healthcosts.net
Rechanneling w/graft tibioperoneal trunk artery 35304 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$6,396.00
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.
$9,840.00
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 $9,840.00 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 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $776.98 | ↓ -88% |
| Optum | Managed Medicaid Transplant | $792.39 | ↓ -88% |
| Paramount | Managed Medicaid | $859.11 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $862.57 | ↓ -87% |
| Buckeye | Managed Medicaid | $875.79 | ↓ -86% |
| Caresource | Managed Medicaid | $875.79 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $917.50 | ↓ -86% |
| Molina | Managed Medicaid | $917.50 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $1,016.05 | ↓ -84% |
| United | Managed Medicaid | $1,020.39 | ↓ -84% |
| Summacare | Medicare Advantage MD | $1,135.58 | ↓ -82% |
| UPMC | Medicare Advantage | $1,150.09 | ↓ -82% |
| United | Medicare Advantage | $1,150.09 | ↓ -82% |
| The Health Plan | Medicare Advantage | $1,150.09 | ↓ -82% |
| Anthem | Medicare Advantage | $1,150.09 | ↓ -82% |
| Aetna | Medicare Advantage Transplant | $1,150.09 | ↓ -82% |
| Aetna | Medicare Advantage | $1,150.09 | ↓ -82% |
| Valor | All Products | $1,150.09 | ↓ -82% |
| Humana | Medicare Advantage HMO | $1,150.09 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $1,150.09 | ↓ -82% |
| Cigna | Medicare Advantage | $1,184.59 | ↓ -81% |
| Devoted Health | Medicare Advantage | $1,195.35 | ↓ -81% |
| CommuniCare | Medicare Advantage | $1,207.59 | ↓ -81% |
| Perennial Health | Medicare Advantage | $1,242.10 | ↓ -81% |
| PPHP | All Products | $1,265.10 | ↓ -80% |
| Humana Military | All Products | $1,543.56 | ↓ -76% |
| Aetna | All Products Transplant | $1,561.41 | ↓ -76% |
| Anthem | All Products Mid-Level Facility | $1,701.12 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $1,701.12 | ↓ -73% |
| CC EHP | All Products | $2,271.17 | ↓ -64% |
| Oscar | All Products | $2,500.34 | ↓ -61% |
| Summacare | Preferred | $2,703.31 | ↓ -58% |
| OPTUM | Managed Medicaid Transplant | $2,799.05 | ↓ -56% |
| Summacare | Premier | $2,945.91 | ↓ -54% |
| CARESOURCE | Managed Medicaid | $2,946.37 | ↓ -54% |
| Aetna | Acop | $3,072.99 | ↓ -52% |
| MOLINA | Managed Medicaid | $3,093.69 | ↓ -52% |
| ANTHEM | Managed Medicaid | $3,093.69 | ↓ -52% |
| UNITED | Managed Medicaid | $3,152.62 | ↓ -51% |
| United BH | Managed Medicaid | $3,241.01 | ↓ -49% |
| MMO | ALL PRODUCTS | $3,316.30 | ↓ -48% |
| United | All Products - Mid-Level | $3,447.61 | ↓ -46% |
| MMO | Medicare HMO | $3,690.57 | ↓ -42% |
| MMO | SuperMed | $3,703.81 | ↓ -42% |
| United | HMO & PPO | $3,715.84 | ↓ -42% |
| United | All Products | $3,715.84 | ↓ -42% |
| MMO | Medicare PPO | $3,801.29 | ↓ -41% |
| OHCP | All Products | $3,827.76 | ↓ -40% |
| Ohio Healthy | Transplant | $3,936.00 | ↓ -38% |
| Aultcare | PPO/HMO | $4,309.92 | ↓ -33% |
| Anthem | All Products Physician Facility | $4,320.50 | ↓ -32% |
| Anthem | All Products Physician Non-Facility | $4,320.50 | ↓ -32% |
| Anthem | All Products Physician | $4,320.50 | ↓ -32% |
| Amish Community Aid Plan | All Products | $4,428.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $4,614.96 | ↓ -28% |
| OMAS | All Products | $4,920.00 | ↓ -23% |
| Healthsmart | All Products | $5,412.00 | ↓ -15% |
| The Health Plan | All Products | $5,412.00 | ↓ -15% |
| Optum | All Products Transplant | $5,736.72 | ↓ -10% |
| PHPHI | All Products | $5,904.00 | ↓ -8% |
| UPMC | All Products | $5,904.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $5,972.88 | ↓ -7% |
| Clarity Health | All Products | $6,396.00 | ↑ +0% |
| Three Rivers | All Products | $6,396.00 | ↑ +0% |
| Quality Care Partners | All Products | $6,888.00 | ↑ +8% |
| GMS | All Products | $6,888.00 | ↑ +8% |
| Consociate Health | All Products | $7,380.00 | ↑ +15% |
| Aetna | All Products First Health | $7,380.00 | ↑ +15% |
| Aetna | Asa | $7,872.00 | ↑ +23% |
| MMO | NASCO | $7,872.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $7,872.00 | ↑ +23% |
| USA Managed Care | All Products | $8,856.00 | ↑ +38% |
| Multiplan | All Products | $8,856.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $9,840.00 | ↑ +54% |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MD | 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 RN | not published by hospital | — |
Visitor-reported prices
Comments
Rechanneling w/graft tibioperoneal trunk artery 35304 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,890.33 – $4,504.59 |
| fairview hospital | Cleveland | not published | $2,293.47 – $2,655.60 |
| lutheran hospital | Cleveland | not published | $2,183.46 – $2,528.22 |
| akron general | Akron | not published | $2,221.81 – $2,572.63 |
| avon hospital | Avon | not published | $2,382.85 – $2,428.24 |
| euclid hospital | Euclid | not published | $2,441.29 – $2,826.76 |
| hillcrest hospital | Mayfield Heights | not published | $2,389.43 – $2,766.71 |
| lodi hospital | Lodi | not published | $3,727.74 – $4,316.33 |