Remove in/ex hem groups 2+ at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,749.80
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.
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What you pay up front if you don't use insurance.
$2,692.00
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 $8,188.18 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% |
| Summacare | Medicare Advantage Lower Level | $297.11 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $347.64 | ↓ -80% |
| Optum | Managed Medicaid Transplant | $362.40 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $388.53 | ↓ -78% |
| Paramount | Managed Medicaid | $392.91 | ↓ -78% |
| Buckeye | Managed Medicaid | $400.54 | ↓ -77% |
| Caresource | Managed Medicaid | $400.54 | ↓ -77% |
| United | Managed Medicaid | $401.06 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $419.62 | ↓ -76% |
| Molina | Managed Medicaid | $419.62 | ↓ -76% |
| Summacare | Medicare Advantage MD | $434.24 | ↓ -75% |
| Devoted Health | Medicare Advantage | $457.09 | ↓ -74% |
| Optum | Medicare Advantage Transplant | $463.52 | ↓ -74% |
| Valor | All Products | $463.52 | ↓ -74% |
| Aetna | Medicare Advantage | $463.52 | ↓ -74% |
| Aetna | Medicare Advantage Transplant | $463.52 | ↓ -74% |
| UPMC | Medicare Advantage | $463.52 | ↓ -74% |
| United | Medicare Advantage | $463.52 | ↓ -74% |
| Anthem | Medicare Advantage | $463.52 | ↓ -74% |
| The Health Plan | Medicare Advantage | $463.52 | ↓ -74% |
| Humana | Medicare Advantage HMO | $463.52 | ↓ -74% |
| Cigna | Medicare Advantage | $477.43 | ↓ -73% |
| CommuniCare | Medicare Advantage | $486.70 | ↓ -72% |
| PPHP | All Products | $493.66 | ↓ -72% |
| Perennial Health | Medicare Advantage | $500.60 | ↓ -71% |
| Humana Military | All Products | $583.96 | ↓ -67% |
| Aetna | All Products Transplant | $586.41 | ↓ -66% |
| Anthem | All Products Mid-Level Non-Facility | $645.15 | ↓ -63% |
| Anthem | All Products Mid-Level Facility | $645.15 | ↓ -63% |
| Oscar | All Products | $684.04 | ↓ -61% |
| CC EHP | All Products | $868.47 | ↓ -50% |
| OHCP | All Products | $1,047.19 | ↓ -40% |
| Ohio Healthy | Transplant | $1,076.80 | ↓ -38% |
| Summacare | Preferred | $1,122.15 | ↓ -36% |
| Aultcare | PPO/HMO | $1,179.10 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,211.40 | ↓ -31% |
| Summacare | Premier | $1,222.85 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $1,262.55 | ↓ -28% |
| Aetna | Acop | $1,275.60 | ↓ -27% |
| United | All Products - Mid-Level | $1,308.17 | ↓ -25% |
| OMAS | All Products | $1,346.00 | ↓ -23% |
| MMO | Medicare HMO | $1,347.55 | ↓ -23% |
| MMO | Medicare PPO | $1,387.98 | ↓ -21% |
| United | HMO & PPO | $1,409.95 | ↓ -19% |
| United | All Products | $1,409.95 | ↓ -19% |
| Healthsmart | All Products | $1,480.60 | ↓ -15% |
| The Health Plan | All Products | $1,480.60 | ↓ -15% |
| Optum | All Products Transplant | $1,569.44 | ↓ -10% |
| PHPHI | All Products | $1,615.20 | ↓ -8% |
| UPMC | All Products | $1,615.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,634.04 | ↓ -7% |
