Nasal/sinus endo w/ethmoidectomy part 31254 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$20,697.95
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.
$31,843.00
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.
$0.01 with UNITED vs $31,843.00 with AETNA — 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 |
|---|---|---|---|
| UNITED | All Products International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $148.99 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $152.14 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $194.84 | ↓ -99% |
| UPMC | Medicare Advantage | $202.85 | ↓ -99% |
| Optum | Medicare Advantage Transplant | $202.85 | ↓ -99% |
| Aetna | Medicare Advantage Transplant | $202.85 | ↓ -99% |
| Humana | Medicare Advantage HMO | $202.85 | ↓ -99% |
| Aetna | Medicare Advantage | $202.85 | ↓ -99% |
| United | Medicare Advantage | $202.85 | ↓ -99% |
| Valor | All Products | $202.85 | ↓ -99% |
| The Health Plan | Medicare Advantage | $202.85 | ↓ -99% |
| Anthem | Medicare Advantage | $202.85 | ↓ -99% |
| Cigna | Medicare Advantage | $208.94 | ↓ -99% |
| CommuniCare | Medicare Advantage | $212.99 | ↓ -99% |
| Summacare | Medicare Advantage MD | $217.76 | ↓ -99% |
| Perennial Health | Medicare Advantage | $219.08 | ↓ -99% |
| PPHP | All Products | $223.14 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $224.49 | ↓ -99% |
| Devoted Health | Medicare Advantage | $229.22 | ↓ -99% |
| Paramount | Managed Medicaid | $243.40 | ↓ -99% |
| Buckeye | Managed Medicaid | $248.13 | ↓ -99% |
| Caresource | Managed Medicaid | $248.13 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $259.94 | ↓ -99% |
| Molina | Managed Medicaid | $259.94 | ↓ -99% |
| AETNA | Medicare Advantage Transplant | $269.26 | ↓ -99% |
| Humana Military | All Products | $302.78 | ↓ -99% |
| AETNA | All Products Transplant | $305.44 | ↓ -99% |
| Aetna | All Products Transplant | $305.44 | ↓ -99% |
| Anthem | All Products Mid-Level Facility | $325.41 | ↓ -98% |
| United | Managed Medicaid | $328.38 | ↓ -98% |
| CC EHP | All Products | $435.52 | ↓ -98% |
| Oscar | All Products | $477.45 | ↓ -98% |
| Summacare | Preferred | $481.36 | ↓ -98% |
| Summacare | Premier | $524.56 | ↓ -97% |
| Aetna | Acop | $547.19 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $577.25 | ↓ -97% |
| OHCP | All Products | $730.93 | ↓ -96% |
| MMO | Medicare HMO | $744.16 | ↓ -96% |
| Ohio Healthy | Transplant | $751.60 | ↓ -96% |
| MMO | Medicare PPO | $766.48 | ↓ -96% |
| Aultcare | PPO/HMO | $823.00 | ↓ -96% |
| Anthem | All Products Physician Facility | $826.48 | ↓ -96% |
| Anthem | All Products Physician | $826.48 | ↓ -96% |
| Amish Community Aid Plan | All Products | $845.55 | ↓ -96% |
| Optum | Commercial CRS Care Solutions | $881.25 | ↓ -96% |
| OMAS | All Products | $939.50 | ↓ -95% |
| The Health Plan | All Products | $1,033.45 | ↓ -95% |
| Healthsmart | All Products | $1,033.45 | ↓ -95% |
| Optum | All Products Transplant | $1,095.46 | ↓ -95% |
| UPMC | All Products | $1,127.40 | ↓ -95% |
| PHPHI | All Products | $1,127.40 | ↓ -95% |
| Optum | Commercial CHD Care Solutions | $1,140.55 | ↓ -94% |
| United | All Products - Mid-Level | $1,158.04 | ↓ -94% |
| Cigna | All Products Mid-Level | $1,193.18 | ↓ -94% |
| Clarity Health | All Products | $1,221.35 | ↓ -94% |
| Three Rivers | All Products | $1,221.35 | ↓ -94% |
| United | HMO & PPO | $1,248.14 | ↓ -94% |
| United | All Products | $1,248.14 | ↓ -94% |
| GMS | All Products | $1,315.30 | ↓ -94% |
| Quality Care Partners | All Products | $1,315.30 | ↓ -94% |
| Cigna | All Products Physician | $1,403.64 | ↓ -93% |
| Aetna | All Products First Health | $1,409.25 | ↓ -93% |
| Consociate Health | All Products | $1,409.25 | ↓ -93% |
| Anthem | All Products Physician Non-Facility | $1,466.11 | ↓ -93% |
| MMO | NASCO | $1,503.20 | ↓ -93% |
| Aetna | Asa | $1,503.20 | ↓ -93% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,503.20 | ↓ -93% |
| OPTUM | Managed Medicaid Transplant | $1,558.40 | ↓ -92% |
| CARESOURCE | Managed Medicaid | $1,640.42 | ↓ -92% |
| Multiplan | All Products | $1,691.10 | ↓ -92% |
| USA Managed Care | All Products | $1,691.10 | ↓ -92% |
| ANTHEM | Managed Medicaid | $1,722.44 | ↓ -92% |
| MOLINA | Managed Medicaid | $1,722.44 | ↓ -92% |
| UNITED | Managed Medicaid | $1,755.25 | ↓ -92% |
| United BH | Managed Medicaid | $1,804.46 | ↓ -91% |
| Aetna | Qhp/Ifp | $1,879.00 | ↓ -91% |
