healthcosts.net
Shoulder MRI (with contrast) at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,964.35
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.
$6,099.00
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 $5,451.00 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 | $3.22 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $47.07 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $55.37 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $61.56 | ↓ -98% |
| Summacare | Medicare Advantage MD | $68.80 | ↓ -98% |
| Devoted Health | Medicare Advantage | $72.42 | ↓ -98% |
| UPMC | Medicare Advantage | $73.83 | ↓ -98% |
| United | Medicare Advantage | $73.83 | ↓ -98% |
| Anthem | Medicare Advantage | $73.83 | ↓ -98% |
| Aetna | Medicare Advantage Transplant | $73.83 | ↓ -98% |
| Valor | All Products | $73.83 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $73.83 | ↓ -98% |
| Humana | Medicare Advantage HMO | $73.83 | ↓ -98% |
| Aetna | Medicare Advantage | $73.83 | ↓ -98% |
| The Health Plan | Medicare Advantage | $73.83 | ↓ -98% |
| Cigna | Medicare Advantage | $76.04 | ↓ -98% |
| CommuniCare | Medicare Advantage | $77.52 | ↓ -98% |
| PPHP | All Products | $78.21 | ↓ -98% |
| Perennial Health | Medicare Advantage | $79.74 | ↓ -98% |
| Anthem | All Products Mid-Level Facility | $103.83 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $103.83 | ↓ -97% |
| CC EHP | All Products | $137.60 | ↓ -97% |
| Oscar | All Products | $164.66 | ↓ -96% |
| Summacare | Preferred | $175.85 | ↓ -96% |
| Summacare | Premier | $191.63 | ↓ -95% |
| United | All Products - Mid-Level | $193.36 | ↓ -95% |
| Aetna | Acop | $202.15 | ↓ -95% |
| United | All Products | $212.53 | ↓ -95% |
| United | HMO & PPO | $212.53 | ↓ -95% |
| MMO | Medicare HMO | $237.93 | ↓ -94% |
| MMO | Medicare PPO | $245.07 | ↓ -94% |
| OHCP | All Products | $252.07 | ↓ -94% |
| Ohio Healthy | Transplant | $259.20 | ↓ -93% |
| Anthem | All Products Physician | $263.70 | ↓ -93% |
| Anthem | All Products Physician Facility | $263.70 | ↓ -93% |
| Anthem | All Products Physician Non-Facility | $263.70 | ↓ -93% |
| Aultcare | PPO/HMO | $283.82 | ↓ -93% |
| Amish Community Aid Plan | All Products | $291.60 | ↓ -93% |
| MMO | SuperMed | $291.60 | ↓ -93% |
| Optum | Managed Medicaid Transplant | $293.68 | ↓ -93% |
| Optum | Commercial CRS Care Solutions | $303.91 | ↓ -92% |
| Paramount | Managed Medicaid | $318.41 | ↓ -92% |
| OMAS | All Products | $324.00 | ↓ -92% |
| Caresource | Managed Medicaid | $324.60 | ↓ -92% |
| Buckeye | Managed Medicaid | $324.60 | ↓ -92% |
| Molina | Managed Medicaid | $340.05 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $340.05 | ↓ -91% |
| The Health Plan | All Products | $356.40 | ↓ -91% |
| Healthsmart | All Products | $356.40 | ↓ -91% |
| Optum | All Products Transplant | $377.78 | ↓ -90% |
| OPTUM | Managed Medicaid Transplant | $386.08 | ↓ -90% |
| UPMC | All Products | $388.80 | ↓ -90% |
| PHPHI | All Products | $388.80 | ↓ -90% |
| Optum | Commercial CHD Care Solutions | $393.34 | ↓ -90% |
| CARESOURCE | Managed Medicaid | $406.40 | ↓ -90% |
| Humana Military | All Products | $418.26 | ↓ -89% |
| Clarity Health | All Products | $421.20 | ↓ -89% |
| Three Rivers | All Products | $421.20 | ↓ -89% |
| ANTHEM | Managed Medicaid | $426.72 | ↓ -89% |
| MOLINA | Managed Medicaid | $426.72 | ↓ -89% |
| AETNA | Medicare Advantage Transplant | $429.97 | ↓ -89% |
| Aetna | All Products Transplant | $433.45 | ↓ -89% |
| AETNA | All Products Transplant | $433.45 | ↓ -89% |
| UNITED | Managed Medicaid | $434.85 | ↓ -89% |
| United BH | Managed Medicaid | $447.04 | ↓ -89% |
| Quality Care Partners | All Products | $453.60 | ↓ -89% |
| GMS | All Products | $453.60 | ↓ -89% |
| Consociate Health | All Products | $486.00 | ↓ -88% |
| Aetna | All Products First Health | $486.00 | ↓ -88% |
| Aetna | Asa | $518.40 | ↓ -87% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $518.40 | ↓ -87% |
| MMO | NASCO | $518.40 | ↓ -87% |
| USA Managed Care | All Products | $583.20 | ↓ -85% |
| Multiplan | All Products | $583.20 | ↓ -85% |
| Aetna | Qhp/Ifp | $648.00 | ↓ -84% |
