Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child at cleveland clinic main campus

9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919

Source: hospital's published price file ↗ · Published Jun 16, 2026 · Ingested Aug 12, 2026

$3,567.20

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$5,488.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.01 with UNITED vs $5,488.00 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 →

Payer
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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
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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
UNITED All Products International $0.01 ↓ -100%
UNITED ALL PRODUCTS $0.01 ↓ -100%
Zing Health Medicare Advantage $1.10 ↓ -100%
Aetna ALL PRODUCTS $3.19 ↓ -100%
Optum Managed Medicaid Transplant $347.66 ↓ -90%
Paramount Managed Medicaid $376.94 ↓ -89%
Caresource Managed Medicaid $384.26 ↓ -89%
Buckeye Managed Medicaid $384.26 ↓ -89%
Molina Managed Medicaid $402.56 ↓ -89%
AmeriHealth Managed Medicaid $402.56 ↓ -89%
Summacare Medicare Advantage Lower Level $438.71 ↓ -88%
Summacare Medicare Advantage Psych $480.13 ↓ -87%
Summacare Medicare Advantage CNA $573.70 ↓ -84%
The Health Plan Medicare Advantage $640.17 ↓ -82%
UPMC Medicare Advantage $640.17 ↓ -82%
Optum Medicare Advantage Transplant $640.17 ↓ -82%
Humana Medicare Advantage HMO $640.17 ↓ -82%
Valor All Products $640.17 ↓ -82%
United Medicare Advantage $640.17 ↓ -82%
Aetna Medicare Advantage Transplant $640.17 ↓ -82%
Aetna Medicare Advantage $640.17 ↓ -82%
Anthem Medicare Advantage $640.17 ↓ -82%
Summacare Medicare Advantage MD $641.19 ↓ -82%
Cigna Medicare Advantage $659.38 ↓ -82%
CommuniCare Medicare Advantage $672.18 ↓ -81%
Devoted Health Medicare Advantage $674.94 ↓ -81%
Perennial Health Medicare Advantage $691.38 ↓ -81%
PPHP All Products $704.19 ↓ -80%
United Managed Medicaid $714.69 ↓ -80%
AETNA Medicare Advantage Transplant $810.68 ↓ -77%
Humana Military All Products $861.88 ↓ -76%
AETNA All Products Transplant $866.30 ↓ -76%
Aetna All Products Transplant $866.30 ↓ -76%
Anthem All Products Mid-Level Facility $952.30 ↓ -73%
Oscar All Products $1,006.24 ↓ -72%
Anthem All Products Mid-Level Non-Facility $1,149.48 ↓ -68%
CC EHP All Products $1,282.39 ↓ -64%
OPTUM Managed Medicaid Transplant $1,469.08 ↓ -59%
CC EHP ALL PRODUCTS $1,525.66 ↓ -57%
OHCP All Products $1,540.44 ↓ -57%
Summacare Preferred $1,544.89 ↓ -57%
CARESOURCE Managed Medicaid $1,546.40 ↓ -57%
OSCAR ALL PRODUCTS $1,552.01 ↓ -56%
UNITED MEDICARE ADVANTAGE $1,582.09 ↓ -56%
Ohio Healthy Transplant $1,584.00 ↓ -56%
MOLINA Managed Medicaid $1,623.72 ↓ -54%
ANTHEM Managed Medicaid $1,623.72 ↓ -54%
UNITED Managed Medicaid $1,654.65 ↓ -54%
Summacare Premier $1,683.54 ↓ -53%
MMO Medicare Advantage HMO $1,695.77 ↓ -52%
The Health Plan MEDICARE ADVANTAGE $1,695.77 ↓ -52%
OPTUM All Products VA $1,695.77 ↓ -52%
HUMANA Medicare Advantage HMO $1,695.77 ↓ -52%
OPTUM Medicare Advantage Transplant $1,695.77 ↓ -52%
United BH Managed Medicaid $1,701.04 ↓ -52%
Aultcare PPO/HMO $1,734.48 ↓ -51%
MMO Medicare Advantage PPO $1,746.64 ↓ -51%
PHPHI ALL PRODUCTS $1,756.16 ↓ -51%
Aetna Acop $1,756.16 ↓ -51%
PHP ALL PRODUCTS $1,756.16 ↓ -51%
Amish Community Aid Plan All Products $1,782.00 ↓ -50%
Perennial Health MEDICARE ADVANTAGE $1,831.43 ↓ -49%
Optum Commercial CRS Care Solutions $1,857.24 ↓ -48%
Summacare MEDICARE ADVANTAGE $1,952.02 ↓ -45%
UPMC MEDICARE ADVANTAGE $1,952.02 ↓ -45%
DEVOTED HEALTH MEDICARE ADVANTAGE $1,952.02 ↓ -45%
CIGNA Medicare Advantage Lifesource $1,952.02 ↓ -45%
Valor ALL PRODUCTS $1,952.02 ↓ -45%
ANTHEM MEDICARE ADVANTAGE $1,952.02 ↓ -45%
AETNA MEDICARE ADVANTAGE $1,952.02 ↓ -45%
OMAS All Products $1,980.00 ↓ -44%
CIGNA MEDICARE ADVANTAGE $2,010.58 ↓ -44%
CommuniCare MEDICARE ADVANTAGE $2,049.62 ↓ -43%
Perennial Health HMO I-SNP and HMO C-SNP $2,108.18 ↓ -41%
PPHP ALL PRODUCTS $2,147.22 ↓ -40%
MMO Medicare HMO $2,156.78 ↓ -40%
