healthcosts.net
Thoracotomy w/expl at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$3,575.00
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.
$5,500.00
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 $13,132.00 with ANTHEM — 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 | $498.72 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $547.18 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $572.16 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $609.24 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $652.17 | ↓ -82% |
| Paramount | Managed Medicaid | $660.54 | ↓ -82% |
| United | Managed Medicaid | $662.78 | ↓ -81% |
| Caresource | Managed Medicaid | $673.37 | ↓ -81% |
| Buckeye | Managed Medicaid | $673.37 | ↓ -81% |
| CC EHP | ALL PRODUCTS | $697.78 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $705.43 | ↓ -80% |
| Molina | Managed Medicaid | $705.43 | ↓ -80% |
| OSCAR | ALL PRODUCTS | $709.83 | ↓ -80% |
| Summacare | Medicare Advantage MD | $728.90 | ↓ -80% |
| The Health Plan | Medicare Advantage | $762.88 | ↓ -79% |
| Optum | Medicare Advantage Transplant | $762.88 | ↓ -79% |
| United | Medicare Advantage | $762.88 | ↓ -79% |
| Humana | Medicare Advantage HMO | $762.88 | ↓ -79% |
| Anthem | Medicare Advantage | $762.88 | ↓ -79% |
| Valor | All Products | $762.88 | ↓ -79% |
| UPMC | Medicare Advantage | $762.88 | ↓ -79% |
| Aetna | Medicare Advantage Transplant | $762.88 | ↓ -79% |
| Aetna | Medicare Advantage | $762.88 | ↓ -79% |
| Devoted Health | Medicare Advantage | $767.26 | ↓ -79% |
| Cigna | Medicare Advantage | $785.77 | ↓ -78% |
| CommuniCare | Medicare Advantage | $801.02 | ↓ -78% |
| PHPHI | ALL PRODUCTS | $803.20 | ↓ -78% |
| PHP | ALL PRODUCTS | $803.20 | ↓ -78% |
| Perennial Health | Medicare Advantage | $823.91 | ↓ -77% |
| PPHP | All Products | $828.64 | ↓ -77% |
| AETNA | Asa_Whirlpool_Peia | $951.29 | ↓ -73% |
| AETNA | Medicare Advantage Transplant | $965.77 | ↓ -73% |
| Humana Military | All Products | $983.40 | ↓ -72% |
| AETNA | All Products Transplant | $988.28 | ↓ -72% |
| Aetna | All Products Transplant | $988.28 | ↓ -72% |
| Summacare | Preferred | $1,054.20 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $1,081.37 | ↓ -70% |
| Anthem | All Products Mid-Level Facility | $1,081.37 | ↓ -70% |
| Aultcare | PPO/HMO | $1,099.38 | ↓ -69% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,129.50 | ↓ -68% |
| Summacare | PREMIER | $1,144.56 | ↓ -68% |
| OHCP | ALL PRODUCTS | $1,219.86 | ↓ -66% |
| CIGNA | ALL PRODUCTS | $1,229.90 | ↓ -66% |
| OMAS | ALL PRODUCTS | $1,255.00 | ↓ -65% |
| Ohio Healthy | TRANSPLANT | $1,355.40 | ↓ -62% |
| HEALTHSMART | ALL PRODUCTS | $1,380.50 | ↓ -61% |
| Oscar | All Products | $1,397.55 | ↓ -61% |
| OPTUM | All Products Transplant | $1,420.66 | ↓ -60% |
| CC EHP | All Products | $1,457.79 | ↓ -59% |
| The Health Plan | ALL PRODUCTS | $1,506.00 | ↓ -58% |
| UPMC | ALL PRODUCTS | $1,506.00 | ↓ -58% |
| AETNA | Acop | $1,506.00 | ↓ -58% |
| OPTUM | Commercial CRS Care Solutions | $1,513.53 | ↓ -58% |
| OPTUM | Commercial CHD Care Solutions | $1,513.53 | ↓ -58% |
| MMO | TRADITIONAL | $1,578.79 | ↓ -56% |
| MMO | NASCO | $1,578.79 | ↓ -56% |
| Clarity Health | ALL PRODUCTS | $1,631.50 | ↓ -54% |
| THREE RIVERS | ALL PRODUCTS | $1,631.50 | ↓ -54% |
| UNITED | ALL PRODUCTS | $1,729.39 | ↓ -52% |
| Ohio Healthy | Transplant SMCP | $1,757.00 | ↓ -51% |
| GMS | ALL PRODUCTS | $1,757.00 | ↓ -51% |
| Quality Care Partners | Transplant SMCP | $1,757.00 | ↓ -51% |
| Quality Care Partners | ALL PRODUCTS | $1,757.00 | ↓ -51% |
| Medical Benefit Corp | Transplant SMCP | $1,757.00 | ↓ -51% |
| Parkview Health Plan | Transplant SMCP | $1,757.00 | ↓ -51% |
| AETNA | International | $1,804.69 | ↓ -50% |
