healthcosts.net
Treatment of mouth lesion physical 40820 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$9,696.70
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.
$14,918.00
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.
$0.01 with UNITED vs $14,918.00 with AETNA — 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 |
|---|---|---|---|
| UNITED | All Products International | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $82.75 | ↓ -99% |
| Paramount | Managed Medicaid | $89.71 | ↓ -99% |
| Buckeye | Managed Medicaid | $91.46 | ↓ -99% |
| Caresource | Managed Medicaid | $91.46 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $95.81 | ↓ -99% |
| Molina | Managed Medicaid | $95.81 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $98.09 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $108.73 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $128.27 | ↓ -99% |
| Oscar | All Products | $136.20 | ↓ -99% |
| Summacare | Medicare Advantage MD | $143.36 | ↓ -99% |
| UPMC | Medicare Advantage | $144.97 | ↓ -99% |
| Aetna | Medicare Advantage | $144.97 | ↓ -99% |
| Aetna | Medicare Advantage Transplant | $144.97 | ↓ -99% |
| Valor | All Products | $144.97 | ↓ -99% |
| Optum | Medicare Advantage Transplant | $144.97 | ↓ -99% |
| United | Medicare Advantage | $144.97 | ↓ -99% |
| Humana | Medicare Advantage HMO | $144.97 | ↓ -99% |
| Anthem | Medicare Advantage | $144.97 | ↓ -99% |
| The Health Plan | Medicare Advantage | $144.97 | ↓ -99% |
| Cigna | Medicare Advantage | $149.32 | ↓ -98% |
| Devoted Health | Medicare Advantage | $150.90 | ↓ -98% |
| CommuniCare | Medicare Advantage | $152.22 | ↓ -98% |
| Perennial Health | Medicare Advantage | $156.57 | ↓ -98% |
| PPHP | All Products | $159.47 | ↓ -98% |
| AETNA | Medicare Advantage Transplant | $202.01 | ↓ -98% |
| United | Managed Medicaid | $208.45 | ↓ -98% |
| OHCP | All Products | $208.50 | ↓ -98% |
| Humana Military | All Products | $211.93 | ↓ -98% |
| Ohio Healthy | Transplant | $214.40 | ↓ -98% |
| Anthem | All Products Mid-Level Facility | $215.79 | ↓ -98% |
| Aetna | All Products Transplant | $216.70 | ↓ -98% |
| AETNA | All Products Transplant | $216.70 | ↓ -98% |
| Aultcare | PPO/HMO | $234.77 | ↓ -98% |
| Amish Community Aid Plan | All Products | $241.20 | ↓ -98% |
| Optum | Commercial CRS Care Solutions | $251.38 | ↓ -97% |
| OMAS | All Products | $268.00 | ↓ -97% |
| CC EHP | All Products | $286.71 | ↓ -97% |
| The Health Plan | All Products | $294.80 | ↓ -97% |
| Healthsmart | All Products | $294.80 | ↓ -97% |
| Optum | All Products Transplant | $312.49 | ↓ -97% |
| UPMC | All Products | $321.60 | ↓ -97% |
| PHPHI | All Products | $321.60 | ↓ -97% |
| Optum | Commercial CHD Care Solutions | $325.35 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $333.93 | ↓ -97% |
| Clarity Health | All Products | $348.40 | ↓ -96% |
| Three Rivers | All Products | $348.40 | ↓ -96% |
| Summacare | Preferred | $358.72 | ↓ -96% |
| GMS | All Products | $375.20 | ↓ -96% |
| Quality Care Partners | All Products | $375.20 | ↓ -96% |
| Summacare | Premier | $390.92 | ↓ -96% |
| Aetna | All Products First Health | $402.00 | ↓ -96% |
| Consociate Health | All Products | $402.00 | ↓ -96% |
| Aetna | Acop | $407.78 | ↓ -96% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $428.80 | ↓ -96% |
| Aetna | Asa | $428.80 | ↓ -96% |
| MMO | NASCO | $428.80 | ↓ -96% |
| MMO | Medicare HMO | $468.58 | ↓ -95% |
| Multiplan | All Products | $482.40 | ↓ -95% |
| USA Managed Care | All Products | $482.40 | ↓ -95% |
| MMO | Medicare PPO | $482.64 | ↓ -95% |
| Aetna | Qhp/Ifp | $536.00 | ↓ -94% |
| Anthem | All Products Physician Facility | $548.06 | ↓ -94% |
| Anthem | All Products Physician | $548.06 | ↓ -94% |
| United | All Products - Mid-Level | $674.64 | ↓ -93% |
| Cigna | All Products Mid-Level | $690.24 | ↓ -93% |
| United | HMO & PPO | $727.13 | ↓ -93% |
| United | All Products | $727.13 | ↓ -93% |
| Cigna | All Products Physician | $811.99 | ↓ -92% |
| Anthem | All Products Physician Non-Facility | $848.12 | ↓ -91% |
| OPTUM | Managed Medicaid Transplant | $1,358.50 | ↓ -86% |
| CARESOURCE | Managed Medicaid | $1,430.00 | ↓ -85% |
| MOLINA | Managed Medicaid | $1,501.50 | ↓ -85% |
| ANTHEM | Managed Medicaid | $1,501.50 | ↓ -85% |
| UNITED | Managed Medicaid | $1,530.10 | ↓ -84% |
| United BH | Managed Medicaid | $1,573.00 | ↓ -84% |
| CIGNA | ALL PRODUCTS | $2,351.00 | ↓ -76% |
