healthcosts.net
Sigmoidoscopy and biopsy at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$2,726.10
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.
$4,194.00
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 $4,628.00 with UNITED — 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 | $44.11 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $48.74 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $57.68 | ↓ -98% |
| Optum | Managed Medicaid Transplant | $60.33 | ↓ -98% |
| Summacare | Medicare Advantage MD | $64.47 | ↓ -98% |
| United | Medicare Advantage | $64.98 | ↓ -98% |
| Aetna | Medicare Advantage | $64.98 | ↓ -98% |
| Aetna | Medicare Advantage Transplant | $64.98 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $64.98 | ↓ -98% |
| Valor | All Products | $64.98 | ↓ -98% |
| The Health Plan | Medicare Advantage | $64.98 | ↓ -98% |
| UPMC | Medicare Advantage | $64.98 | ↓ -98% |
| Humana | Medicare Advantage HMO | $64.98 | ↓ -98% |
| Anthem | Medicare Advantage | $64.98 | ↓ -98% |
| Paramount | Managed Medicaid | $65.41 | ↓ -98% |
| Caresource | Managed Medicaid | $66.68 | ↓ -98% |
| Buckeye | Managed Medicaid | $66.68 | ↓ -98% |
| Cigna | Medicare Advantage | $66.93 | ↓ -98% |
| Devoted Health | Medicare Advantage | $67.86 | ↓ -98% |
| CommuniCare | Medicare Advantage | $68.23 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $69.85 | ↓ -97% |
| Molina | Managed Medicaid | $69.85 | ↓ -97% |
| Perennial Health | Medicare Advantage | $70.18 | ↓ -97% |
| PPHP | All Products | $71.48 | ↓ -97% |
| AETNA | Medicare Advantage Transplant | $84.87 | ↓ -97% |
| Humana Military | All Products | $88.80 | ↓ -97% |
| AETNA | All Products Transplant | $89.34 | ↓ -97% |
| Aetna | All Products Transplant | $89.34 | ↓ -97% |
| Anthem | All Products Mid-Level Facility | $94.72 | ↓ -97% |
| United | Managed Medicaid | $121.71 | ↓ -96% |
| Oscar | All Products | $127.56 | ↓ -95% |
| CC EHP | All Products | $128.93 | ↓ -95% |
| Summacare | Preferred | $156.29 | ↓ -94% |
| Summacare | Premier | $170.31 | ↓ -94% |
| Aetna | Acop | $177.66 | ↓ -93% |
| OHCP | All Products | $195.28 | ↓ -93% |
| Ohio Healthy | Transplant | $200.80 | ↓ -93% |
| MMO | Medicare HMO | $203.87 | ↓ -93% |
| MMO | Medicare PPO | $209.99 | ↓ -92% |
| Aultcare | PPO/HMO | $219.88 | ↓ -92% |
| Amish Community Aid Plan | All Products | $225.90 | ↓ -92% |
| Optum | Commercial CRS Care Solutions | $235.44 | ↓ -91% |
| Anthem | All Products Physician | $240.59 | ↓ -91% |
| Anthem | All Products Physician Facility | $240.59 | ↓ -91% |
| OMAS | All Products | $251.00 | ↓ -91% |
| Healthsmart | All Products | $276.10 | ↓ -90% |
| The Health Plan | All Products | $276.10 | ↓ -90% |
| Optum | All Products Transplant | $292.67 | ↓ -89% |
| PHPHI | All Products | $301.20 | ↓ -89% |
| UPMC | All Products | $301.20 | ↓ -89% |
| Optum | Commercial CHD Care Solutions | $304.71 | ↓ -89% |
| Three Rivers | All Products | $326.30 | ↓ -88% |
| Clarity Health | All Products | $326.30 | ↓ -88% |
| GMS | All Products | $351.40 | ↓ -87% |
| Quality Care Partners | All Products | $351.40 | ↓ -87% |
| Anthem | All Products Mid-Level Non-Facility | $368.44 | ↓ -86% |
| Consociate Health | All Products | $376.50 | ↓ -86% |
| Aetna | All Products First Health | $376.50 | ↓ -86% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $401.60 | ↓ -85% |
| MMO | NASCO | $401.60 | ↓ -85% |
| Aetna | Asa | $401.60 | ↓ -85% |
| USA Managed Care | All Products | $451.80 | ↓ -83% |
| Multiplan | All Products | $451.80 | ↓ -83% |
| Aetna | Qhp/Ifp | $502.00 | ↓ -82% |
| United | All Products - Mid-Level | $740.20 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $792.91 | ↓ -71% |
| United | HMO & PPO | $797.79 | ↓ -71% |
| United | All Products | $797.79 | ↓ -71% |
| Cigna | All Products Mid-Level | $816.00 | ↓ -70% |
| MMO | Medicare Advantage HMO | $845.19 | ↓ -69% |
| OPTUM | All Products VA | $845.19 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $845.19 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $845.19 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $845.19 | ↓ -69% |
| MMO | Medicare Advantage PPO | $870.55 | ↓ -68% |
| CIGNA | Medicare Advantage Lifesource | $879.81 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $879.81 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $879.81 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $879.81 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $879.81 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $879.81 | ↓ -68% |
