healthcosts.net
Transcath mv repair addl prosthesis at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$5,118.10
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.
$7,874.00
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 $16,547.65 with United BH — 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 | $257.16 | ↓ -95% |
| Summacare | Medicare Advantage Psych | $274.58 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $336.29 | ↓ -93% |
| Anthem | Medicare Advantage | $366.11 | ↓ -93% |
| Humana | Medicare Advantage HMO | $366.11 | ↓ -93% |
| Valor | All Products | $366.11 | ↓ -93% |
| UPMC | Medicare Advantage | $366.11 | ↓ -93% |
| Aetna | Medicare Advantage Transplant | $366.11 | ↓ -93% |
| Aetna | Medicare Advantage | $366.11 | ↓ -93% |
| The Health Plan | Medicare Advantage | $366.11 | ↓ -93% |
| United | Medicare Advantage | $366.11 | ↓ -93% |
| Optum | Medicare Advantage Transplant | $366.11 | ↓ -93% |
| Summacare | Medicare Advantage MD | $375.85 | ↓ -93% |
| Cigna | Medicare Advantage | $377.09 | ↓ -93% |
| CommuniCare | Medicare Advantage | $384.42 | ↓ -92% |
| Perennial Health | Medicare Advantage | $395.40 | ↓ -92% |
| Devoted Health | Medicare Advantage | $395.63 | ↓ -92% |
| PPHP | All Products | $402.72 | ↓ -92% |
| Optum | Managed Medicaid Transplant | $408.98 | ↓ -92% |
| Paramount | Managed Medicaid | $443.42 | ↓ -91% |
| Caresource | Managed Medicaid | $452.03 | ↓ -91% |
| Buckeye | Managed Medicaid | $452.03 | ↓ -91% |
| AETNA | Medicare Advantage Transplant | $473.07 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $473.55 | ↓ -91% |
| Molina | Managed Medicaid | $473.55 | ↓ -91% |
| Humana Military | All Products | $512.94 | ↓ -90% |
| Aetna | All Products Transplant | $518.03 | ↓ -90% |
| AETNA | All Products Transplant | $518.03 | ↓ -90% |
| Anthem | All Products Mid-Level Non-Facility | $563.66 | ↓ -89% |
| Anthem | All Products Mid-Level Facility | $563.66 | ↓ -89% |
| CC EHP | All Products | $751.70 | ↓ -85% |
| Summacare | Preferred | $861.03 | ↓ -83% |
| Oscar | All Products | $886.55 | ↓ -83% |
| Summacare | Premier | $938.30 | ↓ -82% |
| Aetna | Acop | $978.77 | ↓ -81% |
| United | All Products - Mid-Level | $1,138.37 | ↓ -78% |
| United | All Products | $1,226.94 | ↓ -76% |
| United | HMO & PPO | $1,226.94 | ↓ -76% |
| MMO | Medicare HMO | $1,229.72 | ↓ -76% |
| MMO | Medicare PPO | $1,266.61 | ↓ -75% |
| OHCP | All Products | $1,357.22 | ↓ -73% |
| Ohio Healthy | Transplant | $1,395.60 | ↓ -73% |
| Anthem | All Products Physician Facility | $1,431.58 | ↓ -72% |
| Anthem | All Products Physician | $1,431.58 | ↓ -72% |
| Anthem | All Products Physician Non-Facility | $1,431.58 | ↓ -72% |
| Aultcare | PPO/HMO | $1,528.18 | ↓ -70% |
| Amish Community Aid Plan | All Products | $1,570.05 | ↓ -69% |
| MMO | SuperMed | $1,570.05 | ↓ -69% |
| Optum | Commercial CRS Care Solutions | $1,636.34 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $1,716.53 | ↓ -66% |
| OMAS | All Products | $1,744.50 | ↓ -66% |
| The Health Plan | All Products | $1,918.95 | ↓ -63% |
| Healthsmart | All Products | $1,918.95 | ↓ -63% |
| Optum | All Products Transplant | $2,034.09 | ↓ -60% |
| PHPHI | All Products | $2,093.40 | ↓ -59% |
| UPMC | All Products | $2,093.40 | ↓ -59% |
| Optum | Commercial CHD Care Solutions | $2,117.82 | ↓ -59% |
| CC EHP | ALL PRODUCTS | $2,188.97 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $2,226.77 | ↓ -56% |
| Clarity Health | All Products | $2,267.85 | ↓ -56% |
| Three Rivers | All Products | $2,267.85 | ↓ -56% |
| Quality Care Partners | All Products | $2,442.30 | ↓ -52% |
| GMS | All Products | $2,442.30 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $2,519.68 | ↓ -51% |
| PHP | ALL PRODUCTS | $2,519.68 | ↓ -51% |
| Consociate Health | All Products | $2,616.75 | ↓ -49% |
| Aetna | All Products First Health | $2,616.75 | ↓ -49% |
