Reconstruction knee at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,545.40
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.
$3,916.00
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 $20,863.78 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 | $438.98 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $481.42 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $544.61 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $574.05 | ↓ -77% |
| Paramount | Managed Medicaid | $590.47 | ↓ -77% |
| United | Managed Medicaid | $593.11 | ↓ -77% |
| Caresource | Managed Medicaid | $601.93 | ↓ -76% |
| Buckeye | Managed Medicaid | $601.93 | ↓ -76% |
| Molina | Managed Medicaid | $630.60 | ↓ -75% |
| AmeriHealth | Managed Medicaid | $630.60 | ↓ -75% |
| Summacare | Medicare Advantage MD | $641.58 | ↓ -75% |
| United | Medicare Advantage | $641.89 | ↓ -75% |
| Aetna | Medicare Advantage Transplant | $641.89 | ↓ -75% |
| Aetna | Medicare Advantage | $641.89 | ↓ -75% |
| Valor | All Products | $641.89 | ↓ -75% |
| Optum | Medicare Advantage Transplant | $641.89 | ↓ -75% |
| Humana | Medicare Advantage HMO | $641.89 | ↓ -75% |
| Anthem | Medicare Advantage | $641.89 | ↓ -75% |
| The Health Plan | Medicare Advantage | $641.89 | ↓ -75% |
| UPMC | Medicare Advantage | $641.89 | ↓ -75% |
| Cigna | Medicare Advantage | $661.15 | ↓ -74% |
| CommuniCare | Medicare Advantage | $673.98 | ↓ -74% |
| Devoted Health | Medicare Advantage | $675.35 | ↓ -73% |
| Perennial Health | Medicare Advantage | $693.24 | ↓ -73% |
| PPHP | All Products | $706.08 | ↓ -72% |
| Humana Military | All Products | $862.07 | ↓ -66% |
| Aetna | All Products Transplant | $866.53 | ↓ -66% |
| Anthem | All Products Mid-Level Facility | $952.90 | ↓ -63% |
| Anthem | All Products Mid-Level Non-Facility | $952.90 | ↓ -63% |
| Oscar | All Products | $995.06 | ↓ -61% |
| CC EHP | All Products | $1,283.17 | ↓ -50% |
| OHCP | All Products | $1,523.32 | ↓ -40% |
| Summacare | Preferred | $1,550.37 | ↓ -39% |
| Ohio Healthy | Transplant | $1,566.40 | ↓ -38% |
| Summacare | Premier | $1,689.50 | ↓ -34% |
| Aultcare | PPO/HMO | $1,715.21 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,762.20 | ↓ -31% |
| Aetna | Acop | $1,762.38 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,836.60 | ↓ -28% |
| United | All Products - Mid-Level | $1,934.11 | ↓ -24% |
| OMAS | All Products | $1,958.00 | ↓ -23% |
| United | HMO & PPO | $2,084.59 | ↓ -18% |
| United | All Products | $2,084.59 | ↓ -18% |
| Healthsmart | All Products | $2,153.80 | ↓ -15% |
| The Health Plan | All Products | $2,153.80 | ↓ -15% |
| Optum | All Products Transplant | $2,283.03 | ↓ -10% |
| MMO | Medicare HMO | $2,303.94 | ↓ -9% |
| UPMC | All Products | $2,349.60 | ↓ -8% |
| PHPHI | All Products | $2,349.60 | ↓ -8% |
| MMO | Medicare PPO | $2,373.06 | ↓ -7% |
| Optum | Commercial CHD Care Solutions | $2,377.01 | ↓ -7% |
| Anthem | All Products Physician Non-Facility | $2,420.15 | ↓ -5% |
| Anthem | All Products Physician Facility | $2,420.15 | ↓ -5% |
| Anthem | All Products Physician | $2,420.15 | ↓ -5% |
| Three Rivers | All Products | $2,545.40 | ↑ +0% |
| Clarity Health | All Products | $2,545.40 | ↑ +0% |
| GMS | All Products | $2,741.20 | ↑ +8% |
| Quality Care Partners | All Products | $2,741.20 | ↑ +8% |
| Aetna | All Products First Health | $2,937.00 | ↑ +15% |
| Consociate Health | All Products | $2,937.00 | ↑ +15% |
| MMO | NASCO | $3,132.80 | ↑ +23% |
| Aetna | Asa | $3,132.80 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,132.80 | ↑ +23% |
| Multiplan | All Products | $3,524.40 | ↑ +38% |
| USA Managed Care | All Products | $3,524.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $3,916.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $5,335.20 | ↑ +110% |
| CARESOURCE | Managed Medicaid | $5,616.00 | ↑ +121% |
| ANTHEM | Managed Medicaid | $5,896.80 | ↑ +132% |
| MOLINA | Managed Medicaid | $5,896.80 | ↑ +132% |
| UNITED | Managed Medicaid | $6,009.12 | ↑ +136% |
| United BH | Managed Medicaid | $6,177.60 | ↑ +143% |
| UNITED | MEDICARE ADVANTAGE | $6,206.54 | ↑ +144% |
| MMO | Medicare Advantage HMO | $6,622.52 | ↑ +160% |
| HUMANA | Medicare Advantage HMO | $6,622.52 | ↑ +160% |
| OPTUM | Medicare Advantage Transplant | $6,622.52 | ↑ +160% |
| OPTUM | All Products VA | $6,622.52 | ↑ +160% |
| The Health Plan | MEDICARE ADVANTAGE | $6,622.52 | ↑ +160% |
| MMO | Medicare Advantage PPO | $6,821.20 | ↑ +168% |
| Summacare | MEDICARE ADVANTAGE | $6,864.94 | ↑ +170% |
| ANTHEM | MEDICARE ADVANTAGE | $6,864.94 | ↑ +170% |
| CIGNA | Medicare Advantage Lifesource | $6,864.94 | ↑ +170% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $6,864.94 | ↑ +170% |
| AETNA | MEDICARE ADVANTAGE | $6,864.94 | ↑ +170% |
| UPMC | MEDICARE ADVANTAGE | $6,864.94 | ↑ +170% |
| Valor | ALL PRODUCTS | $6,864.94 | ↑ +170% |
| CIGNA | MEDICARE ADVANTAGE | $7,070.89 | ↑ +178% |
| Perennial Health | MEDICARE ADVANTAGE | $7,152.33 | ↑ +181% |
| CommuniCare | MEDICARE ADVANTAGE | $7,208.19 | ↑ +183% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,414.13 | ↑ +191% |
| PPHP | ALL PRODUCTS | $7,551.43 | ↑ +197% |
| MMO | ALL PRODUCTS | $7,813.00 | ↑ +207% |
| UNITED | ALL PRODUCTS | $9,457.00 | ↑ +272% |
| ANTHEM | PPO/HMO | $11,170.00 | ↑ +339% |
| MMO | SuperMed | $20,863.78 | ↑ +720% |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MA | 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
Reconstruction knee at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,415.27 – $8,586.11 |
| fairview hospital | Cleveland | not published | $4,371.53 – $7,551.43 |
| lutheran hospital | Cleveland | not published | $4,161.85 – $7,551.43 |
| Jewish Hospital | Cincinnati | $40,307.56 | $7,071.33 – $7,212.75 |
| Anderson Hospital | Cincinnati | $66,164.32 | $7,071.33 – $7,071.33 |
| Kings Mills Hospital | Mason | $52,231.64 | $7,071.33 – $12,761.78 |
| Mercy West Hospital | Cincinnati | $49,513.73 | $7,194.09 – $7,337.97 |
| akron general | Akron | $2,545.40 | $1.10 – $7,128.72 |