Revision of iris at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,640.60
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.
$2,524.00
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.
$0.01 with UNITED vs $3,443.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| UNITED | All Products International | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $204.82 | ↓ -88% |
| Paramount | Managed Medicaid | $222.07 | ↓ -86% |
| Caresource | Managed Medicaid | $226.38 | ↓ -86% |
| Buckeye | Managed Medicaid | $226.38 | ↓ -86% |
| Molina | Managed Medicaid | $237.16 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $237.16 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $253.47 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $265.11 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $331.46 | ↓ -80% |
| UPMC | Medicare Advantage | $353.48 | ↓ -78% |
| Aetna | Medicare Advantage | $353.48 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $353.48 | ↓ -78% |
| Valor | All Products | $353.48 | ↓ -78% |
| United | Medicare Advantage | $353.48 | ↓ -78% |
| Anthem | Medicare Advantage | $353.48 | ↓ -78% |
| The Health Plan | Medicare Advantage | $353.48 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $353.48 | ↓ -78% |
| Humana | Medicare Advantage HMO | $353.48 | ↓ -78% |
| Cigna | Medicare Advantage | $364.08 | ↓ -78% |
| Summacare | Medicare Advantage MD | $370.45 | ↓ -77% |
| CommuniCare | Medicare Advantage | $371.15 | ↓ -77% |
| OPTUM | Managed Medicaid Transplant | $381.15 | ↓ -77% |
| Perennial Health | Medicare Advantage | $381.76 | ↓ -77% |
| United | Managed Medicaid | $387.39 | ↓ -76% |
| PPHP | All Products | $388.83 | ↓ -76% |
| Devoted Health | Medicare Advantage | $389.95 | ↓ -76% |
| CARESOURCE | Managed Medicaid | $401.21 | ↓ -76% |
| MOLINA | Managed Medicaid | $421.27 | ↓ -74% |
| ANTHEM | Managed Medicaid | $421.27 | ↓ -74% |
| UNITED | Managed Medicaid | $429.29 | ↓ -74% |
| United BH | Managed Medicaid | $441.33 | ↓ -73% |
| AETNA | Medicare Advantage Transplant | $460.00 | ↓ -72% |
| UNITED | MEDICARE ADVANTAGE | $504.28 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $508.57 | ↓ -69% |
| OPTUM | All Products VA | $508.57 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $508.57 | ↓ -69% |
| MMO | Medicare Advantage HMO | $508.57 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $508.57 | ↓ -69% |
| Humana Military | All Products | $516.71 | ↓ -69% |
| Valor | ALL PRODUCTS | $520.34 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $520.34 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $520.34 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $520.34 | ↓ -68% |
| CIGNA | Medicare Advantage Lifesource | $520.34 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $520.34 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $520.34 | ↓ -68% |
| Aetna | All Products Transplant | $522.70 | ↓ -68% |
| AETNA | All Products Transplant | $522.70 | ↓ -68% |
| MMO | Medicare Advantage PPO | $523.83 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $535.95 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $546.36 | ↓ -67% |
| Oscar | All Products | $546.82 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $549.26 | ↓ -67% |
| Anthem | All Products Mid-Level Facility | $549.81 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $561.97 | ↓ -66% |
| PPHP | ALL PRODUCTS | $572.37 | ↓ -65% |
| Anthem | All Products Mid-Level Non-Facility | $618.34 | ↓ -62% |
| CC EHP | ALL PRODUCTS | $701.67 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $713.79 | ↓ -56% |
| CC EHP | All Products | $740.91 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $807.68 | ↓ -51% |
| PHP | ALL PRODUCTS | $807.68 | ↓ -51% |
| OHCP | All Products | $837.13 | ↓ -49% |
| Summacare | Preferred | $858.90 | ↓ -48% |
| Ohio Healthy | Transplant | $860.80 | ↓ -48% |
| Summacare | Premier | $935.98 | ↓ -43% |
| Aultcare | PPO/HMO | $942.58 | ↓ -43% |
| Amish Community Aid Plan | All Products | $968.40 | ↓ -41% |
| MMO | ALL PRODUCTS | $974.74 | ↓ -41% |
| Aetna | Acop | $976.35 | ↓ -40% |
| Optum | Commercial CRS Care Solutions | $1,009.29 | ↓ -38% |
| OMAS | All Products | $1,076.00 | ↓ -34% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,135.80 | ↓ -31% |
| Summacare | PREMIER | $1,150.94 | ↓ -30% |
