healthcosts.net
Removal of metatarsal at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,856.40
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.
$2,856.00
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 $9,440.12 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 | $208.44 | ↓ -89% |
| Paramount | Managed Medicaid | $225.99 | ↓ -88% |
| Caresource | Managed Medicaid | $230.38 | ↓ -88% |
| Buckeye | Managed Medicaid | $230.38 | ↓ -88% |
| Molina | Managed Medicaid | $241.35 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $241.35 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $262.32 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $289.98 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $343.03 | ↓ -82% |
| Summacare | Medicare Advantage MD | $383.39 | ↓ -79% |
| Humana | Medicare Advantage HMO | $386.64 | ↓ -79% |
| Valor | All Products | $386.64 | ↓ -79% |
| Aetna | Medicare Advantage | $386.64 | ↓ -79% |
| Aetna | Medicare Advantage Transplant | $386.64 | ↓ -79% |
| UPMC | Medicare Advantage | $386.64 | ↓ -79% |
| United | Medicare Advantage | $386.64 | ↓ -79% |
| The Health Plan | Medicare Advantage | $386.64 | ↓ -79% |
| Anthem | Medicare Advantage | $386.64 | ↓ -79% |
| Optum | Medicare Advantage Transplant | $386.64 | ↓ -79% |
| Cigna | Medicare Advantage | $398.24 | ↓ -79% |
| Devoted Health | Medicare Advantage | $403.57 | ↓ -78% |
| CommuniCare | Medicare Advantage | $405.97 | ↓ -78% |
| Perennial Health | Medicare Advantage | $417.57 | ↓ -78% |
| PPHP | All Products | $425.30 | ↓ -77% |
| United | Managed Medicaid | $463.34 | ↓ -75% |
| Humana Military | All Products | $533.22 | ↓ -71% |
| Aetna | All Products Transplant | $537.56 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $570.52 | ↓ -69% |
| Oscar | All Products | $725.71 | ↓ -61% |
| Anthem | All Products Mid-Level Non-Facility | $749.63 | ↓ -60% |
| CC EHP | All Products | $766.78 | ↓ -59% |
| Summacare | Preferred | $926.83 | ↓ -50% |
| Summacare | Premier | $1,010.00 | ↓ -46% |
| Aetna | Acop | $1,053.57 | ↓ -43% |
| OHCP | All Products | $1,110.98 | ↓ -40% |
| Ohio Healthy | Transplant | $1,142.40 | ↓ -38% |
| Aultcare | PPO/HMO | $1,250.93 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,285.20 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,339.46 | ↓ -28% |
| MMO | Medicare HMO | $1,423.40 | ↓ -23% |
| OMAS | All Products | $1,428.00 | ↓ -23% |
| Anthem | All Products Physician Facility | $1,449.00 | ↓ -22% |
| Anthem | All Products Physician | $1,449.00 | ↓ -22% |
| MMO | Medicare PPO | $1,466.10 | ↓ -21% |
| United | All Products - Mid-Level | $1,519.44 | ↓ -18% |
| The Health Plan | All Products | $1,570.80 | ↓ -15% |
| Healthsmart | All Products | $1,570.80 | ↓ -15% |
| United | All Products | $1,637.66 | ↓ -12% |
| United | HMO & PPO | $1,637.66 | ↓ -12% |
| Cigna | All Products Mid-Level | $1,660.24 | ↓ -11% |
| Optum | All Products Transplant | $1,665.05 | ↓ -10% |
| UPMC | All Products | $1,713.60 | ↓ -8% |
| PHPHI | All Products | $1,713.60 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,733.59 | ↓ -7% |
| OPTUM | Managed Medicaid Transplant | $1,754.89 | ↓ -5% |
| CARESOURCE | Managed Medicaid | $1,847.25 | ↓ -0% |
| Three Rivers | All Products | $1,856.40 | ↑ +0% |
| Clarity Health | All Products | $1,856.40 | ↑ +0% |
| Anthem | All Products Physician Non-Facility | $1,903.91 | ↑ +3% |
| ANTHEM | Managed Medicaid | $1,939.61 | ↑ +4% |
| MOLINA | Managed Medicaid | $1,939.61 | ↑ +4% |
| Cigna | All Products Physician | $1,953.39 | ↑ +5% |
| UNITED | Managed Medicaid | $1,976.56 | ↑ +6% |
| Quality Care Partners | All Products | $1,999.20 | ↑ +8% |
| GMS | All Products | $1,999.20 | ↑ +8% |
| United BH | Managed Medicaid | $2,031.98 | ↑ +9% |
| Aetna | All Products First Health | $2,142.00 | ↑ +15% |
| Consociate Health | All Products | $2,142.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,284.80 | ↑ +23% |
| Aetna | Asa | $2,284.80 | ↑ +23% |
| MMO | NASCO | $2,284.80 | ↑ +23% |
| Multiplan | All Products | $2,570.40 | ↑ +38% |
| USA Managed Care | All Products | $2,570.40 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $2,808.13 | ↑ +51% |
| Aetna | Qhp/Ifp | $2,856.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $3,007.88 | ↑ +62% |
| MMO | Medicare Advantage HMO | $3,007.88 | ↑ +62% |
| OPTUM | Medicare Advantage Transplant | $3,007.88 | ↑ +62% |
| OPTUM | All Products VA | $3,007.88 | ↑ +62% |
| The Health Plan | MEDICARE ADVANTAGE | $3,007.88 | ↑ +62% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,095.56 | ↑ +67% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↑ +67% |
| CIGNA | Medicare Advantage Lifesource | $3,095.56 | ↑ +67% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↑ +67% |
| UPMC | MEDICARE ADVANTAGE | $3,095.56 | ↑ +67% |
| Valor | ALL PRODUCTS | $3,095.56 | ↑ +67% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↑ +67% |
| MMO | Medicare Advantage PPO | $3,098.12 | ↑ +67% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↑ +72% |
| Perennial Health | MEDICARE ADVANTAGE | $3,248.51 | ↑ +75% |
| CommuniCare | MEDICARE ADVANTAGE | $3,250.34 | ↑ +75% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↑ +80% |
| PPHP | ALL PRODUCTS | $3,405.12 | ↑ +83% |
| MMO | SuperMed | $9,440.12 | ↑ +409% |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
Visitor-reported prices
Comments
Removal of metatarsal at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,439.08 – $2,824.20 |
| fairview hospital | Cleveland | not published | $1,437.91 – $3,405.12 |
| lutheran hospital | Cleveland | not published | $1,368.94 – $3,405.12 |
| akron general | Akron | $1,856.40 | $1.10 – $3,237.79 |
| mercy hospital | Canton | $1,856.40 | $1.10 – $3,188.43 |
| avon hospital | Avon | not published | $1,493.95 – $3,405.12 |
| euclid hospital | Euclid | not published | $1,530.58 – $3,405.12 |
| hillcrest hospital | Mayfield Heights | not published | $1,498.07 – $3,405.12 |