healthcosts.net
Perq nl/pl lithotrp smpl<2cm at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,549.00
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.
$5,460.00
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 $26,866.40 with MMO — 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 | $3.19 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $427.99 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $462.82 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $559.67 | ↓ -84% |
| United | Managed Medicaid | $571.80 | ↓ -84% |
| United | Medicare Advantage | $617.09 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $617.09 | ↓ -83% |
| The Health Plan | Medicare Advantage | $617.09 | ↓ -83% |
| Anthem | Medicare Advantage | $617.09 | ↓ -83% |
| Humana | Medicare Advantage HMO | $617.09 | ↓ -83% |
| Valor | All Products | $617.09 | ↓ -83% |
| Aetna | Medicare Advantage | $617.09 | ↓ -83% |
| Aetna | Medicare Advantage Transplant | $617.09 | ↓ -83% |
| UPMC | Medicare Advantage | $617.09 | ↓ -83% |
| Summacare | Medicare Advantage MD | $625.52 | ↓ -82% |
| Cigna | Medicare Advantage | $635.60 | ↓ -82% |
| CommuniCare | Medicare Advantage | $647.94 | ↓ -82% |
| Devoted Health | Medicare Advantage | $658.44 | ↓ -81% |
| Perennial Health | Medicare Advantage | $666.46 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $669.52 | ↓ -81% |
| PPHP | All Products | $678.80 | ↓ -81% |
| Paramount | Managed Medicaid | $725.90 | ↓ -80% |
| Buckeye | Managed Medicaid | $740.00 | ↓ -79% |
| Caresource | Managed Medicaid | $740.00 | ↓ -79% |
| Molina | Managed Medicaid | $775.24 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $775.24 | ↓ -78% |
| Humana Military | All Products | $876.16 | ↓ -75% |
| Aetna | All Products Transplant | $881.82 | ↓ -75% |
| Anthem | All Products Mid-Level Facility | $924.72 | ↓ -74% |
| Anthem | All Products Mid-Level Non-Facility | $924.72 | ↓ -74% |
| CC EHP | All Products | $1,251.04 | ↓ -65% |
| Oscar | All Products | $1,387.39 | ↓ -61% |
| Summacare | Preferred | $1,470.69 | ↓ -59% |
| Summacare | Premier | $1,602.68 | ↓ -55% |
| Aetna | Acop | $1,671.81 | ↓ -53% |
| United | All Products - Mid-Level | $1,886.84 | ↓ -47% |
| United | All Products | $2,033.64 | ↓ -43% |
| United | HMO & PPO | $2,033.64 | ↓ -43% |
| OHCP | All Products | $2,123.94 | ↓ -40% |
| Ohio Healthy | Transplant | $2,184.00 | ↓ -38% |
| Anthem | All Products Physician | $2,348.59 | ↓ -34% |
| Anthem | All Products Physician Non-Facility | $2,348.59 | ↓ -34% |
| Anthem | All Products Physician Facility | $2,348.59 | ↓ -34% |
| Aultcare | PPO/HMO | $2,391.48 | ↓ -33% |
| Amish Community Aid Plan | All Products | $2,457.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $2,560.74 | ↓ -28% |
| OMAS | All Products | $2,730.00 | ↓ -23% |
| MMO | Medicare HMO | $2,858.11 | ↓ -19% |
| MMO | Medicare PPO | $2,943.85 | ↓ -17% |
| The Health Plan | All Products | $3,003.00 | ↓ -15% |
| Healthsmart | All Products | $3,003.00 | ↓ -15% |
| Optum | All Products Transplant | $3,183.18 | ↓ -10% |
| UPMC | All Products | $3,276.00 | ↓ -8% |
| PHPHI | All Products | $3,276.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $3,314.22 | ↓ -7% |
| Clarity Health | All Products | $3,549.00 | ↑ +0% |
| Three Rivers | All Products | $3,549.00 | ↑ +0% |
| Quality Care Partners | All Products | $3,822.00 | ↑ +8% |
| GMS | All Products | $3,822.00 | ↑ +8% |
| Aetna | All Products First Health | $4,095.00 | ↑ +15% |
| Consociate Health | All Products | $4,095.00 | ↑ +15% |
| Aetna | Asa | $4,368.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $4,368.00 | ↑ +23% |
| MMO | NASCO | $4,368.00 | ↑ +23% |
| ANTHEM | PPO/HMO | $4,616.00 | ↑ +30% |
| Multiplan | All Products | $4,914.00 | ↑ +38% |
| USA Managed Care | All Products | $4,914.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $5,460.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $5,673.89 | ↑ +60% |
| CARESOURCE | Managed Medicaid | $5,972.52 | ↑ +68% |
| MOLINA | Managed Medicaid | $6,271.15 | ↑ +77% |
| ANTHEM | Managed Medicaid | $6,271.15 | ↑ +77% |
| UNITED | Managed Medicaid | $6,390.60 | ↑ +80% |
| United BH | Managed Medicaid | $6,569.77 | ↑ +85% |
| UNITED | MEDICARE ADVANTAGE | $7,992.18 | ↑ +125% |
| OPTUM | Medicare Advantage Transplant | $8,572.48 | ↑ +142% |
| HUMANA | Medicare Advantage HMO | $8,572.48 | ↑ +142% |
| OPTUM | All Products VA | $8,572.48 | ↑ +142% |
| MMO | Medicare Advantage HMO | $8,572.48 | ↑ +142% |
| The Health Plan | MEDICARE ADVANTAGE | $8,572.48 | ↑ +142% |
| UNITED | ALL PRODUCTS | $8,702.00 | ↑ +145% |
| MMO | Medicare Advantage PPO | $8,829.65 | ↑ +149% |
| Summacare | MEDICARE ADVANTAGE | $8,956.00 | ↑ +152% |
| ANTHEM | MEDICARE ADVANTAGE | $8,956.00 | ↑ +152% |
| CIGNA | Medicare Advantage Lifesource | $8,956.00 | ↑ +152% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $8,956.00 | ↑ +152% |
| AETNA | MEDICARE ADVANTAGE | $8,956.00 | ↑ +152% |
| UPMC | MEDICARE ADVANTAGE | $8,956.00 | ↑ +152% |
| Valor | ALL PRODUCTS | $8,956.00 | ↑ +152% |
| CIGNA | MEDICARE ADVANTAGE | $9,224.68 | ↑ +160% |
| Perennial Health | MEDICARE ADVANTAGE | $9,258.28 | ↑ +161% |
| CommuniCare | MEDICARE ADVANTAGE | $9,403.80 | ↑ +165% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $9,672.48 | ↑ +173% |
| PPHP | ALL PRODUCTS | $9,851.60 | ↑ +178% |
| MMO | ALL PRODUCTS | $24,050.10 | ↑ +578% |
| MMO | SuperMed | $26,866.40 | ↑ +657% |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
Visitor-reported prices
Comments
Perq nl/pl lithotrp smpl<2cm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $27,649.05 | $1,115.19 – $38,283.30 |
| lutheran hospital | Cleveland | $27,649.05 | $1,305.57 – $38,283.30 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,886.01 – $9,131.17 |
| akron general | Akron | $3,549.00 | $1.10 – $9,227.72 |
| avon hospital | Avon | $27,649.05 | $1,305.57 – $38,283.30 |
| euclid hospital | Euclid | $27,649.05 | $1,305.57 – $38,283.30 |
| hillcrest hospital | Mayfield Heights | $27,649.05 | $1,115.19 – $38,283.30 |
| marymount hospital | Garfield Heights | $27,649.05 | $1,305.57 – $38,283.30 |