healthcosts.net
Repair eyelid defect at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$527.80
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.
$812.00
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 $6,813.79 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 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $94.69 | ↓ -82% |
| Paramount | Managed Medicaid | $102.66 | ↓ -81% |
| Caresource | Managed Medicaid | $104.65 | ↓ -80% |
| Buckeye | Managed Medicaid | $104.65 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $109.64 | ↓ -79% |
| Molina | Managed Medicaid | $109.64 | ↓ -79% |
| Summacare | Medicare Advantage Lower Level | $118.94 | ↓ -77% |
| Summacare | Medicare Advantage Psych | $128.61 | ↓ -76% |
| Summacare | Medicare Advantage CNA | $155.54 | ↓ -71% |
| The Health Plan | Medicare Advantage | $171.48 | ↓ -68% |
| Humana | Medicare Advantage HMO | $171.48 | ↓ -68% |
| Valor | All Products | $171.48 | ↓ -68% |
| Aetna | Medicare Advantage | $171.48 | ↓ -68% |
| Aetna | Medicare Advantage Transplant | $171.48 | ↓ -68% |
| UPMC | Medicare Advantage | $171.48 | ↓ -68% |
| United | Medicare Advantage | $171.48 | ↓ -68% |
| Anthem | Medicare Advantage | $171.48 | ↓ -68% |
| Optum | Medicare Advantage Transplant | $171.48 | ↓ -68% |
| Summacare | Medicare Advantage MD | $173.84 | ↓ -67% |
| Cigna | Medicare Advantage | $176.62 | ↓ -67% |
| CommuniCare | Medicare Advantage | $180.05 | ↓ -66% |
| Devoted Health | Medicare Advantage | $182.99 | ↓ -65% |
| Perennial Health | Medicare Advantage | $185.20 | ↓ -65% |
| PPHP | All Products | $188.63 | ↓ -64% |
| Oscar | All Products | $206.33 | ↓ -61% |
| United | Managed Medicaid | $241.36 | ↓ -54% |
| Humana Military | All Products | $251.51 | ↓ -52% |
| Aetna | All Products Transplant | $254.14 | ↓ -52% |
| Anthem | All Products Mid-Level Facility | $257.06 | ↓ -51% |
| OHCP | All Products | $315.87 | ↓ -40% |
| Ohio Healthy | Transplant | $324.80 | ↓ -38% |
| CC EHP | All Products | $347.68 | ↓ -34% |
| Aultcare | PPO/HMO | $355.66 | ↓ -33% |
| Amish Community Aid Plan | All Products | $365.40 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $380.83 | ↓ -28% |
| Anthem | All Products Mid-Level Non-Facility | $395.80 | ↓ -25% |
| OMAS | All Products | $406.00 | ↓ -23% |
| Summacare | Preferred | $421.25 | ↓ -20% |
| Healthsmart | All Products | $446.60 | ↓ -15% |
| The Health Plan | All Products | $446.60 | ↓ -15% |
| Summacare | Premier | $459.05 | ↓ -13% |
| Optum | All Products Transplant | $473.40 | ↓ -10% |
| Aetna | Acop | $478.85 | ↓ -9% |
| UPMC | All Products | $487.20 | ↓ -8% |
| PHPHI | All Products | $487.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $492.88 | ↓ -7% |
| Clarity Health | All Products | $527.80 | ↑ +0% |
| Three Rivers | All Products | $527.80 | ↑ +0% |
| GMS | All Products | $568.40 | ↑ +8% |
| Quality Care Partners | All Products | $568.40 | ↑ +8% |
| Aetna | All Products First Health | $609.00 | ↑ +15% |
| Consociate Health | All Products | $609.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $649.60 | ↑ +23% |
| MMO | NASCO | $649.60 | ↑ +23% |
| Aetna | Asa | $649.60 | ↑ +23% |
| Anthem | All Products Physician | $652.85 | ↑ +24% |
| Anthem | All Products Physician Facility | $652.85 | ↑ +24% |
| MMO | Medicare HMO | $682.07 | ↑ +29% |
| MMO | Medicare PPO | $702.53 | ↑ +33% |
| Multiplan | All Products | $730.80 | ↑ +38% |
| USA Managed Care | All Products | $730.80 | ↑ +38% |
| United | All Products - Mid-Level | $800.39 | ↑ +52% |
| Aetna | Qhp/Ifp | $812.00 | ↑ +54% |
| United | All Products | $862.66 | ↑ +63% |
| United | HMO & PPO | $862.66 | ↑ +63% |
| Cigna | All Products Mid-Level | $964.47 | ↑ +83% |
| Anthem | All Products Physician Non-Facility | $1,005.25 | ↑ +90% |
| Cigna | All Products Physician | $1,134.38 | ↑ +115% |
| OPTUM | Managed Medicaid Transplant | $1,153.81 | ↑ +119% |
| CARESOURCE | Managed Medicaid | $1,214.54 | ↑ +130% |
| MOLINA | Managed Medicaid | $1,275.27 | ↑ +142% |
| ANTHEM | Managed Medicaid | $1,275.27 | ↑ +142% |
| UNITED | Managed Medicaid | $1,299.56 | ↑ +146% |
| United BH | Managed Medicaid | $1,335.99 | ↑ +153% |
| UNITED | MEDICARE ADVANTAGE | $2,027.30 | ↑ +284% |
| OPTUM | Medicare Advantage Transplant | $2,162.75 | ↑ +310% |
| The Health Plan | MEDICARE ADVANTAGE | $2,162.75 | ↑ +310% |
| MMO | Medicare Advantage HMO | $2,162.75 | ↑ +310% |
| HUMANA | Medicare Advantage HMO | $2,162.75 | ↑ +310% |
| OPTUM | All Products VA | $2,162.75 | ↑ +310% |
| MMO | Medicare Advantage PPO | $2,227.63 | ↑ +322% |
| ANTHEM | MEDICARE ADVANTAGE | $2,249.28 | ↑ +326% |
| Summacare | MEDICARE ADVANTAGE | $2,249.28 | ↑ +326% |
| CIGNA | Medicare Advantage Lifesource | $2,249.28 | ↑ +326% |
| AETNA | MEDICARE ADVANTAGE | $2,249.28 | ↑ +326% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,249.28 | ↑ +326% |
| UPMC | MEDICARE ADVANTAGE | $2,249.28 | ↑ +326% |
| Valor | ALL PRODUCTS | $2,249.28 | ↑ +326% |
| CIGNA | MEDICARE ADVANTAGE | $2,316.76 | ↑ +339% |
| Perennial Health | MEDICARE ADVANTAGE | $2,335.77 | ↑ +343% |
| CommuniCare | MEDICARE ADVANTAGE | $2,361.75 | ↑ +347% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,429.23 | ↑ +360% |
| PPHP | ALL PRODUCTS | $2,474.21 | ↑ +369% |
| MMO | SuperMed | $6,813.79 | ↑ +1191% |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
Visitor-reported prices
Comments
Repair eyelid defect at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,603.66 – $1,856.87 |
| fairview hospital | Cleveland | not published | $945.40 – $2,474.21 |
| lutheran hospital | Cleveland | not published | $900.06 – $2,474.21 |
| akron general | Akron | not published | $915.87 – $2,474.21 |
| avon hospital | Avon | not published | $982.25 – $2,474.21 |
| euclid hospital | Euclid | not published | $1,006.34 – $2,474.21 |
| hillcrest hospital | Mayfield Heights | not published | $984.97 – $2,474.21 |
| lodi hospital | Lodi | not published | $1,536.64 – $1,779.27 |