Repair upper jaw fistula at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$17,687.80
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.
$27,212.00
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.
$0.01 with UNITED vs $27,212.00 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 |
|---|---|---|---|
| UNITED | All Products International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $223.39 | ↓ -99% |
| Paramount | Managed Medicaid | $242.20 | ↓ -99% |
| Caresource | Managed Medicaid | $246.91 | ↓ -99% |
| Buckeye | Managed Medicaid | $246.91 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $258.67 | ↓ -99% |
| Molina | Managed Medicaid | $258.67 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $284.00 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $305.68 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $371.38 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $407.57 | ↓ -98% |
| Aetna | Medicare Advantage Transplant | $407.57 | ↓ -98% |
| UPMC | Medicare Advantage | $407.57 | ↓ -98% |
| Valor | All Products | $407.57 | ↓ -98% |
| United | Medicare Advantage | $407.57 | ↓ -98% |
| Aetna | Medicare Advantage | $407.57 | ↓ -98% |
| Humana | Medicare Advantage HMO | $407.57 | ↓ -98% |
| The Health Plan | Medicare Advantage | $407.57 | ↓ -98% |
| Anthem | Medicare Advantage | $407.57 | ↓ -98% |
| Summacare | Medicare Advantage MD | $415.07 | ↓ -98% |
| Cigna | Medicare Advantage | $419.80 | ↓ -98% |
| CommuniCare | Medicare Advantage | $427.95 | ↓ -98% |
| Devoted Health | Medicare Advantage | $436.92 | ↓ -98% |
| Perennial Health | Medicare Advantage | $440.18 | ↓ -98% |
| PPHP | All Products | $448.33 | ↓ -97% |
| United | Managed Medicaid | $504.04 | ↓ -97% |
| AETNA | Medicare Advantage Transplant | $529.87 | ↓ -97% |
| Aetna | All Products Transplant | $572.59 | ↓ -97% |
| AETNA | All Products Transplant | $572.59 | ↓ -97% |
| Humana Military | All Products | $573.65 | ↓ -97% |
| Anthem | All Products Mid-Level Facility | $611.37 | ↓ -97% |
| Oscar | All Products | $699.28 | ↓ -96% |
| Anthem | All Products Mid-Level Non-Facility | $802.25 | ↓ -95% |
| CC EHP | All Products | $830.15 | ↓ -95% |
| Summacare | Preferred | $982.31 | ↓ -94% |
| Summacare | Premier | $1,070.46 | ↓ -94% |
| OHCP | All Products | $1,070.53 | ↓ -94% |
| Ohio Healthy | Transplant | $1,100.80 | ↓ -94% |
| Aetna | Acop | $1,116.64 | ↓ -94% |
| Aultcare | PPO/HMO | $1,205.38 | ↓ -93% |
| Amish Community Aid Plan | All Products | $1,238.40 | ↓ -93% |
| Optum | Commercial CRS Care Solutions | $1,290.69 | ↓ -93% |
| OMAS | All Products | $1,376.00 | ↓ -92% |
| MMO | Medicare HMO | $1,499.53 | ↓ -92% |
| The Health Plan | All Products | $1,513.60 | ↓ -91% |
| Healthsmart | All Products | $1,513.60 | ↓ -91% |
| MMO | Medicare PPO | $1,544.52 | ↓ -91% |
| Anthem | All Products Physician Facility | $1,552.76 | ↓ -91% |
| Anthem | All Products Physician | $1,552.76 | ↓ -91% |
| Optum | All Products Transplant | $1,604.42 | ↓ -91% |
| United | All Products - Mid-Level | $1,620.37 | ↓ -91% |
| UPMC | All Products | $1,651.20 | ↓ -91% |
| PHPHI | All Products | $1,651.20 | ↓ -91% |
| Cigna | All Products Mid-Level | $1,658.27 | ↓ -91% |
| Optum | Commercial CHD Care Solutions | $1,670.46 | ↓ -91% |
| United | HMO & PPO | $1,746.44 | ↓ -90% |
| United | All Products | $1,746.44 | ↓ -90% |
| Three Rivers | All Products | $1,788.80 | ↓ -90% |
| Clarity Health | All Products | $1,788.80 | ↓ -90% |
| GMS | All Products | $1,926.40 | ↓ -89% |
| Quality Care Partners | All Products | $1,926.40 | ↓ -89% |
| Cigna | All Products Physician | $1,950.77 | ↓ -89% |
| Anthem | All Products Physician Non-Facility | $2,037.55 | ↓ -88% |
| Aetna | All Products First Health | $2,064.00 | ↓ -88% |
| Consociate Health | All Products | $2,064.00 | ↓ -88% |
| Aetna | Asa | $2,201.60 | ↓ -88% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,201.60 | ↓ -88% |
| MMO | NASCO | $2,201.60 | ↓ -88% |
| USA Managed Care | All Products | $2,476.80 | ↓ -86% |
| Multiplan | All Products | $2,476.80 | ↓ -86% |
| OPTUM | Managed Medicaid Transplant | $2,710.76 | ↓ -85% |
| Aetna | Qhp/Ifp | $2,752.00 | ↓ -84% |
| CARESOURCE | Managed Medicaid | $2,853.43 | ↓ -84% |
| ANTHEM | Managed Medicaid | $2,996.10 | ↓ -83% |
| MOLINA | Managed Medicaid | $2,996.10 | ↓ -83% |
| UNITED | Managed Medicaid | $3,053.17 | ↓ -83% |