| CIGNA | ALL PRODUCTS | $5,597.00 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $5,937.80 | ↓ -71% |
| MMO | Medicare Advantage HMO | $6,417.41 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $6,417.41 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $6,417.41 | ↓ -69% |
| OPTUM | All Products VA | $6,417.41 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $6,417.41 | ↓ -69% |
| MMO | Medicare Advantage PPO | $6,609.93 | ↓ -68% |
| CIGNA | Medicare Advantage Lifesource | $6,676.90 | ↓ -68% |
| Valor | ALL PRODUCTS | $6,676.90 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $6,676.90 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $6,676.90 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $6,676.90 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $6,676.90 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $6,676.90 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $6,877.21 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $6,930.80 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $7,010.75 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,211.05 | ↓ -65% |
| AETNA | Asa_Whirlpool_Peia | $7,342.00 | ↓ -65% |
| PPHP | ALL PRODUCTS | $7,344.59 | ↓ -65% |
| MMO | ALL PRODUCTS | $7,813.00 | ↓ -62% |
| AETNA | International | $7,966.00 | ↓ -62% |
| CC EHP | ALL PRODUCTS | $8,852.35 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $9,005.20 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $10,189.76 | ↓ -51% |
| PHP | ALL PRODUCTS | $10,189.76 | ↓ -51% |
| Amish Community Aid Plan | ALL PRODUCTS | $14,329.35 | ↓ -31% |
| Summacare | PREMIER | $14,520.41 | ↓ -30% |
| ANTHEM | HPN | $14,663.70 | ↓ -29% |
| OHCP | ALL PRODUCTS | $15,475.70 | ↓ -25% |
| OMAS | ALL PRODUCTS | $15,921.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $17,195.22 | ↓ -17% |
| ANTHEM | PPO/HMO | $17,252.54 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $17,513.65 | ↓ -15% |
| OPTUM | All Products Transplant | $18,023.14 | ↓ -13% |
| UPMC | ALL PRODUCTS | $19,105.80 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $19,105.80 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $19,201.33 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $19,201.33 | ↓ -7% |
| AETNA | Acop | $19,933.72 | ↓ -4% |
| MMO | SuperMed | $19,960.78 | ↓ -4% |
| MMO | TRADITIONAL | $20,029.25 | ↓ -3% |
| Clarity Health | ALL PRODUCTS | $20,697.95 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $20,697.95 | ↑ +0% |
| Ohio Healthy | Transplant SMCP | $22,290.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $22,290.10 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $22,290.10 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $22,290.10 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $22,290.10 | ↑ +8% |
| GMS | ALL PRODUCTS | $22,290.10 | ↑ +8% |
| CIGNA | PPO | $23,627.51 | ↑ +14% |
| AETNA | ALL PRODUCTS | $23,882.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $23,882.25 | ↑ +15% |
| Consociate Health | TRANSPLANT | $23,882.25 | ↑ +15% |
| ANTHEM | TRADITIONAL | $24,493.64 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $25,474.40 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $25,474.40 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $27,066.55 | ↑ +31% |
| MULTIPLAN | ALL PRODUCTS | $28,658.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $28,658.70 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $28,658.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $28,658.70 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $28,658.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $31,843.00 | ↑ +54% |
| AETNA | NAP | 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 | — |
| 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 | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Nasal/sinus endo w/ethmoidectomy part 31254 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,165.99 – $2,507.99 |
| fairview hospital | Cleveland | not published | $1,276.91 – $7,344.59 |
| lutheran hospital | Cleveland | not published | $1,215.67 – $7,344.59 |
| Jewish Hospital | Cincinnati | $23,432.55 | $6,877.64 – $7,015.19 |
| Anderson Hospital | Cincinnati | $21,195.65 | $6,877.64 – $7,015.19 |
| Kings Mills Hospital | Mason | $19,270.75 | $6,877.64 – $6,877.64 |
| Mercy West Hospital | Cincinnati | $32,260.03 | $6,997.04 – $7,136.98 |
| St Ritas Medical Center | Lima | $44,729.42 | $6,997.04 – $6,997.04 |