| CIGNA | PPO | $1,862.42 | ↓ -48% |
| Humana Military | ALL PRODUCTS | $1,882.50 | ↓ -47% |
| AETNA | ALL PRODUCTS | $1,882.50 | ↓ -47% |
| Consociate Health | TRANSPLANT | $1,882.50 | ↓ -47% |
| Consociate Health | ALL PRODUCTS | $1,882.50 | ↓ -47% |
| ANTHEM | TRADITIONAL | $1,930.69 | ↓ -46% |
| Summacare | Premier | $1,981.40 | ↓ -45% |
| Community Health Alliance | TRANSPLANT | $2,008.00 | ↓ -44% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,008.00 | ↓ -44% |
| Community Health Alliance | ALL PRODUCTS | $2,008.00 | ↓ -44% |
| Aetna | Acop | $2,066.87 | ↓ -42% |
| UNITED | All Products International | $2,133.50 | ↓ -40% |
| OHCP | All Products | $2,139.50 | ↓ -40% |
| United | All Products - Mid-Level | $2,196.60 | ↓ -39% |
| Ohio Healthy | Transplant | $2,200.00 | ↓ -38% |
| MULTIPLAN | ALL PRODUCTS | $2,259.00 | ↓ -37% |
| USA Managed Care | ALL PRODUCTS | $2,259.00 | ↓ -37% |
| Managed Care Services | TRANSPLANT | $2,259.00 | ↓ -37% |
| FrontPath | TRANSPLANT | $2,259.00 | ↓ -37% |
| Tertiary Care Network | TRANSPLANT | $2,259.00 | ↓ -37% |
| MMO | Medicare HMO | $2,313.46 | ↓ -35% |
| MMO | SuperMed | $2,360.03 | ↓ -34% |
| United | HMO & PPO | $2,367.50 | ↓ -34% |
| United | All Products | $2,367.50 | ↓ -34% |
| MMO | Medicare PPO | $2,382.86 | ↓ -33% |
| Amish Community Aid Plan | All Products | $2,475.00 | ↓ -31% |
| AETNA | Qhp/Ipf | $2,510.00 | ↓ -30% |
| Optum | Commercial CRS Care Solutions | $2,579.50 | ↓ -28% |
| Anthem | All Products Physician | $2,746.46 | ↓ -23% |
| Anthem | All Products Physician Facility | $2,746.46 | ↓ -23% |
| Anthem | All Products Physician Non-Facility | $2,746.46 | ↓ -23% |
| OMAS | All Products | $2,750.00 | ↓ -23% |
| The Health Plan | All Products | $3,025.00 | ↓ -15% |
| Healthsmart | All Products | $3,025.00 | ↓ -15% |
| OPTUM | Managed Medicaid Transplant | $3,174.61 | ↓ -11% |
| Optum | All Products Transplant | $3,206.50 | ↓ -10% |
| PHPHI | All Products | $3,300.00 | ↓ -8% |
| UPMC | All Products | $3,300.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $3,338.50 | ↓ -7% |
| CARESOURCE | Managed Medicaid | $3,341.69 | ↓ -7% |
| ANTHEM | Managed Medicaid | $3,508.77 | ↓ -2% |
| MOLINA | Managed Medicaid | $3,508.77 | ↓ -2% |
| Three Rivers | All Products | $3,575.00 | ↑ +0% |
| Clarity Health | All Products | $3,575.00 | ↑ +0% |
| UNITED | Managed Medicaid | $3,575.61 | ↑ +0% |
| United BH | Managed Medicaid | $3,675.86 | ↑ +3% |
| GMS | All Products | $3,850.00 | ↑ +8% |
| Quality Care Partners | All Products | $3,850.00 | ↑ +8% |
| Consociate Health | All Products | $4,125.00 | ↑ +15% |
| Aetna | All Products First Health | $4,125.00 | ↑ +15% |
| Aetna | Asa | $4,400.00 | ↑ +23% |
| Multiplan | All Products | $4,950.00 | ↑ +38% |
| USA Managed Care | All Products | $4,950.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $5,500.00 | ↑ +54% |
| ANTHEM | HPN | $11,162.00 | ↑ +212% |
| ANTHEM | PPO/HMO | $13,132.00 | ↑ +267% |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Medicare Advantage Lifesource | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | All Products MA | 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 | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Thoracotomy w/expl at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,412.30 – $5,108.98 |
| fairview hospital | Cleveland | not published | $2,601.19 – $3,011.90 |
| lutheran hospital | Cleveland | not published | $2,476.41 – $2,867.43 |
| akron general | Akron | $3,575.00 | $1.10 – $4,950.00 |
| mercy hospital | Canton | $3,575.00 | $1.10 – $4,950.00 |
| avon hospital | Avon | not published | $2,702.56 – $2,754.04 |
| euclid hospital | Euclid | not published | $2,768.84 – $3,206.03 |
| hillcrest hospital | Mayfield Heights | not published | $2,710.03 – $3,137.93 |