healthcosts.net
Removal of eye lesion at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,573.00
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.
$2,420.00
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 $13,821.00 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 | $227.17 | ↓ -86% |
| Paramount | Managed Medicaid | $246.30 | ↓ -84% |
| Buckeye | Managed Medicaid | $251.09 | ↓ -84% |
| Caresource | Managed Medicaid | $251.09 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $263.04 | ↓ -83% |
| Molina | Managed Medicaid | $263.04 | ↓ -83% |
| Summacare | Medicare Advantage Lower Level | $286.10 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $298.35 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $374.13 | ↓ -76% |
| Anthem | Medicare Advantage | $397.80 | ↓ -75% |
| Aetna | Medicare Advantage | $397.80 | ↓ -75% |
| UPMC | Medicare Advantage | $397.80 | ↓ -75% |
| United | Medicare Advantage | $397.80 | ↓ -75% |
| The Health Plan | Medicare Advantage | $397.80 | ↓ -75% |
| Valor | All Products | $397.80 | ↓ -75% |
| Aetna | Medicare Advantage Transplant | $397.80 | ↓ -75% |
| Optum | Medicare Advantage Transplant | $397.80 | ↓ -75% |
| Humana | Medicare Advantage HMO | $397.80 | ↓ -75% |
| Cigna | Medicare Advantage | $409.73 | ↓ -74% |
| CommuniCare | Medicare Advantage | $417.69 | ↓ -73% |
| Summacare | Medicare Advantage MD | $418.14 | ↓ -73% |
| Perennial Health | Medicare Advantage | $429.62 | ↓ -73% |
| PPHP | All Products | $437.58 | ↓ -72% |
| Devoted Health | Medicare Advantage | $440.15 | ↓ -72% |
| United | Managed Medicaid | $540.11 | ↓ -66% |
| Humana Military | All Products | $583.41 | ↓ -63% |
| Aetna | All Products Transplant | $589.28 | ↓ -63% |
| Oscar | All Products | $614.92 | ↓ -61% |
| Anthem | All Products Mid-Level Facility | $618.74 | ↓ -61% |
| CC EHP | All Products | $836.29 | ↓ -47% |
| Anthem | All Products Mid-Level Non-Facility | $864.69 | ↓ -45% |
| OHCP | All Products | $941.38 | ↓ -40% |
| Summacare | Preferred | $966.75 | ↓ -39% |
| Ohio Healthy | Transplant | $968.00 | ↓ -38% |
| Summacare | Premier | $1,053.51 | ↓ -33% |
| Aultcare | PPO/HMO | $1,059.96 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,089.00 | ↓ -31% |
| Aetna | Acop | $1,098.95 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $1,134.98 | ↓ -28% |
| OMAS | All Products | $1,210.00 | ↓ -23% |
| Healthsmart | All Products | $1,331.00 | ↓ -15% |
| The Health Plan | All Products | $1,331.00 | ↓ -15% |
| Optum | All Products Transplant | $1,410.86 | ↓ -10% |
| UPMC | All Products | $1,452.00 | ↓ -8% |
| PHPHI | All Products | $1,452.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,468.94 | ↓ -7% |
| Anthem | All Products Physician Facility | $1,571.48 | ↓ -0% |
| Anthem | All Products Physician | $1,571.48 | ↓ -0% |
| Clarity Health | All Products | $1,573.00 | ↑ +0% |
| Three Rivers | All Products | $1,573.00 | ↑ +0% |
| MMO | Medicare HMO | $1,669.09 | ↑ +6% |
| Quality Care Partners | All Products | $1,694.00 | ↑ +8% |
