Prostate biopsy, any mthd at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,871.35
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.
$2,879.00
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 $1,439.00 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% |
| OPTUM | Managed Medicaid Transplant | $68.50 | ↓ -96% |
| CARESOURCE | Managed Medicaid | $72.10 | ↓ -96% |
| Paramount | Managed Medicaid | $74.26 | ↓ -96% |
| Buckeye | Managed Medicaid | $75.71 | ↓ -96% |
| ANTHEM | Managed Medicaid | $75.71 | ↓ -96% |
| MOLINA | Managed Medicaid | $75.71 | ↓ -96% |
| UNITED | Managed Medicaid | $77.15 | ↓ -96% |
| United BH | Managed Medicaid | $79.31 | ↓ -96% |
| Summacare | Medicare Advantage Lower Level | $105.70 | ↓ -94% |
| Summacare | Medicare Advantage Psych | $122.99 | ↓ -93% |
| Summacare | Medicare Advantage CNA | $138.22 | ↓ -93% |
| Summacare | Medicare Advantage MD | $154.48 | ↓ -92% |
| Devoted Health | Medicare Advantage | $162.61 | ↓ -91% |
| UPMC | Medicare Advantage | $163.98 | ↓ -91% |
| Aetna | Medicare Advantage Transplant | $163.98 | ↓ -91% |
| Anthem | Medicare Advantage | $163.98 | ↓ -91% |
| Aetna | Medicare Advantage | $163.98 | ↓ -91% |
| Humana | Medicare Advantage HMO | $163.98 | ↓ -91% |
| Optum | Medicare Advantage Transplant | $163.98 | ↓ -91% |
| The Health Plan | Medicare Advantage | $163.98 | ↓ -91% |
| United | Medicare Advantage | $163.98 | ↓ -91% |
| Valor | All Products | $163.98 | ↓ -91% |
| Cigna | Medicare Advantage | $168.90 | ↓ -91% |
| CommuniCare | Medicare Advantage | $172.18 | ↓ -91% |
| MMO | Medicare HMO | $173.93 | ↓ -91% |
| PPHP | All Products | $175.62 | ↓ -91% |
| Perennial Health | Medicare Advantage | $177.10 | ↓ -91% |
| MMO | Medicare PPO | $179.15 | ↓ -90% |
| United | HMO & PPO | $181.79 | ↓ -90% |
| United | All Products | $181.79 | ↓ -90% |
| United | All Products - Mid-Level | $192.47 | ↓ -90% |
| Anthem | All Products Mid-Level Facility | $231.97 | ↓ -88% |
| Anthem | All Products Mid-Level Non-Facility | $231.97 | ↓ -88% |
| CC EHP | All Products | $308.96 | ↓ -83% |
| UNITED | MEDICARE ADVANTAGE | $311.84 | ↓ -83% |
| The Health Plan | MEDICARE ADVANTAGE | $333.47 | ↓ -82% |
| MMO | Medicare Advantage HMO | $333.47 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $333.47 | ↓ -82% |
| OPTUM | All Products VA | $333.47 | ↓ -82% |
| OPTUM | Medicare Advantage Transplant | $333.47 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $339.12 | ↓ -82% |
| UPMC | MEDICARE ADVANTAGE | $339.12 | ↓ -82% |
| Summacare | MEDICARE ADVANTAGE | $339.12 | ↓ -82% |
| ANTHEM | MEDICARE ADVANTAGE | $339.12 | ↓ -82% |
| CIGNA | Medicare Advantage Lifesource | $339.12 | ↓ -82% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $339.12 | ↓ -82% |
| Valor | ALL PRODUCTS | $339.12 | ↓ -82% |
| MMO | Medicare Advantage PPO | $343.48 | ↓ -82% |
| CIGNA | MEDICARE ADVANTAGE | $349.29 | ↓ -81% |
| CommuniCare | MEDICARE ADVANTAGE | $356.07 | ↓ -81% |
| Perennial Health | MEDICARE ADVANTAGE | $360.15 | ↓ -81% |
| Oscar | All Products | $365.65 | ↓ -80% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $366.25 | ↓ -80% |
| PPHP | ALL PRODUCTS | $373.03 | ↓ -80% |
| Summacare | Preferred | $391.55 | ↓ -79% |
| Summacare | Premier | $426.69 | ↓ -77% |
| UNITED | ALL PRODUCTS | $436.89 | ↓ -77% |
| Aetna | Acop | $456.81 | ↓ -76% |
| Humana Military | All Products | $467.18 | ↓ -75% |
| Aetna | All Products Transplant | $469.06 | ↓ -75% |
| OHCP | All Products | $559.77 | ↓ -70% |
| Aetna | ALL PRODUCTS | $572.07 | ↓ -69% |
| Ohio Healthy | Transplant | $575.60 | ↓ -69% |
| Anthem | All Products Physician Facility | $589.14 | ↓ -69% |
| Anthem | All Products Physician Non-Facility | $589.14 | ↓ -69% |
| Anthem | All Products Physician | $589.14 | ↓ -69% |
| Aultcare | PPO/HMO | $630.28 | ↓ -66% |
| MMO | SuperMed | $647.55 | ↓ -65% |
| Amish Community Aid Plan | All Products | $647.55 | ↓ -65% |
| UNITED | All Products International | $655.34 | ↓ -65% |
| Optum | Commercial CRS Care Solutions | $674.89 | ↓ -64% |
| OMAS | All Products | $719.50 | ↓ -62% |
| Healthsmart | All Products | $791.45 | ↓ -58% |
| The Health Plan | All Products | $791.45 | ↓ -58% |
| Optum | All Products Transplant | $838.94 | ↓ -55% |
| UPMC | All Products | $863.40 | ↓ -54% |
| PHPHI | All Products | $863.40 | ↓ -54% |
| Optum | Commercial CHD Care Solutions | $873.47 | ↓ -53% |
| Clarity Health | All Products | $935.35 | ↓ -50% |
| Three Rivers | All Products | $935.35 | ↓ -50% |
| MMO | ALL PRODUCTS | $938.40 | ↓ -50% |
| Quality Care Partners | All Products | $1,007.30 | ↓ -46% |
| GMS | All Products | $1,007.30 | ↓ -46% |
| Consociate Health | All Products | $1,079.25 | ↓ -42% |
| Aetna | All Products First Health | $1,079.25 | ↓ -42% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,151.20 | ↓ -38% |
| MMO | NASCO | $1,151.20 | ↓ -38% |
| Aetna | Asa | $1,151.20 | ↓ -38% |
| USA Managed Care | All Products | $1,295.10 | ↓ -31% |
| Multiplan | All Products | $1,295.10 | ↓ -31% |
| Aetna | Qhp/Ifp | $1,439.00 | ↓ -23% |
| United BH | All Products MD | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $95.20 – $110.23 |
| fairview hospital | Cleveland | not published | $56.12 – $373.03 |
| lutheran hospital | Cleveland | not published | $53.43 – $373.03 |
| Trinity Medical Center East | Steubenville | $683.89 | $99.07 – $1,061.83 |
| akron general | Akron | $936.00 | $1.10 – $1,296.00 |
| mercy hospital | Canton | $936.00 | $1.10 – $1,296.00 |
| University Hospitals Ahuja Medical Center | Beachwood | $711.00 | $50.00 – $853.20 |
| University Hospitals Beachwood Medical Center | Beachwood | $711.00 | $339.12 – $858.89 |