Npsy tst eval phsy/qhp ea l hr at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$560.30
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.
?
What you pay up front if you don't use insurance.
$862.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $862.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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% |
| Summacare | Medicare Advantage Lower Level | $46.87 | ↓ -92% |
| Summacare | Medicare Advantage Psych | $52.84 | ↓ -91% |
| Summacare | Medicare Advantage CNA | $61.29 | ↓ -89% |
| Optum | Managed Medicaid Transplant | $61.50 | ↓ -89% |
| Paramount | Managed Medicaid | $66.68 | ↓ -88% |
| Caresource | Managed Medicaid | $67.98 | ↓ -88% |
| Buckeye | Managed Medicaid | $67.98 | ↓ -88% |
| Summacare | Medicare Advantage MD | $68.50 | ↓ -88% |
| Optum | Medicare Advantage Transplant | $70.45 | ↓ -87% |
| The Health Plan | Medicare Advantage | $70.45 | ↓ -87% |
| Aetna | Medicare Advantage Transplant | $70.45 | ↓ -87% |
| UPMC | Medicare Advantage | $70.45 | ↓ -87% |
| Humana | Medicare Advantage HMO | $70.45 | ↓ -87% |
| United | Medicare Advantage | $70.45 | ↓ -87% |
| Aetna | Medicare Advantage | $70.45 | ↓ -87% |
| Anthem | Medicare Advantage | $70.45 | ↓ -87% |
| Valor | All Products | $70.45 | ↓ -87% |
| Molina | Managed Medicaid | $71.21 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $71.21 | ↓ -87% |
| Devoted Health | Medicare Advantage | $72.10 | ↓ -87% |
| Cigna | Medicare Advantage | $72.56 | ↓ -87% |
| CommuniCare | Medicare Advantage | $73.97 | ↓ -87% |
| Perennial Health | Medicare Advantage | $76.09 | ↓ -86% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $77.25 | ↓ -86% |
| PPHP | All Products | $77.50 | ↓ -86% |
| United | Managed Medicaid | $78.96 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $85.02 | ↓ -85% |
| AETNA | Medicare Advantage Transplant | $103.19 | ↓ -82% |
| Anthem | All Products Mid-Level Facility | $103.26 | ↓ -82% |
| Humana Military | All Products | $104.61 | ↓ -81% |
| AETNA | All Products Transplant | $106.09 | ↓ -81% |
| Aetna | All Products Transplant | $106.09 | ↓ -81% |
| CC EHP | ALL PRODUCTS | $108.42 | ↓ -81% |
| OSCAR | ALL PRODUCTS | $110.29 | ↓ -80% |
| United BH | All Products MD | $122.57 | ↓ -78% |
| PHPHI | ALL PRODUCTS | $124.80 | ↓ -78% |
| PHP | ALL PRODUCTS | $124.80 | ↓ -78% |
| Anthem | All Products Mid-Level Non-Facility | $130.99 | ↓ -77% |
| CC EHP | All Products | $136.99 | ↓ -76% |
| AETNA | Asa_Whirlpool_Peia | $147.81 | ↓ -74% |
| Summacare | Preferred | $163.80 | ↓ -71% |
| Aultcare | PPO/HMO | $170.82 | ↓ -70% |
| Aetna | Acop | $172.65 | ↓ -69% |
| Amish Community Aid Plan | ALL PRODUCTS | $175.50 | ↓ -69% |
| ANTHEM | HPN | $176.05 | ↓ -69% |
| Summacare | PREMIER | $177.84 | ↓ -68% |
| Summacare | Premier | $179.70 | ↓ -68% |
| OHCP | ALL PRODUCTS | $189.54 | ↓ -66% |
| CIGNA | ALL PRODUCTS | $191.10 | ↓ -66% |
| OMAS | ALL PRODUCTS | $195.00 | ↓ -65% |
| United BH | All Products PHD | $202.83 | ↓ -64% |
| OPTUM | Managed Medicaid Transplant | $206.37 | ↓ -63% |
| ANTHEM | PPO/HMO | $207.13 | ↓ -63% |
| Ohio Healthy | TRANSPLANT | $210.60 | ↓ -62% |
| HEALTHSMART | ALL PRODUCTS | $214.50 | ↓ -62% |
| CARESOURCE | Managed Medicaid | $217.23 | ↓ -61% |
| Oscar | All Products | $219.03 | ↓ -61% |
| OPTUM | All Products Transplant | $220.74 | ↓ -61% |
| ANTHEM | Managed Medicaid | $228.09 | ↓ -59% |
| MOLINA | Managed Medicaid | $228.09 | ↓ -59% |
| UNITED | Managed Medicaid | $232.44 | ↓ -59% |
| AETNA | Acop | $234.00 | ↓ -58% |
| The Health Plan | ALL PRODUCTS | $234.00 | ↓ -58% |
| UPMC | ALL PRODUCTS | $234.00 | ↓ -58% |
| OPTUM | Commercial CHD Care Solutions | $235.17 | ↓ -58% |
| OPTUM | Commercial CRS Care Solutions | $235.17 | ↓ -58% |
