Physical Therapy Evaluation (high complexity) at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$400.40
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.
$616.00
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 $616.00 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 | $61.02 | ↓ -85% |
| Optum | Managed Medicaid Transplant | $68.99 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $70.75 | ↓ -82% |
| Paramount | Managed Medicaid | $74.80 | ↓ -81% |
| Caresource | Managed Medicaid | $76.25 | ↓ -81% |
| Buckeye | Managed Medicaid | $76.25 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $79.80 | ↓ -80% |
| Molina | Managed Medicaid | $79.88 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $79.88 | ↓ -80% |
| Summacare | Medicare Advantage MD | $89.19 | ↓ -78% |
| OPTUM | Managed Medicaid Transplant | $93.19 | ↓ -77% |
| Devoted Health | Medicare Advantage | $93.88 | ↓ -77% |
| The Health Plan | Medicare Advantage | $94.33 | ↓ -76% |
| Aetna | Medicare Advantage | $94.33 | ↓ -76% |
| Aetna | Medicare Advantage Transplant | $94.33 | ↓ -76% |
| Valor | All Products | $94.33 | ↓ -76% |
| Optum | Medicare Advantage Transplant | $94.33 | ↓ -76% |
| UPMC | Medicare Advantage | $94.33 | ↓ -76% |
| Humana | Medicare Advantage HMO | $94.33 | ↓ -76% |
| United | Medicare Advantage | $94.33 | ↓ -76% |
| Anthem | Medicare Advantage | $94.33 | ↓ -76% |
| Cigna | Medicare Advantage | $97.16 | ↓ -76% |
| CARESOURCE | Managed Medicaid | $98.09 | ↓ -76% |
| CommuniCare | Medicare Advantage | $99.05 | ↓ -75% |
| PPHP | All Products | $101.39 | ↓ -75% |
| Perennial Health | Medicare Advantage | $101.88 | ↓ -75% |
| ANTHEM | Managed Medicaid | $102.99 | ↓ -74% |
| MOLINA | Managed Medicaid | $102.99 | ↓ -74% |
| UNITED | Managed Medicaid | $104.96 | ↓ -74% |
| United BH | Managed Medicaid | $107.90 | ↓ -73% |
| United | All Products - Mid-Level | $117.98 | ↓ -71% |
| Humana Military | All Products | $126.19 | ↓ -68% |
| MMO | Medicare Advantage HMO | $126.19 | ↓ -68% |
| The Health Plan | MEDICARE ADVANTAGE | $126.19 | ↓ -68% |
| OPTUM | Medicare Advantage Transplant | $126.19 | ↓ -68% |
| HUMANA | Medicare Advantage HMO | $126.19 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $126.43 | ↓ -68% |
| Valor | ALL PRODUCTS | $126.43 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $126.43 | ↓ -68% |
| AETNA | Medicare Advantage Transplant | $126.43 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $126.43 | ↓ -68% |
| CIGNA | Medicare Advantage Lifesource | $126.43 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $126.43 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $126.43 | ↓ -68% |
| Aetna | All Products Transplant | $127.03 | ↓ -68% |
| AETNA | All Products Transplant | $127.03 | ↓ -68% |
| UNITED | MEDICARE ADVANTAGE | $127.03 | ↓ -68% |
| MMO | Medicare Advantage PPO | $129.98 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $130.22 | ↓ -67% |
| Anthem | All Products Mid-Level Non-Facility | $132.65 | ↓ -67% |
| Anthem | All Products Mid-Level Facility | $132.65 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $132.75 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $136.29 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $136.54 | ↓ -66% |
| PPHP | ALL PRODUCTS | $139.07 | ↓ -65% |
| United | All Products | $154.56 | ↓ -61% |
| United | HMO & PPO | $154.56 | ↓ -61% |
| Oscar | All Products | $156.53 | ↓ -61% |
| CC EHP | ALL PRODUCTS | $168.19 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $171.09 | ↓ -57% |
| CC EHP | All Products | $178.37 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $193.60 | ↓ -52% |
| PHP | ALL PRODUCTS | $193.60 | ↓ -52% |
| AETNA | Acop | $197.84 | ↓ -51% |
| AETNA | Asa_Whirlpool_Peia | $223.85 | ↓ -44% |
| Summacare | Preferred | $228.99 | ↓ -43% |
| OHCP | All Products | $239.62 | ↓ -40% |
| Aetna | Acop | $239.76 | ↓ -40% |
| AETNA | International | $242.00 | ↓ -40% |
| Ohio Healthy | Transplant | $246.40 | ↓ -38% |
| Summacare | Premier | $249.54 | ↓ -38% |
| MMO | Medicare HMO | $250.88 | ↓ -37% |
