healthcosts.net
Reconstruct lip with flap at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,423.20
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.
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What you pay up front if you don't use insurance.
$3,728.00
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 $17,080.38 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 | $386.00 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $403.94 | ↓ -83% |
| Optum | Managed Medicaid Transplant | $498.64 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $504.77 | ↓ -79% |
| United | Managed Medicaid | $520.72 | ↓ -79% |
| Humana | Medicare Advantage HMO | $538.58 | ↓ -78% |
| Valor | All Products | $538.58 | ↓ -78% |
| Aetna | Medicare Advantage | $538.58 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $538.58 | ↓ -78% |
| UPMC | Medicare Advantage | $538.58 | ↓ -78% |
| United | Medicare Advantage | $538.58 | ↓ -78% |
| The Health Plan | Medicare Advantage | $538.58 | ↓ -78% |
| Anthem | Medicare Advantage | $538.58 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $538.58 | ↓ -78% |
| Paramount | Managed Medicaid | $540.63 | ↓ -78% |
| Buckeye | Managed Medicaid | $551.12 | ↓ -77% |
| Caresource | Managed Medicaid | $551.12 | ↓ -77% |
| Cigna | Medicare Advantage | $554.74 | ↓ -77% |
| Summacare | Medicare Advantage MD | $564.16 | ↓ -77% |
| CommuniCare | Medicare Advantage | $565.51 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $577.37 | ↓ -76% |
| Molina | Managed Medicaid | $577.37 | ↓ -76% |
| Perennial Health | Medicare Advantage | $581.67 | ↓ -76% |
| PPHP | All Products | $592.44 | ↓ -76% |
| Devoted Health | Medicare Advantage | $593.85 | ↓ -75% |
| Humana Military | All Products | $771.27 | ↓ -68% |
| Aetna | All Products Transplant | $778.63 | ↓ -68% |
| Anthem | All Products Mid-Level Facility | $840.37 | ↓ -65% |
| Anthem | All Products Mid-Level Non-Facility | $840.37 | ↓ -65% |
| Oscar | All Products | $947.28 | ↓ -61% |
| CC EHP | All Products | $1,128.32 | ↓ -53% |
| Summacare | Preferred | $1,294.86 | ↓ -47% |
| Summacare | Premier | $1,411.07 | ↓ -42% |
| OHCP | All Products | $1,450.19 | ↓ -40% |
| Aetna | Acop | $1,471.94 | ↓ -39% |
| Ohio Healthy | Transplant | $1,491.20 | ↓ -38% |
| Aultcare | PPO/HMO | $1,632.86 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,677.60 | ↓ -31% |
| United | All Products - Mid-Level | $1,707.29 | ↓ -30% |
| MMO | Medicare HMO | $1,732.83 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $1,748.43 | ↓ -28% |
| MMO | Medicare PPO | $1,784.81 | ↓ -26% |
| United | All Products | $1,840.12 | ↓ -24% |
| United | HMO & PPO | $1,840.12 | ↓ -24% |
| OMAS | All Products | $1,864.00 | ↓ -23% |
| Healthsmart | All Products | $2,050.40 | ↓ -15% |
| The Health Plan | All Products | $2,050.40 | ↓ -15% |
| Anthem | All Products Physician Facility | $2,134.37 | ↓ -12% |
| Anthem | All Products Physician | $2,134.37 | ↓ -12% |
| Anthem | All Products Physician Non-Facility | $2,134.37 | ↓ -12% |
| Optum | All Products Transplant | $2,173.42 | ↓ -10% |
| UPMC | All Products | $2,236.80 | ↓ -8% |
| PHPHI | All Products | $2,236.80 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $2,262.90 | ↓ -7% |
| Clarity Health | All Products | $2,423.20 | ↑ +0% |
| Three Rivers | All Products | $2,423.20 | ↑ +0% |
| GMS | All Products | $2,609.60 | ↑ +8% |
| Quality Care Partners | All Products | $2,609.60 | ↑ +8% |
| OPTUM | Managed Medicaid Transplant | $2,710.76 | ↑ +12% |
| Aetna | All Products First Health | $2,796.00 | ↑ +15% |
| Consociate Health | All Products | $2,796.00 | ↑ +15% |
| CARESOURCE | Managed Medicaid | $2,853.43 | ↑ +18% |
| MMO | NASCO | $2,982.40 | ↑ +23% |
| Aetna | Asa | $2,982.40 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,982.40 | ↑ +23% |
| MOLINA | Managed Medicaid | $2,996.10 | ↑ +24% |
| ANTHEM | Managed Medicaid | $2,996.10 | ↑ +24% |
| UNITED | Managed Medicaid | $3,053.17 | ↑ +26% |
| United BH | Managed Medicaid | $3,138.77 | ↑ +30% |
| USA Managed Care | All Products | $3,355.20 | ↑ +38% |
| Multiplan | All Products | $3,355.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $3,728.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $5,080.55 | ↑ +110% |
| MMO | Medicare Advantage HMO | $5,484.05 | ↑ +126% |
| The Health Plan | MEDICARE ADVANTAGE | $5,484.05 | ↑ +126% |
| HUMANA | Medicare Advantage HMO | $5,484.05 | ↑ +126% |
| OPTUM | All Products VA | $5,484.05 | ↑ +126% |
| OPTUM | Medicare Advantage Transplant | $5,484.05 | ↑ +126% |
| AETNA | MEDICARE ADVANTAGE | $5,600.62 | ↑ +131% |
| CIGNA | Medicare Advantage Lifesource | $5,600.62 | ↑ +131% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,600.62 | ↑ +131% |
| UPMC | MEDICARE ADVANTAGE | $5,600.62 | ↑ +131% |
| ANTHEM | MEDICARE ADVANTAGE | $5,600.62 | ↑ +131% |
| Summacare | MEDICARE ADVANTAGE | $5,600.62 | ↑ +131% |
| Valor | ALL PRODUCTS | $5,600.62 | ↑ +131% |
| MMO | Medicare Advantage PPO | $5,648.58 | ↑ +133% |
| CIGNA | MEDICARE ADVANTAGE | $5,768.63 | ↑ +138% |
| CommuniCare | MEDICARE ADVANTAGE | $5,880.65 | ↑ +143% |
| Perennial Health | MEDICARE ADVANTAGE | $5,922.78 | ↑ +144% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,048.66 | ↑ +150% |
| PPHP | ALL PRODUCTS | $6,160.68 | ↑ +154% |
| MMO | SuperMed | $17,080.38 | ↑ +605% |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products PHD | 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 | — |
Visitor-reported prices
Comments
Reconstruct lip with flap at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,767.62 – $4,362.51 |
| fairview hospital | Cleveland | not published | $2,221.13 – $6,160.68 |
| lutheran hospital | Cleveland | not published | $2,114.59 – $6,160.68 |
| akron general | Akron | $2,423.20 | $1.10 – $5,903.23 |
| mercy hospital | Canton | $2,423.20 | $1.10 – $5,768.63 |
| avon hospital | Avon | not published | $2,307.69 – $6,160.68 |
| euclid hospital | Euclid | not published | $2,364.28 – $6,160.68 |
| hillcrest hospital | Mayfield Heights | not published | $2,314.07 – $6,160.68 |