Pt init/spiromet rec/review/interp 94016 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$135.20
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.
?
What you pay up front if you don't use insurance.
$208.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $208.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | ↓ -99% |
| Aetna | ALL PRODUCTS | $2.94 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $14.81 | ↓ -89% |
| Optum | Managed Medicaid Transplant | $15.15 | ↓ -89% |
| Paramount | Managed Medicaid | $16.43 | ↓ -88% |
| Caresource | Managed Medicaid | $16.75 | ↓ -88% |
| Buckeye | Managed Medicaid | $16.75 | ↓ -88% |
| Molina | Managed Medicaid | $17.55 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $17.55 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $18.17 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $19.37 | ↓ -86% |
| United | Managed Medicaid | $19.67 | ↓ -85% |
| Summacare | Medicare Advantage MD | $21.65 | ↓ -84% |
| Devoted Health | Medicare Advantage | $22.79 | ↓ -83% |
| Valor | All Products | $24.23 | ↓ -82% |
| Aetna | Medicare Advantage | $24.23 | ↓ -82% |
| Aetna | Medicare Advantage Transplant | $24.23 | ↓ -82% |
| UPMC | Medicare Advantage | $24.23 | ↓ -82% |
| United | Medicare Advantage | $24.23 | ↓ -82% |
| Anthem | Medicare Advantage | $24.23 | ↓ -82% |
| The Health Plan | Medicare Advantage | $24.23 | ↓ -82% |
| Humana | Medicare Advantage HMO | $24.23 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $24.23 | ↓ -82% |
| PPHP | All Products | $24.61 | ↓ -82% |
| Cigna | Medicare Advantage | $24.96 | ↓ -82% |
| CommuniCare | Medicare Advantage | $25.44 | ↓ -81% |
| Perennial Health | Medicare Advantage | $26.17 | ↓ -81% |
| Humana Military | All Products | $31.91 | ↓ -76% |
| The Health Plan | MEDICARE ADVANTAGE | $31.91 | ↓ -76% |
| OPTUM | Medicare Advantage Transplant | $31.91 | ↓ -76% |
| HUMANA | Medicare Advantage HMO | $31.91 | ↓ -76% |
| Humana Military | ALL PRODUCTS | $31.91 | ↓ -76% |
| MMO | Medicare Advantage HMO | $31.91 | ↓ -76% |
| AETNA | All Products Transplant | $32.30 | ↓ -76% |
| Aetna | All Products Transplant | $32.30 | ↓ -76% |
| UNITED | MEDICARE ADVANTAGE | $32.30 | ↓ -76% |
| Anthem | All Products Mid-Level Non-Facility | $32.52 | ↓ -76% |
| Anthem | All Products Mid-Level Facility | $32.52 | ↓ -76% |
| MMO | Medicare Advantage PPO | $32.87 | ↓ -76% |
| Valor | ALL PRODUCTS | $33.39 | ↓ -75% |
| AETNA | Qhp/Ipf | $33.39 | ↓ -75% |
| ANTHEM | MEDICARE ADVANTAGE | $33.39 | ↓ -75% |
| AETNA | NAP | $33.39 | ↓ -75% |
| AETNA | Medicare Advantage Transplant | $33.39 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $33.39 | ↓ -75% |
| CIGNA | Medicare Advantage Lifesource | $33.39 | ↓ -75% |
| AETNA | International | $33.39 | ↓ -75% |
| AETNA | Asa_Whirlpool_Peia | $33.39 | ↓ -75% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $33.39 | ↓ -75% |
| AETNA | Acop | $33.39 | ↓ -75% |
| Summacare | MEDICARE ADVANTAGE | $33.39 | ↓ -75% |
| UPMC | MEDICARE ADVANTAGE | $33.39 | ↓ -75% |
| CIGNA | MEDICARE ADVANTAGE | $34.39 | ↓ -75% |
| Perennial Health | MEDICARE ADVANTAGE | $34.46 | ↓ -75% |
