healthcosts.net
Perq tx big toe fracture w/manip 28496 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$644.80
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.
$992.00
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 $9,440.12 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% |
| Optum | Managed Medicaid Transplant | $133.89 | ↓ -79% |
| Paramount | Managed Medicaid | $145.17 | ↓ -77% |
| Caresource | Managed Medicaid | $147.99 | ↓ -77% |
| Buckeye | Managed Medicaid | $147.99 | ↓ -77% |
| Molina | Managed Medicaid | $155.03 | ↓ -76% |
| AmeriHealth | Managed Medicaid | $155.03 | ↓ -76% |
| Summacare | Medicare Advantage Lower Level | $169.53 | ↓ -74% |
| Summacare | Medicare Advantage Psych | $199.80 | ↓ -69% |
| Summacare | Medicare Advantage CNA | $221.69 | ↓ -66% |
| Summacare | Medicare Advantage MD | $247.77 | ↓ -62% |
| Oscar | All Products | $252.07 | ↓ -61% |
| Devoted Health | Medicare Advantage | $260.81 | ↓ -60% |
| Humana | Medicare Advantage HMO | $266.40 | ↓ -59% |
| Optum | Medicare Advantage Transplant | $266.40 | ↓ -59% |
| Anthem | Medicare Advantage | $266.40 | ↓ -59% |
| The Health Plan | Medicare Advantage | $266.40 | ↓ -59% |
| United | Medicare Advantage | $266.40 | ↓ -59% |
| UPMC | Medicare Advantage | $266.40 | ↓ -59% |
| Aetna | Medicare Advantage Transplant | $266.40 | ↓ -59% |
| Aetna | Medicare Advantage | $266.40 | ↓ -59% |
| Valor | All Products | $266.40 | ↓ -59% |
| Cigna | Medicare Advantage | $274.39 | ↓ -57% |
| CommuniCare | Medicare Advantage | $279.72 | ↓ -57% |
| PPHP | All Products | $281.67 | ↓ -56% |
| Perennial Health | Medicare Advantage | $287.71 | ↓ -55% |
| Anthem | All Products Mid-Level Facility | $327.76 | ↓ -49% |
| Aetna | All Products Transplant | $354.58 | ↓ -45% |
| Humana Military | All Products | $355.10 | ↓ -45% |
| OHCP | All Products | $385.89 | ↓ -40% |
| Ohio Healthy | Transplant | $396.80 | ↓ -38% |
| United | Managed Medicaid | $414.99 | ↓ -36% |
| Aultcare | PPO/HMO | $434.50 | ↓ -33% |
| Amish Community Aid Plan | All Products | $446.40 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $465.25 | ↓ -28% |
| CC EHP | All Products | $495.54 | ↓ -23% |
| OMAS | All Products | $496.00 | ↓ -23% |
| Healthsmart | All Products | $545.60 | ↓ -15% |
| The Health Plan | All Products | $545.60 | ↓ -15% |
| Optum | All Products Transplant | $578.34 | ↓ -10% |
| Anthem | All Products Mid-Level Non-Facility | $586.75 | ↓ -9% |
| UPMC | All Products | $595.20 | ↓ -8% |
| PHPHI | All Products | $595.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $602.14 | ↓ -7% |
| Three Rivers | All Products | $644.80 | ↑ +0% |
| Clarity Health | All Products | $644.80 | ↑ +0% |
| Summacare | Preferred | $657.24 | ↑ +2% |
| Quality Care Partners | All Products | $694.40 | ↑ +8% |
| GMS | All Products | $694.40 | ↑ +8% |
| Summacare | Premier | $716.22 | ↑ +11% |
| Consociate Health | All Products | $744.00 | ↑ +15% |
| Aetna | All Products First Health | $744.00 | ↑ +15% |
| Aetna | Acop | $747.11 | ↑ +16% |
| MMO | Medicare HMO | $779.54 | ↑ +21% |
| MMO | NASCO | $793.60 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $793.60 | ↑ +23% |
| Aetna | Asa | $793.60 | ↑ +23% |
| MMO | Medicare PPO | $802.93 | ↑ +25% |
| Anthem | All Products Physician Facility | $832.42 | ↑ +29% |
| Anthem | All Products Physician | $832.42 | ↑ +29% |
| Multiplan | All Products | $892.80 | ↑ +38% |
| USA Managed Care | All Products | $892.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $992.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,299.50 | ↑ +102% |
| United | All Products - Mid-Level | $1,323.78 | ↑ +105% |
| United | HMO & PPO | $1,426.77 | ↑ +121% |
| United | All Products | $1,426.77 | ↑ +121% |
| Anthem | All Products Physician Non-Facility | $1,490.22 | ↑ +131% |
| Cigna | All Products Physician | $1,528.95 | ↑ +137% |
| UNITED | MEDICARE ADVANTAGE | $2,808.13 | ↑ +336% |
| OPTUM | Medicare Advantage Transplant | $3,007.88 | ↑ +366% |
| HUMANA | Medicare Advantage HMO | $3,007.88 | ↑ +366% |
| OPTUM | All Products VA | $3,007.88 | ↑ +366% |
| MMO | Medicare Advantage HMO | $3,007.88 | ↑ +366% |
| The Health Plan | MEDICARE ADVANTAGE | $3,007.88 | ↑ +366% |
| CIGNA | Medicare Advantage Lifesource | $3,095.56 | ↑ +380% |
| UPMC | MEDICARE ADVANTAGE | $3,095.56 | ↑ +380% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↑ +380% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,095.56 | ↑ +380% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↑ +380% |
| Valor | ALL PRODUCTS | $3,095.56 | ↑ +380% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↑ +380% |
| MMO | Medicare Advantage PPO | $3,098.12 | ↑ +380% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↑ +394% |
| Perennial Health | MEDICARE ADVANTAGE | $3,248.51 | ↑ +404% |
| CommuniCare | MEDICARE ADVANTAGE | $3,250.34 | ↑ +404% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↑ +418% |
| PPHP | ALL PRODUCTS | $3,405.12 | ↑ +428% |
| OPTUM | Managed Medicaid Transplant | $3,603.21 | ↑ +459% |
| CARESOURCE | Managed Medicaid | $3,792.85 | ↑ +488% |
| MOLINA | Managed Medicaid | $3,982.49 | ↑ +518% |
| ANTHEM | Managed Medicaid | $3,982.49 | ↑ +518% |
| UNITED | Managed Medicaid | $4,058.35 | ↑ +529% |
| United BH | Managed Medicaid | $4,172.14 | ↑ +547% |
| MMO | SuperMed | $9,440.12 | ↑ +1364% |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Perq tx big toe fracture w/manip 28496 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $5,008.00 – $5,798.74 |
| fairview hospital | Cleveland | not published | $2,808.13 – $3,418.54 |
| lutheran hospital | Cleveland | not published | $2,810.76 – $3,405.12 |
| akron general | Akron | $644.80 | $1.10 – $3,311.73 |
| mercy hospital | Canton | $644.80 | $1.10 – $3,231.75 |
| avon hospital | Avon | not published | $3,007.88 – $3,405.12 |
| euclid hospital | Euclid | not published | $2,808.13 – $3,638.88 |
| hillcrest hospital | Mayfield Heights | not published | $2,808.13 – $3,561.58 |