Removal duct glbldr calculi at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,029.65
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.
$4,661.00
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 $4,661.00 with AETNA — 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 | $94.57 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $100.52 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $123.67 | ↓ -96% |
| The Health Plan | Medicare Advantage | $134.03 | ↓ -96% |
| United | Medicare Advantage | $134.03 | ↓ -96% |
| UPMC | Medicare Advantage | $134.03 | ↓ -96% |
| Anthem | Medicare Advantage | $134.03 | ↓ -96% |
| Humana | Medicare Advantage HMO | $134.03 | ↓ -96% |
| Optum | Medicare Advantage Transplant | $134.03 | ↓ -96% |
| Aetna | Medicare Advantage | $134.03 | ↓ -96% |
| Aetna | Medicare Advantage Transplant | $134.03 | ↓ -96% |
| Valor | All Products | $134.03 | ↓ -96% |
| Cigna | Medicare Advantage | $138.05 | ↓ -95% |
| Summacare | Medicare Advantage MD | $138.22 | ↓ -95% |
| CommuniCare | Medicare Advantage | $140.73 | ↓ -95% |
| Perennial Health | Medicare Advantage | $144.75 | ↓ -95% |
| Devoted Health | Medicare Advantage | $145.49 | ↓ -95% |
| PPHP | All Products | $147.43 | ↓ -95% |
| Optum | Managed Medicaid Transplant | $147.94 | ↓ -95% |
| Paramount | Managed Medicaid | $160.40 | ↓ -95% |
| Caresource | Managed Medicaid | $163.52 | ↓ -95% |
| Buckeye | Managed Medicaid | $163.52 | ↓ -95% |
| Molina | Managed Medicaid | $171.30 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $171.30 | ↓ -94% |
| AETNA | Medicare Advantage Transplant | $183.50 | ↓ -94% |
| Humana Military | All Products | $198.72 | ↓ -93% |
| AETNA | All Products Transplant | $199.74 | ↓ -93% |
| Aetna | All Products Transplant | $199.74 | ↓ -93% |
| Anthem | All Products Mid-Level Facility | $206.98 | ↓ -93% |
| CC EHP | All Products | $276.43 | ↓ -91% |
| Summacare | Preferred | $314.92 | ↓ -90% |
| Summacare | Premier | $343.18 | ↓ -89% |
| Aetna | Acop | $357.98 | ↓ -88% |
| Oscar | All Products | $366.67 | ↓ -88% |
| MMO | Medicare HMO | $457.94 | ↓ -85% |
| MMO | Medicare PPO | $471.68 | ↓ -84% |
| Anthem | All Products Physician Facility | $525.66 | ↓ -83% |
| Anthem | All Products Physician | $525.66 | ↓ -83% |
| OHCP | All Products | $561.33 | ↓ -81% |
| Ohio Healthy | Transplant | $577.20 | ↓ -81% |
| Aultcare | PPO/HMO | $632.03 | ↓ -79% |
| Amish Community Aid Plan | All Products | $649.35 | ↓ -79% |
| MMO | SuperMed | $649.35 | ↓ -79% |
| United | Managed Medicaid | $654.04 | ↓ -78% |
| Optum | Commercial CRS Care Solutions | $676.77 | ↓ -78% |
| OMAS | All Products | $721.50 | ↓ -76% |
| Healthsmart | All Products | $793.65 | ↓ -74% |
| The Health Plan | All Products | $793.65 | ↓ -74% |
| Optum | All Products Transplant | $841.27 | ↓ -72% |
| PHPHI | All Products | $865.80 | ↓ -71% |
| UPMC | All Products | $865.80 | ↓ -71% |
| Optum | Commercial CHD Care Solutions | $875.90 | ↓ -71% |
| Three Rivers | All Products | $937.95 | ↓ -69% |
| Clarity Health | All Products | $937.95 | ↓ -69% |
| GMS | All Products | $1,010.10 | ↓ -67% |
| Quality Care Partners | All Products | $1,010.10 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $1,016.10 | ↓ -66% |
| Anthem | All Products Mid-Level Non-Facility | $1,079.81 | ↓ -64% |
| Aetna | All Products First Health | $1,082.25 | ↓ -64% |
| Consociate Health | All Products | $1,082.25 | ↓ -64% |
| Aetna | Asa | $1,154.40 | ↓ -62% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,154.40 | ↓ -62% |
| MMO | NASCO | $1,154.40 | ↓ -62% |
| CC EHP | ALL PRODUCTS | $1,295.76 | ↓ -57% |
| USA Managed Care | All Products | $1,298.70 | ↓ -57% |
| Multiplan | All Products | $1,298.70 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $1,318.13 | ↓ -56% |
