Nasal/sinus sphenoid endoscopy dx 31235 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$5,156.45
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.
$7,933.00
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 $7,933.00 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% |
| AETNA | Medicare Advantage Transplant | $177.90 | ↓ -97% |
| AETNA | All Products Transplant | $199.49 | ↓ -96% |
| OPTUM | Managed Medicaid Transplant | $1,416.09 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $1,472.47 | ↓ -71% |
| CARESOURCE | Managed Medicaid | $1,490.62 | ↓ -71% |
| Paramount | Managed Medicaid | $1,535.34 | ↓ -70% |
| MOLINA | Managed Medicaid | $1,565.15 | ↓ -70% |
| Buckeye | Managed Medicaid | $1,565.15 | ↓ -70% |
| ANTHEM | Managed Medicaid | $1,565.15 | ↓ -70% |
| UNITED | Managed Medicaid | $1,594.96 | ↓ -69% |
| MMO | Medicare Advantage HMO | $1,598.65 | ↓ -69% |
| OPTUM | All Products VA | $1,598.65 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $1,598.65 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $1,598.65 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $1,598.65 | ↓ -69% |
| United BH | Managed Medicaid | $1,639.68 | ↓ -68% |
| MMO | Medicare Advantage PPO | $1,646.61 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,683.92 | ↓ -67% |
| Valor | ALL PRODUCTS | $1,683.92 | ↓ -67% |
| UPMC | MEDICARE ADVANTAGE | $1,683.92 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $1,683.92 | ↓ -67% |
| ANTHEM | MEDICARE ADVANTAGE | $1,683.92 | ↓ -67% |
| Summacare | MEDICARE ADVANTAGE | $1,683.92 | ↓ -67% |
| CIGNA | Medicare Advantage Lifesource | $1,683.92 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $1,726.54 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $1,734.44 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $1,768.12 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,818.63 | ↓ -65% |
| Zing Health | Medicare Advantage | $1,852.31 | ↓ -64% |
| PPHP | ALL PRODUCTS | $1,852.31 | ↓ -64% |
| CC EHP | ALL PRODUCTS | $2,205.37 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $2,243.45 | ↓ -56% |
| CIGNA | ALL PRODUCTS | $2,351.00 | ↓ -54% |
| PHP | ALL PRODUCTS | $2,538.56 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $2,538.56 | ↓ -51% |
| Summacare | Preferred | $3,331.86 | ↓ -35% |
| Aultcare | PPO/HMO | $3,474.65 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,569.85 | ↓ -31% |
| Summacare | PREMIER | $3,617.45 | ↓ -30% |
| ANTHEM | HPN | $3,653.15 | ↓ -29% |
| OHCP | ALL PRODUCTS | $3,855.44 | ↓ -25% |
| OMAS | ALL PRODUCTS | $3,966.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $4,283.82 | ↓ -17% |
| ANTHEM | PPO/HMO | $4,298.10 | ↓ -17% |
| AETNA | International | $4,337.00 | ↓ -16% |
| HEALTHSMART | ALL PRODUCTS | $4,363.15 | ↓ -15% |
| MMO | ALL PRODUCTS | $4,392.00 | ↓ -15% |
| OPTUM | All Products Transplant | $4,490.08 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $4,759.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $4,759.80 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $4,783.60 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $4,783.60 | ↓ -7% |
| AETNA | Acop | $4,966.06 | ↓ -4% |
| MMO | TRADITIONAL | $4,989.86 | ↓ -3% |
| MMO | NASCO | $4,989.86 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $5,156.45 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $5,156.45 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $5,553.10 | ↑ +8% |
| GMS | ALL PRODUCTS | $5,553.10 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $5,553.10 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $5,553.10 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $5,553.10 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $5,553.10 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $5,624.50 | ↑ +9% |
| CIGNA | PPO | $5,886.29 | ↑ +14% |
| Consociate Health | TRANSPLANT | $5,949.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $5,949.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $5,949.75 | ↑ +15% |
| ANTHEM | TRADITIONAL | $6,102.06 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $6,346.40 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $6,346.40 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $6,346.40 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $6,743.05 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $7,139.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $7,139.70 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $7,139.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $7,139.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $7,139.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $7,933.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
Visitor-reported prices
Comments
Nasal/sinus sphenoid endoscopy dx 31235 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $5,156.45 | $0.01 – $7,139.70 |
| lutheran hospital | Cleveland | $5,156.45 | $0.01 – $7,139.70 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,968.19 – $2,278.96 |
| akron general | Akron | $5,156.45 | $0.01 – $7,139.70 |
| avon hospital | Avon | $5,156.45 | $0.01 – $7,139.70 |
| euclid hospital | Euclid | $5,156.45 | $0.01 – $7,139.70 |
| hillcrest hospital | Mayfield Heights | $5,156.45 | $0.01 – $7,139.70 |
| marymount hospital | Garfield Heights | $5,156.45 | $0.01 – $7,139.70 |