Repair stomach opening at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,974.40
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.
$4,576.00
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 $11,169.59 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% |
| Optum | Managed Medicaid Transplant | $357.76 | ↓ -88% |
| Paramount | Managed Medicaid | $387.89 | ↓ -87% |
| Caresource | Managed Medicaid | $395.42 | ↓ -87% |
| Buckeye | Managed Medicaid | $395.42 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $414.25 | ↓ -86% |
| Molina | Managed Medicaid | $414.25 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $438.95 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $494.54 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $574.01 | ↓ -81% |
| United | Managed Medicaid | $585.74 | ↓ -80% |
| Summacare | Medicare Advantage MD | $641.54 | ↓ -78% |
| Humana | Medicare Advantage HMO | $659.39 | ↓ -78% |
| Valor | All Products | $659.39 | ↓ -78% |
| Aetna | Medicare Advantage | $659.39 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $659.39 | ↓ -78% |
| UPMC | Medicare Advantage | $659.39 | ↓ -78% |
| United | Medicare Advantage | $659.39 | ↓ -78% |
| The Health Plan | Medicare Advantage | $659.39 | ↓ -78% |
| Anthem | Medicare Advantage | $659.39 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $659.39 | ↓ -78% |
| Devoted Health | Medicare Advantage | $675.30 | ↓ -77% |
| Cigna | Medicare Advantage | $679.17 | ↓ -77% |
| CommuniCare | Medicare Advantage | $692.36 | ↓ -77% |
| Perennial Health | Medicare Advantage | $712.14 | ↓ -76% |
| PPHP | All Products | $725.33 | ↓ -76% |
| Humana Military | All Products | $862.34 | ↓ -71% |
| Aetna | All Products Transplant | $868.60 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $958.85 | ↓ -68% |
| Anthem | All Products Mid-Level Non-Facility | $958.85 | ↓ -68% |
| Oscar | All Products | $1,162.76 | ↓ -61% |
| CC EHP | All Products | $1,283.07 | ↓ -57% |
| Summacare | Preferred | $1,576.01 | ↓ -47% |
| Summacare | Premier | $1,717.45 | ↓ -42% |
| OHCP | All Products | $1,780.06 | ↓ -40% |
| Aetna | Acop | $1,791.54 | ↓ -40% |
| Ohio Healthy | Transplant | $1,830.40 | ↓ -38% |
| United | All Products - Mid-Level | $1,939.29 | ↓ -35% |
| Aultcare | PPO/HMO | $2,004.29 | ↓ -33% |
| MMO | Medicare HMO | $2,029.93 | ↓ -32% |
| Amish Community Aid Plan | All Products | $2,059.20 | ↓ -31% |
| United | HMO & PPO | $2,090.17 | ↓ -30% |
| United | All Products | $2,090.17 | ↓ -30% |
| MMO | Medicare PPO | $2,090.83 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $2,146.14 | ↓ -28% |
| OMAS | All Products | $2,288.00 | ↓ -23% |
| Anthem | All Products Physician Non-Facility | $2,435.28 | ↓ -18% |
| Anthem | All Products Physician | $2,435.28 | ↓ -18% |
| Anthem | All Products Physician Facility | $2,435.28 | ↓ -18% |
| The Health Plan | All Products | $2,516.80 | ↓ -15% |
| Healthsmart | All Products | $2,516.80 | ↓ -15% |
| Optum | All Products Transplant | $2,667.81 | ↓ -10% |
| PHPHI | All Products | $2,745.60 | ↓ -8% |
| UPMC | All Products | $2,745.60 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $2,777.63 | ↓ -7% |
| Three Rivers | All Products | $2,974.40 | ↑ +0% |
| Clarity Health | All Products | $2,974.40 | ↑ +0% |
| OPTUM | Managed Medicaid Transplant | $3,009.46 | ↑ +1% |
| CARESOURCE | Managed Medicaid | $3,167.85 | ↑ +7% |
| Quality Care Partners | All Products | $3,203.20 | ↑ +8% |
| GMS | All Products | $3,203.20 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $3,322.52 | ↑ +12% |
| ANTHEM | Managed Medicaid | $3,326.24 | ↑ +12% |
| MOLINA | Managed Medicaid | $3,326.24 | ↑ +12% |
| UNITED | Managed Medicaid | $3,389.60 | ↑ +14% |
| Aetna | All Products First Health | $3,432.00 | ↑ +15% |
| Consociate Health | All Products | $3,432.00 | ↑ +15% |
| United BH | Managed Medicaid | $3,484.64 | ↑ +17% |
| HUMANA | Medicare Advantage HMO | $3,526.95 | ↑ +19% |
| MMO | Medicare Advantage HMO | $3,526.95 | ↑ +19% |
| OPTUM | All Products VA | $3,526.95 | ↑ +19% |
| OPTUM | Medicare Advantage Transplant | $3,526.95 | ↑ +19% |
| The Health Plan | MEDICARE ADVANTAGE | $3,526.95 | ↑ +19% |
| MMO | Medicare Advantage PPO | $3,632.76 | ↑ +22% |
| AETNA | MEDICARE ADVANTAGE | $3,647.57 | ↑ +23% |
| Valor | ALL PRODUCTS | $3,647.57 | ↑ +23% |
| Summacare | MEDICARE ADVANTAGE | $3,647.57 | ↑ +23% |
| ANTHEM | MEDICARE ADVANTAGE | $3,647.57 | ↑ +23% |
| UPMC | MEDICARE ADVANTAGE | $3,647.57 | ↑ +23% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,647.57 | ↑ +23% |
| CIGNA | Medicare Advantage Lifesource | $3,647.57 | ↑ +23% |
| MMO | NASCO | $3,660.80 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,660.80 | ↑ +23% |
| Aetna | Asa | $3,660.80 | ↑ +23% |
| CIGNA | MEDICARE ADVANTAGE | $3,757.00 | ↑ +26% |
| Perennial Health | MEDICARE ADVANTAGE | $3,809.11 | ↑ +28% |
| CommuniCare | MEDICARE ADVANTAGE | $3,829.95 | ↑ +29% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,939.38 | ↑ +32% |
| PPHP | ALL PRODUCTS | $4,012.33 | ↑ +35% |
| Multiplan | All Products | $4,118.40 | ↑ +38% |
| USA Managed Care | All Products | $4,118.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $4,576.00 | ↑ +54% |
| ANTHEM | PPO/HMO | $7,624.00 | ↑ +156% |
| MMO | SuperMed | $11,169.59 | ↑ +276% |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MD | 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 stomach opening at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,182.77 – $4,843.21 |
| fairview hospital | Cleveland | not published | $2,465.88 – $4,012.33 |
| lutheran hospital | Cleveland | not published | $2,347.59 – $4,012.33 |
| Mercy West Hospital | Cincinnati | $21,949.74 | $3,822.46 – $3,898.91 |
| akron general | Akron | $2,974.40 | $1.10 – $4,118.40 |
| mercy hospital | Canton | $2,974.40 | $1.10 – $4,118.40 |
| University Hospitals Ahuja Medical Center | Beachwood | $4,451.25 | $900.00 – $6,565.63 |
| University Hospitals Beachwood Medical Center | Beachwood | $4,451.25 | $900.00 – $9,238.28 |