| ANTHEM | HPN | $1,162.30 | ↓ -29% |
| The Health Plan | All Products | $1,183.60 | ↓ -28% |
| Healthsmart | All Products | $1,183.60 | ↓ -28% |
| OHCP | ALL PRODUCTS | $1,226.66 | ↓ -25% |
| Optum | All Products Transplant | $1,254.62 | ↓ -24% |
| United | All Products - Mid-Level | $1,260.14 | ↓ -23% |
| OMAS | ALL PRODUCTS | $1,262.00 | ↓ -23% |
| UPMC | All Products | $1,291.20 | ↓ -21% |
| PHPHI | All Products | $1,291.20 | ↓ -21% |
| Optum | Commercial CHD Care Solutions | $1,306.26 | ↓ -20% |
| United | HMO & PPO | $1,358.18 | ↓ -17% |
| United | All Products | $1,358.18 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $1,362.96 | ↓ -17% |
| ANTHEM | PPO/HMO | $1,367.50 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $1,388.20 | ↓ -15% |
| Anthem | All Products Physician | $1,396.41 | ↓ -15% |
| Anthem | All Products Physician Facility | $1,396.41 | ↓ -15% |
| Three Rivers | All Products | $1,398.80 | ↓ -15% |
| Clarity Health | All Products | $1,398.80 | ↓ -15% |
| OPTUM | All Products Transplant | $1,428.58 | ↓ -13% |
| MMO | Medicare HMO | $1,483.88 | ↓ -10% |
| GMS | All Products | $1,506.40 | ↓ -8% |
| Quality Care Partners | All Products | $1,506.40 | ↓ -8% |
| Cigna | All Products Mid-Level | $1,506.74 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $1,514.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $1,514.40 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $1,521.97 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $1,521.97 | ↓ -7% |
| MMO | Medicare PPO | $1,528.40 | ↓ -7% |
| Anthem | All Products Physician Non-Facility | $1,570.44 | ↓ -4% |
| AETNA | Acop | $1,580.02 | ↓ -4% |
| MMO | TRADITIONAL | $1,587.60 | ↓ -3% |
| MMO | NASCO | $1,587.60 | ↓ -3% |
| Consociate Health | All Products | $1,614.00 | ↓ -2% |
| Aetna | All Products First Health | $1,614.00 | ↓ -2% |
| Clarity Health | ALL PRODUCTS | $1,640.60 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $1,640.60 | ↑ +0% |
| MMO | SuperMed | $1,695.79 | ↑ +3% |
| Aetna | Asa | $1,721.60 | ↑ +5% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,721.60 | ↑ +5% |
| Medical Benefit Corp | Transplant SMCP | $1,766.80 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $1,766.80 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $1,766.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $1,766.80 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $1,766.80 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $1,766.80 | ↑ +8% |
| Cigna | All Products Physician | $1,772.18 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $1,789.52 | ↑ +9% |
| CIGNA | PPO | $1,872.81 | ↑ +14% |
| Consociate Health | TRANSPLANT | $1,893.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $1,893.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,893.00 | ↑ +15% |
| USA Managed Care | All Products | $1,936.80 | ↑ +18% |
| Multiplan | All Products | $1,936.80 | ↑ +18% |
| ANTHEM | TRADITIONAL | $1,941.46 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $2,019.20 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $2,019.20 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $2,145.40 | ↑ +31% |
| Aetna | Qhp/Ifp | $2,152.00 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $2,271.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $2,271.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,271.60 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $2,271.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $2,271.60 | ↑ +38% |
| CIGNA | ALL PRODUCTS | $2,351.00 | ↑ +43% |
| AETNA | Qhp/Ipf | $2,524.00 | ↑ +54% |
| AETNA | International | $3,443.00 | ↑ +110% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | 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
Revision of iris at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $529.75 – $613.39 |
| fairview hospital | Cleveland | not published | $312.30 – $572.37 |
| lutheran hospital | Cleveland | not published | $297.32 – $572.37 |
| akron general | Akron | not published | $302.55 – $572.37 |
| avon hospital | Avon | not published | $324.47 – $572.37 |
| euclid hospital | Euclid | not published | $332.43 – $572.37 |
| hillcrest hospital | Mayfield Heights | not published | $325.37 – $572.37 |
| lodi hospital | Lodi | not published | $507.60 – $587.75 |