healthcosts.net
Reconstruction of anus at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,311.40
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.
$3,556.00
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 $8,188.18 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% |
| Optum | Managed Medicaid Transplant | $309.01 | ↓ -87% |
| Paramount | Managed Medicaid | $335.03 | ↓ -86% |
| Buckeye | Managed Medicaid | $341.53 | ↓ -85% |
| Caresource | Managed Medicaid | $341.53 | ↓ -85% |
| Molina | Managed Medicaid | $357.80 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $357.80 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $384.03 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $447.50 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $502.20 | ↓ -78% |
| United | Managed Medicaid | $515.79 | ↓ -78% |
| Summacare | Medicare Advantage MD | $561.28 | ↓ -76% |
| Devoted Health | Medicare Advantage | $590.82 | ↓ -74% |
| Humana | Medicare Advantage HMO | $596.66 | ↓ -74% |
| Valor | All Products | $596.66 | ↓ -74% |
| Aetna | Medicare Advantage | $596.66 | ↓ -74% |
| Aetna | Medicare Advantage Transplant | $596.66 | ↓ -74% |
| UPMC | Medicare Advantage | $596.66 | ↓ -74% |
| United | Medicare Advantage | $596.66 | ↓ -74% |
| The Health Plan | Medicare Advantage | $596.66 | ↓ -74% |
| Anthem | Medicare Advantage | $596.66 | ↓ -74% |
| Optum | Medicare Advantage Transplant | $596.66 | ↓ -74% |
| Cigna | Medicare Advantage | $614.56 | ↓ -73% |
| CommuniCare | Medicare Advantage | $626.49 | ↓ -73% |
| PPHP | All Products | $638.09 | ↓ -72% |
| Perennial Health | Medicare Advantage | $644.39 | ↓ -72% |
| Humana Military | All Products | $745.77 | ↓ -68% |
| Aetna | All Products Transplant | $748.96 | ↓ -68% |
| Anthem | All Products Mid-Level Non-Facility | $835.35 | ↓ -64% |
| Anthem | All Products Mid-Level Facility | $835.35 | ↓ -64% |
| Oscar | All Products | $903.58 | ↓ -61% |
| CC EHP | All Products | $1,122.56 | ↓ -51% |
| OHCP | All Products | $1,383.28 | ↓ -40% |
| Ohio Healthy | Transplant | $1,422.40 | ↓ -38% |
| Summacare | Preferred | $1,437.74 | ↓ -38% |
| Aultcare | PPO/HMO | $1,557.53 | ↓ -33% |
| Summacare | Premier | $1,566.77 | ↓ -32% |
| Amish Community Aid Plan | All Products | $1,600.20 | ↓ -31% |
| Aetna | Acop | $1,634.36 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $1,667.76 | ↓ -28% |
| United | All Products - Mid-Level | $1,689.55 | ↓ -27% |
| MMO | Medicare HMO | $1,741.33 | ↓ -25% |
| OMAS | All Products | $1,778.00 | ↓ -23% |
| MMO | Medicare PPO | $1,793.57 | ↓ -22% |
| United | All Products | $1,821.00 | ↓ -21% |
| United | HMO & PPO | $1,821.00 | ↓ -21% |
| OPTUM | Managed Medicaid Transplant | $1,836.64 | ↓ -21% |
| CARESOURCE | Managed Medicaid | $1,933.31 | ↓ -16% |
| Healthsmart | All Products | $1,955.80 | ↓ -15% |
| The Health Plan | All Products | $1,955.80 | ↓ -15% |
| MOLINA | Managed Medicaid | $2,029.98 | ↓ -12% |
| ANTHEM | Managed Medicaid | $2,029.98 | ↓ -12% |
| UNITED | Managed Medicaid | $2,068.64 | ↓ -11% |
| Optum | All Products Transplant | $2,073.15 | ↓ -10% |
| Anthem | All Products Physician Facility | $2,121.62 | ↓ -8% |
| Anthem | All Products Physician | $2,121.62 | ↓ -8% |
| Anthem | All Products Physician Non-Facility | $2,121.62 | ↓ -8% |
| United BH | Managed Medicaid | $2,126.64 | ↓ -8% |
| PHPHI | All Products | $2,133.60 | ↓ -8% |
| UPMC | All Products | $2,133.60 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $2,158.49 | ↓ -7% |
| Three Rivers | All Products | $2,311.40 | ↑ +0% |
| Clarity Health | All Products | $2,311.40 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $2,435.91 | ↑ +5% |
| GMS | All Products | $2,489.20 | ↑ +8% |
| Quality Care Partners | All Products | $2,489.20 | ↑ +8% |
| OPTUM | Medicare Advantage Transplant | $2,542.31 | ↑ +10% |
| HUMANA | Medicare Advantage HMO | $2,542.31 | ↑ +10% |
| MMO | Medicare Advantage HMO | $2,542.31 | ↑ +10% |
| OPTUM | All Products VA | $2,542.31 | ↑ +10% |
| The Health Plan | MEDICARE ADVANTAGE | $2,542.31 | ↑ +10% |
| MMO | Medicare Advantage PPO | $2,618.57 | ↑ +13% |
| Summacare | MEDICARE ADVANTAGE | $2,625.99 | ↑ +14% |
| CIGNA | Medicare Advantage Lifesource | $2,625.99 | ↑ +14% |
| AETNA | MEDICARE ADVANTAGE | $2,625.99 | ↑ +14% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,625.99 | ↑ +14% |
| UPMC | MEDICARE ADVANTAGE | $2,625.99 | ↑ +14% |
| Valor | ALL PRODUCTS | $2,625.99 | ↑ +14% |
| ANTHEM | MEDICARE ADVANTAGE | $2,625.99 | ↑ +14% |
| Consociate Health | All Products | $2,667.00 | ↑ +15% |
| Aetna | All Products First Health | $2,667.00 | ↑ +15% |
| CIGNA | MEDICARE ADVANTAGE | $2,704.77 | ↑ +17% |
| Perennial Health | MEDICARE ADVANTAGE | $2,745.69 | ↑ +19% |
| CommuniCare | MEDICARE ADVANTAGE | $2,757.29 | ↑ +19% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,836.07 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,844.80 | ↑ +23% |
| Aetna | Asa | $2,844.80 | ↑ +23% |
| MMO | NASCO | $2,844.80 | ↑ +23% |
| PPHP | ALL PRODUCTS | $2,888.59 | ↑ +25% |
| Multiplan | All Products | $3,200.40 | ↑ +38% |
| USA Managed Care | All Products | $3,200.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $3,556.00 | ↑ +54% |
| MMO | SuperMed | $8,188.18 | ↑ +254% |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Reconstruction of anus at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,552.71 – $2,955.77 |
| fairview hospital | Cleveland | not published | $1,504.90 – $2,888.59 |
| lutheran hospital | Cleveland | not published | $1,432.71 – $2,888.59 |
| akron general | Akron | not published | $1,457.88 – $2,888.59 |
| avon hospital | Avon | not published | $1,563.54 – $2,888.59 |
| euclid hospital | Euclid | not published | $1,601.90 – $2,888.59 |
| hillcrest hospital | Mayfield Heights | not published | $1,567.87 – $2,888.59 |
| lodi hospital | Lodi | not published | $2,446.03 – $2,832.25 |