Revise breast reconst 19380 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,194.75
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.
$4,915.00
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 $19,017.99 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 | $422.97 | ↓ -87% |
| Paramount | Managed Medicaid | $458.59 | ↓ -86% |
| Buckeye | Managed Medicaid | $467.49 | ↓ -85% |
| Caresource | Managed Medicaid | $467.49 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $489.75 | ↓ -85% |
| Molina | Managed Medicaid | $489.75 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $496.44 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $535.13 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $649.20 | ↓ -80% |
| United | Managed Medicaid | $670.70 | ↓ -79% |
| Optum | Medicare Advantage Transplant | $713.50 | ↓ -78% |
| Valor | All Products | $713.50 | ↓ -78% |
| Aetna | Medicare Advantage | $713.50 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $713.50 | ↓ -78% |
| UPMC | Medicare Advantage | $713.50 | ↓ -78% |
| United | Medicare Advantage | $713.50 | ↓ -78% |
| Humana | Medicare Advantage HMO | $713.50 | ↓ -78% |
| Anthem | Medicare Advantage | $713.50 | ↓ -78% |
| The Health Plan | Medicare Advantage | $713.50 | ↓ -78% |
| Summacare | Medicare Advantage MD | $725.57 | ↓ -77% |
| Cigna | Medicare Advantage | $734.91 | ↓ -77% |
| CommuniCare | Medicare Advantage | $749.18 | ↓ -77% |
| Devoted Health | Medicare Advantage | $763.76 | ↓ -76% |
| Perennial Health | Medicare Advantage | $770.58 | ↓ -76% |
| PPHP | All Products | $784.85 | ↓ -75% |
| Humana Military | All Products | $977.08 | ↓ -69% |
| Aetna | All Products Transplant | $980.43 | ↓ -69% |
| Anthem | All Products Mid-Level Facility | $1,076.49 | ↓ -66% |
| Anthem | All Products Mid-Level Non-Facility | $1,076.49 | ↓ -66% |
| Oscar | All Products | $1,248.90 | ↓ -61% |
| CC EHP | All Products | $1,451.14 | ↓ -55% |
| Summacare | Preferred | $1,721.49 | ↓ -46% |
| MMO | Medicare HMO | $1,791.08 | ↓ -44% |
| MMO | Medicare PPO | $1,844.81 | ↓ -42% |
| Summacare | Premier | $1,875.98 | ↓ -41% |
| OHCP | All Products | $1,911.94 | ↓ -40% |
| Aetna | Acop | $1,956.91 | ↓ -39% |
| Ohio Healthy | Transplant | $1,966.00 | ↓ -38% |
| Aultcare | PPO/HMO | $2,152.77 | ↓ -33% |
| United | All Products - Mid-Level | $2,182.03 | ↓ -32% |
| Amish Community Aid Plan | All Products | $2,211.75 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $2,305.14 | ↓ -28% |
| United | HMO & PPO | $2,351.79 | ↓ -26% |
| United | All Products | $2,351.79 | ↓ -26% |
| OMAS | All Products | $2,457.50 | ↓ -23% |
| Healthsmart | All Products | $2,703.25 | ↓ -15% |
| The Health Plan | All Products | $2,703.25 | ↓ -15% |
| Anthem | All Products Physician | $2,734.06 | ↓ -14% |
| Anthem | All Products Physician Non-Facility | $2,734.06 | ↓ -14% |
| Anthem | All Products Physician Facility | $2,734.06 | ↓ -14% |
| Optum | All Products Transplant | $2,865.45 | ↓ -10% |
| PHPHI | All Products | $2,949.00 | ↓ -8% |
| UPMC | All Products | $2,949.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $2,983.41 | ↓ -7% |
| OPTUM | Managed Medicaid Transplant | $3,079.10 | ↓ -4% |
| Clarity Health | All Products | $3,194.75 | ↑ +0% |
| Three Rivers | All Products | $3,194.75 | ↑ +0% |
| CARESOURCE | Managed Medicaid | $3,241.16 | ↑ +1% |
| MOLINA | Managed Medicaid | $3,403.22 | ↑ +7% |
| ANTHEM | Managed Medicaid | $3,403.22 | ↑ +7% |
| GMS | All Products | $3,440.50 | ↑ +8% |
| Quality Care Partners | All Products | $3,440.50 | ↑ +8% |
| UNITED | Managed Medicaid | $3,468.04 | ↑ +9% |
| United BH | Managed Medicaid | $3,565.28 | ↑ +12% |
| Aetna | All Products First Health | $3,686.25 | ↑ +15% |
| Consociate Health | All Products | $3,686.25 | ↑ +15% |
| MMO | NASCO | $3,932.00 | ↑ +23% |
| Aetna | Asa | $3,932.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,932.00 | ↑ +23% |
| USA Managed Care | All Products | $4,423.50 | ↑ +38% |
| Multiplan | All Products | $4,423.50 | ↑ +38% |
| Aetna | Qhp/Ifp | $4,915.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $5,657.40 | ↑ +77% |
| OPTUM | All Products VA | $6,045.65 | ↑ +89% |
| MMO | Medicare Advantage HMO | $6,045.65 | ↑ +89% |
| HUMANA | Medicare Advantage HMO | $6,045.65 | ↑ +89% |
| OPTUM | Medicare Advantage Transplant | $6,045.65 | ↑ +89% |
| The Health Plan | MEDICARE ADVANTAGE | $6,045.65 | ↑ +89% |
| MMO | Medicare Advantage PPO | $6,227.02 | ↑ +95% |
| UPMC | MEDICARE ADVANTAGE | $6,282.11 | ↑ +97% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $6,282.11 | ↑ +97% |
| Valor | ALL PRODUCTS | $6,282.11 | ↑ +97% |
| Summacare | MEDICARE ADVANTAGE | $6,282.11 | ↑ +97% |
| ANTHEM | MEDICARE ADVANTAGE | $6,282.11 | ↑ +97% |
| AETNA | MEDICARE ADVANTAGE | $6,282.11 | ↑ +97% |
| CIGNA | Medicare Advantage Lifesource | $6,282.11 | ↑ +97% |
| CIGNA | MEDICARE ADVANTAGE | $6,470.57 | ↑ +103% |
| Perennial Health | MEDICARE ADVANTAGE | $6,529.31 | ↑ +104% |
| CommuniCare | MEDICARE ADVANTAGE | $6,596.22 | ↑ +106% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,784.68 | ↑ +112% |
| PPHP | ALL PRODUCTS | $6,910.32 | ↑ +116% |
| CIGNA | ALL PRODUCTS | $8,326.00 | ↑ +161% |
| UNITED | ALL PRODUCTS | $8,702.00 | ↑ +172% |
| ANTHEM | PPO/HMO | $13,132.00 | ↑ +311% |
| MMO | ALL PRODUCTS | $13,821.00 | ↑ +333% |
| MMO | SuperMed | $19,017.99 | ↑ +495% |
| 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
Revise breast reconst 19380 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,279.58 – $4,955.30 |
| fairview hospital | Cleveland | not published | $2,522.94 – $6,910.32 |
| lutheran hospital | Cleveland | not published | $2,401.92 – $6,910.32 |
| Jewish Hospital | Cincinnati | $34,163.12 | $6,470.98 – $6,470.98 |
| akron general | Akron | $3,194.75 | $1.10 – $6,507.75 |
| mercy hospital | Canton | $3,194.75 | $1.10 – $6,470.57 |
| Fairfield Hospital | Fairfield | $18,027.06 | $6,583.32 – $6,714.99 |
| St Elizabeth Youngstown Hospital | Youngstown | $30,756.19 | not published |