healthcosts.net
Removal of adenoids at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$730.60
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.
?
What you pay up front if you don't use insurance.
$1,124.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $10,789.00 with MMO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $139.77 | ↓ -81% |
| Summacare | Medicare Advantage Lower Level | $142.08 | ↓ -81% |
| Paramount | Managed Medicaid | $151.54 | ↓ -79% |
| Summacare | Medicare Advantage Psych | $153.38 | ↓ -79% |
| Buckeye | Managed Medicaid | $154.49 | ↓ -79% |
| Caresource | Managed Medicaid | $154.49 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $161.84 | ↓ -78% |
| Molina | Managed Medicaid | $161.84 | ↓ -78% |
| Summacare | Medicare Advantage CNA | $185.80 | ↓ -75% |
| United | Managed Medicaid | $193.69 | ↓ -73% |
| Optum | Medicare Advantage Transplant | $204.50 | ↓ -72% |
| Valor | All Products | $204.50 | ↓ -72% |
| Aetna | Medicare Advantage | $204.50 | ↓ -72% |
| Aetna | Medicare Advantage Transplant | $204.50 | ↓ -72% |
| UPMC | Medicare Advantage | $204.50 | ↓ -72% |
| United | Medicare Advantage | $204.50 | ↓ -72% |
| The Health Plan | Medicare Advantage | $204.50 | ↓ -72% |
| Anthem | Medicare Advantage | $204.50 | ↓ -72% |
| Humana | Medicare Advantage HMO | $204.50 | ↓ -72% |
| Summacare | Medicare Advantage MD | $207.66 | ↓ -72% |
| Cigna | Medicare Advantage | $210.64 | ↓ -71% |
| CommuniCare | Medicare Advantage | $214.73 | ↓ -71% |
| Devoted Health | Medicare Advantage | $218.59 | ↓ -70% |
| Perennial Health | Medicare Advantage | $220.86 | ↓ -70% |
| PPHP | All Products | $224.95 | ↓ -69% |
| Oscar | All Products | $285.61 | ↓ -61% |
| Humana Military | All Products | $287.33 | ↓ -61% |
| Aetna | All Products Transplant | $288.98 | ↓ -60% |
| Anthem | All Products Mid-Level Non-Facility | $307.24 | ↓ -58% |
| Anthem | All Products Mid-Level Facility | $307.24 | ↓ -58% |
| CC EHP | All Products | $415.32 | ↓ -43% |
| OHCP | All Products | $437.24 | ↓ -40% |
| Ohio Healthy | Transplant | $449.60 | ↓ -38% |
| Aultcare | PPO/HMO | $492.31 | ↓ -33% |
| Summacare | Preferred | $497.81 | ↓ -32% |
| Amish Community Aid Plan | All Products | $505.80 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $527.16 | ↓ -28% |
| Summacare | Premier | $542.49 | ↓ -26% |
| OMAS | All Products | $562.00 | ↓ -23% |
| Aetna | Acop | $565.89 | ↓ -23% |
| Healthsmart | All Products | $618.20 | ↓ -15% |
| The Health Plan | All Products | $618.20 | ↓ -15% |
| MMO | Medicare HMO | $623.70 | ↓ -15% |
| United | All Products - Mid-Level | $626.92 | ↓ -14% |
| MMO | Medicare PPO | $642.41 | ↓ -12% |
| Optum | All Products Transplant | $655.29 | ↓ -10% |
| PHPHI | All Products | $674.40 | ↓ -8% |
| UPMC | All Products | $674.40 | ↓ -8% |
| United | HMO & PPO | $675.69 | ↓ -8% |
| United | All Products | $675.69 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $682.27 | ↓ -7% |
| Three Rivers | All Products | $730.60 | ↑ +0% |
| Clarity Health | All Products | $730.60 | ↑ +0% |
| Anthem | All Products Physician | $780.32 | ↑ +7% |
