healthcosts.net
Resect forearm/wrist tum<3cm at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,361.80
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.
$5,172.00
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 $8,286.13 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 | $533.13 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $533.32 | ↓ -84% |
| Paramount | Managed Medicaid | $578.03 | ↓ -83% |
| Caresource | Managed Medicaid | $589.25 | ↓ -82% |
| Buckeye | Managed Medicaid | $589.25 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $607.30 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $617.31 | ↓ -82% |
| Molina | Managed Medicaid | $617.31 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $697.42 | ↓ -79% |
| United | Managed Medicaid | $714.14 | ↓ -79% |
| Summacare | Medicare Advantage MD | $779.47 | ↓ -77% |
| Humana | Medicare Advantage HMO | $809.73 | ↓ -76% |
| Valor | All Products | $809.73 | ↓ -76% |
| Aetna | Medicare Advantage | $809.73 | ↓ -76% |
| Aetna | Medicare Advantage Transplant | $809.73 | ↓ -76% |
| UPMC | Medicare Advantage | $809.73 | ↓ -76% |
| United | Medicare Advantage | $809.73 | ↓ -76% |
| The Health Plan | Medicare Advantage | $809.73 | ↓ -76% |
| Anthem | Medicare Advantage | $809.73 | ↓ -76% |
| Optum | Medicare Advantage Transplant | $809.73 | ↓ -76% |
| Devoted Health | Medicare Advantage | $820.49 | ↓ -76% |
| Cigna | Medicare Advantage | $834.02 | ↓ -75% |
| CommuniCare | Medicare Advantage | $850.22 | ↓ -75% |
| Perennial Health | Medicare Advantage | $874.51 | ↓ -74% |
| PPHP | All Products | $886.13 | ↓ -74% |
| Humana Military | All Products | $1,037.23 | ↓ -69% |
| Aetna | All Products Transplant | $1,042.97 | ↓ -69% |
| Anthem | All Products Mid-Level Facility | $1,189.90 | ↓ -65% |
| Anthem | All Products Mid-Level Non-Facility | $1,189.90 | ↓ -65% |
| Oscar | All Products | $1,314.21 | ↓ -61% |
| CC EHP | All Products | $1,558.93 | ↓ -54% |
| Summacare | Preferred | $1,943.28 | ↓ -42% |
| OHCP | All Products | $2,011.91 | ↓ -40% |
| Ohio Healthy | Transplant | $2,068.80 | ↓ -38% |
| Summacare | Premier | $2,117.67 | ↓ -37% |
| Aetna | Acop | $2,209.02 | ↓ -34% |
| Aultcare | PPO/HMO | $2,265.34 | ↓ -33% |
| Amish Community Aid Plan | All Products | $2,327.40 | ↓ -31% |
| United | All Products - Mid-Level | $2,351.05 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $2,425.67 | ↓ -28% |
| UNITED | MEDICARE ADVANTAGE | $2,465.15 | ↓ -27% |
| United | HMO & PPO | $2,533.96 | ↓ -25% |
| United | All Products | $2,533.96 | ↓ -25% |
| OMAS | All Products | $2,586.00 | ↓ -23% |
| MMO | Medicare Advantage HMO | $2,653.23 | ↓ -21% |
| OPTUM | Medicare Advantage Transplant | $2,653.23 | ↓ -21% |
| OPTUM | All Products VA | $2,653.23 | ↓ -21% |
| The Health Plan | MEDICARE ADVANTAGE | $2,653.23 | ↓ -21% |
| HUMANA | Medicare Advantage HMO | $2,653.23 | ↓ -21% |
| MMO | Medicare Advantage PPO | $2,732.83 | ↓ -19% |
| UPMC | MEDICARE ADVANTAGE | $2,748.08 | ↓ -18% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↓ -18% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↓ -18% |
| Valor | ALL PRODUCTS | $2,748.08 | ↓ -18% |
| CIGNA | Medicare Advantage Lifesource | $2,748.08 | ↓ -18% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,748.08 | ↓ -18% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↓ -18% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↓ -16% |
| Healthsmart | All Products | $2,844.60 | ↓ -15% |
| The Health Plan | All Products | $2,844.60 | ↓ -15% |
| Perennial Health | MEDICARE ADVANTAGE | $2,865.49 | ↓ -15% |
| MMO | Medicare HMO | $2,870.48 | ↓ -15% |
| CommuniCare | MEDICARE ADVANTAGE | $2,885.49 | ↓ -14% |
| MMO | Medicare PPO | $2,956.59 | ↓ -12% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↓ -12% |
| Optum | All Products Transplant | $3,015.28 | ↓ -10% |
| Anthem | All Products Physician | $3,022.11 | ↓ -10% |
| Anthem | All Products Physician Non-Facility | $3,022.11 | ↓ -10% |
| Anthem | All Products Physician Facility | $3,022.11 | ↓ -10% |
| PPHP | ALL PRODUCTS | $3,022.89 | ↓ -10% |
| PHPHI | All Products | $3,103.20 | ↓ -8% |
| UPMC | All Products | $3,103.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $3,139.40 | ↓ -7% |
| Three Rivers | All Products | $3,361.80 | ↑ +0% |
| Clarity Health | All Products | $3,361.80 | ↑ +0% |
| GMS | All Products | $3,620.40 | ↑ +8% |
| Quality Care Partners | All Products | $3,620.40 | ↑ +8% |
| Aetna | All Products First Health | $3,879.00 | ↑ +15% |
| Consociate Health | All Products | $3,879.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $4,137.60 | ↑ +23% |
| MMO | NASCO | $4,137.60 | ↑ +23% |
| Aetna | Asa | $4,137.60 | ↑ +23% |
| OPTUM | Managed Medicaid Transplant | $4,162.67 | ↑ +24% |
| CARESOURCE | Managed Medicaid | $4,381.76 | ↑ +30% |
| ANTHEM | Managed Medicaid | $4,600.85 | ↑ +37% |
| MOLINA | Managed Medicaid | $4,600.85 | ↑ +37% |
| Multiplan | All Products | $4,654.80 | ↑ +38% |
| USA Managed Care | All Products | $4,654.80 | ↑ +38% |
| UNITED | Managed Medicaid | $4,688.48 | ↑ +39% |
| United BH | Managed Medicaid | $4,819.94 | ↑ +43% |
| Aetna | Qhp/Ifp | $5,172.00 | ↑ +54% |
| MMO | SuperMed | $8,286.13 | ↑ +146% |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
Visitor-reported prices
Comments
Resect forearm/wrist tum<3cm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $5,785.60 – $6,699.11 |
| fairview hospital | Cleveland | not published | $2,465.15 – $3,949.33 |
| lutheran hospital | Cleveland | not published | $2,653.23 – $3,759.90 |
| akron general | Akron | not published | $2,644.48 – $3,825.93 |
| avon hospital | Avon | not published | $2,653.23 – $3,611.21 |
| euclid hospital | Euclid | not published | $2,465.15 – $4,203.88 |
| hillcrest hospital | Mayfield Heights | not published | $2,465.15 – $4,114.58 |
| lodi hospital | Lodi | not published | $2,862.05 – $6,419.14 |