Revision gastrojejunal anastomosis w/reconstruct-43865 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$7,553.00
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.
$11,620.00
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 $11,620.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $936.10 | ↓ -88% |
| Paramount | Managed Medicaid | $1,014.93 | ↓ -87% |
| Buckeye | Managed Medicaid | $1,034.64 | ↓ -86% |
| Caresource | Managed Medicaid | $1,034.64 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $1,059.14 | ↓ -86% |
| Molina | Managed Medicaid | $1,083.91 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $1,083.91 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $1,173.09 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $1,385.03 | ↓ -82% |
| United | Managed Medicaid | $1,406.14 | ↓ -81% |
| Summacare | Medicare Advantage MD | $1,547.98 | ↓ -80% |
| United | Medicare Advantage | $1,564.12 | ↓ -79% |
| The Health Plan | Medicare Advantage | $1,564.12 | ↓ -79% |
| Anthem | Medicare Advantage | $1,564.12 | ↓ -79% |
| UPMC | Medicare Advantage | $1,564.12 | ↓ -79% |
| Aetna | Medicare Advantage Transplant | $1,564.12 | ↓ -79% |
| Aetna | Medicare Advantage | $1,564.12 | ↓ -79% |
| Valor | All Products | $1,564.12 | ↓ -79% |
| Humana | Medicare Advantage HMO | $1,564.12 | ↓ -79% |
| Optum | Medicare Advantage Transplant | $1,564.12 | ↓ -79% |
| Cigna | Medicare Advantage | $1,611.04 | ↓ -79% |
| Devoted Health | Medicare Advantage | $1,629.45 | ↓ -78% |
| CommuniCare | Medicare Advantage | $1,642.33 | ↓ -78% |
| Perennial Health | Medicare Advantage | $1,689.25 | ↓ -78% |
| PPHP | All Products | $1,720.53 | ↓ -77% |
| Humana Military | All Products | $2,076.72 | ↓ -73% |
| Aetna | All Products Transplant | $2,092.19 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $2,312.35 | ↓ -69% |
| Anthem | All Products Mid-Level Non-Facility | $2,312.35 | ↓ -69% |
| Oscar | All Products | $2,952.64 | ↓ -61% |
| CC EHP | All Products | $3,095.96 | ↓ -59% |
| OPTUM | Managed Medicaid Transplant | $3,156.08 | ↓ -58% |
| CARESOURCE | Managed Medicaid | $3,322.19 | ↓ -56% |
| ANTHEM | Managed Medicaid | $3,488.30 | ↓ -54% |
| MOLINA | Managed Medicaid | $3,488.30 | ↓ -54% |
| UNITED | Managed Medicaid | $3,554.74 | ↓ -53% |
| United BH | Managed Medicaid | $3,654.41 | ↓ -52% |
| Summacare | Preferred | $3,715.24 | ↓ -51% |
| Summacare | Premier | $4,048.66 | ↓ -46% |
| Aetna | Acop | $4,223.31 | ↓ -44% |
| MMO | ALL PRODUCTS | $4,502.12 | ↓ -40% |
| OHCP | All Products | $4,520.18 | ↓ -40% |
| Ohio Healthy | Transplant | $4,648.00 | ↓ -38% |
| United | All Products - Mid-Level | $4,680.38 | ↓ -38% |
| MMO | Medicare HMO | $4,888.59 | ↓ -35% |
| MMO | SuperMed | $5,029.22 | ↓ -33% |
| MMO | Medicare PPO | $5,035.25 | ↓ -33% |
| United | HMO & PPO | $5,044.52 | ↓ -33% |
| United | All Products | $5,044.52 | ↓ -33% |
| Aultcare | PPO/HMO | $5,089.56 | ↓ -33% |
| Amish Community Aid Plan | All Products | $5,229.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $5,449.78 | ↓ -28% |
| OMAS | All Products | $5,810.00 | ↓ -23% |
| Anthem | All Products Physician Facility | $5,872.88 | ↓ -22% |
| Anthem | All Products Physician Non-Facility | $5,872.88 | ↓ -22% |
| Anthem | All Products Physician | $5,872.88 | ↓ -22% |
| Healthsmart | All Products | $6,391.00 | ↓ -15% |
| The Health Plan | All Products | $6,391.00 | ↓ -15% |
| Optum | All Products Transplant | $6,774.46 | ↓ -10% |
| PHPHI | All Products | $6,972.00 | ↓ -8% |
| UPMC | All Products | $6,972.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $7,053.34 | ↓ -7% |
| Clarity Health | All Products | $7,553.00 | ↑ +0% |
| Three Rivers | All Products | $7,553.00 | ↑ +0% |
| Quality Care Partners | All Products | $8,134.00 | ↑ +8% |
| GMS | All Products | $8,134.00 | ↑ +8% |
| Aetna | All Products First Health | $8,715.00 | ↑ +15% |
| Consociate Health | All Products | $8,715.00 | ↑ +15% |
| MMO | NASCO | $9,296.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $9,296.00 | ↑ +23% |
| Aetna | Asa | $9,296.00 | ↑ +23% |
| USA Managed Care | All Products | $10,458.00 | ↑ +38% |
| Multiplan | All Products | $10,458.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $11,620.00 | ↑ +54% |
| 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
Revision gastrojejunal anastomosis w/reconstruct-43865 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,386.56 – $5,079.17 |
| fairview hospital | Cleveland | not published | $2,586.01 – $2,994.33 |
| lutheran hospital | Cleveland | not published | $2,461.97 – $2,850.71 |
| akron general | Akron | not published | $2,505.22 – $2,900.78 |
| avon hospital | Avon | not published | $2,686.79 – $2,737.97 |
| euclid hospital | Euclid | not published | $2,752.69 – $3,187.33 |
| hillcrest hospital | Mayfield Heights | not published | $2,694.22 – $3,119.62 |
| lodi hospital | Lodi | not published | $4,203.24 – $4,866.91 |