healthcosts.net
Total Hip Replacement at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$5,605.60
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.
$8,624.00
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 $38,384.94 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 | $792.58 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $851.21 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $1,036.45 | ↓ -82% |
| United | Managed Medicaid | $1,063.56 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $1,096.59 | ↓ -80% |
| UPMC | Medicare Advantage | $1,134.94 | ↓ -80% |
| United | Medicare Advantage | $1,134.94 | ↓ -80% |
| Anthem | Medicare Advantage | $1,134.94 | ↓ -80% |
| Aetna | Medicare Advantage Transplant | $1,134.94 | ↓ -80% |
| Valor | All Products | $1,134.94 | ↓ -80% |
| Optum | Medicare Advantage Transplant | $1,134.94 | ↓ -80% |
| Humana | Medicare Advantage HMO | $1,134.94 | ↓ -80% |
| Aetna | Medicare Advantage | $1,134.94 | ↓ -80% |
| The Health Plan | Medicare Advantage | $1,134.94 | ↓ -80% |
| Summacare | Medicare Advantage MD | $1,158.38 | ↓ -79% |
| Cigna | Medicare Advantage | $1,168.99 | ↓ -79% |
| Paramount | Managed Medicaid | $1,188.94 | ↓ -79% |
| CommuniCare | Medicare Advantage | $1,191.69 | ↓ -79% |
| Caresource | Managed Medicaid | $1,212.03 | ↓ -78% |
| Buckeye | Managed Medicaid | $1,212.03 | ↓ -78% |
| Devoted Health | Medicare Advantage | $1,219.35 | ↓ -78% |
| Perennial Health | Medicare Advantage | $1,225.74 | ↓ -78% |
| PPHP | All Products | $1,248.43 | ↓ -78% |
| Molina | Managed Medicaid | $1,269.74 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $1,269.74 | ↓ -77% |
| Humana Military | All Products | $1,563.78 | ↓ -72% |
| Aetna | All Products Transplant | $1,571.75 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $1,721.01 | ↓ -69% |
| Anthem | All Products Mid-Level Non-Facility | $1,721.01 | ↓ -69% |
| Oscar | All Products | $2,191.36 | ↓ -61% |
| CC EHP | All Products | $2,316.77 | ↓ -59% |
| Summacare | Preferred | $2,718.50 | ↓ -52% |
| Summacare | Premier | $2,962.46 | ↓ -47% |
| Aetna | Acop | $3,090.26 | ↓ -45% |
| OHCP | All Products | $3,354.74 | ↓ -40% |
| Ohio Healthy | Transplant | $3,449.60 | ↓ -38% |
| United | All Products - Mid-Level | $3,490.96 | ↓ -38% |
| United | All Products | $3,762.56 | ↓ -33% |
| United | HMO & PPO | $3,762.56 | ↓ -33% |
| Aultcare | PPO/HMO | $3,777.31 | ↓ -33% |
| Amish Community Aid Plan | All Products | $3,880.80 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $4,044.66 | ↓ -28% |
| OMAS | All Products | $4,312.00 | ↓ -23% |
| Anthem | All Products Physician | $4,371.02 | ↓ -22% |
| Anthem | All Products Physician Facility | $4,371.02 | ↓ -22% |
| Anthem | All Products Physician Non-Facility | $4,371.02 | ↓ -22% |
| MMO | Medicare HMO | $4,419.67 | ↓ -21% |
| MMO | Medicare PPO | $4,552.26 | ↓ -19% |
| The Health Plan | All Products | $4,743.20 | ↓ -15% |
| Healthsmart | All Products | $4,743.20 | ↓ -15% |
| Optum | All Products Transplant | $5,027.79 | ↓ -10% |
