Treatment of retinal lesion at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,989.00
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.
$3,060.00
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 $3,060.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| OPTUM | Managed Medicaid Transplant | $198.21 | ↓ -90% |
| CARESOURCE | Managed Medicaid | $208.64 | ↓ -90% |
| Paramount | Managed Medicaid | $214.90 | ↓ -89% |
| ANTHEM | Managed Medicaid | $219.07 | ↓ -89% |
| Buckeye | Managed Medicaid | $219.07 | ↓ -89% |
| MOLINA | Managed Medicaid | $219.07 | ↓ -89% |
| UNITED | Managed Medicaid | $223.24 | ↓ -89% |
| United BH | Managed Medicaid | $229.50 | ↓ -88% |
| UNITED | MEDICARE ADVANTAGE | $252.73 | ↓ -87% |
| OPTUM | Medicare Advantage Transplant | $277.12 | ↓ -86% |
| The Health Plan | MEDICARE ADVANTAGE | $277.12 | ↓ -86% |
| OPTUM | All Products VA | $277.12 | ↓ -86% |
| HUMANA | Medicare Advantage HMO | $277.12 | ↓ -86% |
| MMO | Medicare Advantage HMO | $277.12 | ↓ -86% |
| MMO | Medicare Advantage PPO | $285.43 | ↓ -86% |
| Perennial Health | MEDICARE ADVANTAGE | $299.29 | ↓ -85% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $300.29 | ↓ -85% |
| Valor | ALL PRODUCTS | $300.29 | ↓ -85% |
| AETNA | MEDICARE ADVANTAGE | $300.29 | ↓ -85% |
| UPMC | MEDICARE ADVANTAGE | $300.29 | ↓ -85% |
| ANTHEM | MEDICARE ADVANTAGE | $300.29 | ↓ -85% |
| Summacare | MEDICARE ADVANTAGE | $300.29 | ↓ -85% |
| CIGNA | Medicare Advantage Lifesource | $300.29 | ↓ -85% |
| CIGNA | MEDICARE ADVANTAGE | $309.30 | ↓ -84% |
| CommuniCare | MEDICARE ADVANTAGE | $315.30 | ↓ -84% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $324.31 | ↓ -84% |
| PPHP | ALL PRODUCTS | $330.32 | ↓ -83% |
| Summacare | Medicare Advantage Lower Level | $343.58 | ↓ -83% |
| Optum | Managed Medicaid Transplant | $348.00 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $356.09 | ↓ -82% |
| Caresource | Managed Medicaid | $384.64 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $402.95 | ↓ -80% |
| Molina | Managed Medicaid | $402.95 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $449.29 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $474.79 | ↓ -76% |
| The Health Plan | Medicare Advantage | $474.79 | ↓ -76% |
| Humana | Medicare Advantage HMO | $474.79 | ↓ -76% |
| United | Medicare Advantage | $474.79 | ↓ -76% |
| Anthem | Medicare Advantage | $474.79 | ↓ -76% |
| UPMC | Medicare Advantage | $474.79 | ↓ -76% |
| Valor | All Products | $474.79 | ↓ -76% |
| Aetna | Medicare Advantage Transplant | $474.79 | ↓ -76% |
| Aetna | Medicare Advantage | $474.79 | ↓ -76% |
| United | Managed Medicaid | $488.20 | ↓ -75% |
| Cigna | Medicare Advantage | $489.03 | ↓ -75% |
| CommuniCare | Medicare Advantage | $498.53 | ↓ -75% |
| Summacare | Medicare Advantage MD | $502.15 | ↓ -75% |
| Perennial Health | Medicare Advantage | $512.77 | ↓ -74% |
| PPHP | All Products | $522.27 | ↓ -74% |
| Devoted Health | Medicare Advantage | $528.58 | ↓ -73% |
| Humana Military | All Products | $694.32 | ↓ -65% |
| Aetna | All Products Transplant | $704.08 | ↓ -65% |
| Anthem | All Products Mid-Level Facility | $747.29 | ↓ -62% |
| MMO | ALL PRODUCTS | $760.51 | ↓ -62% |
| Oscar | All Products | $777.55 | ↓ -61% |
| Anthem | All Products Mid-Level Non-Facility | $781.35 | ↓ -61% |
| MMO | SuperMed | $850.96 | ↓ -57% |
| CC EHP | All Products | $1,004.30 | ↓ -50% |
| Summacare | Preferred | $1,150.39 | ↓ -42% |
| OHCP | All Products | $1,190.34 | ↓ -40% |
| Ohio Healthy | Transplant | $1,224.00 | ↓ -38% |
| Summacare | Premier | $1,253.63 | ↓ -37% |
| Aetna | Acop | $1,307.71 | ↓ -34% |
| Aultcare | PPO/HMO | $1,340.28 | ↓ -33% |
| Amish Community Aid Plan | All Products | $1,377.00 | ↓ -31% |
| Optum | Commercial CRS Care Solutions | $1,435.14 | ↓ -28% |
| OMAS | All Products | $1,530.00 | ↓ -23% |
| United | All Products - Mid-Level | $1,592.88 | ↓ -20% |
| The Health Plan | All Products | $1,683.00 | ↓ -15% |
| Healthsmart | All Products | $1,683.00 | ↓ -15% |
| United | All Products | $1,716.81 | ↓ -14% |
| United | HMO & PPO | $1,716.81 | ↓ -14% |
| Optum | All Products Transplant | $1,783.98 | ↓ -10% |
| UPMC | All Products | $1,836.00 | ↓ -8% |
| PHPHI | All Products | $1,836.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $1,857.42 | ↓ -7% |
| Anthem | All Products Physician | $1,897.96 | ↓ -5% |
| Anthem | All Products Physician Facility | $1,897.96 | ↓ -5% |
| Cigna | All Products Mid-Level | $1,903.96 | ↓ -4% |
| Anthem | All Products Physician Non-Facility | $1,984.48 | ↓ -0% |
| Three Rivers | All Products | $1,989.00 | ↑ +0% |
| Clarity Health | All Products | $1,989.00 | ↑ +0% |
| MMO | Medicare HMO | $2,019.20 | ↑ +2% |
| MMO | Medicare PPO | $2,079.78 | ↑ +5% |
| GMS | All Products | $2,142.00 | ↑ +8% |
| Quality Care Partners | All Products | $2,142.00 | ↑ +8% |
| Cigna | All Products Physician | $2,239.38 | ↑ +13% |
| Consociate Health | All Products | $2,295.00 | ↑ +15% |
| Aetna | All Products First Health | $2,295.00 | ↑ +15% |
| MMO | NASCO | $2,448.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,448.00 | ↑ +23% |
| Aetna | Asa | $2,448.00 | ↑ +23% |
| USA Managed Care | All Products | $2,754.00 | ↑ +38% |
| Multiplan | All Products | $2,754.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $3,060.00 | ↑ +54% |
| 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 | — |
| United BH | All Products MA | not published by hospital | — |
Visitor-reported prices
Comments
Treatment of retinal lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $275.48 – $318.98 |
| fairview hospital | Cleveland | not published | $162.40 – $330.32 |
| lutheran hospital | Cleveland | not published | $154.61 – $330.32 |
| akron general | Akron | not published | $157.33 – $330.32 |
| avon hospital | Avon | not published | $168.74 – $330.32 |
| euclid hospital | Euclid | not published | $172.87 – $330.32 |
| hillcrest hospital | Mayfield Heights | not published | $169.20 – $330.32 |
| lodi hospital | Lodi | not published | $263.97 – $305.65 |