healthcosts.net
Lmtd oph exam general anes at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$340.60
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.
$524.00
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 $6,813.79 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 | $2.94 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $35.66 | ↓ -90% |
| Paramount | Managed Medicaid | $38.67 | ↓ -89% |
| Caresource | Managed Medicaid | $39.42 | ↓ -88% |
| Buckeye | Managed Medicaid | $39.42 | ↓ -88% |
| Molina | Managed Medicaid | $41.29 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $41.29 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $43.40 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $44.14 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $57.72 | ↓ -83% |
| Humana | Medicare Advantage HMO | $57.87 | ↓ -83% |
| Valor | All Products | $57.87 | ↓ -83% |
| Aetna | Medicare Advantage | $57.87 | ↓ -83% |
| Aetna | Medicare Advantage Transplant | $57.87 | ↓ -83% |
| UPMC | Medicare Advantage | $57.87 | ↓ -83% |
| United | Medicare Advantage | $57.87 | ↓ -83% |
| The Health Plan | Medicare Advantage | $57.87 | ↓ -83% |
| Anthem | Medicare Advantage | $57.87 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $57.87 | ↓ -83% |
| United | Managed Medicaid | $59.29 | ↓ -83% |
| Cigna | Medicare Advantage | $59.61 | ↓ -82% |
| CommuniCare | Medicare Advantage | $60.76 | ↓ -82% |
| Perennial Health | Medicare Advantage | $62.50 | ↓ -82% |
| PPHP | All Products | $63.66 | ↓ -81% |
| Summacare | Medicare Advantage MD | $64.51 | ↓ -81% |
| Devoted Health | Medicare Advantage | $67.91 | ↓ -80% |
| Humana Military | All Products | $92.84 | ↓ -73% |
| Aetna | All Products Transplant | $93.11 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $94.31 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $94.31 | ↓ -72% |
| CC EHP | All Products | $129.03 | ↓ -62% |
| Oscar | All Products | $133.15 | ↓ -61% |
| Summacare | Preferred | $137.55 | ↓ -60% |
| Aetna | Acop | $144.01 | ↓ -58% |
| Summacare | Premier | $149.89 | ↓ -56% |
| United | All Products - Mid-Level | $158.53 | ↓ -53% |
| United | All Products | $166.37 | ↓ -51% |
| United | HMO & PPO | $166.37 | ↓ -51% |
| OPTUM | Managed Medicaid Transplant | $198.21 | ↓ -42% |
| OHCP | All Products | $203.84 | ↓ -40% |
| CARESOURCE | Managed Medicaid | $208.64 | ↓ -39% |
| Ohio Healthy | Transplant | $209.60 | ↓ -38% |
| MMO | Medicare HMO | $216.97 | ↓ -36% |
| MOLINA | Managed Medicaid | $219.07 | ↓ -36% |
| ANTHEM | Managed Medicaid | $219.07 | ↓ -36% |
| UNITED | Managed Medicaid | $223.24 | ↓ -34% |
| MMO | Medicare PPO | $223.48 | ↓ -34% |
| United BH | Managed Medicaid | $229.50 | ↓ -33% |
| Aultcare | PPO/HMO | $229.51 | ↓ -33% |
| Amish Community Aid Plan | All Products | $235.80 | ↓ -31% |
| Anthem | All Products Physician | $239.51 | ↓ -30% |
| Anthem | All Products Physician Facility | $239.51 | ↓ -30% |
| Anthem | All Products Physician Non-Facility | $239.51 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $245.76 | ↓ -28% |
| OMAS | All Products | $262.00 | ↓ -23% |
| Healthsmart | All Products | $288.20 | ↓ -15% |
| The Health Plan | All Products | $288.20 | ↓ -15% |
| Optum | All Products Transplant | $305.49 | ↓ -10% |
| PHPHI | All Products | $314.40 | ↓ -8% |
| UPMC | All Products | $314.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $318.07 | ↓ -7% |
| Three Rivers | All Products | $340.60 | ↑ +0% |
| Clarity Health | All Products | $340.60 | ↑ +0% |
| Quality Care Partners | All Products | $366.80 | ↑ +8% |
| GMS | All Products | $366.80 | ↑ +8% |
| Aetna | All Products First Health | $393.00 | ↑ +15% |
| Consociate Health | All Products | $393.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $419.20 | ↑ +23% |
| MMO | NASCO | $419.20 | ↑ +23% |
| Aetna | Asa | $419.20 | ↑ +23% |
| Multiplan | All Products | $471.60 | ↑ +38% |
| USA Managed Care | All Products | $471.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $524.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $2,027.30 | ↑ +495% |
| OPTUM | Medicare Advantage Transplant | $2,162.75 | ↑ +535% |
| OPTUM | All Products VA | $2,162.75 | ↑ +535% |
| HUMANA | Medicare Advantage HMO | $2,162.75 | ↑ +535% |
| MMO | Medicare Advantage HMO | $2,162.75 | ↑ +535% |
| The Health Plan | MEDICARE ADVANTAGE | $2,162.75 | ↑ +535% |
| MMO | Medicare Advantage PPO | $2,227.63 | ↑ +554% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,249.28 | ↑ +560% |
| Summacare | MEDICARE ADVANTAGE | $2,249.28 | ↑ +560% |
| ANTHEM | MEDICARE ADVANTAGE | $2,249.28 | ↑ +560% |
| CIGNA | Medicare Advantage Lifesource | $2,249.28 | ↑ +560% |
| AETNA | MEDICARE ADVANTAGE | $2,249.28 | ↑ +560% |
| UPMC | MEDICARE ADVANTAGE | $2,249.28 | ↑ +560% |
| Valor | ALL PRODUCTS | $2,249.28 | ↑ +560% |
| CIGNA | MEDICARE ADVANTAGE | $2,316.76 | ↑ +580% |
| Perennial Health | MEDICARE ADVANTAGE | $2,335.77 | ↑ +586% |
| CommuniCare | MEDICARE ADVANTAGE | $2,361.75 | ↑ +593% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,429.23 | ↑ +613% |
| PPHP | ALL PRODUCTS | $2,474.21 | ↑ +626% |
| MMO | ALL PRODUCTS | $6,100.56 | ↑ +1691% |
| MMO | SuperMed | $6,813.79 | ↑ +1901% |
| Cigna | All Products Mid-Level | 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 PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
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Lmtd oph exam general anes at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $275.48 – $318.98 |
| fairview hospital | Cleveland | not published | $162.40 – $2,474.21 |
| lutheran hospital | Cleveland | not published | $154.61 – $2,474.21 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $1,767.00 | $2,249.28 – $4,048.71 |
| akron general | Akron | not published | $157.33 – $2,474.21 |
| avon hospital | Avon | not published | $168.74 – $2,474.21 |
| euclid hospital | Euclid | not published | $172.87 – $2,474.21 |
| hillcrest hospital | Mayfield Heights | not published | $169.20 – $2,474.21 |