| MMO | Medicare PPO | $258.41 | ↓ -35% |
| Aultcare | PPO/HMO | $264.99 | ↓ -34% |
| Amish Community Aid Plan | ALL PRODUCTS | $272.25 | ↓ -32% |
| ANTHEM | HPN | $275.46 | ↓ -31% |
| Summacare | PREMIER | $275.88 | ↓ -31% |
| Amish Community Aid Plan | All Products | $277.20 | ↓ -31% |
| MMO | SuperMed | $287.73 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $288.90 | ↓ -28% |
| OHCP | ALL PRODUCTS | $294.03 | ↓ -27% |
| CIGNA | ALL PRODUCTS | $296.45 | ↓ -26% |
| OMAS | ALL PRODUCTS | $302.50 | ↓ -24% |
| OMAS | All Products | $308.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $324.04 | ↓ -19% |
| Ohio Healthy | TRANSPLANT | $326.70 | ↓ -18% |
| HEALTHSMART | ALL PRODUCTS | $332.75 | ↓ -17% |
| Anthem | All Products Physician Facility | $336.91 | ↓ -16% |
| Anthem | All Products Physician Non-Facility | $336.91 | ↓ -16% |
| Anthem | All Products Physician | $336.91 | ↓ -16% |
| Healthsmart | All Products | $338.80 | ↓ -15% |
| The Health Plan | All Products | $338.80 | ↓ -15% |
| OPTUM | All Products Transplant | $342.43 | ↓ -14% |
| Optum | All Products Transplant | $359.13 | ↓ -10% |
| The Health Plan | ALL PRODUCTS | $363.00 | ↓ -9% |
| UPMC | ALL PRODUCTS | $363.00 | ↓ -9% |
| OPTUM | Commercial CHD Care Solutions | $364.82 | ↓ -9% |
| OPTUM | Commercial CRS Care Solutions | $364.82 | ↓ -9% |
| UNITED | ALL PRODUCTS | $367.24 | ↓ -8% |
| PHPHI | All Products | $369.60 | ↓ -8% |
| UPMC | All Products | $369.60 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $373.91 | ↓ -7% |
| MMO | NASCO | $380.55 | ↓ -5% |
| MMO | TRADITIONAL | $380.55 | ↓ -5% |
| THREE RIVERS | ALL PRODUCTS | $393.25 | ↓ -2% |
| Clarity Health | ALL PRODUCTS | $393.25 | ↓ -2% |
| Clarity Health | All Products | $400.40 | ↑ +0% |
| Three Rivers | All Products | $400.40 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $423.50 | ↑ +6% |
| Ohio Healthy | Transplant SMCP | $423.50 | ↑ +6% |
| GMS | ALL PRODUCTS | $423.50 | ↑ +6% |
| Quality Care Partners | ALL PRODUCTS | $423.50 | ↑ +6% |
| Quality Care Partners | Transplant SMCP | $423.50 | ↑ +6% |
| Parkview Health Plan | Transplant SMCP | $423.50 | ↑ +6% |
| Quality Care Partners | All Products | $431.20 | ↑ +8% |
| GMS | All Products | $431.20 | ↑ +8% |
| CIGNA | PPO | $448.91 | ↑ +12% |
| UNITED | All Products International | $453.15 | ↑ +13% |
| AETNA | ALL PRODUCTS | $453.75 | ↑ +13% |
| Consociate Health | ALL PRODUCTS | $453.75 | ↑ +13% |
| Consociate Health | TRANSPLANT | $453.75 | ↑ +13% |
| Consociate Health | All Products | $462.00 | ↑ +15% |
| Aetna | All Products First Health | $462.00 | ↑ +15% |
| ANTHEM | TRADITIONAL | $465.37 | ↑ +16% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $484.00 | ↑ +21% |
| Community Health Alliance | TRANSPLANT | $484.00 | ↑ +21% |
| Community Health Alliance | ALL PRODUCTS | $484.00 | ↑ +21% |
| Aetna | Asa | $492.80 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $514.25 | ↑ +28% |
| FrontPath | TRANSPLANT | $544.50 | ↑ +36% |
| Tertiary Care Network | TRANSPLANT | $544.50 | ↑ +36% |
| Managed Care Services | TRANSPLANT | $544.50 | ↑ +36% |
| MULTIPLAN | ALL PRODUCTS | $544.50 | ↑ +36% |
| USA Managed Care | ALL PRODUCTS | $544.50 | ↑ +36% |
| Multiplan | All Products | $554.40 | ↑ +38% |
| USA Managed Care | All Products | $554.40 | ↑ +38% |
| AETNA | Qhp/Ipf | $605.00 | ↑ +51% |
| Aetna | Qhp/Ifp | $616.00 | ↑ +54% |
| 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 | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Physical Therapy Evaluation (high complexity) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $393.25 | $129.52 – $544.50 |
| fairview hospital | Cleveland | $393.25 | $76.35 – $544.50 |
| lutheran hospital | Cleveland | $393.25 | $72.69 – $544.50 |
| Jewish Hospital | Cincinnati | $205.80 | not published |
| Anderson Hospital | Cincinnati | $205.80 | not published |
| Clermont Hospital | Batavia | $205.80 | not published |
| Kings Mills Hospital | Mason | $205.80 | not published |
| Mercy West Hospital | Cincinnati | $205.80 | not published |