Revise hip joint replacement at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$6,778.20
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.
$10,428.00
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 $13,361.02 with PPHP — 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% |
| Summacare | Medicare Advantage Lower Level | $938.78 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $1,003.13 | ↓ -85% |
| Optum | Managed Medicaid Transplant | $1,193.17 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $1,227.63 | ↓ -82% |
| United | Managed Medicaid | $1,258.07 | ↓ -81% |
| Paramount | Managed Medicaid | $1,293.65 | ↓ -81% |
| Buckeye | Managed Medicaid | $1,318.77 | ↓ -81% |
| Caresource | Managed Medicaid | $1,318.77 | ↓ -81% |
| Humana | Medicare Advantage HMO | $1,337.50 | ↓ -80% |
| Valor | All Products | $1,337.50 | ↓ -80% |
| Aetna | Medicare Advantage | $1,337.50 | ↓ -80% |
| Aetna | Medicare Advantage Transplant | $1,337.50 | ↓ -80% |
| UPMC | Medicare Advantage | $1,337.50 | ↓ -80% |
| United | Medicare Advantage | $1,337.50 | ↓ -80% |
| The Health Plan | Medicare Advantage | $1,337.50 | ↓ -80% |
| Anthem | Medicare Advantage | $1,337.50 | ↓ -80% |
| Optum | Medicare Advantage Transplant | $1,337.50 | ↓ -80% |
| Summacare | Medicare Advantage MD | $1,372.06 | ↓ -80% |
| Cigna | Medicare Advantage | $1,377.63 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $1,381.57 | ↓ -80% |
| Molina | Managed Medicaid | $1,381.57 | ↓ -80% |
| CommuniCare | Medicare Advantage | $1,404.38 | ↓ -79% |
| Devoted Health | Medicare Advantage | $1,444.27 | ↓ -79% |
| Perennial Health | Medicare Advantage | $1,444.50 | ↓ -79% |
| PPHP | All Products | $1,471.25 | ↓ -78% |
| Humana Military | All Products | $1,855.02 | ↓ -73% |
| Aetna | All Products Transplant | $1,864.09 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $2,038.36 | ↓ -70% |
| Anthem | All Products Mid-Level Non-Facility | $2,038.36 | ↓ -70% |
| Oscar | All Products | $2,649.75 | ↓ -61% |
| CC EHP | All Products | $2,744.11 | ↓ -60% |
| Summacare | Preferred | $3,198.24 | ↓ -53% |
| Summacare | Premier | $3,485.26 | ↓ -49% |
| Aetna | Acop | $3,635.61 | ↓ -46% |
| MMO | ALL PRODUCTS | $3,976.15 | ↓ -41% |
| OHCP | All Products | $4,056.49 | ↓ -40% |
| United | All Products - Mid-Level | $4,133.59 | ↓ -39% |
| Ohio Healthy | Transplant | $4,171.20 | ↓ -38% |
| MMO | SuperMed | $4,441.51 | ↓ -34% |
| United | All Products | $4,455.19 | ↓ -34% |
| United | HMO & PPO | $4,455.19 | ↓ -34% |
| Aultcare | PPO/HMO | $4,567.46 | ↓ -33% |
| Amish Community Aid Plan | All Products | $4,692.60 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $4,890.73 | ↓ -28% |
| MMO | Medicare HMO | $4,994.29 | ↓ -26% |
| MMO | Medicare PPO | $5,144.12 | ↓ -24% |
| Anthem | All Products Physician Facility | $5,177.01 | ↓ -24% |
| Anthem | All Products Physician Non-Facility | $5,177.01 | ↓ -24% |
| Anthem | All Products Physician | $5,177.01 | ↓ -24% |
| OMAS | All Products | $5,214.00 | ↓ -23% |
| The Health Plan | All Products | $5,735.40 | ↓ -15% |
| Healthsmart | All Products | $5,735.40 | ↓ -15% |
| Optum | All Products Transplant | $6,079.52 | ↓ -10% |
| PHPHI | All Products | $6,256.80 | ↓ -8% |
| UPMC | All Products | $6,256.80 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $6,329.80 | ↓ -7% |
| Clarity Health | All Products | $6,778.20 | ↑ +0% |
| Three Rivers | All Products | $6,778.20 | ↑ +0% |
| GMS | All Products | $7,299.60 | ↑ +8% |
| Quality Care Partners | All Products | $7,299.60 | ↑ +8% |
| Aetna | All Products First Health | $7,821.00 | ↑ +15% |
| Consociate Health | All Products | $7,821.00 | ↑ +15% |
| OPTUM | Managed Medicaid Transplant | $7,882.20 | ↑ +16% |
| CARESOURCE | Managed Medicaid | $8,297.05 | ↑ +22% |
| Aetna | Asa | $8,342.40 | ↑ +23% |
| MMO | NASCO | $8,342.40 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $8,342.40 | ↑ +23% |
| MOLINA | Managed Medicaid | $8,711.90 | ↑ +29% |
| ANTHEM | Managed Medicaid | $8,711.90 | ↑ +29% |
| UNITED | Managed Medicaid | $8,877.84 | ↑ +31% |
| United BH | Managed Medicaid | $9,126.76 | ↑ +35% |
| Multiplan | All Products | $9,385.20 | ↑ +38% |
| USA Managed Care | All Products | $9,385.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $10,428.00 | ↑ +54% |
| CIGNA | Medicare Advantage Lifesource | $12,146.38 | ↑ +79% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $12,146.38 | ↑ +79% |
| AETNA | MEDICARE ADVANTAGE | $12,146.38 | ↑ +79% |
| UPMC | MEDICARE ADVANTAGE | $12,146.38 | ↑ +79% |
| ANTHEM | MEDICARE ADVANTAGE | $12,146.38 | ↑ +79% |
| Summacare | MEDICARE ADVANTAGE | $12,146.38 | ↑ +79% |
| Valor | ALL PRODUCTS | $12,146.38 | ↑ +79% |
| CIGNA | MEDICARE ADVANTAGE | $12,510.77 | ↑ +85% |
| CommuniCare | MEDICARE ADVANTAGE | $12,753.70 | ↑ +88% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $13,118.09 | ↑ +94% |
| PPHP | ALL PRODUCTS | $13,361.02 | ↑ +97% |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MA | 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 | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Revise hip joint replacement at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $10,955.28 – $12,685.06 |
| fairview hospital | Cleveland | not published | $6,458.47 – $33,402.55 |
| lutheran hospital | Cleveland | not published | $6,148.69 – $13,361.02 |
| akron general | Akron | $6,778.20 | $1.10 – $13,118.09 |
| mercy hospital | Canton | $6,778.20 | $1.10 – $12,510.77 |
| St Elizabeth Boardman Hospital | Youngstown | $67,867.82 | $12,146.38 – $12,146.38 |
| Barnesville Hospital | Barnesville | $1,663.50 | not published |
| avon hospital | Avon | not published | $6,710.17 – $13,361.02 |