healthcosts.net
Observation/inpatient hospital care hi severity 99236 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,118.00
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.
$1,720.00
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 $1,720.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $2.94 | ↓ -100% |
| OPTUM | Managed Medicaid Transplant | $68.73 | ↓ -94% |
| CARESOURCE | Managed Medicaid | $72.35 | ↓ -94% |
| Paramount | Managed Medicaid | $74.52 | ↓ -93% |
| MOLINA | Managed Medicaid | $75.97 | ↓ -93% |
| ANTHEM | Managed Medicaid | $75.97 | ↓ -93% |
| Buckeye | Managed Medicaid | $75.97 | ↓ -93% |
| UNITED | Managed Medicaid | $77.41 | ↓ -93% |
| United BH | Managed Medicaid | $79.59 | ↓ -93% |
| Optum | Managed Medicaid Transplant | $100.61 | ↓ -91% |
| Caresource | Managed Medicaid | $111.20 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $116.49 | ↓ -90% |
| Molina | Managed Medicaid | $116.49 | ↓ -90% |
| Summacare | Medicare Advantage Lower Level | $127.08 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $140.84 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $166.18 | ↓ -85% |
| United | Managed Medicaid | $168.57 | ↓ -85% |
| Summacare | Medicare Advantage MD | $185.73 | ↓ -83% |
| The Health Plan | Medicare Advantage | $187.78 | ↓ -83% |
| Anthem | Medicare Advantage | $187.78 | ↓ -83% |
| Humana | Medicare Advantage HMO | $187.78 | ↓ -83% |
| Aetna | Medicare Advantage | $187.78 | ↓ -83% |
| UPMC | Medicare Advantage | $187.78 | ↓ -83% |
| Valor | All Products | $187.78 | ↓ -83% |
| United | Medicare Advantage | $187.78 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $187.78 | ↓ -83% |
| Aetna | Medicare Advantage Transplant | $187.78 | ↓ -83% |
| Cigna | Medicare Advantage | $193.41 | ↓ -83% |
| Devoted Health | Medicare Advantage | $195.50 | ↓ -83% |
| CommuniCare | Medicare Advantage | $197.17 | ↓ -82% |
| Perennial Health | Medicare Advantage | $202.80 | ↓ -82% |
| PPHP | All Products | $206.56 | ↓ -82% |
| Anthem | All Products Mid-Level Facility | $239.09 | ↓ -79% |
| Anthem | All Products Mid-Level Non-Facility | $239.09 | ↓ -79% |
| Humana Military | All Products | $268.80 | ↓ -76% |
| Aetna | All Products Transplant | $272.62 | ↓ -76% |
| United BH | All Products RN | $367.34 | ↓ -67% |
| CC EHP | All Products | $371.45 | ↓ -67% |
| MMO | SuperMed | $399.09 | ↓ -64% |
| United | All Products - Mid-Level | $414.58 | ↓ -63% |
| Anthem | All Products Physician | $427.33 | ↓ -62% |
| Anthem | All Products Physician Facility | $427.33 | ↓ -62% |
| Anthem | All Products Physician Non-Facility | $427.33 | ↓ -62% |
| Oscar | All Products | $437.05 | ↓ -61% |
| Summacare | Preferred | $443.87 | ↓ -60% |
| United | HMO & PPO | $447.22 | ↓ -60% |
| United | All Products | $447.22 | ↓ -60% |
| United BH | All Products MD | $459.18 | ↓ -59% |
| Aetna | Acop | $464.74 | ↓ -58% |
| Summacare | Premier | $483.71 | ↓ -57% |
| MMO | ALL PRODUCTS | $542.96 | ↓ -51% |
| MMO | Medicare HMO | $660.26 | ↓ -41% |
| OHCP | All Products | $669.08 | ↓ -40% |
| MMO | Medicare PPO | $680.07 | ↓ -39% |
| Ohio Healthy | Transplant | $688.00 | ↓ -38% |
| Aultcare | PPO/HMO | $753.36 | ↓ -33% |
| Amish Community Aid Plan | All Products | $774.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $806.68 | ↓ -28% |
| OMAS | All Products | $860.00 | ↓ -23% |
| The Health Plan | All Products | $946.00 | ↓ -15% |
| Healthsmart | All Products | $946.00 | ↓ -15% |
| Optum | All Products Transplant | $1,002.76 | ↓ -10% |
| UPMC | All Products | $1,032.00 | ↓ -8% |
| PHPHI | All Products | $1,032.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,044.04 | ↓ -7% |
| Three Rivers | All Products | $1,118.00 | ↑ +0% |
| Clarity Health | All Products | $1,118.00 | ↑ +0% |
| GMS | All Products | $1,204.00 | ↑ +8% |
| Quality Care Partners | All Products | $1,204.00 | ↑ +8% |
| Aetna | All Products First Health | $1,290.00 | ↑ +15% |
| Consociate Health | All Products | $1,290.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,376.00 | ↑ +23% |
| MMO | NASCO | $1,376.00 | ↑ +23% |
| Aetna | Asa | $1,376.00 | ↑ +23% |
| Multiplan | All Products | $1,548.00 | ↑ +38% |
| USA Managed Care | All Products | $1,548.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,720.00 | ↑ +54% |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
Visitor-reported prices
Comments
Observation/inpatient hospital care hi severity 99236 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $95.52 – $110.61 |
| fairview hospital | Cleveland | not published | $56.32 – $65.21 |
| lutheran hospital | Cleveland | not published | $53.61 – $62.07 |
| akron general | Akron | $1,118.00 | $1.10 – $1,548.00 |
| mercy hospital | Canton | $1,118.00 | $1.10 – $1,548.00 |
| avon hospital | Avon | not published | $58.51 – $59.62 |
| euclid hospital | Euclid | not published | $59.95 – $69.41 |
| hillcrest hospital | Mayfield Heights | not published | $58.67 – $67.94 |