| Anthem | All Products Physician Facility | $780.32 | ↑ +7% |
| Anthem | All Products Physician Non-Facility | $780.32 | ↑ +7% |
| GMS | All Products | $786.80 | ↑ +8% |
| Quality Care Partners | All Products | $786.80 | ↑ +8% |
| Aetna | All Products First Health | $843.00 | ↑ +15% |
| Consociate Health | All Products | $843.00 | ↑ +15% |
| Aetna | Asa | $899.20 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $899.20 | ↑ +23% |
| MMO | NASCO | $899.20 | ↑ +23% |
| USA Managed Care | All Products | $1,011.60 | ↑ +38% |
| Multiplan | All Products | $1,011.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,124.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $1,434.54 | ↑ +96% |
| CARESOURCE | Managed Medicaid | $1,510.04 | ↑ +107% |
| MOLINA | Managed Medicaid | $1,585.54 | ↑ +117% |
| ANTHEM | Managed Medicaid | $1,585.54 | ↑ +117% |
| UNITED | Managed Medicaid | $1,615.74 | ↑ +121% |
| United BH | Managed Medicaid | $1,661.04 | ↑ +127% |
| UNITED | MEDICARE ADVANTAGE | $2,793.19 | ↑ +282% |
| The Health Plan | MEDICARE ADVANTAGE | $3,006.46 | ↑ +312% |
| MMO | Medicare Advantage HMO | $3,006.46 | ↑ +312% |
| HUMANA | Medicare Advantage HMO | $3,006.46 | ↑ +312% |
| OPTUM | All Products VA | $3,006.46 | ↑ +312% |
| OPTUM | Medicare Advantage Transplant | $3,006.46 | ↑ +312% |
| MMO | Medicare Advantage PPO | $3,096.65 | ↑ +324% |
| CIGNA | Medicare Advantage Lifesource | $3,136.68 | ↑ +329% |
| ANTHEM | MEDICARE ADVANTAGE | $3,136.68 | ↑ +329% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,136.68 | ↑ +329% |
| UPMC | MEDICARE ADVANTAGE | $3,136.68 | ↑ +329% |
| AETNA | MEDICARE ADVANTAGE | $3,136.68 | ↑ +329% |
| Summacare | MEDICARE ADVANTAGE | $3,136.68 | ↑ +329% |
| Valor | ALL PRODUCTS | $3,136.68 | ↑ +329% |
| CIGNA | MEDICARE ADVANTAGE | $3,230.78 | ↑ +342% |
| Perennial Health | MEDICARE ADVANTAGE | $3,246.97 | ↑ +344% |
| CommuniCare | MEDICARE ADVANTAGE | $3,293.51 | ↑ +351% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,387.61 | ↑ +364% |
| PPHP | ALL PRODUCTS | $3,450.35 | ↑ +372% |
| ANTHEM | PPO/HMO | $4,315.00 | ↑ +491% |
| UNITED | ALL PRODUCTS | $6,238.00 | ↑ +754% |
| CIGNA | ALL PRODUCTS | $7,948.00 | ↑ +988% |
| MMO | SuperMed | $9,391.15 | ↑ +1185% |
| MMO | ALL PRODUCTS | $10,789.00 | ↑ +1377% |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products RN | 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 PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
Visitor-reported prices
Comments
Removal of adenoids at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,993.83 – $2,308.65 |
| fairview hospital | Cleveland | not published | $1,175.43 – $3,450.35 |
| lutheran hospital | Cleveland | not published | $1,119.04 – $3,450.35 |
| akron general | Akron | $730.60 | $1.10 – $3,236.25 |
| mercy hospital | Canton | $730.60 | $1.10 – $3,230.78 |
| avon hospital | Avon | not published | $1,221.23 – $3,450.35 |
| euclid hospital | Euclid | not published | $1,251.18 – $3,450.35 |
| hillcrest hospital | Mayfield Heights | not published | $1,224.61 – $3,450.35 |