| Aetna | Asa | $2,791.20 | ↓ -45% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,791.20 | ↓ -45% |
| MMO | NASCO | $2,791.20 | ↓ -45% |
| USA Managed Care | All Products | $3,140.10 | ↓ -39% |
| Multiplan | All Products | $3,140.10 | ↓ -39% |
| Aetna | Qhp/Ifp | $3,489.00 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,543.30 | ↓ -31% |
| Summacare | PREMIER | $3,590.54 | ↓ -30% |
| ANTHEM | HPN | $3,703.93 | ↓ -28% |
| OHCP | ALL PRODUCTS | $3,826.76 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $3,858.26 | ↓ -25% |
| OMAS | ALL PRODUCTS | $3,937.00 | ↓ -23% |
| UNITED | ALL PRODUCTS | $4,132.00 | ↓ -19% |
| Ohio Healthy | TRANSPLANT | $4,251.96 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $4,330.70 | ↓ -15% |
| ANTHEM | PPO/HMO | $4,357.47 | ↓ -15% |
| OPTUM | All Products Transplant | $4,456.68 | ↓ -13% |
| UNITED | All Products International | $4,628.00 | ↓ -10% |
| The Health Plan | ALL PRODUCTS | $4,724.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $4,724.40 | ↓ -8% |
| OPTUM | Commercial CRS Care Solutions | $4,748.02 | ↓ -7% |
| OPTUM | Commercial CHD Care Solutions | $4,748.02 | ↓ -7% |
| MMO | TRADITIONAL | $4,952.75 | ↓ -3% |
| THREE RIVERS | ALL PRODUCTS | $5,118.10 | ↑ +0% |
| Clarity Health | ALL PRODUCTS | $5,118.10 | ↑ +0% |
| Quality Care Partners | Transplant SMCP | $5,511.80 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $5,511.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $5,511.80 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $5,511.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $5,511.80 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $5,511.80 | ↑ +8% |
| CIGNA | PPO | $5,842.51 | ↑ +14% |
| AETNA | ALL PRODUCTS | $5,905.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $5,905.50 | ↑ +15% |
| Consociate Health | TRANSPLANT | $5,905.50 | ↑ +15% |
| ANTHEM | TRADITIONAL | $6,056.68 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $6,299.20 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $6,299.20 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $6,692.90 | ↑ +31% |
| FrontPath | TRANSPLANT | $7,086.60 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $7,086.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $7,086.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $7,086.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $7,086.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $7,874.00 | ↑ +54% |
| AETNA | Acop | $9,534.00 | ↑ +86% |
| AETNA | Asa_Whirlpool_Peia | $11,627.00 | ↑ +127% |
| AETNA | International | $12,615.00 | ↑ +146% |
| OPTUM | Managed Medicaid Transplant | $14,291.15 | ↑ +179% |
| CARESOURCE | Managed Medicaid | $15,043.32 | ↑ +194% |
| MOLINA | Managed Medicaid | $15,795.49 | ↑ +209% |
| ANTHEM | Managed Medicaid | $15,795.49 | ↑ +209% |
| UNITED | Managed Medicaid | $16,096.35 | ↑ +214% |
| United BH | Managed Medicaid | $16,547.65 | ↑ +223% |
| CIGNA | PPO Lifesource | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | 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 | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Valor | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | Medicare Advantage Lifesource | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Transcath mv repair addl prosthesis at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| fairview hospital | Cleveland | $5,118.10 | $644.56 – $13,558.72 |
| lutheran hospital | Cleveland | $5,118.10 | $754.59 – $12,908.36 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $19,862.91 – $22,999.16 |
| akron general | Akron | $5,118.10 | $692.16 – $13,135.08 |
| avon hospital | Avon | $5,118.10 | $754.59 – $12,397.90 |
| euclid hospital | Euclid | $5,118.10 | $754.59 – $14,432.62 |
| hillcrest hospital | Mayfield Heights | $5,118.10 | $644.56 – $14,126.07 |
| marymount hospital | Garfield Heights | $5,118.10 | $754.59 – $12,745.50 |