| CommuniCare | MEDICARE ADVANTAGE | $35.06 | ↓ -74% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $36.06 | ↓ -73% |
| PPHP | ALL PRODUCTS | $36.73 | ↓ -73% |
| CC EHP | All Products | $43.30 | ↓ -68% |
| Oscar | All Products | $52.85 | ↓ -61% |
| Summacare | Preferred | $57.84 | ↓ -57% |
| Aetna | Acop | $60.56 | ↓ -55% |
| United | All Products - Mid-Level | $61.04 | ↓ -55% |
| Summacare | Premier | $63.04 | ↓ -53% |
| MMO | ALL PRODUCTS | $63.21 | ↓ -53% |
| United | All Products | $64.52 | ↓ -52% |
| United | HMO & PPO | $64.52 | ↓ -52% |
| OPTUM | Managed Medicaid Transplant | $64.98 | ↓ -52% |
| CARESOURCE | Managed Medicaid | $68.40 | ↓ -49% |
| MMO | SuperMed | $70.40 | ↓ -48% |
| MOLINA | Managed Medicaid | $71.82 | ↓ -47% |
| ANTHEM | Managed Medicaid | $71.82 | ↓ -47% |
| UNITED | Managed Medicaid | $73.19 | ↓ -46% |
| United BH | Managed Medicaid | $75.24 | ↓ -44% |
| OHCP | All Products | $80.91 | ↓ -40% |
| Anthem | All Products Physician | $82.57 | ↓ -39% |
| Anthem | All Products Physician Non-Facility | $82.57 | ↓ -39% |
| Anthem | All Products Physician Facility | $82.57 | ↓ -39% |
| Ohio Healthy | Transplant | $83.20 | ↓ -38% |
| Aultcare | PPO/HMO | $91.10 | ↓ -33% |
| Amish Community Aid Plan | All Products | $93.60 | ↓ -31% |
| MMO | Medicare HMO | $95.87 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $97.55 | ↓ -28% |
| MMO | Medicare PPO | $98.75 | ↓ -27% |
| OMAS | All Products | $104.00 | ↓ -23% |
| Healthsmart | All Products | $114.40 | ↓ -15% |
| The Health Plan | All Products | $114.40 | ↓ -15% |
| Optum | All Products Transplant | $121.26 | ↓ -10% |
| UPMC | All Products | $124.80 | ↓ -8% |
| PHPHI | All Products | $124.80 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $126.26 | ↓ -7% |
| Clarity Health | All Products | $135.20 | ↑ +0% |
| Three Rivers | All Products | $135.20 | ↑ +0% |
| Quality Care Partners | All Products | $145.60 | ↑ +8% |
| GMS | All Products | $145.60 | ↑ +8% |
| Consociate Health | All Products | $156.00 | ↑ +15% |
| Aetna | All Products First Health | $156.00 | ↑ +15% |
| Aetna | Asa | $166.40 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $166.40 | ↑ +23% |
| MMO | NASCO | $166.40 | ↑ +23% |
| USA Managed Care | All Products | $187.20 | ↑ +38% |
| Multiplan | All Products | $187.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $208.00 | ↑ +54% |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | 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 | — |
Visitor-reported prices
Comments
Pt init/spiromet rec/review/interp 94016 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $33.39 – $104.58 |
| fairview hospital | Cleveland | not published | $31.91 – $61.64 |
| lutheran hospital | Cleveland | not published | $31.91 – $58.69 |
| akron general | Akron | not published | $31.91 – $59.72 |
| avon hospital | Avon | not published | $31.91 – $56.37 |
| euclid hospital | Euclid | not published | $31.91 – $65.62 |
| hillcrest hospital | Mayfield Heights | not published | $31.91 – $64.23 |
| lodi hospital | Lodi | not published | $31.91 – $100.20 |