Removal of sesamoid bone at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,300.00
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.
$2,000.00
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 | $158.14 | ↓ -88% |
| Paramount | Managed Medicaid | $171.45 | ↓ -87% |
| Caresource | Managed Medicaid | $174.78 | ↓ -87% |
| Buckeye | Managed Medicaid | $174.78 | ↓ -87% |
| Molina | Managed Medicaid | $183.11 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $183.11 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $201.82 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $225.98 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $263.92 | ↓ -80% |
| Summacare | Medicare Advantage MD | $294.97 | ↓ -77% |
| Humana | Medicare Advantage HMO | $301.30 | ↓ -77% |
| Valor | All Products | $301.30 | ↓ -77% |
| Aetna | Medicare Advantage | $301.30 | ↓ -77% |
| Aetna | Medicare Advantage Transplant | $301.30 | ↓ -77% |
| UPMC | Medicare Advantage | $301.30 | ↓ -77% |
| United | Medicare Advantage | $301.30 | ↓ -77% |
| The Health Plan | Medicare Advantage | $301.30 | ↓ -77% |
| Anthem | Medicare Advantage | $301.30 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $301.30 | ↓ -77% |
| Cigna | Medicare Advantage | $310.34 | ↓ -76% |
| Devoted Health | Medicare Advantage | $310.49 | ↓ -76% |
| CommuniCare | Medicare Advantage | $316.37 | ↓ -76% |
| Perennial Health | Medicare Advantage | $325.40 | ↓ -75% |
| PPHP | All Products | $331.43 | ↓ -75% |
| United | Managed Medicaid | $391.77 | ↓ -70% |
| Humana Military | All Products | $408.67 | ↓ -69% |
| Aetna | All Products Transplant | $409.80 | ↓ -68% |
| Anthem | All Products Mid-Level Facility | $433.77 | ↓ -67% |
| Oscar | All Products | $508.20 | ↓ -61% |
| CC EHP | All Products | $589.93 | ↓ -55% |
| Anthem | All Products Mid-Level Non-Facility | $623.81 | ↓ -52% |
| Summacare | Preferred | $727.58 | ↓ -44% |
| OHCP | All Products | $778.00 | ↓ -40% |
| Summacare | Premier | $792.87 | ↓ -39% |
| Ohio Healthy | Transplant | $800.00 | ↓ -38% |
| Aetna | Acop | $827.07 | ↓ -36% |
| Aultcare | PPO/HMO | $876.00 | ↓ -33% |
| Amish Community Aid Plan | All Products | $900.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $938.00 | ↓ -28% |
| OMAS | All Products | $1,000.00 | ↓ -23% |
| MMO | Medicare HMO | $1,054.53 | ↓ -19% |
| MMO | Medicare PPO | $1,086.17 | ↓ -16% |
| The Health Plan | All Products | $1,100.00 | ↓ -15% |
| Healthsmart | All Products | $1,100.00 | ↓ -15% |
| Anthem | All Products Physician | $1,101.68 | ↓ -15% |
| Anthem | All Products Physician Facility | $1,101.68 | ↓ -15% |
| Optum | All Products Transplant | $1,166.00 | ↓ -10% |
| PHPHI | All Products | $1,200.00 | ↓ -8% |
| UPMC | All Products | $1,200.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,214.00 | ↓ -7% |
| United | All Products - Mid-Level | $1,266.64 | ↓ -3% |
| Clarity Health | All Products | $1,300.00 | ↑ +0% |
| Three Rivers | All Products | $1,300.00 | ↑ +0% |
| United | All Products | $1,365.19 | ↑ +5% |
| United | HMO & PPO | $1,365.19 | ↑ +5% |
| Cigna | All Products Mid-Level | $1,381.57 | ↑ +6% |
| GMS | All Products | $1,400.00 | ↑ +8% |
| Quality Care Partners | All Products | $1,400.00 | ↑ +8% |
| Aetna | All Products First Health | $1,500.00 | ↑ +15% |
| Consociate Health | All Products | $1,500.00 | ↑ +15% |
| Anthem | All Products Physician Non-Facility | $1,584.34 | ↑ +22% |
| Aetna | Asa | $1,600.00 | ↑ +23% |
| MMO | NASCO | $1,600.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,600.00 | ↑ +23% |
| Cigna | All Products Physician | $1,625.51 | ↑ +25% |
| OPTUM | Managed Medicaid Transplant | $1,754.89 | ↑ +35% |
| USA Managed Care | All Products | $1,800.00 | ↑ +38% |
| Multiplan | All Products | $1,800.00 | ↑ +38% |
| CARESOURCE | Managed Medicaid | $1,847.25 | ↑ +42% |
| ANTHEM | Managed Medicaid | $1,939.61 | ↑ +49% |
| MOLINA | Managed Medicaid | $1,939.61 | ↑ +49% |
| UNITED | Managed Medicaid | $1,976.56 | ↑ +52% |
| Aetna | Qhp/Ifp | $2,000.00 | ↑ +54% |
| United BH | Managed Medicaid | $2,031.98 | ↑ +56% |
| UNITED | MEDICARE ADVANTAGE | $2,808.13 | ↑ +116% |
| OPTUM | All Products VA | $3,007.88 | ↑ +131% |
| OPTUM | Medicare Advantage Transplant | $3,007.88 | ↑ +131% |
| HUMANA | Medicare Advantage HMO | $3,007.88 | ↑ +131% |
| The Health Plan | MEDICARE ADVANTAGE | $3,007.88 | ↑ +131% |
| MMO | Medicare Advantage HMO | $3,007.88 | ↑ +131% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,095.56 | ↑ +138% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↑ +138% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↑ +138% |
| CIGNA | Medicare Advantage Lifesource | $3,095.56 | ↑ +138% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↑ +138% |
| UPMC | MEDICARE ADVANTAGE | $3,095.56 | ↑ +138% |
| Valor | ALL PRODUCTS | $3,095.56 | ↑ +138% |
| MMO | Medicare Advantage PPO | $3,098.12 | ↑ +138% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↑ +145% |
| Perennial Health | MEDICARE ADVANTAGE | $3,248.51 | ↑ +150% |
| CommuniCare | MEDICARE ADVANTAGE | $3,250.34 | ↑ +150% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↑ +157% |
| PPHP | ALL PRODUCTS | $3,405.12 | ↑ +162% |
| MMO | SuperMed | $9,440.12 | ↑ +626% |
| 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 sesamoid bone 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 |
| Jewish Hospital | Cincinnati | $14,507.16 | $3,188.63 – $3,252.40 |
| Anderson Hospital | Cincinnati | $15,135.06 | $3,188.63 – $3,252.40 |
| St Ritas Medical Center | Lima | $22,520.94 | $3,243.99 – $3,308.87 |
| akron general | Akron | $1,300.00 | $1.10 – $3,237.79 |
| mercy hospital | Canton | $1,300.00 | $1.10 – $3,188.43 |