healthcosts.net
Repair of heart defects incplt/prtl without av valve 33660 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$9,103.25
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.
$14,005.00
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 $14,005.00 with Aetna — 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 | $1,072.87 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $1,215.50 | ↓ -87% |
| Optum | Managed Medicaid Transplant | $1,395.69 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $1,402.98 | ↓ -85% |
| United | Managed Medicaid | $1,416.80 | ↓ -84% |
| Paramount | Managed Medicaid | $1,513.22 | ↓ -83% |
| Caresource | Managed Medicaid | $1,542.61 | ↓ -83% |
| Buckeye | Managed Medicaid | $1,542.61 | ↓ -83% |
| Summacare | Medicare Advantage MD | $1,568.04 | ↓ -83% |
| Molina | Managed Medicaid | $1,616.07 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $1,616.07 | ↓ -82% |
| Aetna | Medicare Advantage Transplant | $1,620.67 | ↓ -82% |
| Humana | Medicare Advantage HMO | $1,620.67 | ↓ -82% |
| Anthem | Medicare Advantage | $1,620.67 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $1,620.67 | ↓ -82% |
| Valor | All Products | $1,620.67 | ↓ -82% |
| United | Medicare Advantage | $1,620.67 | ↓ -82% |
| UPMC | Medicare Advantage | $1,620.67 | ↓ -82% |
| Aetna | Medicare Advantage | $1,620.67 | ↓ -82% |
| The Health Plan | Medicare Advantage | $1,620.67 | ↓ -82% |
| Devoted Health | Medicare Advantage | $1,650.57 | ↓ -82% |
| Cigna | Medicare Advantage | $1,669.29 | ↓ -82% |
| CommuniCare | Medicare Advantage | $1,701.70 | ↓ -81% |
| Perennial Health | Medicare Advantage | $1,750.32 | ↓ -81% |
| PPHP | All Products | $1,782.62 | ↓ -80% |
| Humana Military | All Products | $2,121.55 | ↓ -77% |
| Aetna | All Products Transplant | $2,141.04 | ↓ -76% |
| Anthem | All Products Mid-Level Facility | $2,347.23 | ↓ -74% |
| Anthem | All Products Mid-Level Non-Facility | $2,347.23 | ↓ -74% |
| OPTUM | Managed Medicaid Transplant | $3,045.04 | ↓ -67% |
| CC EHP | All Products | $3,136.08 | ↓ -66% |
| CARESOURCE | Managed Medicaid | $3,205.30 | ↓ -65% |
| ANTHEM | Managed Medicaid | $3,365.57 | ↓ -63% |
| MOLINA | Managed Medicaid | $3,365.57 | ↓ -63% |
| UNITED | Managed Medicaid | $3,429.67 | ↓ -62% |
| United BH | Managed Medicaid | $3,525.83 | ↓ -61% |
| Oscar | All Products | $3,558.67 | ↓ -61% |
| Summacare | Preferred | $3,837.13 | ↓ -58% |
| Summacare | Premier | $4,181.49 | ↓ -54% |
| Aetna | Acop | $4,361.87 | ↓ -52% |
| MMO | ALL PRODUCTS | $4,566.79 | ↓ -50% |
| United | All Products - Mid-Level | $4,747.60 | ↓ -48% |
| MMO | Medicare HMO | $5,022.39 | ↓ -45% |
| MMO | SuperMed | $5,102.69 | ↓ -44% |
| United | All Products | $5,116.97 | ↓ -44% |
| United | HMO & PPO | $5,116.97 | ↓ -44% |
| MMO | Medicare PPO | $5,173.06 | ↓ -43% |
| OHCP | All Products | $5,447.95 | ↓ -40% |
| Ohio Healthy | Transplant | $5,602.00 | ↓ -38% |
| Anthem | All Products Physician | $5,961.47 | ↓ -35% |
| Anthem | All Products Physician Non-Facility | $5,961.47 | ↓ -35% |
| Anthem | All Products Physician Facility | $5,961.47 | ↓ -35% |
| Aultcare | PPO/HMO | $6,134.19 | ↓ -33% |
| Amish Community Aid Plan | All Products | $6,302.25 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $6,568.35 | ↓ -28% |
| OMAS | All Products | $7,002.50 | ↓ -23% |
| Healthsmart | All Products | $7,702.75 | ↓ -15% |
| The Health Plan | All Products | $7,702.75 | ↓ -15% |
| Optum | All Products Transplant | $8,164.92 | ↓ -10% |
| PHPHI | All Products | $8,403.00 | ↓ -8% |
| UPMC | All Products | $8,403.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $8,501.04 | ↓ -7% |
| Clarity Health | All Products | $9,103.25 | ↑ +0% |
| Three Rivers | All Products | $9,103.25 | ↑ +0% |
| GMS | All Products | $9,803.50 | ↑ +8% |
| Quality Care Partners | All Products | $9,803.50 | ↑ +8% |
| Aetna | All Products First Health | $10,503.75 | ↑ +15% |
| Consociate Health | All Products | $10,503.75 | ↑ +15% |
| MMO | NASCO | $11,204.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $11,204.00 | ↑ +23% |
| Aetna | Asa | $11,204.00 | ↑ +23% |
| Multiplan | All Products | $12,604.50 | ↑ +38% |
| USA Managed Care | All Products | $12,604.50 | ↑ +38% |
| Aetna | Qhp/Ifp | $14,005.00 | ↑ +54% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products MD | 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 | — |
| United BH | All Products PHD | not published by hospital | — |
Visitor-reported prices
Comments
Repair of heart defects incplt/prtl without av valve 33660 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,232.22 – $4,900.47 |
| fairview hospital | Cleveland | not published | $2,495.02 – $2,888.97 |
| lutheran hospital | Cleveland | not published | $2,375.34 – $2,750.40 |
| akron general | Akron | not published | $2,417.07 – $2,798.71 |
| avon hospital | Avon | not published | $2,592.26 – $2,641.64 |
| euclid hospital | Euclid | not published | $2,655.84 – $3,075.18 |
| hillcrest hospital | Mayfield Heights | not published | $2,599.43 – $3,009.86 |
| lodi hospital | Lodi | not published | $4,055.35 – $4,695.67 |