| Anthem | All Products Physician Non-Facility | $1,638.55 | ↓ -6% |
| Anthem | All Products Physician | $1,638.55 | ↓ -6% |
| Anthem | All Products Physician Facility | $1,638.55 | ↓ -6% |
| Three Rivers | All Products | $1,749.80 | ↑ +0% |
| Clarity Health | All Products | $1,749.80 | ↑ +0% |
| OPTUM | Managed Medicaid Transplant | $1,836.64 | ↑ +5% |
| GMS | All Products | $1,884.40 | ↑ +8% |
| Quality Care Partners | All Products | $1,884.40 | ↑ +8% |
| CARESOURCE | Managed Medicaid | $1,933.31 | ↑ +10% |
| Aetna | All Products First Health | $2,019.00 | ↑ +15% |
| Consociate Health | All Products | $2,019.00 | ↑ +15% |
| MOLINA | Managed Medicaid | $2,029.98 | ↑ +16% |
| ANTHEM | Managed Medicaid | $2,029.98 | ↑ +16% |
| UNITED | Managed Medicaid | $2,068.64 | ↑ +18% |
| United BH | Managed Medicaid | $2,126.64 | ↑ +22% |
| MMO | NASCO | $2,153.60 | ↑ +23% |
| Aetna | Asa | $2,153.60 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,153.60 | ↑ +23% |
| Multiplan | All Products | $2,422.80 | ↑ +38% |
| USA Managed Care | All Products | $2,422.80 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $2,435.91 | ↑ +39% |
| OPTUM | All Products VA | $2,542.31 | ↑ +45% |
| MMO | Medicare Advantage HMO | $2,542.31 | ↑ +45% |
| HUMANA | Medicare Advantage HMO | $2,542.31 | ↑ +45% |
| OPTUM | Medicare Advantage Transplant | $2,542.31 | ↑ +45% |
| The Health Plan | MEDICARE ADVANTAGE | $2,542.31 | ↑ +45% |
| MMO | Medicare Advantage PPO | $2,618.57 | ↑ +50% |
| Valor | ALL PRODUCTS | $2,625.99 | ↑ +50% |
| ANTHEM | MEDICARE ADVANTAGE | $2,625.99 | ↑ +50% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,625.99 | ↑ +50% |
| UPMC | MEDICARE ADVANTAGE | $2,625.99 | ↑ +50% |
| Summacare | MEDICARE ADVANTAGE | $2,625.99 | ↑ +50% |
| CIGNA | Medicare Advantage Lifesource | $2,625.99 | ↑ +50% |
| AETNA | MEDICARE ADVANTAGE | $2,625.99 | ↑ +50% |
| Aetna | Qhp/Ifp | $2,692.00 | ↑ +54% |
| CIGNA | MEDICARE ADVANTAGE | $2,704.77 | ↑ +55% |
| Perennial Health | MEDICARE ADVANTAGE | $2,745.69 | ↑ +57% |
| CommuniCare | MEDICARE ADVANTAGE | $2,757.29 | ↑ +58% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,836.07 | ↑ +62% |
| PPHP | ALL PRODUCTS | $2,888.59 | ↑ +65% |
| ANTHEM | PPO/HMO | $4,315.00 | ↑ +147% |
| CIGNA | ALL PRODUCTS | $5,597.00 | ↑ +220% |
| UNITED | ALL PRODUCTS | $6,238.00 | ↑ +256% |
| MMO | ALL PRODUCTS | $7,813.00 | ↑ +347% |
| MMO | SuperMed | $8,188.18 | ↑ +368% |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Remove in/ex hem groups 2+ at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,552.71 – $2,955.77 |
| fairview hospital | Cleveland | not published | $1,504.90 – $2,888.59 |
| lutheran hospital | Cleveland | not published | $1,432.71 – $2,888.59 |
| Jewish Hospital | Cincinnati | $19,403.94 | $2,704.94 – $2,759.04 |
| Anderson Hospital | Cincinnati | $20,090.46 | $2,704.94 – $2,759.04 |
| Clermont Hospital | Batavia | $13,377.29 | $2,704.94 – $2,759.04 |
| Mercy West Hospital | Cincinnati | $13,590.86 | $2,751.90 – $2,806.94 |
| St Ritas Medical Center | Lima | $22,763.55 | $2,751.90 – $2,806.94 |