| Aetna | Qhp/Ifp | $1,443.00 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $1,491.52 | ↓ -51% |
| PHP | ALL PRODUCTS | $1,491.52 | ↓ -51% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,097.45 | ↓ -31% |
| United | All Products - Mid-Level | $2,118.09 | ↓ -30% |
| Summacare | PREMIER | $2,125.42 | ↓ -30% |
| ANTHEM | HPN | $2,146.39 | ↓ -29% |
| OHCP | ALL PRODUCTS | $2,265.25 | ↓ -25% |
| United | All Products | $2,282.88 | ↓ -25% |
| United | HMO & PPO | $2,282.88 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $2,283.89 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,330.50 | ↓ -23% |
| Cigna | All Products Mid-Level | $2,391.51 | ↓ -21% |
| Ohio Healthy | TRANSPLANT | $2,516.94 | ↓ -17% |
| ANTHEM | PPO/HMO | $2,525.33 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $2,563.55 | ↓ -15% |
| AETNA | Acop | $2,602.00 | ↓ -14% |
| OPTUM | All Products Transplant | $2,638.13 | ↓ -13% |
| Anthem | All Products Physician Non-Facility | $2,742.49 | ↓ -9% |
| The Health Plan | ALL PRODUCTS | $2,796.60 | ↓ -8% |
| UPMC | ALL PRODUCTS | $2,796.60 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $2,810.58 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $2,810.58 | ↓ -7% |
| Cigna | All Products Physician | $2,813.77 | ↓ -7% |
| MMO | TRADITIONAL | $2,931.77 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $3,029.65 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $3,029.65 | ↑ +0% |
| AETNA | Asa_Whirlpool_Peia | $3,174.00 | ↑ +5% |
| GMS | ALL PRODUCTS | $3,262.70 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $3,262.70 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $3,262.70 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $3,262.70 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $3,262.70 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $3,262.70 | ↑ +8% |
| AETNA | International | $3,443.00 | ↑ +14% |
| CIGNA | PPO | $3,458.46 | ↑ +14% |
| OPTUM | Managed Medicaid Transplant | $3,471.98 | ↑ +15% |
| Consociate Health | TRANSPLANT | $3,495.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $3,495.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $3,495.75 | ↑ +15% |
| ANTHEM | TRADITIONAL | $3,585.24 | ↑ +18% |
| CARESOURCE | Managed Medicaid | $3,654.72 | ↑ +21% |
| Community Health Alliance | TRANSPLANT | $3,728.80 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $3,728.80 | ↑ +23% |
| MOLINA | Managed Medicaid | $3,837.46 | ↑ +27% |
| ANTHEM | Managed Medicaid | $3,837.46 | ↑ +27% |
| UNITED | Managed Medicaid | $3,910.55 | ↑ +29% |
| Humana Military | ALL PRODUCTS | $3,961.85 | ↑ +31% |
| United BH | Managed Medicaid | $4,020.19 | ↑ +33% |
| UNITED | ALL PRODUCTS | $4,132.00 | ↑ +36% |
| Tertiary Care Network | TRANSPLANT | $4,194.90 | ↑ +38% |
| FrontPath | TRANSPLANT | $4,194.90 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $4,194.90 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $4,194.90 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $4,194.90 | ↑ +38% |
| UNITED | All Products International | $4,628.00 | ↑ +53% |
| AETNA | Qhp/Ipf | $4,661.00 | ↑ +54% |
| CIGNA | PPO Lifesource | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Medicare Advantage Lifesource | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Removal duct glbldr calculi at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $3,029.65 | $250.02 – $4,194.90 |
| lutheran hospital | Cleveland | $3,029.65 | $292.70 – $4,194.90 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,825.63 – $5,587.57 |
| Jewish Hospital | Cincinnati | $879.00 | not published |
| Anderson Hospital | Cincinnati | $1,023.00 | not published |
| Clermont Hospital | Batavia | $879.00 | not published |
| Kings Mills Hospital | Mason | $879.00 | not published |
| Mercy West Hospital | Cincinnati | $1,023.00 | not published |