healthcosts.net
Removal of eye lesion at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,895.75
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.
$4,455.00
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.
$0.01 with UNITED vs $4,455.00 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 |
|---|---|---|---|
| UNITED | All Products International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $286.68 | ↓ -90% |
| Paramount | Managed Medicaid | $310.82 | ↓ -89% |
| Caresource | Managed Medicaid | $316.86 | ↓ -89% |
| Buckeye | Managed Medicaid | $316.86 | ↓ -89% |
| OPTUM | Managed Medicaid Transplant | $318.36 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $331.95 | ↓ -89% |
| Molina | Managed Medicaid | $331.95 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $335.12 | ↓ -88% |
| MOLINA | Managed Medicaid | $351.88 | ↓ -88% |
| ANTHEM | Managed Medicaid | $351.88 | ↓ -88% |
| UNITED | Managed Medicaid | $358.58 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $359.77 | ↓ -88% |
| United BH | Managed Medicaid | $368.63 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $377.63 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $470.47 | ↓ -84% |
| The Health Plan | Medicare Advantage | $503.50 | ↓ -83% |
| UPMC | Medicare Advantage | $503.50 | ↓ -83% |
| Anthem | Medicare Advantage | $503.50 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $503.50 | ↓ -83% |
| Valor | All Products | $503.50 | ↓ -83% |
| United | Medicare Advantage | $503.50 | ↓ -83% |
| Humana | Medicare Advantage HMO | $503.50 | ↓ -83% |
| Aetna | Medicare Advantage Transplant | $503.50 | ↓ -83% |
| Aetna | Medicare Advantage | $503.50 | ↓ -83% |
| Cigna | Medicare Advantage | $518.61 | ↓ -82% |
| Summacare | Medicare Advantage MD | $525.82 | ↓ -82% |
| CommuniCare | Medicare Advantage | $528.68 | ↓ -82% |
| Perennial Health | Medicare Advantage | $543.78 | ↓ -81% |
| Devoted Health | Medicare Advantage | $553.49 | ↓ -81% |
| PPHP | All Products | $553.85 | ↓ -81% |
| United | Managed Medicaid | $563.33 | ↓ -81% |
| AETNA | Medicare Advantage Transplant | $655.51 | ↓ -77% |
| Humana Military | All Products | $735.87 | ↓ -75% |
| AETNA | All Products Transplant | $743.79 | ↓ -74% |
| Aetna | All Products Transplant | $743.79 | ↓ -74% |
| Oscar | All Products | $762.30 | ↓ -74% |
| Anthem | All Products Mid-Level Facility | $780.74 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $878.34 | ↓ -70% |
| Anthem | All Products Mid-Level Non-Facility | $897.21 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $897.88 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $897.88 | ↓ -69% |
| MMO | Medicare Advantage HMO | $897.88 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $897.88 | ↓ -69% |
| OPTUM | All Products VA | $897.88 | ↓ -69% |
| MMO | Medicare Advantage PPO | $924.81 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $943.12 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $943.12 | ↓ -67% |
| CIGNA | Medicare Advantage Lifesource | $943.12 | ↓ -67% |
| Summacare | MEDICARE ADVANTAGE | $943.12 | ↓ -67% |
| Valor | ALL PRODUCTS | $943.12 | ↓ -67% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $943.12 | ↓ -67% |
| UPMC | MEDICARE ADVANTAGE | $943.12 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $969.71 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $971.42 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $990.28 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,018.57 | ↓ -65% |
| PPHP | ALL PRODUCTS | $1,037.44 | ↓ -64% |
| CC EHP | All Products | $1,051.63 | ↓ -64% |
| OHCP | All Products | $1,167.00 | ↓ -60% |
| Ohio Healthy | Transplant | $1,200.00 | ↓ -59% |
| Summacare | Preferred | $1,224.64 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $1,238.49 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $1,259.87 | ↓ -56% |
| Aultcare | PPO/HMO | $1,314.00 | ↓ -55% |
| Summacare | Premier | $1,334.54 | ↓ -54% |
| Amish Community Aid Plan | All Products | $1,350.00 | ↓ -53% |
| Aetna | Acop | $1,392.11 | ↓ -52% |
| Optum | Commercial CRS Care Solutions | $1,407.00 | ↓ -51% |
| PHP | ALL PRODUCTS | $1,425.60 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,425.60 | ↓ -51% |
| OMAS | All Products | $1,500.00 | ↓ -48% |
| Healthsmart | All Products | $1,650.00 | ↓ -43% |
| The Health Plan | All Products | $1,650.00 | ↓ -43% |
