healthcosts.net
Treatment of anal fissure at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$538.20
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.
$828.00
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 $2,666.13 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 | $79.87 | ↓ -85% |
| Optum | Managed Medicaid Transplant | $89.73 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $90.17 | ↓ -83% |
| Paramount | Managed Medicaid | $97.28 | ↓ -82% |
| Caresource | Managed Medicaid | $99.17 | ↓ -82% |
| Buckeye | Managed Medicaid | $99.17 | ↓ -82% |
| Molina | Managed Medicaid | $103.90 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $103.90 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $104.44 | ↓ -81% |
| Summacare | Medicare Advantage MD | $116.73 | ↓ -78% |
| Humana | Medicare Advantage HMO | $120.22 | ↓ -78% |
| Valor | All Products | $120.22 | ↓ -78% |
| Aetna | Medicare Advantage | $120.22 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $120.22 | ↓ -78% |
| UPMC | Medicare Advantage | $120.22 | ↓ -78% |
| United | Medicare Advantage | $120.22 | ↓ -78% |
| The Health Plan | Medicare Advantage | $120.22 | ↓ -78% |
| Anthem | Medicare Advantage | $120.22 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $120.22 | ↓ -78% |
| Devoted Health | Medicare Advantage | $122.87 | ↓ -77% |
| Cigna | Medicare Advantage | $123.83 | ↓ -77% |
| CommuniCare | Medicare Advantage | $126.23 | ↓ -77% |
| Perennial Health | Medicare Advantage | $129.84 | ↓ -76% |
| PPHP | All Products | $132.24 | ↓ -75% |
| Humana Military | All Products | $161.04 | ↓ -70% |
| Aetna | All Products Transplant | $162.35 | ↓ -70% |
| United | Managed Medicaid | $170.41 | ↓ -68% |
| Anthem | All Products Mid-Level Facility | $173.96 | ↓ -68% |
| Oscar | All Products | $210.39 | ↓ -61% |
| CC EHP | All Products | $233.45 | ↓ -57% |
| Summacare | Preferred | $289.13 | ↓ -46% |
| Summacare | Premier | $315.08 | ↓ -41% |
| OHCP | All Products | $322.09 | ↓ -40% |
| Aetna | Acop | $328.67 | ↓ -39% |
| Ohio Healthy | Transplant | $331.20 | ↓ -38% |
| Anthem | All Products Mid-Level Non-Facility | $332.04 | ↓ -38% |
| Aultcare | PPO/HMO | $362.66 | ↓ -33% |
| MMO | Medicare HMO | $370.88 | ↓ -31% |
| Amish Community Aid Plan | All Products | $372.60 | ↓ -31% |
| MMO | Medicare PPO | $382.01 | ↓ -29% |
| Optum | Commercial CRS Care Solutions | $388.33 | ↓ -28% |
| OMAS | All Products | $414.00 | ↓ -23% |
| Anthem | All Products Physician Facility | $441.85 | ↓ -18% |
| Anthem | All Products Physician | $441.85 | ↓ -18% |
| Healthsmart | All Products | $455.40 | ↓ -15% |
| The Health Plan | All Products | $455.40 | ↓ -15% |
| Optum | All Products Transplant | $482.72 | ↓ -10% |
| PHPHI | All Products | $496.80 | ↓ -8% |
| UPMC | All Products | $496.80 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $502.60 | ↓ -7% |
| Three Rivers | All Products | $538.20 | ↑ +0% |
| Clarity Health | All Products | $538.20 | ↑ +0% |
| Quality Care Partners | All Products | $579.60 | ↑ +8% |
| GMS | All Products | $579.60 | ↑ +8% |
| Consociate Health | All Products | $621.00 | ↑ +15% |
| Aetna | All Products First Health | $621.00 | ↑ +15% |
| Aetna | Asa | $662.40 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $662.40 | ↑ +23% |
| MMO | NASCO | $662.40 | ↑ +23% |
| United | All Products - Mid-Level | $671.47 | ↑ +25% |
| United | HMO & PPO | $723.71 | ↑ +34% |
| United | All Products | $723.71 | ↑ +34% |
| Cigna | All Products Mid-Level | $735.42 | ↑ +37% |
| USA Managed Care | All Products | $745.20 | ↑ +38% |
| Multiplan | All Products | $745.20 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $792.91 | ↑ +47% |
| Aetna | Qhp/Ifp | $828.00 | ↑ +54% |
| Anthem | All Products Physician Non-Facility | $843.34 | ↑ +57% |
| MMO | Medicare Advantage HMO | $845.19 | ↑ +57% |
| The Health Plan | MEDICARE ADVANTAGE | $845.19 | ↑ +57% |
| OPTUM | Medicare Advantage Transplant | $845.19 | ↑ +57% |
| HUMANA | Medicare Advantage HMO | $845.19 | ↑ +57% |
| OPTUM | All Products VA | $845.19 | ↑ +57% |
| Cigna | All Products Physician | $865.27 | ↑ +61% |
| MMO | Medicare Advantage PPO | $870.55 | ↑ +62% |
| Summacare | MEDICARE ADVANTAGE | $879.81 | ↑ +63% |
| UPMC | MEDICARE ADVANTAGE | $879.81 | ↑ +63% |
| CIGNA | Medicare Advantage Lifesource | $879.81 | ↑ +63% |
| Valor | ALL PRODUCTS | $879.81 | ↑ +63% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $879.81 | ↑ +63% |
| AETNA | MEDICARE ADVANTAGE | $879.81 | ↑ +63% |
| ANTHEM | MEDICARE ADVANTAGE | $879.81 | ↑ +63% |
| CIGNA | MEDICARE ADVANTAGE | $906.21 | ↑ +68% |
| Perennial Health | MEDICARE ADVANTAGE | $912.81 | ↑ +70% |
| CommuniCare | MEDICARE ADVANTAGE | $923.80 | ↑ +72% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $950.20 | ↑ +77% |
| PPHP | ALL PRODUCTS | $967.79 | ↑ +80% |
| OPTUM | Managed Medicaid Transplant | $1,087.45 | ↑ +102% |
| CARESOURCE | Managed Medicaid | $1,144.68 | ↑ +113% |
| MOLINA | Managed Medicaid | $1,201.91 | ↑ +123% |
| ANTHEM | Managed Medicaid | $1,201.91 | ↑ +123% |
| UNITED | Managed Medicaid | $1,224.81 | ↑ +128% |
| United BH | Managed Medicaid | $1,259.15 | ↑ +134% |
| MMO | ALL PRODUCTS | $2,386.02 | ↑ +343% |
| MMO | SuperMed | $2,666.13 | ↑ +395% |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products RN | 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
Treatment of anal fissure at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,511.41 – $1,750.06 |
| fairview hospital | Cleveland | not published | $792.91 – $1,031.71 |
| lutheran hospital | Cleveland | not published | $845.19 – $982.22 |
| akron general | Akron | $538.20 | $1.10 – $999.47 |
| mercy hospital | Canton | $538.20 | $1.10 – $975.34 |
| avon hospital | Avon | not published | $845.19 – $967.79 |
| euclid hospital | Euclid | not published | $792.91 – $1,098.21 |
| hillcrest hospital | Mayfield Heights | not published | $792.91 – $1,074.89 |