Pr management transitional care high w/in 7 days of discharge at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$985.40
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.
$1,516.00
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.
$0.01 with AETNA vs $1,516.00 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $0.01 | ↓ -100% |
| AETNA | International | $0.01 | ↓ -100% |
| AETNA | Acop | $0.01 | ↓ -100% |
| CIGNA | PPO | $0.01 | ↓ -100% |
| UNITED | All Products International | $0.01 | ↓ -100% |
| CIGNA | ALL PRODUCTS | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| MMO | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $2.94 | ↓ -100% |
| OPTUM | Managed Medicaid Transplant | $21.85 | ↓ -98% |
| CARESOURCE | Managed Medicaid | $23.00 | ↓ -98% |
| Paramount | Managed Medicaid | $23.69 | ↓ -98% |
| ANTHEM | Managed Medicaid | $24.15 | ↓ -98% |
| Buckeye | Managed Medicaid | $24.15 | ↓ -98% |
| MOLINA | Managed Medicaid | $24.15 | ↓ -98% |
| UNITED | Managed Medicaid | $24.61 | ↓ -98% |
| United BH | Managed Medicaid | $25.30 | ↓ -97% |
| UNITED | MEDICARE ADVANTAGE | $114.68 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $115.74 | ↓ -88% |
| OPTUM | Medicare Advantage Transplant | $119.47 | ↓ -88% |
| HUMANA | Medicare Advantage HMO | $119.47 | ↓ -88% |
| OPTUM | All Products VA | $119.47 | ↓ -88% |
| MMO | Medicare Advantage HMO | $119.47 | ↓ -88% |
| The Health Plan | MEDICARE ADVANTAGE | $119.47 | ↓ -88% |
| MMO | Medicare Advantage PPO | $123.05 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $123.35 | ↓ -87% |
| Valor | ALL PRODUCTS | $125.96 | ↓ -87% |
| ANTHEM | MEDICARE ADVANTAGE | $125.96 | ↓ -87% |
| Summacare | MEDICARE ADVANTAGE | $125.96 | ↓ -87% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $125.96 | ↓ -87% |
| UPMC | MEDICARE ADVANTAGE | $125.96 | ↓ -87% |
| AETNA | MEDICARE ADVANTAGE | $125.96 | ↓ -87% |
| CIGNA | Medicare Advantage Lifesource | $125.96 | ↓ -87% |
| Perennial Health | MEDICARE ADVANTAGE | $129.03 | ↓ -87% |
| CIGNA | MEDICARE ADVANTAGE | $129.74 | ↓ -87% |
| CommuniCare | MEDICARE ADVANTAGE | $132.26 | ↓ -87% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $136.03 | ↓ -86% |
| PPHP | ALL PRODUCTS | $138.55 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $151.35 | ↓ -85% |
| Optum | Medicare Advantage Transplant | $164.46 | ↓ -83% |
| Humana | Medicare Advantage HMO | $164.46 | ↓ -83% |
| United | Medicare Advantage | $164.46 | ↓ -83% |
| The Health Plan | Medicare Advantage | $164.46 | ↓ -83% |
| Aetna | Medicare Advantage | $164.46 | ↓ -83% |
| Aetna | Medicare Advantage Transplant | $164.46 | ↓ -83% |
| Anthem | Medicare Advantage | $164.46 | ↓ -83% |
| Valor | All Products | $164.46 | ↓ -83% |
| UPMC | Medicare Advantage | $164.46 | ↓ -83% |
| Summacare | Medicare Advantage MD | $169.16 | ↓ -83% |
| Cigna | Medicare Advantage | $169.39 | ↓ -83% |
| CommuniCare | Medicare Advantage | $172.68 | ↓ -82% |
| Perennial Health | Medicare Advantage | $177.62 | ↓ -82% |
| Devoted Health | Medicare Advantage | $178.06 | ↓ -82% |
| PPHP | All Products | $180.91 | ↓ -82% |
| Anthem | All Products Mid-Level Facility | $217.57 | ↓ -78% |
| AETNA | Medicare Advantage Transplant | $228.09 | ↓ -77% |
| Humana Military | All Products | $244.78 | ↓ -75% |
| CC EHP | ALL PRODUCTS | $247.14 | ↓ -75% |
| AETNA | All Products Transplant | $248.15 | ↓ -75% |
| Aetna | All Products Transplant | $248.15 | ↓ -75% |
| OSCAR | ALL PRODUCTS | $251.41 | ↓ -74% |
| MMO | SuperMed | $253.66 | ↓ -74% |
| PHP | ALL PRODUCTS | $284.48 | ↓ -71% |
| PHPHI | ALL PRODUCTS | $284.48 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $310.54 | ↓ -68% |
| CC EHP | All Products | $338.31 | ↓ -66% |
| MMO | Medicare HMO | $347.22 | ↓ -65% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $348.14 | ↓ -65% |
| MMO | Medicare PPO | $357.64 | ↓ -64% |
| Summacare | Preferred | $373.38 | ↓ -62% |
| Oscar | All Products | $385.22 | ↓ -61% |
| Anthem | All Products Physician Facility | $388.86 | ↓ -61% |
