healthcosts.net
Remove sciatic nerve lesion at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$4,225.00
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.
?
What you pay up front if you don't use insurance.
$6,500.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $19,428.17 with MMO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $623.69 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $699.44 | ↓ -83% |
| Optum | Managed Medicaid Transplant | $757.14 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $815.59 | ↓ -81% |
| Paramount | Managed Medicaid | $820.90 | ↓ -81% |
| United | Managed Medicaid | $831.07 | ↓ -80% |
| Caresource | Managed Medicaid | $836.84 | ↓ -80% |
| Buckeye | Managed Medicaid | $836.84 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $876.69 | ↓ -79% |
| Molina | Managed Medicaid | $876.69 | ↓ -79% |
| Summacare | Medicare Advantage MD | $911.54 | ↓ -78% |
| Humana | Medicare Advantage HMO | $932.58 | ↓ -78% |
| Valor | All Products | $932.58 | ↓ -78% |
| Aetna | Medicare Advantage | $932.58 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $932.58 | ↓ -78% |
| UPMC | Medicare Advantage | $932.58 | ↓ -78% |
| United | Medicare Advantage | $932.58 | ↓ -78% |
| The Health Plan | Medicare Advantage | $932.58 | ↓ -78% |
| Anthem | Medicare Advantage | $932.58 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $932.58 | ↓ -78% |
| Devoted Health | Medicare Advantage | $959.52 | ↓ -77% |
| Cigna | Medicare Advantage | $960.56 | ↓ -77% |
| CommuniCare | Medicare Advantage | $979.21 | ↓ -77% |
| Perennial Health | Medicare Advantage | $1,007.19 | ↓ -76% |
| PPHP | All Products | $1,025.84 | ↓ -76% |
| Humana Military | All Products | $1,218.44 | ↓ -71% |
| Aetna | All Products Transplant | $1,226.76 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $1,359.35 | ↓ -68% |
| Anthem | All Products Mid-Level Non-Facility | $1,359.35 | ↓ -68% |
| Oscar | All Products | $1,651.65 | ↓ -61% |
| CC EHP | All Products | $1,823.09 | ↓ -57% |
| Summacare | Preferred | $2,225.29 | ↓ -47% |
| Summacare | Premier | $2,425.00 | ↓ -43% |
| OHCP | All Products | $2,528.50 | ↓ -40% |
| Aetna | Acop | $2,529.61 | ↓ -40% |
| Ohio Healthy | Transplant | $2,600.00 | ↓ -38% |
| United | All Products - Mid-Level | $2,752.82 | ↓ -35% |
| Aultcare | PPO/HMO | $2,847.00 | ↓ -33% |
| Amish Community Aid Plan | All Products | $2,925.00 | ↓ -31% |
| United | All Products | $2,967.00 | ↓ -30% |
| United | HMO & PPO | $2,967.00 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $3,048.50 | ↓ -28% |
| MMO | Medicare HMO | $3,076.79 | ↓ -27% |
| MMO | Medicare PPO | $3,169.09 | ↓ -25% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,231.94 | ↓ -24% |
| CIGNA | Medicare Advantage Lifesource | $3,231.94 | ↓ -24% |
| Summacare | MEDICARE ADVANTAGE | $3,231.94 | ↓ -24% |
| ANTHEM | MEDICARE ADVANTAGE | $3,231.94 | ↓ -24% |
| AETNA | MEDICARE ADVANTAGE | $3,231.94 | ↓ -24% |
| UPMC | MEDICARE ADVANTAGE | $3,231.94 | ↓ -24% |
| Valor | ALL PRODUCTS | $3,231.94 | ↓ -24% |
| OMAS | All Products | $3,250.00 | ↓ -23% |
| CIGNA | MEDICARE ADVANTAGE | $3,328.90 | ↓ -21% |
| CommuniCare | MEDICARE ADVANTAGE | $3,393.54 | ↓ -20% |
| Anthem | All Products Physician Non-Facility | $3,452.49 | ↓ -18% |
| Anthem | All Products Physician Facility | $3,452.49 | ↓ -18% |
| Anthem | All Products Physician | $3,452.49 | ↓ -18% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,490.49 | ↓ -17% |
| PPHP | ALL PRODUCTS | $3,555.13 | ↓ -16% |
| OPTUM | Managed Medicaid Transplant | $3,555.79 | ↓ -16% |
| The Health Plan | All Products | $3,575.00 | ↓ -15% |
| Healthsmart | All Products | $3,575.00 | ↓ -15% |
| CARESOURCE | Managed Medicaid | $3,742.94 | ↓ -11% |
| Optum | All Products Transplant | $3,789.50 | ↓ -10% |
| UPMC | All Products | $3,900.00 | ↓ -8% |
| PHPHI | All Products | $3,900.00 | ↓ -8% |
| MOLINA | Managed Medicaid | $3,930.09 | ↓ -7% |
| ANTHEM | Managed Medicaid | $3,930.09 | ↓ -7% |
| Optum | Commercial CHD Care Solutions | $3,945.50 | ↓ -7% |
| UNITED | Managed Medicaid | $4,004.95 | ↓ -5% |
| United BH | Managed Medicaid | $4,117.23 | ↓ -3% |
| Clarity Health | All Products | $4,225.00 | ↑ +0% |
| Three Rivers | All Products | $4,225.00 | ↑ +0% |
| Quality Care Partners | All Products | $4,550.00 | ↑ +8% |
| GMS | All Products | $4,550.00 | ↑ +8% |
| Aetna | All Products First Health | $4,875.00 | ↑ +15% |
| Consociate Health | All Products | $4,875.00 | ↑ +15% |
| Aetna | Asa | $5,200.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $5,200.00 | ↑ +23% |
| MMO | NASCO | $5,200.00 | ↑ +23% |
| UNITED | MEDICARE ADVANTAGE | $5,779.17 | ↑ +37% |
| Multiplan | All Products | $5,850.00 | ↑ +38% |
| USA Managed Care | All Products | $5,850.00 | ↑ +38% |
| MMO | Medicare Advantage HMO | $5,936.83 | ↑ +41% |
| HUMANA | Medicare Advantage HMO | $5,936.83 | ↑ +41% |
| OPTUM | All Products VA | $5,936.83 | ↑ +41% |
| The Health Plan | MEDICARE ADVANTAGE | $5,936.83 | ↑ +41% |
| OPTUM | Medicare Advantage Transplant | $5,936.83 | ↑ +41% |
| MMO | Medicare Advantage PPO | $6,114.93 | ↑ +45% |
| Perennial Health | MEDICARE ADVANTAGE | $6,411.78 | ↑ +52% |
| Aetna | Qhp/Ifp | $6,500.00 | ↑ +54% |
| MMO | SuperMed | $19,428.17 | ↑ +360% |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Remove sciatic nerve lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,942.12 – $5,722.45 |
| fairview hospital | Cleveland | not published | $2,913.53 – $5,936.83 |
| lutheran hospital | Cleveland | not published | $2,773.77 – $5,936.83 |
| akron general | Akron | not published | $2,822.50 – $6,124.34 |
| avon hospital | Avon | not published | $3,027.08 – $5,936.83 |
| euclid hospital | Euclid | not published | $3,101.31 – $5,936.83 |
| hillcrest hospital | Mayfield Heights | not published | $3,035.44 – $5,936.83 |
| lodi hospital | Lodi | not published | $3,490.14 – $5,483.29 |