healthcosts.net
Revision of urethra at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,261.00
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.
$1,940.00
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 $14,506.08 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% |
| Summacare | Medicare Advantage Lower Level | $211.86 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $226.75 | ↓ -82% |
| Optum | Managed Medicaid Transplant | $236.47 | ↓ -81% |
| Paramount | Managed Medicaid | $256.39 | ↓ -80% |
| Buckeye | Managed Medicaid | $261.37 | ↓ -79% |
| Caresource | Managed Medicaid | $261.37 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $273.81 | ↓ -78% |
| Molina | Managed Medicaid | $273.81 | ↓ -78% |
| Summacare | Medicare Advantage CNA | $277.05 | ↓ -78% |
| United | Managed Medicaid | $286.31 | ↓ -77% |
| Humana | Medicare Advantage HMO | $302.33 | ↓ -76% |
| Valor | All Products | $302.33 | ↓ -76% |
| Aetna | Medicare Advantage | $302.33 | ↓ -76% |
| Aetna | Medicare Advantage Transplant | $302.33 | ↓ -76% |
| UPMC | Medicare Advantage | $302.33 | ↓ -76% |
| United | Medicare Advantage | $302.33 | ↓ -76% |
| The Health Plan | Medicare Advantage | $302.33 | ↓ -76% |
| Anthem | Medicare Advantage | $302.33 | ↓ -76% |
| Optum | Medicare Advantage Transplant | $302.33 | ↓ -76% |
| Summacare | Medicare Advantage MD | $309.64 | ↓ -75% |
| Cigna | Medicare Advantage | $311.40 | ↓ -75% |
| CommuniCare | Medicare Advantage | $317.45 | ↓ -75% |
| Devoted Health | Medicare Advantage | $325.94 | ↓ -74% |
| Perennial Health | Medicare Advantage | $326.52 | ↓ -74% |
| PPHP | All Products | $332.56 | ↓ -74% |
| Humana Military | All Products | $419.53 | ↓ -67% |
| Aetna | All Products Transplant | $425.36 | ↓ -66% |
| Anthem | All Products Mid-Level Facility | $462.99 | ↓ -63% |
| Anthem | All Products Mid-Level Non-Facility | $462.99 | ↓ -63% |
| Oscar | All Products | $492.95 | ↓ -61% |
| CC EHP | All Products | $619.29 | ↓ -51% |
| Summacare | Preferred | $729.10 | ↓ -42% |
| OHCP | All Products | $754.66 | ↓ -40% |
| Ohio Healthy | Transplant | $776.00 | ↓ -38% |
| Summacare | Premier | $794.53 | ↓ -37% |
| Aetna | Acop | $828.80 | ↓ -34% |
| Aultcare | PPO/HMO | $849.72 | ↓ -33% |
| Amish Community Aid Plan | All Products | $873.00 | ↓ -31% |
| MMO | Medicare HMO | $902.84 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $909.86 | ↓ -28% |
| MMO | Medicare PPO | $929.93 | ↓ -26% |
| United | All Products - Mid-Level | $940.46 | ↓ -25% |
| OMAS | All Products | $970.00 | ↓ -23% |
| United | HMO & PPO | $1,013.63 | ↓ -20% |
| United | All Products | $1,013.63 | ↓ -20% |
| Healthsmart | All Products | $1,067.00 | ↓ -15% |
| The Health Plan | All Products | $1,067.00 | ↓ -15% |
| Optum | All Products Transplant | $1,131.02 | ↓ -10% |
| UPMC | All Products | $1,164.00 | ↓ -8% |
| PHPHI | All Products | $1,164.00 | ↓ -8% |
| Anthem | All Products Physician Non-Facility | $1,175.90 | ↓ -7% |
| Anthem | All Products Physician | $1,175.90 | ↓ -7% |
| Anthem | All Products Physician Facility | $1,175.90 | ↓ -7% |
| Optum | Commercial CHD Care Solutions | $1,177.58 | ↓ -7% |
| Clarity Health | All Products | $1,261.00 | ↑ +0% |
| Three Rivers | All Products | $1,261.00 | ↑ +0% |
| GMS | All Products | $1,358.00 | ↑ +8% |
| Quality Care Partners | All Products | $1,358.00 | ↑ +8% |
| Aetna | All Products First Health | $1,455.00 | ↑ +15% |
| Consociate Health | All Products | $1,455.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,552.00 | ↑ +23% |
| Aetna | Asa | $1,552.00 | ↑ +23% |
| MMO | NASCO | $1,552.00 | ↑ +23% |
| USA Managed Care | All Products | $1,746.00 | ↑ +38% |
| Multiplan | All Products | $1,746.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,940.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $2,111.89 | ↑ +67% |
| CARESOURCE | Managed Medicaid | $2,223.04 | ↑ +76% |
| ANTHEM | Managed Medicaid | $2,334.19 | ↑ +85% |
| MOLINA | Managed Medicaid | $2,334.19 | ↑ +85% |
| UNITED | Managed Medicaid | $2,378.65 | ↑ +89% |
| United BH | Managed Medicaid | $2,445.34 | ↑ +94% |
| UNITED | MEDICARE ADVANTAGE | $4,315.14 | ↑ +242% |
| MMO | Medicare Advantage HMO | $4,576.29 | ↑ +263% |
| OPTUM | All Products VA | $4,576.29 | ↑ +263% |
| HUMANA | Medicare Advantage HMO | $4,576.29 | ↑ +263% |
| OPTUM | Medicare Advantage Transplant | $4,576.29 | ↑ +263% |
| The Health Plan | MEDICARE ADVANTAGE | $4,576.29 | ↑ +263% |
| MMO | Medicare Advantage PPO | $4,713.58 | ↑ +274% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $4,732.70 | ↑ +275% |
| Summacare | MEDICARE ADVANTAGE | $4,732.70 | ↑ +275% |
| ANTHEM | MEDICARE ADVANTAGE | $4,732.70 | ↑ +275% |
| CIGNA | Medicare Advantage Lifesource | $4,732.70 | ↑ +275% |
| AETNA | MEDICARE ADVANTAGE | $4,732.70 | ↑ +275% |
| UPMC | MEDICARE ADVANTAGE | $4,732.70 | ↑ +275% |
| Valor | ALL PRODUCTS | $4,732.70 | ↑ +275% |
| CIGNA | MEDICARE ADVANTAGE | $4,874.68 | ↑ +287% |
| Perennial Health | MEDICARE ADVANTAGE | $4,942.39 | ↑ +292% |
| CommuniCare | MEDICARE ADVANTAGE | $4,969.34 | ↑ +294% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $5,111.32 | ↑ +305% |
| PPHP | ALL PRODUCTS | $5,205.97 | ↑ +313% |
| MMO | SuperMed | $14,506.08 | ↑ +1050% |
| Cigna | All Products Physician | 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 | — |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Revision of urethra at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,935.26 – $3,398.73 |
| fairview hospital | Cleveland | not published | $1,730.43 – $5,205.97 |
| lutheran hospital | Cleveland | not published | $1,647.42 – $5,205.97 |
| akron general | Akron | not published | $1,676.36 – $5,205.97 |
| avon hospital | Avon | not published | $1,797.86 – $5,205.97 |
| euclid hospital | Euclid | not published | $1,841.96 – $5,205.97 |
| hillcrest hospital | Mayfield Heights | not published | $1,802.83 – $5,205.97 |
| lodi hospital | Lodi | not published | $2,812.60 – $3,256.69 |