |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| Cigna | All Products Physician | 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
Lap paraesophag hern repair at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,754.04 – $8,978.37 |
| fairview hospital | Cleveland | not published | $4,571.25 – $11,062.31 |
| lutheran hospital | Cleveland | not published | $4,351.98 – $11,062.31 |
| Jewish Hospital | Cincinnati | $63,677.76 | $10,358.99 – $10,566.17 |
| Anderson Hospital | Cincinnati | $50,902.80 | $10,358.99 – $10,358.99 |
| akron general | Akron | $6,916.00 | $1.10 – $10,389.34 |
| mercy hospital | Canton | $6,916.00 | $1.10 – $10,358.34 |
| Springfield Medical Center | Springfield | $43,555.81 | $10,203.25 – $10,407.32 |