Pyelotomy w/exploration at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$4,474.60
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.
$6,884.00
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 $6,884.00 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 | $3.19 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $583.07 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $629.20 | ↓ -86% |
| Optum | Managed Medicaid Transplant | $667.73 | ↓ -85% |
| United | Managed Medicaid | $705.33 | ↓ -84% |
| Paramount | Managed Medicaid | $723.96 | ↓ -84% |
| Buckeye | Managed Medicaid | $738.01 | ↓ -84% |
| Caresource | Managed Medicaid | $738.01 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $762.48 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $773.16 | ↓ -83% |
| Molina | Managed Medicaid | $773.16 | ↓ -83% |
| Anthem | Medicare Advantage | $838.93 | ↓ -81% |
| Valor | All Products | $838.93 | ↓ -81% |
| Humana | Medicare Advantage HMO | $838.93 | ↓ -81% |
| United | Medicare Advantage | $838.93 | ↓ -81% |
| Aetna | Medicare Advantage Transplant | $838.93 | ↓ -81% |
| The Health Plan | Medicare Advantage | $838.93 | ↓ -81% |
| UPMC | Medicare Advantage | $838.93 | ↓ -81% |
| Optum | Medicare Advantage Transplant | $838.93 | ↓ -81% |
| Aetna | Medicare Advantage | $838.93 | ↓ -81% |
| Summacare | Medicare Advantage MD | $852.18 | ↓ -81% |
| Cigna | Medicare Advantage | $864.10 | ↓ -81% |
| CommuniCare | Medicare Advantage | $880.88 | ↓ -80% |
| Devoted Health | Medicare Advantage | $897.03 | ↓ -80% |
| Perennial Health | Medicare Advantage | $906.04 | ↓ -80% |
| PPHP | All Products | $922.82 | ↓ -79% |
| Humana Military | All Products | $1,196.04 | ↓ -73% |
| Aetna | All Products Transplant | $1,203.86 | ↓ -73% |
| Anthem | All Products Mid-Level Facility | $1,258.72 | ↓ -72% |
| Anthem | All Products Mid-Level Non-Facility | $1,258.72 | ↓ -72% |
| CC EHP | All Products | $1,704.36 | ↓ -62% |
| Oscar | All Products | $1,749.22 | ↓ -61% |
| Summacare | Preferred | $1,996.61 | ↓ -55% |
| Summacare | Premier | $2,175.79 | ↓ -51% |
| Aetna | Acop | $2,269.65 | ↓ -49% |
| MMO | ALL PRODUCTS | $2,472.66 | ↓ -45% |
| United | All Products - Mid-Level | $2,570.58 | ↓ -43% |
| OHCP | All Products | $2,677.88 | ↓ -40% |
| Ohio Healthy | Transplant | $2,753.60 | ↓ -38% |
| MMO | SuperMed | $2,761.02 | ↓ -38% |
| United | HMO & PPO | $2,770.58 | ↓ -38% |
| United | All Products | $2,770.58 | ↓ -38% |
| Aultcare | PPO/HMO | $3,015.19 | ↓ -33% |
| Amish Community Aid Plan | All Products | $3,097.80 | ↓ -31% |
| MMO | Medicare HMO | $3,120.77 | ↓ -30% |
| Anthem | All Products Physician Facility | $3,196.91 | ↓ -29% |
| Anthem | All Products Physician | $3,196.91 | ↓ -29% |
| Anthem | All Products Physician Non-Facility | $3,196.91 | ↓ -29% |
| MMO | Medicare PPO | $3,214.39 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $3,228.60 | ↓ -28% |
| OMAS | All Products | $3,442.00 | ↓ -23% |
| The Health Plan | All Products | $3,786.20 | ↓ -15% |
| Healthsmart | All Products | $3,786.20 | ↓ -15% |
| Optum | All Products Transplant | $4,013.37 | ↓ -10% |
| PHPHI | All Products | $4,130.40 | ↓ -8% |
| UPMC | All Products | $4,130.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $4,178.59 | ↓ -7% |
| Clarity Health | All Products | $4,474.60 | ↑ +0% |
| Three Rivers | All Products | $4,474.60 | ↑ +0% |
| GMS | All Products | $4,818.80 | ↑ +8% |
| Quality Care Partners | All Products | $4,818.80 | ↑ +8% |
| Consociate Health | All Products | $5,163.00 | ↑ +15% |
| Aetna | All Products First Health | $5,163.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $5,507.20 | ↑ +23% |
| Aetna | Asa | $5,507.20 | ↑ +23% |
| MMO | NASCO | $5,507.20 | ↑ +23% |
| OPTUM | Managed Medicaid Transplant | $5,673.89 | ↑ +27% |
| CARESOURCE | Managed Medicaid | $5,972.52 | ↑ +33% |
| Multiplan | All Products | $6,195.60 | ↑ +38% |
| USA Managed Care | All Products | $6,195.60 | ↑ +38% |
| MOLINA | Managed Medicaid | $6,271.15 | ↑ +40% |
| ANTHEM | Managed Medicaid | $6,271.15 | ↑ +40% |
| UNITED | Managed Medicaid | $6,390.60 | ↑ +43% |
| United BH | Managed Medicaid | $6,569.77 | ↑ +47% |
| Aetna | Qhp/Ifp | $6,884.00 | ↑ +54% |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
Visitor-reported prices
Comments
Pyelotomy w/exploration at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,886.01 – $9,131.17 |
| fairview hospital | Cleveland | not published | $4,649.04 – $5,383.10 |
| lutheran hospital | Cleveland | not published | $4,426.04 – $5,124.89 |
| akron general | Akron | not published | $4,503.79 – $5,214.91 |
| avon hospital | Avon | not published | $4,830.22 – $4,922.22 |
| euclid hospital | Euclid | not published | $4,948.69 – $5,730.07 |
| hillcrest hospital | Mayfield Heights | not published | $4,843.58 – $5,608.35 |
| lodi hospital | Lodi | not published | $7,556.43 – $8,749.55 |