healthcosts.net
Removal of ankle/heel lesion at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,515.80
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.
$2,332.00
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 $9,440.12 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 | $203.99 | ↓ -87% |
| Paramount | Managed Medicaid | $221.17 | ↓ -85% |
| Caresource | Managed Medicaid | $225.47 | ↓ -85% |
| Buckeye | Managed Medicaid | $225.47 | ↓ -85% |
| Molina | Managed Medicaid | $236.20 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $236.20 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $258.76 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $292.23 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $338.38 | ↓ -78% |
| Summacare | Medicare Advantage MD | $378.19 | ↓ -75% |
| Humana | Medicare Advantage HMO | $389.64 | ↓ -74% |
| Valor | All Products | $389.64 | ↓ -74% |
| Aetna | Medicare Advantage | $389.64 | ↓ -74% |
| Aetna | Medicare Advantage Transplant | $389.64 | ↓ -74% |
| UPMC | Medicare Advantage | $389.64 | ↓ -74% |
| United | Medicare Advantage | $389.64 | ↓ -74% |
| The Health Plan | Medicare Advantage | $389.64 | ↓ -74% |
| Anthem | Medicare Advantage | $389.64 | ↓ -74% |
| Optum | Medicare Advantage Transplant | $389.64 | ↓ -74% |
| Devoted Health | Medicare Advantage | $398.09 | ↓ -74% |
| Cigna | Medicare Advantage | $401.33 | ↓ -74% |
| CommuniCare | Medicare Advantage | $409.12 | ↓ -73% |
| Perennial Health | Medicare Advantage | $420.81 | ↓ -72% |
| PPHP | All Products | $428.60 | ↓ -72% |
| United | Managed Medicaid | $504.04 | ↓ -67% |
| Humana Military | All Products | $514.67 | ↓ -66% |
| Aetna | All Products Transplant | $515.33 | ↓ -66% |
| Anthem | All Products Mid-Level Facility | $556.81 | ↓ -63% |
| Oscar | All Products | $592.56 | ↓ -61% |
| CC EHP | All Products | $756.37 | ↓ -50% |
| Anthem | All Products Mid-Level Non-Facility | $800.24 | ↓ -47% |
| OHCP | All Products | $907.15 | ↓ -40% |
| Ohio Healthy | Transplant | $932.80 | ↓ -38% |
| Summacare | Preferred | $944.00 | ↓ -38% |
| Aultcare | PPO/HMO | $1,021.42 | ↓ -33% |
| Summacare | Premier | $1,028.72 | ↓ -32% |
| Amish Community Aid Plan | All Products | $1,049.40 | ↓ -31% |
| Aetna | Acop | $1,073.10 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $1,093.71 | ↓ -28% |
| OMAS | All Products | $1,166.00 | ↓ -23% |
| Healthsmart | All Products | $1,282.60 | ↓ -15% |
| The Health Plan | All Products | $1,282.60 | ↓ -15% |
| MMO | Medicare HMO | $1,343.53 | ↓ -11% |
| Optum | All Products Transplant | $1,359.56 | ↓ -10% |
| MMO | Medicare PPO | $1,383.84 | ↓ -9% |
| PHPHI | All Products | $1,399.20 | ↓ -8% |
| UPMC | All Products | $1,399.20 | ↓ -8% |
| Anthem | All Products Physician Facility | $1,414.17 | ↓ -7% |
| Anthem | All Products Physician | $1,414.17 | ↓ -7% |
| Optum | Commercial CHD Care Solutions | $1,415.52 | ↓ -7% |
| Clarity Health | All Products | $1,515.80 | ↑ +0% |
| Three Rivers | All Products | $1,515.80 | ↑ +0% |
| United | All Products - Mid-Level | $1,621.18 | ↑ +7% |
| GMS | All Products | $1,632.40 | ↑ +8% |
| Quality Care Partners | All Products | $1,632.40 | ↑ +8% |
| United | HMO & PPO | $1,747.31 | ↑ +15% |
| United | All Products | $1,747.31 | ↑ +15% |
| Aetna | All Products First Health | $1,749.00 | ↑ +15% |
| Consociate Health | All Products | $1,749.00 | ↑ +15% |
| Cigna | All Products Mid-Level | $1,772.32 | ↑ +17% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,865.60 | ↑ +23% |
| Aetna | Asa | $1,865.60 | ↑ +23% |
| MMO | NASCO | $1,865.60 | ↑ +23% |
| Anthem | All Products Physician Non-Facility | $2,032.44 | ↑ +34% |
| Cigna | All Products Physician | $2,085.26 | ↑ +38% |
| USA Managed Care | All Products | $2,098.80 | ↑ +38% |
| Multiplan | All Products | $2,098.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,332.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $2,808.13 | ↑ +85% |
| HUMANA | Medicare Advantage HMO | $3,007.88 | ↑ +98% |
| OPTUM | Medicare Advantage Transplant | $3,007.88 | ↑ +98% |
| OPTUM | All Products VA | $3,007.88 | ↑ +98% |
| The Health Plan | MEDICARE ADVANTAGE | $3,007.88 | ↑ +98% |
| MMO | Medicare Advantage HMO | $3,007.88 | ↑ +98% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↑ +104% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,095.56 | ↑ +104% |
| UPMC | MEDICARE ADVANTAGE | $3,095.56 | ↑ +104% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↑ +104% |
| Valor | ALL PRODUCTS | $3,095.56 | ↑ +104% |
| CIGNA | Medicare Advantage Lifesource | $3,095.56 | ↑ +104% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↑ +104% |
| MMO | Medicare Advantage PPO | $3,098.12 | ↑ +104% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↑ +110% |
| Perennial Health | MEDICARE ADVANTAGE | $3,248.51 | ↑ +114% |
| CommuniCare | MEDICARE ADVANTAGE | $3,250.34 | ↑ +114% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↑ +121% |
| PPHP | ALL PRODUCTS | $3,405.12 | ↑ +125% |
| OPTUM | Managed Medicaid Transplant | $4,090.38 | ↑ +170% |
| CARESOURCE | Managed Medicaid | $4,305.66 | ↑ +184% |
| MOLINA | Managed Medicaid | $4,520.94 | ↑ +198% |
| ANTHEM | Managed Medicaid | $4,520.94 | ↑ +198% |
| UNITED | Managed Medicaid | $4,607.06 | ↑ +204% |
| United BH | Managed Medicaid | $4,736.23 | ↑ +212% |
| MMO | SuperMed | $9,440.12 | ↑ +523% |
| United BH | All Products MA | not published by hospital | — |
| 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 | — |
Visitor-reported prices
Comments
Removal of ankle/heel lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $5,685.11 – $6,582.76 |
| fairview hospital | Cleveland | not published | $2,808.13 – $3,880.75 |
| lutheran hospital | Cleveland | not published | $3,007.88 – $3,694.60 |
| akron general | Akron | $1,515.80 | $1.10 – $3,759.49 |
| mercy hospital | Canton | $1,515.80 | $1.10 – $3,668.70 |
| avon hospital | Avon | not published | $3,007.88 – $3,548.49 |
| euclid hospital | Euclid | not published | $2,808.13 – $4,130.87 |
| hillcrest hospital | Mayfield Heights | not published | $2,808.13 – $4,043.13 |