Lengthening of palate+pharyngeal flap 42226 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,691.00
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.
$4,140.00
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 $17,080.38 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 | $525.14 | ↓ -80% |
| Summacare | Medicare Advantage Lower Level | $547.65 | ↓ -80% |
| Paramount | Managed Medicaid | $569.36 | ↓ -79% |
| Buckeye | Managed Medicaid | $580.42 | ↓ -78% |
| Caresource | Managed Medicaid | $580.42 | ↓ -78% |
| Summacare | Medicare Advantage Psych | $600.02 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $608.06 | ↓ -77% |
| Molina | Managed Medicaid | $608.06 | ↓ -77% |
| Summacare | Medicare Advantage CNA | $716.16 | ↓ -73% |
| United | Managed Medicaid | $748.02 | ↓ -72% |
| The Health Plan | Medicare Advantage | $800.03 | ↓ -70% |
| Humana | Medicare Advantage HMO | $800.03 | ↓ -70% |
| Valor | All Products | $800.03 | ↓ -70% |
| Aetna | Medicare Advantage | $800.03 | ↓ -70% |
| Aetna | Medicare Advantage Transplant | $800.03 | ↓ -70% |
| UPMC | Medicare Advantage | $800.03 | ↓ -70% |
| United | Medicare Advantage | $800.03 | ↓ -70% |
| Anthem | Medicare Advantage | $800.03 | ↓ -70% |
| Optum | Medicare Advantage Transplant | $800.03 | ↓ -70% |
| Summacare | Medicare Advantage MD | $800.41 | ↓ -70% |
| Cigna | Medicare Advantage | $824.03 | ↓ -69% |
| CommuniCare | Medicare Advantage | $840.03 | ↓ -69% |
| Devoted Health | Medicare Advantage | $842.54 | ↓ -69% |
| Perennial Health | Medicare Advantage | $864.03 | ↓ -68% |
| PPHP | All Products | $880.03 | ↓ -67% |
| Oscar | All Products | $1,051.97 | ↓ -61% |
| Humana Military | All Products | $1,116.30 | ↓ -59% |
| Aetna | All Products Transplant | $1,124.28 | ↓ -58% |
| Anthem | All Products Mid-Level Non-Facility | $1,199.67 | ↓ -55% |
| Anthem | All Products Mid-Level Facility | $1,199.67 | ↓ -55% |
| CC EHP | All Products | $1,600.83 | ↓ -41% |
| OHCP | All Products | $1,610.46 | ↓ -40% |
| Ohio Healthy | Transplant | $1,656.00 | ↓ -38% |
| Aultcare | PPO/HMO | $1,813.32 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,863.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,941.66 | ↓ -28% |
| Summacare | Preferred | $1,952.94 | ↓ -27% |
| OMAS | All Products | $2,070.00 | ↓ -23% |
| Summacare | Premier | $2,128.20 | ↓ -21% |
| Aetna | Acop | $2,220.01 | ↓ -18% |
| The Health Plan | All Products | $2,277.00 | ↓ -15% |
| Healthsmart | All Products | $2,277.00 | ↓ -15% |
| Optum | All Products Transplant | $2,413.62 | ↓ -10% |
| United | All Products - Mid-Level | $2,420.37 | ↓ -10% |
| MMO | Medicare HMO | $2,447.57 | ↓ -9% |
| UPMC | All Products | $2,484.00 | ↓ -8% |
| PHPHI | All Products | $2,484.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $2,512.98 | ↓ -7% |
| MMO | Medicare PPO | $2,521.00 | ↓ -6% |
| United | All Products | $2,608.68 | ↓ -3% |
| United | HMO & PPO | $2,608.68 | ↓ -3% |
| Clarity Health | All Products | $2,691.00 | ↑ +0% |
| Three Rivers | All Products | $2,691.00 | ↑ +0% |
| Quality Care Partners | All Products | $2,898.00 | ↑ +8% |
| GMS | All Products | $2,898.00 | ↑ +8% |
| Anthem | All Products Physician Non-Facility | $3,046.92 | ↑ +13% |
| Anthem | All Products Physician | $3,046.92 | ↑ +13% |
| Anthem | All Products Physician Facility | $3,046.92 | ↑ +13% |
| Aetna | All Products First Health | $3,105.00 | ↑ +15% |
| Consociate Health | All Products | $3,105.00 | ↑ +15% |
| MMO | NASCO | $3,312.00 | ↑ +23% |
| Aetna | Asa | $3,312.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,312.00 | ↑ +23% |
| OPTUM | Managed Medicaid Transplant | $3,314.27 | ↑ +23% |
| CARESOURCE | Managed Medicaid | $3,488.70 | ↑ +30% |
| MOLINA | Managed Medicaid | $3,663.14 | ↑ +36% |
| ANTHEM | Managed Medicaid | $3,663.14 | ↑ +36% |
| Multiplan | All Products | $3,726.00 | ↑ +38% |
| USA Managed Care | All Products | $3,726.00 | ↑ +38% |
| UNITED | Managed Medicaid | $3,732.91 | ↑ +39% |
| United BH | Managed Medicaid | $3,837.57 | ↑ +43% |
| Aetna | Qhp/Ifp | $4,140.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $5,080.55 | ↑ +89% |
| OPTUM | Medicare Advantage Transplant | $5,484.05 | ↑ +104% |
| MMO | Medicare Advantage HMO | $5,484.05 | ↑ +104% |
| OPTUM | All Products VA | $5,484.05 | ↑ +104% |
| HUMANA | Medicare Advantage HMO | $5,484.05 | ↑ +104% |
| The Health Plan | MEDICARE ADVANTAGE | $5,484.05 | ↑ +104% |
| ANTHEM | MEDICARE ADVANTAGE | $5,600.62 | ↑ +108% |
| Summacare | MEDICARE ADVANTAGE | $5,600.62 | ↑ +108% |
| CIGNA | Medicare Advantage Lifesource | $5,600.62 | ↑ +108% |
| AETNA | MEDICARE ADVANTAGE | $5,600.62 | ↑ +108% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,600.62 | ↑ +108% |
| UPMC | MEDICARE ADVANTAGE | $5,600.62 | ↑ +108% |
| Valor | ALL PRODUCTS | $5,600.62 | ↑ +108% |
| MMO | Medicare Advantage PPO | $5,648.58 | ↑ +110% |
| CIGNA | MEDICARE ADVANTAGE | $5,768.63 | ↑ +114% |
| CommuniCare | MEDICARE ADVANTAGE | $5,880.65 | ↑ +119% |
| Perennial Health | MEDICARE ADVANTAGE | $5,922.78 | ↑ +120% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,048.66 | ↑ +125% |
| PPHP | ALL PRODUCTS | $6,160.68 | ↑ +129% |
| MMO | SuperMed | $17,080.38 | ↑ +535% |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Lengthening of palate+pharyngeal flap 42226 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,606.43 – $5,333.76 |
| fairview hospital | Cleveland | not published | $2,715.63 – $6,160.68 |
| lutheran hospital | Cleveland | not published | $2,585.37 – $6,160.68 |
| akron general | Akron | not published | $2,630.78 – $6,160.68 |
| avon hospital | Avon | not published | $2,821.46 – $6,160.68 |
| euclid hospital | Euclid | not published | $2,890.66 – $6,160.68 |
| hillcrest hospital | Mayfield Heights | not published | $2,829.26 – $6,160.68 |
| lodi hospital | Lodi | not published | $4,413.91 – $5,110.84 |