healthcosts.net
Reconstruct elbow joint at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$4,121.00
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.
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What you pay up front if you don't use insurance.
$6,340.00
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 $54,351.12 with MMO — 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 | $623.73 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $678.32 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $728.45 | ↓ -82% |
| United | Managed Medicaid | $766.58 | ↓ -81% |
| Paramount | Managed Medicaid | $789.79 | ↓ -81% |
| Buckeye | Managed Medicaid | $805.13 | ↓ -80% |
| Caresource | Managed Medicaid | $805.13 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $815.65 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $843.47 | ↓ -80% |
| Molina | Managed Medicaid | $843.47 | ↓ -80% |
| Humana | Medicare Advantage HMO | $904.43 | ↓ -78% |
| Valor | All Products | $904.43 | ↓ -78% |
| Aetna | Medicare Advantage | $904.43 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $904.43 | ↓ -78% |
| UPMC | Medicare Advantage | $904.43 | ↓ -78% |
| United | Medicare Advantage | $904.43 | ↓ -78% |
| The Health Plan | Medicare Advantage | $904.43 | ↓ -78% |
| Anthem | Medicare Advantage | $904.43 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $904.43 | ↓ -78% |
| Summacare | Medicare Advantage MD | $911.61 | ↓ -78% |
| Cigna | Medicare Advantage | $931.56 | ↓ -77% |
| CommuniCare | Medicare Advantage | $949.65 | ↓ -77% |
| Devoted Health | Medicare Advantage | $959.59 | ↓ -77% |
| Perennial Health | Medicare Advantage | $976.78 | ↓ -76% |
| PPHP | All Products | $994.87 | ↓ -76% |
| Humana Military | All Products | $1,224.05 | ↓ -70% |
| Aetna | All Products Transplant | $1,229.19 | ↓ -70% |
| Anthem | All Products Mid-Level Facility | $1,350.84 | ↓ -67% |
| Anthem | All Products Mid-Level Non-Facility | $1,350.84 | ↓ -67% |
| Oscar | All Products | $1,610.99 | ↓ -61% |
| CC EHP | All Products | $1,823.22 | ↓ -56% |
| Summacare | Preferred | $2,177.02 | ↓ -47% |
| Summacare | Premier | $2,372.39 | ↓ -42% |
| OHCP | All Products | $2,466.26 | ↓ -40% |
| Aetna | Acop | $2,474.73 | ↓ -40% |
| Ohio Healthy | Transplant | $2,536.00 | ↓ -38% |
| United | All Products - Mid-Level | $2,743.21 | ↓ -33% |
| Aultcare | PPO/HMO | $2,776.92 | ↓ -33% |
| Amish Community Aid Plan | All Products | $2,853.00 | ↓ -31% |
| United | HMO & PPO | $2,956.64 | ↓ -28% |
| United | All Products | $2,956.64 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $2,973.46 | ↓ -28% |
| OMAS | All Products | $3,170.00 | ↓ -23% |
| MMO | Medicare HMO | $3,271.93 | ↓ -21% |
| MMO | Medicare PPO | $3,370.09 | ↓ -18% |
| Anthem | All Products Physician Facility | $3,430.83 | ↓ -17% |
| Anthem | All Products Physician | $3,430.83 | ↓ -17% |
| Anthem | All Products Physician Non-Facility | $3,430.83 | ↓ -17% |
| Healthsmart | All Products | $3,487.00 | ↓ -15% |
| The Health Plan | All Products | $3,487.00 | ↓ -15% |
| Optum | All Products Transplant | $3,696.22 | ↓ -10% |
| PHPHI | All Products | $3,804.00 | ↓ -8% |
| UPMC | All Products | $3,804.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $3,848.38 | ↓ -7% |
| Clarity Health | All Products | $4,121.00 | ↑ +0% |
| Three Rivers | All Products | $4,121.00 | ↑ +0% |
| GMS | All Products | $4,438.00 | ↑ +8% |
| Quality Care Partners | All Products | $4,438.00 | ↑ +8% |
| Aetna | All Products First Health | $4,755.00 | ↑ +15% |
| Consociate Health | All Products | $4,755.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $5,072.00 | ↑ +23% |
| MMO | NASCO | $5,072.00 | ↑ +23% |
| Aetna | Asa | $5,072.00 | ↑ +23% |
| Multiplan | All Products | $5,706.00 | ↑ +38% |
| USA Managed Care | All Products | $5,706.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $6,340.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $7,882.20 | ↑ +91% |
| CARESOURCE | Managed Medicaid | $8,297.05 | ↑ +101% |
| MOLINA | Managed Medicaid | $8,711.90 | ↑ +111% |
| ANTHEM | Managed Medicaid | $8,711.90 | ↑ +111% |
| UNITED | Managed Medicaid | $8,877.84 | ↑ +115% |
| United BH | Managed Medicaid | $9,126.76 | ↑ +121% |
| UNITED | MEDICARE ADVANTAGE | $16,167.80 | ↑ +292% |
| UPMC | MEDICARE ADVANTAGE | $16,588.34 | ↑ +303% |
| AETNA | MEDICARE ADVANTAGE | $16,588.34 | ↑ +303% |
| Valor | ALL PRODUCTS | $16,588.34 | ↑ +303% |
| CIGNA | Medicare Advantage Lifesource | $16,588.34 | ↑ +303% |
| Summacare | MEDICARE ADVANTAGE | $16,588.34 | ↑ +303% |
| ANTHEM | MEDICARE ADVANTAGE | $16,588.34 | ↑ +303% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $16,588.34 | ↑ +303% |
| OPTUM | Medicare Advantage Transplant | $17,048.31 | ↑ +314% |
| OPTUM | All Products VA | $17,048.31 | ↑ +314% |
| The Health Plan | MEDICARE ADVANTAGE | $17,048.31 | ↑ +314% |
| MMO | Medicare Advantage HMO | $17,048.31 | ↑ +314% |
| HUMANA | Medicare Advantage HMO | $17,048.31 | ↑ +314% |
| CIGNA | MEDICARE ADVANTAGE | $17,085.99 | ↑ +315% |
| CommuniCare | MEDICARE ADVANTAGE | $17,417.76 | ↑ +323% |
| MMO | Medicare Advantage PPO | $17,559.76 | ↑ +326% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $17,915.41 | ↑ +335% |
| PPHP | ALL PRODUCTS | $18,247.18 | ↑ +343% |
| Perennial Health | MEDICARE ADVANTAGE | $18,412.18 | ↑ +347% |
| MMO | SuperMed | $54,351.12 | ↑ +1219% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| 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 | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Reconstruct elbow joint at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $10,955.28 – $12,685.06 |
| fairview hospital | Cleveland | not published | $6,458.47 – $18,247.18 |
| lutheran hospital | Cleveland | not published | $6,148.69 – $18,247.18 |
| akron general | Akron | not published | $6,256.68 – $18,247.18 |
| avon hospital | Avon | not published | $6,710.17 – $18,247.18 |
| euclid hospital | Euclid | not published | $6,874.74 – $18,247.18 |
| hillcrest hospital | Mayfield Heights | not published | $6,728.72 – $18,247.18 |
| lodi hospital | Lodi | not published | $10,497.43 – $12,154.92 |