Ot re-evaluation patient/family at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$249.60
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.
$384.00
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 $384.00 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 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $43.06 | ↓ -83% |
| Optum | Managed Medicaid Transplant | $44.12 | ↓ -82% |
| Paramount | Managed Medicaid | $47.83 | ↓ -81% |
| Caresource | Managed Medicaid | $48.76 | ↓ -80% |
| Buckeye | Managed Medicaid | $48.76 | ↓ -80% |
| Summacare | Medicare Advantage Psych | $49.25 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $51.08 | ↓ -80% |
| Molina | Managed Medicaid | $51.08 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $56.30 | ↓ -77% |
| Summacare | Medicare Advantage MD | $62.93 | ↓ -75% |
| Aetna | Medicare Advantage Transplant | $65.66 | ↓ -74% |
| Humana | Medicare Advantage HMO | $65.66 | ↓ -74% |
| Optum | Medicare Advantage Transplant | $65.66 | ↓ -74% |
| UPMC | Medicare Advantage | $65.66 | ↓ -74% |
| The Health Plan | Medicare Advantage | $65.66 | ↓ -74% |
| Valor | All Products | $65.66 | ↓ -74% |
| Aetna | Medicare Advantage | $65.66 | ↓ -74% |
| United | Medicare Advantage | $65.66 | ↓ -74% |
| Anthem | Medicare Advantage | $65.66 | ↓ -74% |
| Devoted Health | Medicare Advantage | $66.24 | ↓ -73% |
| Cigna | Medicare Advantage | $67.63 | ↓ -73% |
| CommuniCare | Medicare Advantage | $68.94 | ↓ -72% |
| Perennial Health | Medicare Advantage | $70.91 | ↓ -72% |
| PPHP | All Products | $71.54 | ↓ -71% |
| United | All Products - Mid-Level | $81.91 | ↓ -67% |
| UNITED | MEDICARE ADVANTAGE | $87.28 | ↓ -65% |
| AETNA | All Products Transplant | $87.28 | ↓ -65% |
| Aetna | All Products Transplant | $87.28 | ↓ -65% |
| UPMC | MEDICARE ADVANTAGE | $87.79 | ↓ -65% |
| Valor | ALL PRODUCTS | $87.79 | ↓ -65% |
| AETNA | MEDICARE ADVANTAGE | $87.79 | ↓ -65% |
| AETNA | Medicare Advantage Transplant | $87.79 | ↓ -65% |
| ANTHEM | MEDICARE ADVANTAGE | $87.79 | ↓ -65% |
| CIGNA | Medicare Advantage Lifesource | $87.79 | ↓ -65% |
| Summacare | MEDICARE ADVANTAGE | $87.79 | ↓ -65% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $87.79 | ↓ -65% |
| MMO | Medicare Advantage HMO | $88.55 | ↓ -65% |
| Humana Military | All Products | $88.55 | ↓ -65% |
| The Health Plan | MEDICARE ADVANTAGE | $88.55 | ↓ -65% |
| HUMANA | Medicare Advantage HMO | $88.55 | ↓ -65% |
| OPTUM | Medicare Advantage Transplant | $88.55 | ↓ -65% |
| CIGNA | MEDICARE ADVANTAGE | $90.42 | ↓ -64% |
| Anthem | All Products Mid-Level Non-Facility | $91.21 | ↓ -63% |
| MMO | Medicare Advantage PPO | $91.21 | ↓ -63% |
| Anthem | All Products Mid-Level Facility | $91.21 | ↓ -63% |
| CommuniCare | MEDICARE ADVANTAGE | $92.18 | ↓ -63% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $94.81 | ↓ -62% |
| Perennial Health | MEDICARE ADVANTAGE | $95.63 | ↓ -62% |
| PPHP | ALL PRODUCTS | $96.57 | ↓ -61% |
| Oscar | All Products | $97.57 | ↓ -61% |
| CC EHP | ALL PRODUCTS | $106.47 | ↓ -57% |
| United | All Products | $107.31 | ↓ -57% |
| United | HMO & PPO | $107.31 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $108.31 | ↓ -57% |
| PHP | ALL PRODUCTS | $122.56 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $122.56 | ↓ -51% |
| AETNA | Acop | $125.24 | ↓ -50% |
| CC EHP | All Products | $125.86 | ↓ -50% |
| OPTUM | Managed Medicaid Transplant | $129.35 | ↓ -48% |
| CARESOURCE | Managed Medicaid | $136.16 | ↓ -45% |
| AETNA | Asa_Whirlpool_Peia | $141.71 | ↓ -43% |
| MOLINA | Managed Medicaid | $142.97 | ↓ -43% |
| ANTHEM | Managed Medicaid | $142.97 | ↓ -43% |
| UNITED | Managed Medicaid | $145.69 | ↓ -42% |
| OHCP | All Products | $149.38 | ↓ -40% |
| United BH | Managed Medicaid | $149.78 | ↓ -40% |
| AETNA | International | $153.20 | ↓ -39% |
| Ohio Healthy | Transplant | $153.60 | ↓ -38% |
| Summacare | Preferred | $160.22 | ↓ -36% |
| Aetna | Acop | $167.75 | ↓ -33% |
| Aultcare | PPO/HMO | $167.75 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $172.35 | ↓ -31% |