| UNITED | MEDICARE ADVANTAGE | $2,793.19 | ↓ -71% |
| The Health Plan | MEDICARE ADVANTAGE | $3,006.46 | ↓ -69% |
| MMO | Medicare Advantage HMO | $3,006.46 | ↓ -69% |
| OPTUM | All Products VA | $3,006.46 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $3,006.46 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $3,006.46 | ↓ -69% |
| MMO | Medicare Advantage PPO | $3,096.65 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $3,136.68 | ↓ -68% |
| Valor | ALL PRODUCTS | $3,136.68 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $3,136.68 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,136.68 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $3,136.68 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $3,136.68 | ↓ -68% |
| CIGNA | Medicare Advantage Lifesource | $3,136.68 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $3,230.78 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $3,246.97 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $3,293.51 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,387.61 | ↓ -65% |
| AETNA | International | $3,443.00 | ↓ -64% |
| PPHP | ALL PRODUCTS | $3,450.35 | ↓ -64% |
| CC EHP | ALL PRODUCTS | $4,147.20 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $4,218.81 | ↓ -56% |
| MMO | ALL PRODUCTS | $4,392.00 | ↓ -55% |
| PHP | ALL PRODUCTS | $4,773.76 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $4,773.76 | ↓ -51% |
| Amish Community Aid Plan | ALL PRODUCTS | $6,713.10 | ↓ -31% |
| Summacare | PREMIER | $6,802.61 | ↓ -30% |
| ANTHEM | HPN | $6,869.74 | ↓ -29% |
| OHCP | ALL PRODUCTS | $7,250.15 | ↓ -25% |
| OMAS | ALL PRODUCTS | $7,459.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $8,055.72 | ↓ -17% |
| ANTHEM | PPO/HMO | $8,082.57 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $8,204.90 | ↓ -15% |
| OPTUM | All Products Transplant | $8,443.59 | ↓ -13% |
| UPMC | ALL PRODUCTS | $8,950.80 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $8,950.80 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $8,995.55 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $8,995.55 | ↓ -7% |
| AETNA | Acop | $9,338.67 | ↓ -4% |
| MMO | TRADITIONAL | $9,383.42 | ↓ -3% |
| MMO | SuperMed | $9,391.15 | ↓ -3% |
| Clarity Health | ALL PRODUCTS | $9,696.70 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $9,696.70 | ↑ +0% |
| Parkview Health Plan | Transplant SMCP | $10,442.60 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $10,442.60 | ↑ +8% |
| Ohio Healthy | Transplant SMCP | $10,442.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $10,442.60 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $10,442.60 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $10,442.60 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $10,576.86 | ↑ +9% |
| CIGNA | PPO | $11,069.16 | ↑ +14% |
| Consociate Health | TRANSPLANT | $11,188.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $11,188.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $11,188.50 | ↑ +15% |
| ANTHEM | TRADITIONAL | $11,474.93 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $11,934.40 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $11,934.40 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $12,680.30 | ↑ +31% |
| Managed Care Services | TRANSPLANT | $13,426.20 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $13,426.20 | ↑ +38% |
| FrontPath | TRANSPLANT | $13,426.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $13,426.20 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $13,426.20 | ↑ +38% |
| AETNA | Qhp/Ipf | $14,918.00 | ↑ +54% |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| CIGNA | HMO Lifesource | 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 RN | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
Visitor-reported prices
Comments
Treatment of mouth lesion physical 40820 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,358.50 – $1,573.00 |
| fairview hospital | Cleveland | not published | $1,358.50 – $3,450.35 |
| lutheran hospital | Cleveland | not published | $1,358.50 – $3,450.35 |
| akron general | Akron | $348.40 | $1.10 – $3,236.25 |
| mercy hospital | Canton | $348.40 | $1.10 – $3,230.78 |
| avon hospital | Avon | not published | $1,501.50 – $3,450.35 |
| euclid hospital | Euclid | not published | $1,358.50 – $3,450.35 |
| hillcrest hospital | Mayfield Heights | not published | $1,358.50 – $3,450.35 |