| Valor | ALL PRODUCTS | $879.81 | ↓ -68% |
| OPTUM | Managed Medicaid Transplant | $890.23 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $906.21 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $912.81 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $923.80 | ↓ -66% |
| Anthem | All Products Physician Non-Facility | $935.77 | ↓ -66% |
| CARESOURCE | Managed Medicaid | $937.08 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $950.20 | ↓ -65% |
| Cigna | All Products Physician | $960.08 | ↓ -65% |
| PPHP | ALL PRODUCTS | $967.79 | ↓ -64% |
| MOLINA | Managed Medicaid | $983.93 | ↓ -64% |
| ANTHEM | Managed Medicaid | $983.93 | ↓ -64% |
| UNITED | Managed Medicaid | $1,002.68 | ↓ -63% |
| United BH | Managed Medicaid | $1,030.79 | ↓ -62% |
| CC EHP | ALL PRODUCTS | $1,165.93 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $1,186.06 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $1,342.08 | ↓ -51% |
| PHP | ALL PRODUCTS | $1,342.08 | ↓ -51% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,887.30 | ↓ -31% |
| Summacare | PREMIER | $1,912.46 | ↓ -30% |
| ANTHEM | HPN | $1,931.34 | ↓ -29% |
| OHCP | ALL PRODUCTS | $2,038.28 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,097.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $2,264.76 | ↓ -17% |
| ANTHEM | PPO/HMO | $2,272.31 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $2,306.70 | ↓ -15% |
| CIGNA | ALL PRODUCTS | $2,351.00 | ↓ -14% |
| OPTUM | All Products Transplant | $2,373.80 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $2,516.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $2,516.40 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $2,528.98 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $2,528.98 | ↓ -7% |
| AETNA | Acop | $2,625.44 | ↓ -4% |
| MMO | TRADITIONAL | $2,638.03 | ↓ -3% |
| MMO | SuperMed | $2,666.13 | ↓ -2% |
| Clarity Health | ALL PRODUCTS | $2,726.10 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $2,726.10 | ↑ +0% |
| Ohio Healthy | Transplant SMCP | $2,935.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $2,935.80 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $2,935.80 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $2,935.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $2,935.80 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $2,935.80 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $2,973.55 | ↑ +9% |
| CIGNA | PPO | $3,111.95 | ↑ +14% |
| AETNA | ALL PRODUCTS | $3,145.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $3,145.50 | ↑ +15% |
| Consociate Health | TRANSPLANT | $3,145.50 | ↑ +15% |
| ANTHEM | TRADITIONAL | $3,226.02 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $3,355.20 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $3,355.20 | ↑ +23% |
| AETNA | International | $3,443.00 | ↑ +26% |
| Humana Military | ALL PRODUCTS | $3,564.90 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $3,774.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $3,774.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $3,774.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $3,774.60 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $3,774.60 | ↑ +38% |
| UNITED | ALL PRODUCTS | $4,132.00 | ↑ +52% |
| AETNA | Qhp/Ipf | $4,194.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $4,392.00 | ↑ +61% |
| UNITED | All Products International | $4,628.00 | ↑ +70% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MA | 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 PHD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Sigmoidoscopy and biopsy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,237.30 – $1,432.66 |
| fairview hospital | Cleveland | not published | $729.43 – $967.79 |
| lutheran hospital | Cleveland | not published | $694.44 – $967.79 |
| akron general | Akron | $326.30 | $1.10 – $909.79 |
| mercy hospital | Canton | $326.30 | $1.10 – $906.21 |
| University Hospitals Ahuja Medical Center | Beachwood | $1,942.50 | $572.39 – $2,331.00 |
| University Hospitals Beachwood Medical Center | Beachwood | $1,942.50 | $879.81 – $2,331.00 |
| University Hospitals Conneaut Medical Center | Conneaut | $1,831.50 | not published |