| Anthem | All Products Physician | $388.86 | ↓ -61% |
| Aultcare | PPO/HMO | $389.38 | ↓ -60% |
| Amish Community Aid Plan | ALL PRODUCTS | $400.05 | ↓ -59% |
| ANTHEM | HPN | $401.29 | ↓ -59% |
| Summacare | PREMIER | $405.38 | ↓ -59% |
| Aetna | Acop | $407.48 | ↓ -59% |
| Summacare | Premier | $424.12 | ↓ -57% |
| OHCP | ALL PRODUCTS | $432.05 | ↓ -56% |
| OMAS | ALL PRODUCTS | $444.50 | ↓ -55% |
| ANTHEM | PPO/HMO | $472.15 | ↓ -52% |
| Ohio Healthy | TRANSPLANT | $480.06 | ↓ -51% |
| HEALTHSMART | ALL PRODUCTS | $488.95 | ↓ -50% |
| OPTUM | All Products Transplant | $503.17 | ↓ -49% |
| UPMC | ALL PRODUCTS | $533.40 | ↓ -46% |
| The Health Plan | ALL PRODUCTS | $533.40 | ↓ -46% |
| OPTUM | Commercial CHD Care Solutions | $536.07 | ↓ -46% |
| OPTUM | Commercial CRS Care Solutions | $536.07 | ↓ -46% |
| United | All Products - Mid-Level | $549.34 | ↓ -44% |
| Anthem | All Products Physician Non-Facility | $555.03 | ↓ -44% |
| MMO | TRADITIONAL | $559.18 | ↓ -43% |
| MMO | NASCO | $559.18 | ↓ -43% |
| Clarity Health | ALL PRODUCTS | $577.85 | ↓ -41% |
| THREE RIVERS | ALL PRODUCTS | $577.85 | ↓ -41% |
| Cigna | All Products Mid-Level | $577.90 | ↓ -41% |
| OHCP | All Products | $589.72 | ↓ -40% |
| United | All Products | $592.58 | ↓ -40% |
| United | HMO & PPO | $592.58 | ↓ -40% |
| Ohio Healthy | Transplant | $606.40 | ↓ -38% |
| GMS | ALL PRODUCTS | $622.30 | ↓ -37% |
| Quality Care Partners | ALL PRODUCTS | $622.30 | ↓ -37% |
| Medical Benefit Corp | Transplant SMCP | $622.30 | ↓ -37% |
| Ohio Healthy | Transplant SMCP | $622.30 | ↓ -37% |
| Quality Care Partners | Transplant SMCP | $622.30 | ↓ -37% |
| Parkview Health Plan | Transplant SMCP | $622.30 | ↓ -37% |
| AETNA | ALL PRODUCTS | $666.75 | ↓ -32% |
| Consociate Health | TRANSPLANT | $666.75 | ↓ -32% |
| Consociate Health | ALL PRODUCTS | $666.75 | ↓ -32% |
| Cigna | All Products Physician | $679.63 | ↓ -31% |
| Amish Community Aid Plan | All Products | $682.20 | ↓ -31% |
| ANTHEM | TRADITIONAL | $683.82 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $711.00 | ↓ -28% |
| Community Health Alliance | TRANSPLANT | $711.20 | ↓ -28% |
| Community Health Alliance | ALL PRODUCTS | $711.20 | ↓ -28% |
| Humana Military | ALL PRODUCTS | $755.65 | ↓ -23% |
| OMAS | All Products | $758.00 | ↓ -23% |
| USA Managed Care | ALL PRODUCTS | $800.10 | ↓ -19% |
| MULTIPLAN | ALL PRODUCTS | $800.10 | ↓ -19% |
| Tertiary Care Network | TRANSPLANT | $800.10 | ↓ -19% |
| FrontPath | TRANSPLANT | $800.10 | ↓ -19% |
| Managed Care Services | TRANSPLANT | $800.10 | ↓ -19% |
| Healthsmart | All Products | $833.80 | ↓ -15% |
| The Health Plan | All Products | $833.80 | ↓ -15% |
| Optum | All Products Transplant | $883.83 | ↓ -10% |
| AETNA | Qhp/Ipf | $889.00 | ↓ -10% |
| PHPHI | All Products | $909.60 | ↓ -8% |
| UPMC | All Products | $909.60 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $920.21 | ↓ -7% |
| Clarity Health | All Products | $985.40 | ↑ +0% |
| Three Rivers | All Products | $985.40 | ↑ +0% |
| Quality Care Partners | All Products | $1,061.20 | ↑ +8% |
| GMS | All Products | $1,061.20 | ↑ +8% |
| Aetna | All Products First Health | $1,137.00 | ↑ +15% |
| Consociate Health | All Products | $1,137.00 | ↑ +15% |
| Aetna | Asa | $1,212.80 | ↑ +23% |
| Multiplan | All Products | $1,364.40 | ↑ +38% |
| USA Managed Care | All Products | $1,364.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,516.00 | ↑ +54% |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Pr management transitional care high w/in 7 days of discharge at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $577.85 | $0.01 – $800.10 |
| lutheran hospital | Cleveland | $577.85 | $0.01 – $800.10 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $30.37 – $348.14 |
| akron general | Akron | $985.40 | $0.01 – $800.10 |
| avon hospital | Avon | $577.85 | $0.01 – $800.10 |
| euclid hospital | Euclid | $577.85 | $0.01 – $800.10 |
| hillcrest hospital | Mayfield Heights | $577.85 | $0.01 – $800.10 |
| lodi hospital | Lodi | $577.85 | $0.01 – $800.10 |