| United BH | Managed Medicaid | $238.95 | ↓ -57% |
| Cigna | All Products Mid-Level | $241.69 | ↓ -57% |
| MMO | NASCO | $245.31 | ↓ -56% |
| MMO | TRADITIONAL | $245.31 | ↓ -56% |
| United | All Products - Mid-Level | $246.05 | ↓ -56% |
| THREE RIVERS | ALL PRODUCTS | $253.50 | ↓ -55% |
| Clarity Health | ALL PRODUCTS | $253.50 | ↓ -55% |
| United | HMO & PPO | $260.04 | ↓ -54% |
| United | All Products | $260.04 | ↓ -54% |
| Anthem | All Products Physician Facility | $262.25 | ↓ -53% |
| Anthem | All Products Physician | $262.25 | ↓ -53% |
| UNITED | ALL PRODUCTS | $268.71 | ↓ -52% |
| MMO | Medicare HMO | $268.72 | ↓ -52% |
| GMS | ALL PRODUCTS | $273.00 | ↓ -51% |
| Quality Care Partners | Transplant SMCP | $273.00 | ↓ -51% |
| Parkview Health Plan | Transplant SMCP | $273.00 | ↓ -51% |
| Medical Benefit Corp | Transplant SMCP | $273.00 | ↓ -51% |
| Ohio Healthy | Transplant SMCP | $273.00 | ↓ -51% |
| Quality Care Partners | ALL PRODUCTS | $273.00 | ↓ -51% |
| MMO | Medicare PPO | $276.78 | ↓ -51% |
| AETNA | International | $280.41 | ↓ -50% |
| Cigna | All Products Physician | $284.35 | ↓ -49% |
| CIGNA | PPO | $289.38 | ↓ -48% |
| Consociate Health | ALL PRODUCTS | $292.50 | ↓ -48% |
| AETNA | ALL PRODUCTS | $292.50 | ↓ -48% |
| Consociate Health | TRANSPLANT | $292.50 | ↓ -48% |
| ANTHEM | TRADITIONAL | $299.99 | ↓ -46% |
| Community Health Alliance | ALL PRODUCTS | $312.00 | ↓ -44% |
| Community Health Alliance | TRANSPLANT | $312.00 | ↓ -44% |
| Humana Military | ALL PRODUCTS | $331.50 | ↓ -41% |
| UNITED | All Products International | $331.50 | ↓ -41% |
| Anthem | All Products Physician Non-Facility | $332.70 | ↓ -41% |
| OHCP | All Products | $335.32 | ↓ -40% |
| Ohio Healthy | Transplant | $344.80 | ↓ -38% |
| FrontPath | TRANSPLANT | $351.00 | ↓ -37% |
| MULTIPLAN | ALL PRODUCTS | $351.00 | ↓ -37% |
| Managed Care Services | TRANSPLANT | $351.00 | ↓ -37% |
| USA Managed Care | ALL PRODUCTS | $351.00 | ↓ -37% |
| Tertiary Care Network | TRANSPLANT | $351.00 | ↓ -37% |
| MMO | SuperMed | $387.90 | ↓ -31% |
| Amish Community Aid Plan | All Products | $387.90 | ↓ -31% |
| AETNA | Qhp/Ipf | $390.00 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $404.28 | ↓ -28% |
| OMAS | All Products | $431.00 | ↓ -23% |
| The Health Plan | All Products | $474.10 | ↓ -15% |
| Healthsmart | All Products | $474.10 | ↓ -15% |
| Optum | All Products Transplant | $502.55 | ↓ -10% |
| UPMC | All Products | $517.20 | ↓ -8% |
| PHPHI | All Products | $517.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $523.23 | ↓ -7% |
| Three Rivers | All Products | $560.30 | ↑ +0% |
| Clarity Health | All Products | $560.30 | ↑ +0% |
| GMS | All Products | $603.40 | ↑ +8% |
| Quality Care Partners | All Products | $603.40 | ↑ +8% |
| Aetna | All Products First Health | $646.50 | ↑ +15% |
| Consociate Health | All Products | $646.50 | ↑ +15% |
| Aetna | Asa | $689.60 | ↑ +23% |
| Multiplan | All Products | $775.80 | ↑ +38% |
| USA Managed Care | All Products | $775.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $862.00 | ↑ +54% |
| CIGNA | PPO Lifesource | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Medicare Advantage Lifesource | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Npsy tst eval phsy/qhp ea l hr at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $253.50 | $110.29 – $351.00 |
| fairview hospital | Cleveland | $253.50 | $85.02 – $351.00 |
| lutheran hospital | Cleveland | $253.50 | $85.02 – $351.00 |
| akron general | Akron | $560.30 | $1.10 – $775.80 |
| avon hospital | Avon | $253.50 | $85.02 – $351.00 |
| euclid hospital | Euclid | $253.50 | $85.02 – $351.00 |
| hillcrest hospital | Mayfield Heights | $253.50 | $85.02 – $351.00 |
| marymount hospital | Garfield Heights | $253.50 | $85.02 – $351.00 |