healthcosts.net
Reconstruction of nail bed at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$764.40
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.
$1,176.00
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 $5,320.02 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 | $105.19 | ↓ -86% |
| Paramount | Managed Medicaid | $114.05 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $115.36 | ↓ -85% |
| Caresource | Managed Medicaid | $116.27 | ↓ -85% |
| Buckeye | Managed Medicaid | $116.27 | ↓ -85% |
| Molina | Managed Medicaid | $121.80 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $121.80 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $127.55 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $150.86 | ↓ -80% |
| Summacare | Medicare Advantage MD | $168.61 | ↓ -78% |
| Humana | Medicare Advantage HMO | $170.06 | ↓ -78% |
| Valor | All Products | $170.06 | ↓ -78% |
| Aetna | Medicare Advantage | $170.06 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $170.06 | ↓ -78% |
| UPMC | Medicare Advantage | $170.06 | ↓ -78% |
| United | Medicare Advantage | $170.06 | ↓ -78% |
| The Health Plan | Medicare Advantage | $170.06 | ↓ -78% |
| Anthem | Medicare Advantage | $170.06 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $170.06 | ↓ -78% |
| Cigna | Medicare Advantage | $175.16 | ↓ -77% |
| Devoted Health | Medicare Advantage | $177.48 | ↓ -77% |
| CommuniCare | Medicare Advantage | $178.56 | ↓ -77% |
| Perennial Health | Medicare Advantage | $183.66 | ↓ -76% |
| PPHP | All Products | $187.07 | ↓ -76% |
| Humana Military | All Products | $233.43 | ↓ -69% |
| Aetna | All Products Transplant | $233.63 | ↓ -69% |
| United | Managed Medicaid | $237.13 | ↓ -69% |
| Anthem | All Products Mid-Level Facility | $247.44 | ↓ -68% |
| Oscar | All Products | $298.82 | ↓ -61% |
| CC EHP | All Products | $337.21 | ↓ -56% |
| Anthem | All Products Mid-Level Non-Facility | $376.51 | ↓ -51% |
| Summacare | Preferred | $409.50 | ↓ -46% |
| Summacare | Premier | $446.25 | ↓ -42% |
| OHCP | All Products | $457.46 | ↓ -40% |
| Aetna | Acop | $465.50 | ↓ -39% |
| Ohio Healthy | Transplant | $470.40 | ↓ -38% |
| Aultcare | PPO/HMO | $515.09 | ↓ -33% |
| Amish Community Aid Plan | All Products | $529.20 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $551.54 | ↓ -28% |
| MMO | Medicare HMO | $561.30 | ↓ -27% |
| MMO | Medicare PPO | $578.14 | ↓ -24% |
| OMAS | All Products | $588.00 | ↓ -23% |
| Anthem | All Products Physician | $628.43 | ↓ -18% |
| Anthem | All Products Physician Facility | $628.43 | ↓ -18% |
| The Health Plan | All Products | $646.80 | ↓ -15% |
| Healthsmart | All Products | $646.80 | ↓ -15% |
| Optum | All Products Transplant | $685.61 | ↓ -10% |
| PHPHI | All Products | $705.60 | ↓ -8% |
| UPMC | All Products | $705.60 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $713.83 | ↓ -7% |
| United | All Products - Mid-Level | $763.99 | ↓ -0% |
| Clarity Health | All Products | $764.40 | ↑ +0% |
| Three Rivers | All Products | $764.40 | ↑ +0% |
| GMS | All Products | $823.20 | ↑ +8% |
| Quality Care Partners | All Products | $823.20 | ↑ +8% |
| United | HMO & PPO | $823.43 | ↑ +8% |
| United | All Products | $823.43 | ↑ +8% |
| Cigna | All Products Mid-Level | $833.87 | ↑ +9% |
| Aetna | All Products First Health | $882.00 | ↑ +15% |
| Consociate Health | All Products | $882.00 | ↑ +15% |
| MMO | NASCO | $940.80 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $940.80 | ↑ +23% |
| Aetna | Asa | $940.80 | ↑ +23% |
| Anthem | All Products Physician Non-Facility | $956.26 | ↑ +25% |
| Cigna | All Products Physician | $981.10 | ↑ +28% |
| USA Managed Care | All Products | $1,058.40 | ↑ +38% |
| Multiplan | All Products | $1,058.40 | ↑ +38% |
| OPTUM | Managed Medicaid Transplant | $1,060.53 | ↑ +39% |
| CARESOURCE | Managed Medicaid | $1,116.35 | ↑ +46% |
| MOLINA | Managed Medicaid | $1,172.17 | ↑ +53% |
| ANTHEM | Managed Medicaid | $1,172.17 | ↑ +53% |
| Aetna | Qhp/Ifp | $1,176.00 | ↑ +54% |
| UNITED | Managed Medicaid | $1,194.49 | ↑ +56% |
| United BH | Managed Medicaid | $1,227.99 | ↑ +61% |
| UNITED | MEDICARE ADVANTAGE | $1,582.09 | ↑ +107% |
| MMO | Medicare Advantage HMO | $1,695.77 | ↑ +122% |
| HUMANA | Medicare Advantage HMO | $1,695.77 | ↑ +122% |
| OPTUM | All Products VA | $1,695.77 | ↑ +122% |
| The Health Plan | MEDICARE ADVANTAGE | $1,695.77 | ↑ +122% |
| OPTUM | Medicare Advantage Transplant | $1,695.77 | ↑ +122% |
| MMO | Medicare Advantage PPO | $1,746.64 | ↑ +128% |
| Perennial Health | MEDICARE ADVANTAGE | $1,831.43 | ↑ +140% |
| Summacare | MEDICARE ADVANTAGE | $1,952.02 | ↑ +155% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,952.02 | ↑ +155% |
| AETNA | MEDICARE ADVANTAGE | $1,952.02 | ↑ +155% |
| CIGNA | Medicare Advantage Lifesource | $1,952.02 | ↑ +155% |
| ANTHEM | MEDICARE ADVANTAGE | $1,952.02 | ↑ +155% |
| Valor | ALL PRODUCTS | $1,952.02 | ↑ +155% |
| UPMC | MEDICARE ADVANTAGE | $1,952.02 | ↑ +155% |
| CIGNA | MEDICARE ADVANTAGE | $2,010.58 | ↑ +163% |
| CommuniCare | MEDICARE ADVANTAGE | $2,049.62 | ↑ +168% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,108.18 | ↑ +176% |
| PPHP | ALL PRODUCTS | $2,147.22 | ↑ +181% |
| MMO | ALL PRODUCTS | $4,760.83 | ↑ +523% |
| MMO | SuperMed | $5,320.02 | ↑ +596% |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Reconstruction of nail bed at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,474.01 – $1,706.75 |
| fairview hospital | Cleveland | not published | $868.97 – $2,147.22 |
| lutheran hospital | Cleveland | not published | $827.29 – $2,147.22 |
| akron general | Akron | $764.40 | $1.10 – $2,010.58 |
| mercy hospital | Canton | $764.40 | $1.10 – $2,010.58 |
| avon hospital | Avon | not published | $902.84 – $2,147.22 |
| euclid hospital | Euclid | not published | $924.99 – $2,147.22 |
| hillcrest hospital | Mayfield Heights | not published | $905.34 – $2,147.22 |