| UPMC | All Products | $5,174.40 | ↓ -8% |
| PHPHI | All Products | $5,174.40 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $5,234.77 | ↓ -7% |
| Clarity Health | All Products | $5,605.60 | ↑ +0% |
| Three Rivers | All Products | $5,605.60 | ↑ +0% |
| Quality Care Partners | All Products | $6,036.80 | ↑ +8% |
| GMS | All Products | $6,036.80 | ↑ +8% |
| Consociate Health | All Products | $6,468.00 | ↑ +15% |
| Aetna | All Products First Health | $6,468.00 | ↑ +15% |
| Aetna | Asa | $6,899.20 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $6,899.20 | ↑ +23% |
| MMO | NASCO | $6,899.20 | ↑ +23% |
| USA Managed Care | All Products | $7,761.60 | ↑ +38% |
| Multiplan | All Products | $7,761.60 | ↑ +38% |
| OPTUM | Managed Medicaid Transplant | $7,882.20 | ↑ +41% |
| CARESOURCE | Managed Medicaid | $8,297.05 | ↑ +48% |
| Aetna | Qhp/Ifp | $8,624.00 | ↑ +54% |
| ANTHEM | Managed Medicaid | $8,711.90 | ↑ +55% |
| MOLINA | Managed Medicaid | $8,711.90 | ↑ +55% |
| UNITED | Managed Medicaid | $8,877.84 | ↑ +58% |
| United BH | Managed Medicaid | $9,126.76 | ↑ +63% |
| ANTHEM | PPO/HMO | $11,170.00 | ↑ +99% |
| UNITED | MEDICARE ADVANTAGE | $11,418.01 | ↑ +104% |
| UNITED | ALL PRODUCTS | $11,553.00 | ↑ +106% |
| MMO | Medicare Advantage HMO | $11,928.06 | ↑ +113% |
| The Health Plan | MEDICARE ADVANTAGE | $11,928.06 | ↑ +113% |
| OPTUM | All Products VA | $11,928.06 | ↑ +113% |
| HUMANA | Medicare Advantage HMO | $11,928.06 | ↑ +113% |
| OPTUM | Medicare Advantage Transplant | $11,928.06 | ↑ +113% |
| CIGNA | Medicare Advantage Lifesource | $12,146.38 | ↑ +117% |
| Valor | ALL PRODUCTS | $12,146.38 | ↑ +117% |
| Summacare | MEDICARE ADVANTAGE | $12,146.38 | ↑ +117% |
| ANTHEM | MEDICARE ADVANTAGE | $12,146.38 | ↑ +117% |
| UPMC | MEDICARE ADVANTAGE | $12,146.38 | ↑ +117% |
| AETNA | MEDICARE ADVANTAGE | $12,146.38 | ↑ +117% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $12,146.38 | ↑ +117% |
| MMO | Medicare Advantage PPO | $12,285.90 | ↑ +119% |
| CIGNA | MEDICARE ADVANTAGE | $12,510.77 | ↑ +123% |
| CommuniCare | MEDICARE ADVANTAGE | $12,753.70 | ↑ +128% |
| Perennial Health | MEDICARE ADVANTAGE | $12,882.30 | ↑ +130% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $13,118.09 | ↑ +134% |
| PPHP | ALL PRODUCTS | $13,361.02 | ↑ +138% |
| MMO | ALL PRODUCTS | $34,359.11 | ↑ +513% |
| MMO | SuperMed | $38,384.94 | ↑ +585% |
| United BH | All Products PHD | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Total Hip Replacement at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $10,955.28 – $12,685.06 |
| fairview hospital | Cleveland | not published | $6,458.47 – $13,361.02 |
| lutheran hospital | Cleveland | not published | $6,148.69 – $13,361.02 |
| akron general | Akron | $5,605.60 | $1.10 – $12,839.78 |
| mercy hospital | Canton | $5,605.60 | $1.10 – $12,510.77 |
| avon hospital | Avon | not published | $6,710.17 – $13,361.02 |
| euclid hospital | Euclid | not published | $6,874.74 – $13,361.02 |
| hillcrest hospital | Mayfield Heights | not published | $6,728.72 – $13,361.02 |