| United BH | Managed Medicaid | $3,138.77 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $5,080.55 | ↓ -71% |
| The Health Plan | MEDICARE ADVANTAGE | $5,484.05 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $5,484.05 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $5,484.05 | ↓ -69% |
| MMO | Medicare Advantage HMO | $5,484.05 | ↓ -69% |
| OPTUM | All Products VA | $5,484.05 | ↓ -69% |
| CIGNA | Medicare Advantage Lifesource | $5,600.62 | ↓ -68% |
| Valor | ALL PRODUCTS | $5,600.62 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $5,600.62 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,600.62 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $5,600.62 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $5,600.62 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $5,600.62 | ↓ -68% |
| MMO | Medicare Advantage PPO | $5,648.58 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $5,768.63 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $5,880.65 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $5,922.78 | ↓ -67% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,048.66 | ↓ -66% |
| PPHP | ALL PRODUCTS | $6,160.68 | ↓ -65% |
| AETNA | Asa_Whirlpool_Peia | $7,342.00 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $7,564.94 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $7,695.55 | ↓ -56% |
| CIGNA | ALL PRODUCTS | $7,948.00 | ↓ -55% |
| AETNA | International | $7,966.00 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $8,707.84 | ↓ -51% |
| PHP | ALL PRODUCTS | $8,707.84 | ↓ -51% |
| MMO | ALL PRODUCTS | $10,789.00 | ↓ -39% |
| Amish Community Aid Plan | ALL PRODUCTS | $12,245.40 | ↓ -31% |
| Summacare | PREMIER | $12,408.67 | ↓ -30% |
| ANTHEM | HPN | $12,531.13 | ↓ -29% |
| OHCP | ALL PRODUCTS | $13,225.03 | ↓ -25% |
| OMAS | ALL PRODUCTS | $13,606.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $14,694.48 | ↓ -17% |
| ANTHEM | PPO/HMO | $14,743.46 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $14,966.60 | ↓ -15% |
| OPTUM | All Products Transplant | $15,401.99 | ↓ -13% |
| UPMC | ALL PRODUCTS | $16,327.20 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $16,327.20 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $16,408.84 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $16,408.84 | ↓ -7% |
| AETNA | Acop | $17,034.71 | ↓ -4% |
| MMO | SuperMed | $17,080.38 | ↓ -3% |
| MMO | TRADITIONAL | $17,116.35 | ↓ -3% |
| Clarity Health | ALL PRODUCTS | $17,687.80 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $17,687.80 | ↑ +0% |
| Parkview Health Plan | Transplant SMCP | $19,048.40 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $19,048.40 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $19,048.40 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $19,048.40 | ↑ +8% |
| GMS | ALL PRODUCTS | $19,048.40 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $19,048.40 | ↑ +8% |
| CIGNA | PPO | $20,191.30 | ↑ +14% |
| Consociate Health | TRANSPLANT | $20,409.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $20,409.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $20,409.00 | ↑ +15% |
| ANTHEM | TRADITIONAL | $20,931.47 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $21,769.60 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $21,769.60 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $23,130.20 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $24,490.80 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $24,490.80 | ↑ +38% |
| FrontPath | TRANSPLANT | $24,490.80 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $24,490.80 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $24,490.80 | ↑ +38% |
| AETNA | Qhp/Ipf | $27,212.00 | ↑ +54% |
| United BH | All Products MA | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
Visitor-reported prices
Comments
Repair upper jaw fistula at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,767.62 – $4,362.51 |
| fairview hospital | Cleveland | not published | $2,221.13 – $6,160.68 |
| lutheran hospital | Cleveland | not published | $2,114.59 – $6,160.68 |
| Mercy West Hospital | Cincinnati | $47,966.50 | $5,869.15 – $5,986.53 |
| akron general | Akron | $1,788.80 | $1.10 – $5,903.23 |
| mercy hospital | Canton | $1,788.80 | $1.10 – $5,768.63 |
| avon hospital | Avon | not published | $2,307.69 – $6,160.68 |
| euclid hospital | Euclid | not published | $2,364.28 – $6,160.68 |