healthcosts.net
Subdural tap fontanelle/sutur infant init 61000 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$410.80
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.
?
What you pay up front if you don't use insurance.
$632.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $2,017.20 with MMO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $71.06 | ↓ -83% |
| Optum | Managed Medicaid Transplant | $73.92 | ↓ -82% |
| Paramount | Managed Medicaid | $80.14 | ↓ -80% |
| Summacare | Medicare Advantage Psych | $81.44 | ↓ -80% |
| Caresource | Managed Medicaid | $81.70 | ↓ -80% |
| Buckeye | Managed Medicaid | $81.70 | ↓ -80% |
| Molina | Managed Medicaid | $85.59 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $85.59 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $92.93 | ↓ -77% |
| United | Managed Medicaid | $94.80 | ↓ -77% |
| Summacare | Medicare Advantage MD | $103.86 | ↓ -75% |
| Humana | Medicare Advantage HMO | $108.59 | ↓ -74% |
| Valor | All Products | $108.59 | ↓ -74% |
| Aetna | Medicare Advantage | $108.59 | ↓ -74% |
| Aetna | Medicare Advantage Transplant | $108.59 | ↓ -74% |
| UPMC | Medicare Advantage | $108.59 | ↓ -74% |
| United | Medicare Advantage | $108.59 | ↓ -74% |
| The Health Plan | Medicare Advantage | $108.59 | ↓ -74% |
| Anthem | Medicare Advantage | $108.59 | ↓ -74% |
| Optum | Medicare Advantage Transplant | $108.59 | ↓ -74% |
| Devoted Health | Medicare Advantage | $109.33 | ↓ -73% |
| Cigna | Medicare Advantage | $111.85 | ↓ -73% |
| CommuniCare | Medicare Advantage | $114.02 | ↓ -72% |
| Perennial Health | Medicare Advantage | $117.28 | ↓ -71% |
| PPHP | All Products | $118.08 | ↓ -71% |
| Humana Military | All Products | $143.57 | ↓ -65% |
| Aetna | All Products Transplant | $146.45 | ↓ -64% |
| Anthem | All Products Mid-Level Facility | $154.31 | ↓ -62% |
| Anthem | All Products Mid-Level Non-Facility | $154.31 | ↓ -62% |
| Oscar | All Products | $160.59 | ↓ -61% |
| CC EHP | All Products | $207.73 | ↓ -49% |
| OHCP | All Products | $245.85 | ↓ -40% |
| Ohio Healthy | Transplant | $252.80 | ↓ -38% |
| Summacare | Preferred | $260.16 | ↓ -37% |
| Aultcare | PPO/HMO | $276.82 | ↓ -33% |
| Summacare | Premier | $283.51 | ↓ -31% |
| Amish Community Aid Plan | All Products | $284.40 | ↓ -31% |
| OPTUM | Managed Medicaid Transplant | $289.33 | ↓ -30% |
| Aetna | Acop | $295.74 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $296.41 | ↓ -28% |
| MMO | Medicare HMO | $301.23 | ↓ -27% |
| CARESOURCE | Managed Medicaid | $304.56 | ↓ -26% |
| MMO | Medicare PPO | $310.27 | ↓ -24% |
| United | All Products - Mid-Level | $313.77 | ↓ -24% |
| OMAS | All Products | $316.00 | ↓ -23% |
| MOLINA | Managed Medicaid | $319.79 | ↓ -22% |
| ANTHEM | Managed Medicaid | $319.79 | ↓ -22% |
| UNITED | Managed Medicaid | $325.88 | ↓ -21% |
| United BH | Managed Medicaid | $335.02 | ↓ -18% |
| United | All Products | $338.18 | ↓ -18% |
| United | HMO & PPO | $338.18 | ↓ -18% |
| The Health Plan | All Products | $347.60 | ↓ -15% |
| Healthsmart | All Products | $347.60 | ↓ -15% |
| Optum | All Products Transplant | $368.46 | ↓ -10% |
| UPMC | All Products | $379.20 | ↓ -8% |
| PHPHI | All Products | $379.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $383.62 | ↓ -7% |
| Anthem | All Products Physician Non-Facility | $391.89 | ↓ -5% |
| Anthem | All Products Physician | $391.89 | ↓ -5% |
| Anthem | All Products Physician Facility | $391.89 | ↓ -5% |
| Clarity Health | All Products | $410.80 | ↑ +0% |
| Three Rivers | All Products | $410.80 | ↑ +0% |
| GMS | All Products | $442.40 | ↑ +8% |
| Quality Care Partners | All Products | $442.40 | ↑ +8% |
| Aetna | All Products First Health | $474.00 | ↑ +15% |
| Consociate Health | All Products | $474.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $505.60 | ↑ +23% |
| Aetna | Asa | $505.60 | ↑ +23% |
| MMO | NASCO | $505.60 | ↑ +23% |
| Multiplan | All Products | $568.80 | ↑ +38% |
| USA Managed Care | All Products | $568.80 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $599.95 | ↑ +46% |
| Aetna | Qhp/Ifp | $632.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $641.99 | ↑ +56% |
| HUMANA | Medicare Advantage HMO | $641.99 | ↑ +56% |
| OPTUM | All Products VA | $641.99 | ↑ +56% |
| OPTUM | Medicare Advantage Transplant | $641.99 | ↑ +56% |
| MMO | Medicare Advantage HMO | $641.99 | ↑ +56% |
| MMO | Medicare Advantage PPO | $661.25 | ↑ +61% |
| AETNA | MEDICARE ADVANTAGE | $667.82 | ↑ +63% |
| CIGNA | Medicare Advantage Lifesource | $667.82 | ↑ +63% |
| ANTHEM | MEDICARE ADVANTAGE | $667.82 | ↑ +63% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $667.82 | ↑ +63% |
| UPMC | MEDICARE ADVANTAGE | $667.82 | ↑ +63% |
| Summacare | MEDICARE ADVANTAGE | $667.82 | ↑ +63% |
| Valor | ALL PRODUCTS | $667.82 | ↑ +63% |
| CIGNA | MEDICARE ADVANTAGE | $687.85 | ↑ +67% |
| Perennial Health | MEDICARE ADVANTAGE | $693.35 | ↑ +69% |
| CommuniCare | MEDICARE ADVANTAGE | $701.21 | ↑ +71% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $721.24 | ↑ +76% |
| PPHP | ALL PRODUCTS | $734.60 | ↑ +79% |
| MMO | ALL PRODUCTS | $1,805.39 | ↑ +339% |
| MMO | SuperMed | $2,017.20 | ↑ +391% |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
Visitor-reported prices
Comments
Subdural tap fontanelle/sutur infant init 61000 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $402.14 – $465.63 |
| fairview hospital | Cleveland | not published | $237.07 – $734.60 |
| lutheran hospital | Cleveland | not published | $225.70 – $734.60 |
| akron general | Akron | not published | $229.66 – $734.60 |
| avon hospital | Avon | not published | $246.31 – $734.60 |
| euclid hospital | Euclid | not published | $252.35 – $734.60 |
| hillcrest hospital | Mayfield Heights | not published | $246.99 – $734.60 |
| lodi hospital | Lodi | not published | $385.33 – $446.17 |