Tx closed distal humerus fx at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$5,051.80
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.
$7,772.00
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 Anthem vs $3,561.00 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 |
|---|---|---|---|
| Anthem | All Products Mid-Level Facility | $0.01 | ↓ -100% |
| Anthem | All Products Physician Facility | $0.01 | ↓ -100% |
| Anthem | All Products Physician | $0.01 | ↓ -100% |
| Anthem | All Products Mid-Level Non-Facility | $0.01 | ↓ -100% |
| Anthem | All Products Physician Non-Facility | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $3.19 | ↓ -100% |
| UNITED | MEDICARE ADVANTAGE | $204.59 | ↓ -96% |
| The Health Plan | MEDICARE ADVANTAGE | $222.38 | ↓ -96% |
| OPTUM | Medicare Advantage Transplant | $222.38 | ↓ -96% |
| MMO | Medicare Advantage HMO | $222.38 | ↓ -96% |
| OPTUM | All Products VA | $222.38 | ↓ -96% |
| HUMANA | Medicare Advantage HMO | $222.38 | ↓ -96% |
| MMO | Medicare Advantage PPO | $229.05 | ↓ -95% |
| Valor | ALL PRODUCTS | $233.37 | ↓ -95% |
| ANTHEM | MEDICARE ADVANTAGE | $233.37 | ↓ -95% |
| Summacare | MEDICARE ADVANTAGE | $233.37 | ↓ -95% |
| CIGNA | Medicare Advantage Lifesource | $233.37 | ↓ -95% |
| AETNA | MEDICARE ADVANTAGE | $233.37 | ↓ -95% |
| UPMC | MEDICARE ADVANTAGE | $233.37 | ↓ -95% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $233.37 | ↓ -95% |
| Perennial Health | MEDICARE ADVANTAGE | $240.17 | ↓ -95% |
| CIGNA | MEDICARE ADVANTAGE | $240.37 | ↓ -95% |
| CommuniCare | MEDICARE ADVANTAGE | $245.03 | ↓ -95% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $252.04 | ↓ -95% |
| PPHP | ALL PRODUCTS | $256.70 | ↓ -95% |
| OPTUM | Managed Medicaid Transplant | $295.11 | ↓ -94% |
| CARESOURCE | Managed Medicaid | $310.64 | ↓ -94% |
| Paramount | Managed Medicaid | $319.96 | ↓ -94% |
| Buckeye | Managed Medicaid | $326.17 | ↓ -94% |
| ANTHEM | Managed Medicaid | $326.17 | ↓ -94% |
| MOLINA | Managed Medicaid | $326.17 | ↓ -94% |
| UNITED | Managed Medicaid | $332.38 | ↓ -93% |
| United BH | Managed Medicaid | $341.70 | ↓ -93% |
| United | Managed Medicaid | $373.22 | ↓ -93% |
| MMO | ALL PRODUCTS | $615.65 | ↓ -88% |
| MMO | SuperMed | $688.73 | ↓ -86% |
| Oscar | All Products | $904.85 | ↓ -82% |
| OHCP | All Products | $1,385.23 | ↓ -73% |
| Ohio Healthy | Transplant | $1,424.40 | ↓ -72% |
| Aultcare | PPO/HMO | $1,559.72 | ↓ -69% |
| Amish Community Aid Plan | All Products | $1,602.45 | ↓ -68% |
| Optum | Commercial CRS Care Solutions | $1,670.11 | ↓ -67% |
| CC EHP | All Products | $1,776.94 | ↓ -65% |
| OMAS | All Products | $1,780.50 | ↓ -65% |
| The Health Plan | All Products | $1,958.55 | ↓ -61% |
| Healthsmart | All Products | $1,958.55 | ↓ -61% |
| Optum | All Products Transplant | $2,076.06 | ↓ -59% |
| PHPHI | All Products | $2,136.60 | ↓ -58% |
| UPMC | All Products | $2,136.60 | ↓ -58% |
| Optum | Commercial CHD Care Solutions | $2,161.53 | ↓ -57% |
| Three Rivers | All Products | $2,314.65 | ↓ -54% |
| Clarity Health | All Products | $2,314.65 | ↓ -54% |
| Summacare | Medicare Advantage Psych | $2,492.70 | ↓ -51% |
| Summacare | Preferred | $2,492.70 | ↓ -51% |
| Quality Care Partners | All Products | $2,492.70 | ↓ -51% |
| GMS | All Products | $2,492.70 | ↓ -51% |
| Summacare | Premier | $2,492.70 | ↓ -51% |
| Summacare | Medicare Advantage CNA | $2,492.70 | ↓ -51% |
| Summacare | Medicare Advantage Lower Level | $2,492.70 | ↓ -51% |
| Summacare | Medicare Advantage MD | $2,492.70 | ↓ -51% |
| Consociate Health | All Products | $2,670.75 | ↓ -47% |
| Aetna | All Products First Health | $2,670.75 | ↓ -47% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,848.80 | ↓ -44% |
| MMO | NASCO | $2,848.80 | ↓ -44% |
| Aetna | Asa | $2,848.80 | ↓ -44% |
| Multiplan | All Products | $3,204.90 | ↓ -37% |
| USA Managed Care | All Products | $3,204.90 | ↓ -37% |
| Aetna | Qhp/Ifp | $3,561.00 | ↓ -30% |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| MMO | Medicare PPO | not published by hospital | — |
| MMO | Medicare HMO | not published by hospital | — |
| Humana Military | All Products | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Devoted Health | Medicare Advantage | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | All Products - Mid-Level | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Anthem | Medicare Advantage | 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 | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| UPMC | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage Transplant | not published by hospital | — |
| Aetna | All Products Transplant | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| PPHP | All Products | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Tx closed distal humerus fx at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $410.16 – $474.93 |
| fairview hospital | Cleveland | not published | $204.59 – $279.98 |
| lutheran hospital | Cleveland | not published | $222.38 – $266.55 |
| Clermont Hospital | Batavia | $361.80 | not published |
| Kings Mills Hospital | Mason | $361.80 | not published |
| akron general | Akron | $1,053.65 | $0.01 – $1,458.90 |
| mercy hospital | Canton | $1,053.65 | $0.01 – $1,458.90 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,632.25 | $233.37 – $4,358.70 |