| GMS | All Products | $1,694.00 | ↑ +8% |
| MMO | Medicare PPO | $1,719.16 | ↑ +9% |
| United | All Products - Mid-Level | $1,754.98 | ↑ +12% |
| Aetna | All Products First Health | $1,815.00 | ↑ +15% |
| Consociate Health | All Products | $1,815.00 | ↑ +15% |
| United | All Products | $1,891.52 | ↑ +20% |
| United | HMO & PPO | $1,891.52 | ↑ +20% |
| MMO | NASCO | $1,936.00 | ↑ +23% |
| Aetna | Asa | $1,936.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,936.00 | ↑ +23% |
| UNITED | MEDICARE ADVANTAGE | $2,027.30 | ↑ +29% |
| Cigna | All Products Mid-Level | $2,107.06 | ↑ +34% |
| MMO | Medicare Advantage HMO | $2,162.75 | ↑ +37% |
| HUMANA | Medicare Advantage HMO | $2,162.75 | ↑ +37% |
| The Health Plan | MEDICARE ADVANTAGE | $2,162.75 | ↑ +37% |
| OPTUM | All Products VA | $2,162.75 | ↑ +37% |
| OPTUM | Medicare Advantage Transplant | $2,162.75 | ↑ +37% |
| Multiplan | All Products | $2,178.00 | ↑ +38% |
| USA Managed Care | All Products | $2,178.00 | ↑ +38% |
| Anthem | All Products Physician Non-Facility | $2,196.15 | ↑ +40% |
| MMO | Medicare Advantage PPO | $2,227.63 | ↑ +42% |
| AETNA | MEDICARE ADVANTAGE | $2,249.28 | ↑ +43% |
| Summacare | MEDICARE ADVANTAGE | $2,249.28 | ↑ +43% |
| CIGNA | Medicare Advantage Lifesource | $2,249.28 | ↑ +43% |
| ANTHEM | MEDICARE ADVANTAGE | $2,249.28 | ↑ +43% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,249.28 | ↑ +43% |
| UPMC | MEDICARE ADVANTAGE | $2,249.28 | ↑ +43% |
| Valor | ALL PRODUCTS | $2,249.28 | ↑ +43% |
| CIGNA | MEDICARE ADVANTAGE | $2,316.76 | ↑ +47% |
| Perennial Health | MEDICARE ADVANTAGE | $2,335.77 | ↑ +48% |
| CommuniCare | MEDICARE ADVANTAGE | $2,361.75 | ↑ +50% |
| Aetna | Qhp/Ifp | $2,420.00 | ↑ +54% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,429.23 | ↑ +54% |
| PPHP | ALL PRODUCTS | $2,474.21 | ↑ +57% |
| Cigna | All Products Physician | $2,478.26 | ↑ +58% |
| OPTUM | Managed Medicaid Transplant | $2,774.75 | ↑ +76% |
| CARESOURCE | Managed Medicaid | $2,920.79 | ↑ +86% |
| ANTHEM | Managed Medicaid | $3,066.83 | ↑ +95% |
| MOLINA | Managed Medicaid | $3,066.83 | ↑ +95% |
| UNITED | Managed Medicaid | $3,125.25 | ↑ +99% |
| United BH | Managed Medicaid | $3,212.87 | ↑ +104% |
| ANTHEM | PPO/HMO | $4,315.00 | ↑ +174% |
| UNITED | ALL PRODUCTS | $6,238.00 | ↑ +297% |
| MMO | SuperMed | $6,813.79 | ↑ +333% |
| MMO | ALL PRODUCTS | $13,821.00 | ↑ +779% |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products PHD | 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 | $3,856.56 – $4,465.49 |
| fairview hospital | Cleveland | not published | $2,027.30 – $2,632.54 |
| lutheran hospital | Cleveland | not published | $2,162.75 – $2,506.27 |
| akron general | Akron | not published | $2,155.61 – $2,550.30 |
| avon hospital | Avon | not published | $2,162.75 – $2,474.21 |
| euclid hospital | Euclid | not published | $2,027.30 – $2,802.22 |
| hillcrest hospital | Mayfield Heights | not published | $2,027.30 – $2,742.70 |
| lodi hospital | Lodi | not published | $2,332.96 – $4,278.87 |