| UNITED | MEDICARE ADVANTAGE | $694.63 | ↓ -82% |
| MMO | Medicare Advantage HMO | $732.42 | ↓ -82% |
| The Health Plan | MEDICARE ADVANTAGE | $732.42 | ↓ -82% |
| OPTUM | All Products VA | $732.42 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $732.42 | ↓ -82% |
| OPTUM | Medicare Advantage Transplant | $732.42 | ↓ -82% |
| CIGNA | Medicare Advantage Lifesource | $741.65 | ↓ -81% |
| Valor | ALL PRODUCTS | $741.65 | ↓ -81% |
| Summacare | MEDICARE ADVANTAGE | $741.65 | ↓ -81% |
| ANTHEM | MEDICARE ADVANTAGE | $741.65 | ↓ -81% |
| UPMC | MEDICARE ADVANTAGE | $741.65 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $741.65 | ↓ -81% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $741.65 | ↓ -81% |
| MMO | Medicare Advantage PPO | $754.39 | ↓ -81% |
| CIGNA | MEDICARE ADVANTAGE | $763.90 | ↓ -81% |
| CommuniCare | MEDICARE ADVANTAGE | $778.73 | ↓ -80% |
| Perennial Health | MEDICARE ADVANTAGE | $791.01 | ↓ -80% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $800.98 | ↓ -80% |
| PPHP | ALL PRODUCTS | $815.81 | ↓ -79% |
| CIGNA | PPO | $1,354.98 | ↓ -66% |
| CC EHP | ALL PRODUCTS | $1,515.38 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $1,541.54 | ↓ -61% |
| PHP | ALL PRODUCTS | $1,744.32 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $1,744.32 | ↓ -56% |
| MMO | ALL PRODUCTS | $2,338.99 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,452.95 | ↓ -38% |
| Summacare | PREMIER | $2,485.66 | ↓ -37% |
| OHCP | ALL PRODUCTS | $2,649.19 | ↓ -33% |
| CIGNA | ALL PRODUCTS | $2,670.99 | ↓ -33% |
| OMAS | ALL PRODUCTS | $2,725.50 | ↓ -31% |
| ANTHEM | HPN | $2,913.66 | ↓ -27% |
| Ohio Healthy | TRANSPLANT | $2,943.54 | ↓ -26% |
| HEALTHSMART | ALL PRODUCTS | $2,998.05 | ↓ -24% |
| AETNA | Asa_Whirlpool_Peia | $3,021.76 | ↓ -24% |
| AETNA | International | $3,036.08 | ↓ -23% |
| OPTUM | All Products Transplant | $3,085.27 | ↓ -22% |
| The Health Plan | ALL PRODUCTS | $3,270.60 | ↓ -17% |
| UPMC | ALL PRODUCTS | $3,270.60 | ↓ -17% |
| OPTUM | Commercial CRS Care Solutions | $3,286.95 | ↓ -17% |
| OPTUM | Commercial CHD Care Solutions | $3,286.95 | ↓ -17% |
| ANTHEM | PPO/HMO | $3,427.84 | ↓ -14% |
| MMO | TRADITIONAL | $3,428.68 | ↓ -14% |
| THREE RIVERS | ALL PRODUCTS | $3,543.15 | ↓ -11% |
| Clarity Health | ALL PRODUCTS | $3,543.15 | ↓ -11% |
| UNITED | ALL PRODUCTS | $3,755.74 | ↓ -5% |
| Parkview Health Plan | Transplant SMCP | $3,815.70 | ↓ -4% |
| Ohio Healthy | Transplant SMCP | $3,815.70 | ↓ -4% |
| Quality Care Partners | ALL PRODUCTS | $3,815.70 | ↓ -4% |
| Medical Benefit Corp | Transplant SMCP | $3,815.70 | ↓ -4% |
| Quality Care Partners | Transplant SMCP | $3,815.70 | ↓ -4% |
| GMS | ALL PRODUCTS | $3,815.70 | ↓ -4% |
| Consociate Health | TRANSPLANT | $4,088.25 | ↑ +3% |
| AETNA | ALL PRODUCTS | $4,088.25 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $4,088.25 | ↑ +3% |
| ANTHEM | TRADITIONAL | $4,192.91 | ↑ +6% |
| Community Health Alliance | ALL PRODUCTS | $4,360.80 | ↑ +10% |
| Community Health Alliance | TRANSPLANT | $4,360.80 | ↑ +10% |
| Humana Military | ALL PRODUCTS | $4,633.35 | ↑ +17% |
| UNITED | All Products International | $4,633.35 | ↑ +17% |
| AETNA | Acop | $4,715.12 | ↑ +19% |
| MULTIPLAN | ALL PRODUCTS | $4,905.90 | ↑ +24% |
| Tertiary Care Network | TRANSPLANT | $4,905.90 | ↑ +24% |
| FrontPath | TRANSPLANT | $4,905.90 | ↑ +24% |
| Managed Care Services | TRANSPLANT | $4,905.90 | ↑ +24% |
| USA Managed Care | ALL PRODUCTS | $4,905.90 | ↑ +24% |
| AETNA | Qhp/Ipf | $5,451.00 | ↑ +38% |
| United BH | All Products PHD | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder MRI (with contrast) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| lutheran hospital | Cleveland | $3,543.15 | $0.87 – $4,905.90 |
| fairview hospital | Cleveland | $3,543.15 | $0.87 – $4,905.90 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $536.61 – $621.34 |
| akron general | Akron | $3,543.15 | $0.87 – $4,905.90 |
| avon hospital | Avon | $3,543.15 | $0.87 – $4,905.90 |
| euclid hospital | Euclid | $3,543.15 | $0.87 – $4,905.90 |
| hillcrest hospital | Mayfield Heights | $3,543.15 | $0.87 – $4,905.90 |
| lodi hospital | Lodi | $3,543.15 | $514.18 – $4,905.90 |