Open periprosthetic breast capsule 19370 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,622.75
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.
$4,035.00
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 $11,117.55 with MMO — 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 | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $388.57 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $413.22 | ↓ -84% |
| Paramount | Managed Medicaid | $421.29 | ↓ -84% |
| Caresource | Managed Medicaid | $429.47 | ↓ -84% |
| Buckeye | Managed Medicaid | $429.47 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $447.45 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $449.92 | ↓ -83% |
| Molina | Managed Medicaid | $449.92 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $540.36 | ↓ -79% |
| United | Managed Medicaid | $558.69 | ↓ -79% |
| UPMC | Medicare Advantage | $596.60 | ↓ -77% |
| United | Medicare Advantage | $596.60 | ↓ -77% |
| The Health Plan | Medicare Advantage | $596.60 | ↓ -77% |
| Humana | Medicare Advantage HMO | $596.60 | ↓ -77% |
| Aetna | Medicare Advantage Transplant | $596.60 | ↓ -77% |
| Anthem | Medicare Advantage | $596.60 | ↓ -77% |
| Aetna | Medicare Advantage | $596.60 | ↓ -77% |
| Valor | All Products | $596.60 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $596.60 | ↓ -77% |
| Summacare | Medicare Advantage MD | $603.93 | ↓ -77% |
| Cigna | Medicare Advantage | $614.50 | ↓ -77% |
| CommuniCare | Medicare Advantage | $626.43 | ↓ -76% |
| Devoted Health | Medicare Advantage | $635.72 | ↓ -76% |
| Perennial Health | Medicare Advantage | $644.33 | ↓ -75% |
| PPHP | All Products | $656.26 | ↓ -75% |
| Humana Military | All Products | $812.46 | ↓ -69% |
| Aetna | All Products Transplant | $815.21 | ↓ -69% |
| Anthem | All Products Mid-Level Facility | $894.74 | ↓ -66% |
| Anthem | All Products Mid-Level Non-Facility | $894.74 | ↓ -66% |
| Oscar | All Products | $1,025.29 | ↓ -61% |
| CC EHP | All Products | $1,207.87 | ↓ -54% |
| Summacare | Preferred | $1,440.97 | ↓ -45% |
| OHCP | All Products | $1,569.62 | ↓ -40% |
| Summacare | Premier | $1,570.29 | ↓ -40% |
| MMO | Medicare HMO | $1,587.12 | ↓ -39% |
| Ohio Healthy | Transplant | $1,614.00 | ↓ -38% |
| MMO | Medicare PPO | $1,634.73 | ↓ -38% |
| Aetna | Acop | $1,638.03 | ↓ -38% |
| Aultcare | PPO/HMO | $1,767.33 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,815.75 | ↓ -31% |
| United | All Products - Mid-Level | $1,816.23 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,892.42 | ↓ -28% |
| United | All Products | $1,957.53 | ↓ -25% |
| United | HMO & PPO | $1,957.53 | ↓ -25% |
| OMAS | All Products | $2,017.50 | ↓ -23% |
| The Health Plan | All Products | $2,219.25 | ↓ -15% |
| Healthsmart | All Products | $2,219.25 | ↓ -15% |
| Anthem | All Products Physician | $2,272.48 | ↓ -13% |
| Anthem | All Products Physician Facility | $2,272.48 | ↓ -13% |
| Anthem | All Products Physician Non-Facility | $2,272.48 | ↓ -13% |
| Optum | All Products Transplant | $2,352.41 | ↓ -10% |
| UPMC | All Products | $2,421.00 | ↓ -8% |
| PHPHI | All Products | $2,421.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $2,449.25 | ↓ -7% |
| Clarity Health | All Products | $2,622.75 | ↑ +0% |
| Three Rivers | All Products | $2,622.75 | ↑ +0% |
| Quality Care Partners | All Products | $2,824.50 | ↑ +8% |
| GMS | All Products | $2,824.50 | ↑ +8% |
| Aetna | All Products First Health | $3,026.25 | ↑ +15% |
| Consociate Health | All Products | $3,026.25 | ↑ +15% |
| OPTUM | Managed Medicaid Transplant | $3,079.10 | ↑ +17% |
| MMO | NASCO | $3,228.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,228.00 | ↑ +23% |
| Aetna | Asa | $3,228.00 | ↑ +23% |
| CARESOURCE | Managed Medicaid | $3,241.16 | ↑ +24% |
| UNITED | MEDICARE ADVANTAGE | $3,306.89 | ↑ +26% |
| ANTHEM | Managed Medicaid | $3,403.22 | ↑ +30% |
| MOLINA | Managed Medicaid | $3,403.22 | ↑ +30% |
| UNITED | Managed Medicaid | $3,468.04 | ↑ +32% |
| OPTUM | Medicare Advantage Transplant | $3,549.90 | ↑ +35% |
| HUMANA | Medicare Advantage HMO | $3,549.90 | ↑ +35% |
| OPTUM | All Products VA | $3,549.90 | ↑ +35% |
| The Health Plan | MEDICARE ADVANTAGE | $3,549.90 | ↑ +35% |
| MMO | Medicare Advantage HMO | $3,549.90 | ↑ +35% |
| United BH | Managed Medicaid | $3,565.28 | ↑ +36% |
| Multiplan | All Products | $3,631.50 | ↑ +38% |
| USA Managed Care | All Products | $3,631.50 | ↑ +38% |
| MMO | Medicare Advantage PPO | $3,656.39 | ↑ +39% |
| CIGNA | Medicare Advantage Lifesource | $3,704.30 | ↑ +41% |
| UPMC | MEDICARE ADVANTAGE | $3,704.30 | ↑ +41% |
| ANTHEM | MEDICARE ADVANTAGE | $3,704.30 | ↑ +41% |
| Summacare | MEDICARE ADVANTAGE | $3,704.30 | ↑ +41% |
| Valor | ALL PRODUCTS | $3,704.30 | ↑ +41% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,704.30 | ↑ +41% |
| AETNA | MEDICARE ADVANTAGE | $3,704.30 | ↑ +41% |
| CIGNA | MEDICARE ADVANTAGE | $3,815.43 | ↑ +45% |
| Perennial Health | MEDICARE ADVANTAGE | $3,833.89 | ↑ +46% |
| CommuniCare | MEDICARE ADVANTAGE | $3,889.52 | ↑ +48% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $4,000.65 | ↑ +53% |
| Aetna | Qhp/Ifp | $4,035.00 | ↑ +54% |
| PPHP | ALL PRODUCTS | $4,074.73 | ↑ +55% |
| ANTHEM | PPO/HMO | $7,624.00 | ↑ +191% |
| UNITED | ALL PRODUCTS | $7,778.00 | ↑ +197% |
| MMO | ALL PRODUCTS | $10,789.00 | ↑ +311% |
| MMO | SuperMed | $11,117.55 | ↑ +324% |
| United BH | All Products MD | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Open periprosthetic breast capsule 19370 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,279.58 – $4,955.30 |
| fairview hospital | Cleveland | not published | $2,522.94 – $4,074.73 |
| lutheran hospital | Cleveland | not published | $2,401.92 – $4,074.73 |
| Jewish Hospital | Cincinnati | $30,855.10 | $3,815.67 – $3,891.98 |
| akron general | Akron | $2,622.75 | $1.10 – $3,821.23 |
| mercy hospital | Canton | $2,622.75 | $1.10 – $3,815.43 |
| Fairfield Hospital | Fairfield | $22,905.06 | $7,194.09 – $7,337.97 |
| Lorain Hospital | Lorain | $31,250.30 | $6,864.94 – $7,002.24 |