Repair of spinal herniation at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$5,046.60
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.
$7,764.00
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 $7,764.00 with Aetna — 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% |
| Optum | Managed Medicaid Transplant | $859.79 | ↓ -83% |
| Summacare | Medicare Advantage Lower Level | $902.11 | ↓ -82% |
| Paramount | Managed Medicaid | $932.19 | ↓ -82% |
| Buckeye | Managed Medicaid | $950.29 | ↓ -81% |
| Caresource | Managed Medicaid | $950.29 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $995.54 | ↓ -80% |
| Molina | Managed Medicaid | $995.54 | ↓ -80% |
| Summacare | Medicare Advantage Psych | $1,047.98 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $1,179.68 | ↓ -77% |
| United | Managed Medicaid | $1,205.62 | ↓ -76% |
| Summacare | Medicare Advantage MD | $1,318.47 | ↓ -74% |
| Devoted Health | Medicare Advantage | $1,387.86 | ↓ -72% |
| Aetna | Medicare Advantage | $1,397.30 | ↓ -72% |
| Valor | All Products | $1,397.30 | ↓ -72% |
| Humana | Medicare Advantage HMO | $1,397.30 | ↓ -72% |
| United | Medicare Advantage | $1,397.30 | ↓ -72% |
| The Health Plan | Medicare Advantage | $1,397.30 | ↓ -72% |
| Anthem | Medicare Advantage | $1,397.30 | ↓ -72% |
| Optum | Medicare Advantage Transplant | $1,397.30 | ↓ -72% |
| UPMC | Medicare Advantage | $1,397.30 | ↓ -72% |
| Aetna | Medicare Advantage Transplant | $1,397.30 | ↓ -72% |
| Cigna | Medicare Advantage | $1,439.22 | ↓ -71% |
| CommuniCare | Medicare Advantage | $1,467.17 | ↓ -71% |
| PPHP | All Products | $1,498.89 | ↓ -70% |
| Perennial Health | Medicare Advantage | $1,509.08 | ↓ -70% |
| Humana Military | All Products | $1,820.17 | ↓ -64% |
| Aetna | All Products Transplant | $1,847.68 | ↓ -63% |
| Anthem | All Products Mid-Level Non-Facility | $1,960.19 | ↓ -61% |
| Anthem | All Products Mid-Level Facility | $1,960.19 | ↓ -61% |
| Oscar | All Products | $1,972.83 | ↓ -61% |
| CC EHP | All Products | $2,636.93 | ↓ -48% |
| OHCP | All Products | $3,020.20 | ↓ -40% |
| Ohio Healthy | Transplant | $3,105.60 | ↓ -38% |
| Summacare | Preferred | $3,356.43 | ↓ -33% |
| Aultcare | PPO/HMO | $3,400.63 | ↓ -33% |
| Amish Community Aid Plan | All Products | $3,493.80 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $3,641.32 | ↓ -28% |
| Summacare | Premier | $3,657.64 | ↓ -28% |
| OPTUM | Managed Medicaid Transplant | $3,812.17 | ↓ -24% |
| Aetna | Acop | $3,815.42 | ↓ -24% |
| MMO | ALL PRODUCTS | $3,829.81 | ↓ -24% |
| OMAS | All Products | $3,882.00 | ↓ -23% |
| United | All Products - Mid-Level | $3,981.45 | ↓ -21% |
| CARESOURCE | Managed Medicaid | $4,012.81 | ↓ -20% |
| ANTHEM | Managed Medicaid | $4,213.45 | ↓ -17% |
| MOLINA | Managed Medicaid | $4,213.45 | ↓ -17% |
| The Health Plan | All Products | $4,270.20 | ↓ -15% |
| Healthsmart | All Products | $4,270.20 | ↓ -15% |
| MMO | SuperMed | $4,279.28 | ↓ -15% |
| United | All Products | $4,291.21 | ↓ -15% |
| United | HMO & PPO | $4,291.21 | ↓ -15% |
| UNITED | Managed Medicaid | $4,293.71 | ↓ -15% |
| United BH | Managed Medicaid | $4,414.09 | ↓ -13% |
| MMO | Medicare HMO | $4,427.98 | ↓ -12% |
| Optum | All Products Transplant | $4,526.41 | ↓ -10% |
| MMO | Medicare PPO | $4,560.82 | ↓ -10% |
| PHPHI | All Products | $4,658.40 | ↓ -8% |
| UPMC | All Products | $4,658.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $4,712.75 | ↓ -7% |
| Anthem | All Products Physician Non-Facility | $4,978.50 | ↓ -1% |
| Anthem | All Products Physician | $4,978.50 | ↓ -1% |
| Anthem | All Products Physician Facility | $4,978.50 | ↓ -1% |
| Clarity Health | All Products | $5,046.60 | ↑ +0% |
| Three Rivers | All Products | $5,046.60 | ↑ +0% |
| Quality Care Partners | All Products | $5,434.80 | ↑ +8% |
| GMS | All Products | $5,434.80 | ↑ +8% |
| Aetna | All Products First Health | $5,823.00 | ↑ +15% |
| Consociate Health | All Products | $5,823.00 | ↑ +15% |
| Aetna | Asa | $6,211.20 | ↑ +23% |
| MMO | NASCO | $6,211.20 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $6,211.20 | ↑ +23% |
| USA Managed Care | All Products | $6,987.60 | ↑ +38% |
| Multiplan | All Products | $6,987.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $7,764.00 | ↑ +54% |
| 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 MD | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Repair of spinal herniation at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $5,298.44 – $6,135.03 |
| fairview hospital | Cleveland | not published | $3,123.59 – $3,616.79 |
| lutheran hospital | Cleveland | not published | $2,973.77 – $3,443.31 |
| akron general | Akron | not published | $3,026.00 – $3,503.79 |
| avon hospital | Avon | not published | $3,245.32 – $3,307.13 |
| euclid hospital | Euclid | not published | $3,324.91 – $3,849.90 |
| hillcrest hospital | Mayfield Heights | not published | $3,254.29 – $3,768.13 |
| lodi hospital | Lodi | not published | $5,077.01 – $5,878.64 |