Healthsmart All Products $2,178.00 ↓ -39%
The Health Plan All Products $2,178.00 ↓ -39%
MMO Medicare PPO $2,221.48 ↓ -38%
Optum All Products Transplant $2,308.68 ↓ -35%
United All Products - Mid-Level $2,324.43 ↓ -35%
Cigna All Products Mid-Level $2,375.98 ↓ -33%
UPMC All Products $2,376.00 ↓ -33%
PHPHI All Products $2,376.00 ↓ -33%
Optum Commercial CHD Care Solutions $2,403.72 ↓ -33%
Anthem All Products Physician Facility $2,418.63 ↓ -32%
Anthem All Products Physician $2,418.63 ↓ -32%
Amish Community Aid Plan ALL PRODUCTS $2,469.60 ↓ -31%
Summacare PREMIER $2,502.53 ↓ -30%
United HMO & PPO $2,505.27 ↓ -30%
United All Products $2,505.27 ↓ -30%
ANTHEM HPN $2,527.22 ↓ -29%
Clarity Health All Products $2,574.00 ↓ -28%
Three Rivers All Products $2,574.00 ↓ -28%
OHCP ALL PRODUCTS $2,667.17 ↓ -25%
OMAS ALL PRODUCTS $2,744.00 ↓ -23%
Quality Care Partners All Products $2,772.00 ↓ -22%
GMS All Products $2,772.00 ↓ -22%
Cigna All Products Physician $2,795.07 ↓ -22%
Anthem All Products Physician Non-Facility $2,919.42 ↓ -18%
Ohio Healthy TRANSPLANT $2,963.52 ↓ -17%
Consociate Health All Products $2,970.00 ↓ -17%
Aetna All Products First Health $2,970.00 ↓ -17%
ANTHEM PPO/HMO $2,973.40 ↓ -17%
HEALTHSMART ALL PRODUCTS $3,018.40 ↓ -15%
OPTUM All Products Transplant $3,106.21 ↓ -13%
Aetna Asa $3,168.00 ↓ -11%
MMO NASCO $3,168.00 ↓ -11%
Evernorth (Cigna BH) All Products Psychiatrist $3,168.00 ↓ -11%
UPMC ALL PRODUCTS $3,292.80 ↓ -8%
The Health Plan ALL PRODUCTS $3,292.80 ↓ -8%
OPTUM Commercial CHD Care Solutions $3,309.26 ↓ -7%
OPTUM Commercial CRS Care Solutions $3,309.26 ↓ -7%
AETNA Acop $3,435.49 ↓ -4%
MMO TRADITIONAL $3,451.95 ↓ -3%
CIGNA ALL PRODUCTS $3,528.00 ↓ -1%
USA Managed Care All Products $3,564.00 ↓ -0%
Multiplan All Products $3,564.00 ↓ -0%
THREE RIVERS ALL PRODUCTS $3,567.20 ↑ +0%
Clarity Health ALL PRODUCTS $3,567.20 ↑ +0%
Ohio Healthy Transplant SMCP $3,841.60 ↑ +8%
Medical Benefit Corp Transplant SMCP $3,841.60 ↑ +8%
Parkview Health Plan Transplant SMCP $3,841.60 ↑ +8%
GMS ALL PRODUCTS $3,841.60 ↑ +8%
Quality Care Partners ALL PRODUCTS $3,841.60 ↑ +8%
Quality Care Partners Transplant SMCP $3,841.60 ↑ +8%
AETNA Asa_Whirlpool_Peia $3,890.99 ↑ +9%
Aetna Qhp/Ifp $3,960.00 ↑ +11%
CIGNA PPO $4,072.10 ↑ +14%
Consociate Health TRANSPLANT $4,116.00 ↑ +15%
AETNA ALL PRODUCTS $4,116.00 ↑ +15%
Consociate Health ALL PRODUCTS $4,116.00 ↑ +15%
ANTHEM TRADITIONAL $4,221.37 ↑ +18%
AETNA International $4,337.00 ↑ +22%
Community Health Alliance ALL PRODUCTS $4,390.40 ↑ +23%
Community Health Alliance TRANSPLANT $4,390.40 ↑ +23%
Humana Military ALL PRODUCTS $4,664.80 ↑ +31%
USA Managed Care ALL PRODUCTS $4,939.20 ↑ +38%
MULTIPLAN ALL PRODUCTS $4,939.20 ↑ +38%
Tertiary Care Network TRANSPLANT $4,939.20 ↑ +38%
Managed Care Services TRANSPLANT $4,939.20 ↑ +38%
FrontPath TRANSPLANT $4,939.20 ↑ +38%
MMO ALL PRODUCTS $5,265.00 ↑ +48%
MMO SuperMed $5,320.02 ↑ +49%
AETNA Qhp/Ipf $5,488.00 ↑ +54%
United BH All Products MA not published by hospital —
CIGNA HMO Lifesource not published by hospital —
CIGNA PPO Lifesource not published by hospital —
AETNA NAP not published by hospital —
United BH ALL PRODUCTS not published by hospital —
CIGNA Indemnity Lifesource 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 —
Kaiser Transplant ALL PRODUCTS not published by hospital —

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Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic childrens hospital for rehabilitation Cleveland not published $2,041.84 – $2,364.24
fairview hospital Cleveland not published $1,203.73 – $2,147.22
lutheran hospital Cleveland not published $1,145.99 – $2,147.22
Jewish Hospital Cincinnati $14,843.22 $2,010.71 – $2,050.92
St Ritas Medical Center Lima $15,069.91 $2,045.62 – $2,086.53
akron general Akron $2,574.00 $1.10 – $3,564.00
mercy hospital Canton $2,574.00 $1.10 – $3,564.00
Kettering Health Main Campus (Kettering) Kettering $12,846.00 $2,032.97 – $11,143.00

All Ohio hospitals for this procedure →