| Amish Community Aid Plan | All Products | $172.80 | ↓ -31% |
| ANTHEM | HPN | $172.89 | ↓ -31% |
| Summacare | Premier | $174.60 | ↓ -30% |
| Summacare | PREMIER | $174.65 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $180.10 | ↓ -28% |
| MMO | Medicare HMO | $183.74 | ↓ -26% |
| OHCP | ALL PRODUCTS | $186.14 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $187.67 | ↓ -25% |
| MMO | Medicare PPO | $189.25 | ↓ -24% |
| OMAS | ALL PRODUCTS | $191.50 | ↓ -23% |
| OMAS | All Products | $192.00 | ↓ -23% |
| MMO | SuperMed | $202.03 | ↓ -19% |
| ANTHEM | PPO/HMO | $203.41 | ↓ -19% |
| Ohio Healthy | TRANSPLANT | $206.82 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $210.65 | ↓ -16% |
| The Health Plan | All Products | $211.20 | ↓ -15% |
| Healthsmart | All Products | $211.20 | ↓ -15% |
| OPTUM | All Products Transplant | $216.78 | ↓ -13% |
| Optum | All Products Transplant | $223.87 | ↓ -10% |
| The Health Plan | ALL PRODUCTS | $229.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $229.80 | ↓ -8% |
| PHPHI | All Products | $230.40 | ↓ -8% |
| UPMC | All Products | $230.40 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $230.95 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $230.95 | ↓ -7% |
| Anthem | All Products Physician Facility | $231.63 | ↓ -7% |
| Anthem | All Products Physician Non-Facility | $231.63 | ↓ -7% |
| Anthem | All Products Physician | $231.63 | ↓ -7% |
| UNITED | ALL PRODUCTS | $232.48 | ↓ -7% |
| Optum | Commercial CHD Care Solutions | $233.09 | ↓ -7% |
| MMO | NASCO | $240.91 | ↓ -3% |
| MMO | TRADITIONAL | $240.91 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $248.95 | ↓ -0% |
| Clarity Health | ALL PRODUCTS | $248.95 | ↓ -0% |
| Three Rivers | All Products | $249.60 | ↑ +0% |
| Clarity Health | All Products | $249.60 | ↑ +0% |
| Quality Care Partners | Transplant SMCP | $268.10 | ↑ +7% |
| Medical Benefit Corp | Transplant SMCP | $268.10 | ↑ +7% |
| Ohio Healthy | Transplant SMCP | $268.10 | ↑ +7% |
| GMS | ALL PRODUCTS | $268.10 | ↑ +7% |
| Parkview Health Plan | Transplant SMCP | $268.10 | ↑ +7% |
| Quality Care Partners | ALL PRODUCTS | $268.10 | ↑ +7% |
| GMS | All Products | $268.80 | ↑ +8% |
| Quality Care Partners | All Products | $268.80 | ↑ +8% |
| CIGNA | PPO | $284.19 | ↑ +14% |
| UNITED | All Products International | $286.87 | ↑ +15% |
| AETNA | ALL PRODUCTS | $287.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $287.25 | ↑ +15% |
| Consociate Health | TRANSPLANT | $287.25 | ↑ +15% |
| Aetna | All Products First Health | $288.00 | ↑ +15% |
| Consociate Health | All Products | $288.00 | ↑ +15% |
| ANTHEM | TRADITIONAL | $294.60 | ↑ +18% |
| Community Health Alliance | TRANSPLANT | $306.40 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $306.40 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $306.40 | ↑ +23% |
| Aetna | Asa | $307.20 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $325.55 | ↑ +30% |
| MULTIPLAN | ALL PRODUCTS | $344.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $344.70 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $344.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $344.70 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $344.70 | ↑ +38% |
| Multiplan | All Products | $345.60 | ↑ +38% |
| USA Managed Care | All Products | $345.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $383.00 | ↑ +53% |
| Aetna | Qhp/Ifp | $384.00 | ↑ +54% |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| United | Managed Medicaid | 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 | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $248.95 | $108.31 – $344.70 |
| fairview hospital | Cleveland | $248.95 | $87.28 – $344.70 |
| lutheran hospital | Cleveland | $248.95 | $87.79 – $344.70 |
| Jewish Hospital | Cincinnati | $88.80 | not published |
| Anderson Hospital | Cincinnati | $88.80 | not published |
| Clermont Hospital | Batavia | $88.80 | not published |
| Kings Mills Hospital | Mason | $88.80 | not published |
| Mercy West Hospital | Cincinnati | $88.80 | not published |