healthcosts.net
Rerepair ing hernia blocked at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,984.80
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.
?
What you pay up front if you don't use insurance.
$4,592.00
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 $22,063.69 with MMO — 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 | $418.51 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $446.40 | ↓ -85% |
| Paramount | Managed Medicaid | $453.76 | ↓ -85% |
| Buckeye | Managed Medicaid | $462.57 | ↓ -85% |
| Caresource | Managed Medicaid | $462.57 | ↓ -85% |
| Molina | Managed Medicaid | $484.59 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $484.59 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $502.92 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $583.75 | ↓ -80% |
| United | Managed Medicaid | $595.57 | ↓ -80% |
| Summacare | Medicare Advantage MD | $652.43 | ↓ -78% |
| UPMC | Medicare Advantage | $670.56 | ↓ -78% |
| Aetna | Medicare Advantage | $670.56 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $670.56 | ↓ -78% |
| United | Medicare Advantage | $670.56 | ↓ -78% |
| The Health Plan | Medicare Advantage | $670.56 | ↓ -78% |
| Humana | Medicare Advantage HMO | $670.56 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $670.56 | ↓ -78% |
| Anthem | Medicare Advantage | $670.56 | ↓ -78% |
| Valor | All Products | $670.56 | ↓ -78% |
| Devoted Health | Medicare Advantage | $686.77 | ↓ -77% |
| Cigna | Medicare Advantage | $690.68 | ↓ -77% |
| CommuniCare | Medicare Advantage | $704.09 | ↓ -76% |
| Perennial Health | Medicare Advantage | $724.20 | ↓ -76% |
| PPHP | All Products | $737.62 | ↓ -75% |
| Humana Military | All Products | $872.47 | ↓ -71% |
| Aetna | All Products Transplant | $876.66 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $970.14 | ↓ -67% |
| Anthem | All Products Mid-Level Facility | $970.14 | ↓ -67% |
| Oscar | All Products | $1,166.83 | ↓ -61% |
| CC EHP | All Products | $1,304.86 | ↓ -56% |
| Summacare | Preferred | $1,602.57 | ↓ -46% |
| Summacare | Premier | $1,746.39 | ↓ -41% |
| OHCP | All Products | $1,786.29 | ↓ -40% |
| Aetna | Acop | $1,821.73 | ↓ -39% |
| Ohio Healthy | Transplant | $1,836.80 | ↓ -38% |
| United | All Products - Mid-Level | $1,965.13 | ↓ -34% |
| Aultcare | PPO/HMO | $2,011.30 | ↓ -33% |
| MMO | Medicare HMO | $2,047.28 | ↓ -31% |
| Amish Community Aid Plan | All Products | $2,066.40 | ↓ -31% |
| MMO | Medicare PPO | $2,108.70 | ↓ -29% |
| United | All Products | $2,118.02 | ↓ -29% |
| United | HMO & PPO | $2,118.02 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $2,153.65 | ↓ -28% |
| OMAS | All Products | $2,296.00 | ↓ -23% |
| OPTUM | Managed Medicaid Transplant | $2,436.53 | ↓ -18% |
| Anthem | All Products Physician | $2,463.96 | ↓ -17% |
| Anthem | All Products Physician Facility | $2,463.96 | ↓ -17% |
| Anthem | All Products Physician Non-Facility | $2,463.96 | ↓ -17% |
| The Health Plan | All Products | $2,525.60 | ↓ -15% |
| Healthsmart | All Products | $2,525.60 | ↓ -15% |
| CARESOURCE | Managed Medicaid | $2,564.77 | ↓ -14% |
| Optum | All Products Transplant | $2,677.14 | ↓ -10% |
| MOLINA | Managed Medicaid | $2,693.01 | ↓ -10% |
| ANTHEM | Managed Medicaid | $2,693.01 | ↓ -10% |
| UNITED | Managed Medicaid | $2,744.30 | ↓ -8% |
| PHPHI | All Products | $2,755.20 | ↓ -8% |
| UPMC | All Products | $2,755.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $2,787.34 | ↓ -7% |
| United BH | Managed Medicaid | $2,821.25 | ↓ -5% |
| Three Rivers | All Products | $2,984.80 | ↑ +0% |
| Clarity Health | All Products | $2,984.80 | ↑ +0% |
| Quality Care Partners | All Products | $3,214.40 | ↑ +8% |
| GMS | All Products | $3,214.40 | ↑ +8% |
| Consociate Health | All Products | $3,444.00 | ↑ +15% |
| Aetna | All Products First Health | $3,444.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,673.60 | ↑ +23% |
| Aetna | Asa | $3,673.60 | ↑ +23% |
| MMO | NASCO | $3,673.60 | ↑ +23% |
| USA Managed Care | All Products | $4,132.80 | ↑ +38% |
| Multiplan | All Products | $4,132.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $4,592.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $5,784.50 | ↑ +94% |
| OPTUM | All Products VA | $5,784.50 | ↑ +94% |
| OPTUM | Medicare Advantage Transplant | $5,784.50 | ↑ +94% |
| The Health Plan | MEDICARE ADVANTAGE | $5,784.50 | ↑ +94% |
| MMO | Medicare Advantage HMO | $5,784.50 | ↑ +94% |
| MMO | Medicare Advantage PPO | $5,958.03 | ↑ +100% |
| Valor | ALL PRODUCTS | $6,124.73 | ↑ +105% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $6,124.73 | ↑ +105% |
| CIGNA | Medicare Advantage Lifesource | $6,124.73 | ↑ +105% |
| ANTHEM | MEDICARE ADVANTAGE | $6,124.73 | ↑ +105% |
| Summacare | MEDICARE ADVANTAGE | $6,124.73 | ↑ +105% |
| AETNA | MEDICARE ADVANTAGE | $6,124.73 | ↑ +105% |
| UPMC | MEDICARE ADVANTAGE | $6,124.73 | ↑ +105% |
| Perennial Health | MEDICARE ADVANTAGE | $6,247.26 | ↑ +109% |
| CIGNA | MEDICARE ADVANTAGE | $6,308.48 | ↑ +111% |
| CommuniCare | MEDICARE ADVANTAGE | $6,430.97 | ↑ +115% |
| UNITED | MEDICARE ADVANTAGE | $6,563.55 | ↑ +120% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,614.71 | ↑ +122% |
| PPHP | ALL PRODUCTS | $6,737.21 | ↑ +126% |
| MMO | SuperMed | $22,063.69 | ↑ +639% |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| United BH | All Products MA | 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 | — |
Visitor-reported prices
Comments
Rerepair ing hernia blocked at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,386.48 – $3,921.19 |
| fairview hospital | Cleveland | not published | $1,996.43 – $6,737.21 |
| lutheran hospital | Cleveland | not published | $1,900.67 – $6,737.21 |
| akron general | Akron | $2,984.80 | $1.10 – $6,308.48 |
| mercy hospital | Canton | $2,984.80 | $1.10 – $6,308.48 |
| avon hospital | Avon | not published | $2,074.24 – $6,737.21 |
| euclid hospital | Euclid | not published | $2,125.11 – $6,737.21 |
| hillcrest hospital | Mayfield Heights | not published | $2,079.97 – $6,737.21 |