Remove sperm pouch lesion at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,474.20
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.
$2,268.00
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 $10,168.64 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 | $214.27 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $235.37 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $250.82 | ↓ -83% |
| United | Managed Medicaid | $258.45 | ↓ -82% |
| Paramount | Managed Medicaid | $271.94 | ↓ -82% |
| Caresource | Managed Medicaid | $277.22 | ↓ -81% |
| Buckeye | Managed Medicaid | $277.22 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $280.19 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $290.42 | ↓ -80% |
| Molina | Managed Medicaid | $290.42 | ↓ -80% |
| Summacare | Medicare Advantage MD | $313.16 | ↓ -79% |
| Humana | Medicare Advantage HMO | $313.82 | ↓ -79% |
| Valor | All Products | $313.82 | ↓ -79% |
| Aetna | Medicare Advantage | $313.82 | ↓ -79% |
| Aetna | Medicare Advantage Transplant | $313.82 | ↓ -79% |
| UPMC | Medicare Advantage | $313.82 | ↓ -79% |
| United | Medicare Advantage | $313.82 | ↓ -79% |
| The Health Plan | Medicare Advantage | $313.82 | ↓ -79% |
| Anthem | Medicare Advantage | $313.82 | ↓ -79% |
| Optum | Medicare Advantage Transplant | $313.82 | ↓ -79% |
| Cigna | Medicare Advantage | $323.23 | ↓ -78% |
| CommuniCare | Medicare Advantage | $329.51 | ↓ -78% |
| Devoted Health | Medicare Advantage | $329.64 | ↓ -78% |
| Perennial Health | Medicare Advantage | $338.93 | ↓ -77% |
| PPHP | All Products | $345.20 | ↓ -77% |
| Humana Military | All Products | $434.48 | ↓ -71% |
| Aetna | All Products Transplant | $436.99 | ↓ -70% |
| Anthem | All Products Mid-Level Facility | $460.72 | ↓ -69% |
| Anthem | All Products Mid-Level Non-Facility | $460.72 | ↓ -69% |
| Oscar | All Products | $576.30 | ↓ -61% |
| CC EHP | All Products | $626.32 | ↓ -58% |
| Summacare | Preferred | $753.34 | ↓ -49% |
| Summacare | Premier | $820.95 | ↓ -44% |
| Aetna | Acop | $856.36 | ↓ -42% |
| OHCP | All Products | $882.25 | ↓ -40% |
| Ohio Healthy | Transplant | $907.20 | ↓ -38% |
| United | All Products - Mid-Level | $943.71 | ↓ -36% |
| Aultcare | PPO/HMO | $993.38 | ↓ -33% |
| United | All Products | $1,017.14 | ↓ -31% |
| United | HMO & PPO | $1,017.14 | ↓ -31% |
| Amish Community Aid Plan | All Products | $1,020.60 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,063.69 | ↓ -28% |
| MMO | Medicare HMO | $1,120.54 | ↓ -24% |
| OMAS | All Products | $1,134.00 | ↓ -23% |
| MMO | Medicare PPO | $1,154.16 | ↓ -22% |
| Anthem | All Products Physician | $1,170.13 | ↓ -21% |
| Anthem | All Products Physician Non-Facility | $1,170.13 | ↓ -21% |
| Anthem | All Products Physician Facility | $1,170.13 | ↓ -21% |
| OPTUM | Managed Medicaid Transplant | $1,192.85 | ↓ -19% |
| Healthsmart | All Products | $1,247.40 | ↓ -15% |
| The Health Plan | All Products | $1,247.40 | ↓ -15% |
| CARESOURCE | Managed Medicaid | $1,255.63 | ↓ -15% |
| MOLINA | Managed Medicaid | $1,318.41 | ↓ -11% |
| ANTHEM | Managed Medicaid | $1,318.41 | ↓ -11% |
| Optum | All Products Transplant | $1,322.24 | ↓ -10% |
| UNITED | Managed Medicaid | $1,343.52 | ↓ -9% |
| PHPHI | All Products | $1,360.80 | ↓ -8% |
| UPMC | All Products | $1,360.80 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,376.68 | ↓ -7% |
| United BH | Managed Medicaid | $1,381.19 | ↓ -6% |
| Three Rivers | All Products | $1,474.20 | ↑ +0% |
| Clarity Health | All Products | $1,474.20 | ↑ +0% |
| GMS | All Products | $1,587.60 | ↑ +8% |
| Quality Care Partners | All Products | $1,587.60 | ↑ +8% |
| Aetna | All Products First Health | $1,701.00 | ↑ +15% |
| Consociate Health | All Products | $1,701.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,814.40 | ↑ +23% |
| MMO | NASCO | $1,814.40 | ↑ +23% |
| Aetna | Asa | $1,814.40 | ↑ +23% |
| Multiplan | All Products | $2,041.20 | ↑ +38% |
| USA Managed Care | All Products | $2,041.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,268.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $3,024.43 | ↑ +105% |
| OPTUM | Medicare Advantage Transplant | $3,197.33 | ↑ +117% |
| OPTUM | All Products VA | $3,197.33 | ↑ +117% |
| HUMANA | Medicare Advantage HMO | $3,197.33 | ↑ +117% |
| The Health Plan | MEDICARE ADVANTAGE | $3,197.33 | ↑ +117% |
| MMO | Medicare Advantage HMO | $3,197.33 | ↑ +117% |
| MMO | Medicare Advantage PPO | $3,293.25 | ↑ +123% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,334.90 | ↑ +126% |
| Summacare | MEDICARE ADVANTAGE | $3,334.90 | ↑ +126% |
| ANTHEM | MEDICARE ADVANTAGE | $3,334.90 | ↑ +126% |
| CIGNA | Medicare Advantage Lifesource | $3,334.90 | ↑ +126% |
| AETNA | MEDICARE ADVANTAGE | $3,334.90 | ↑ +126% |
| UPMC | MEDICARE ADVANTAGE | $3,334.90 | ↑ +126% |
| Valor | ALL PRODUCTS | $3,334.90 | ↑ +126% |
| CIGNA | MEDICARE ADVANTAGE | $3,434.95 | ↑ +133% |
| Perennial Health | MEDICARE ADVANTAGE | $3,453.12 | ↑ +134% |
| CommuniCare | MEDICARE ADVANTAGE | $3,501.65 | ↑ +138% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,601.70 | ↑ +144% |
| PPHP | ALL PRODUCTS | $3,668.39 | ↑ +149% |
| MMO | SuperMed | $10,168.64 | ↑ +590% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Remove sperm pouch lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,657.91 – $1,919.69 |
| fairview hospital | Cleveland | not published | $977.39 – $3,668.39 |
| lutheran hospital | Cleveland | not published | $930.51 – $3,668.39 |
| akron general | Akron | not published | $946.85 – $3,668.39 |
| avon hospital | Avon | not published | $1,015.48 – $3,668.39 |
| euclid hospital | Euclid | not published | $1,040.38 – $3,668.39 |
| hillcrest hospital | Mayfield Heights | not published | $1,018.29 – $3,668.39 |
| lodi hospital | Lodi | not published | $1,588.63 – $1,839.46 |