| Optum | All Products Transplant | $1,749.00 | ↓ -40% |
| PHPHI | All Products | $1,800.00 | ↓ -38% |
| UPMC | All Products | $1,800.00 | ↓ -38% |
| Optum | Commercial CHD Care Solutions | $1,821.00 | ↓ -37% |
| United | All Products - Mid-Level | $1,827.86 | ↓ -37% |
| Clarity Health | All Products | $1,950.00 | ↓ -33% |
| Three Rivers | All Products | $1,950.00 | ↓ -33% |
| United | HMO & PPO | $1,970.07 | ↓ -32% |
| United | All Products | $1,970.07 | ↓ -32% |
| Anthem | All Products Physician Facility | $1,982.93 | ↓ -32% |
| Anthem | All Products Physician | $1,982.93 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,004.75 | ↓ -31% |
| Summacare | PREMIER | $2,031.48 | ↓ -30% |
| ANTHEM | HPN | $2,051.53 | ↓ -29% |
| Quality Care Partners | All Products | $2,100.00 | ↓ -27% |
| GMS | All Products | $2,100.00 | ↓ -27% |
| MMO | Medicare HMO | $2,102.21 | ↓ -27% |
| OHCP | ALL PRODUCTS | $2,165.13 | ↓ -25% |
| MMO | Medicare PPO | $2,165.28 | ↓ -25% |
| Cigna | All Products Mid-Level | $2,186.26 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,227.50 | ↓ -23% |
| Consociate Health | All Products | $2,250.00 | ↓ -22% |
| Aetna | All Products First Health | $2,250.00 | ↓ -22% |
| Anthem | All Products Physician Non-Facility | $2,278.74 | ↓ -21% |
| CIGNA | ALL PRODUCTS | $2,351.00 | ↓ -19% |
| MMO | NASCO | $2,400.00 | ↓ -17% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,400.00 | ↓ -17% |
| Aetna | Asa | $2,400.00 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $2,405.70 | ↓ -17% |
| ANTHEM | PPO/HMO | $2,413.72 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $2,450.25 | ↓ -15% |
| OPTUM | All Products Transplant | $2,521.53 | ↓ -13% |
| Cigna | All Products Physician | $2,571.42 | ↓ -11% |
| UPMC | ALL PRODUCTS | $2,673.00 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $2,673.00 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $2,686.37 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $2,686.37 | ↓ -7% |
| USA Managed Care | All Products | $2,700.00 | ↓ -7% |
| Multiplan | All Products | $2,700.00 | ↓ -7% |
| AETNA | Acop | $2,788.83 | ↓ -4% |
| MMO | TRADITIONAL | $2,802.20 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $2,895.75 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $2,895.75 | ↑ +0% |
| MMO | SuperMed | $2,953.87 | ↑ +2% |
| Aetna | Qhp/Ifp | $3,000.00 | ↑ +4% |
| Ohio Healthy | Transplant SMCP | $3,118.50 | ↑ +8% |
| GMS | ALL PRODUCTS | $3,118.50 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $3,118.50 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $3,118.50 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $3,118.50 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $3,118.50 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $3,158.60 | ↑ +9% |
| CIGNA | PPO | $3,305.61 | ↑ +14% |
| Consociate Health | TRANSPLANT | $3,341.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $3,341.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $3,341.25 | ↑ +15% |
| ANTHEM | TRADITIONAL | $3,426.79 | ↑ +18% |
| AETNA | International | $3,443.00 | ↑ +19% |
| Community Health Alliance | TRANSPLANT | $3,564.00 | ↑ +23% |
| Community Health Alliance | ALL PRODUCTS | $3,564.00 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $3,786.75 | ↑ +31% |
| Managed Care Services | TRANSPLANT | $4,009.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $4,009.50 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $4,009.50 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $4,009.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $4,009.50 | ↑ +38% |
| MMO | ALL PRODUCTS | $4,392.00 | ↑ +52% |
| AETNA | Qhp/Ipf | $4,455.00 | ↑ +54% |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| AETNA | NAP | 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 PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Removal of eye lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $442.49 – $512.36 |
| fairview hospital | Cleveland | not published | $260.86 – $1,037.44 |
| lutheran hospital | Cleveland | not published | $248.35 – $1,037.44 |
| akron general | Akron | not published | $252.71 – $1,037.44 |
| avon hospital | Avon | not published | $271.03 – $1,037.44 |
| euclid hospital | Euclid | not published | $277.68 – $1,037.44 |
| hillcrest hospital | Mayfield Heights | not published | $271.78 – $1,037.44 |
| lodi hospital | Lodi | not published | $423.99 – $490.94 |