Unlisted procedure orbit at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$780.00
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.
$1,200.00
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.
$198.21 with OPTUM vs $1,200.00 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $198.21 | ↓ -75% |
| CARESOURCE | Managed Medicaid | $208.64 | ↓ -73% |
| Paramount | Managed Medicaid | $214.90 | ↓ -72% |
| MOLINA | Managed Medicaid | $219.07 | ↓ -72% |
| ANTHEM | Managed Medicaid | $219.07 | ↓ -72% |
| Buckeye | Managed Medicaid | $219.07 | ↓ -72% |
| UNITED | Managed Medicaid | $223.24 | ↓ -71% |
| United BH | Managed Medicaid | $229.50 | ↓ -71% |
| UNITED | MEDICARE ADVANTAGE | $252.73 | ↓ -68% |
| HUMANA | Medicare Advantage HMO | $277.12 | ↓ -64% |
| The Health Plan | MEDICARE ADVANTAGE | $277.12 | ↓ -64% |
| OPTUM | Medicare Advantage Transplant | $277.12 | ↓ -64% |
| OPTUM | All Products VA | $277.12 | ↓ -64% |
| MMO | Medicare Advantage HMO | $277.12 | ↓ -64% |
| MMO | Medicare Advantage PPO | $285.43 | ↓ -63% |
| Perennial Health | MEDICARE ADVANTAGE | $299.29 | ↓ -62% |
| AETNA | MEDICARE ADVANTAGE | $300.29 | ↓ -62% |
| UPMC | MEDICARE ADVANTAGE | $300.29 | ↓ -62% |
| ANTHEM | MEDICARE ADVANTAGE | $300.29 | ↓ -62% |
| Valor | ALL PRODUCTS | $300.29 | ↓ -62% |
| CIGNA | Medicare Advantage Lifesource | $300.29 | ↓ -62% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $300.29 | ↓ -62% |
| Summacare | MEDICARE ADVANTAGE | $300.29 | ↓ -62% |
| CIGNA | MEDICARE ADVANTAGE | $309.30 | ↓ -60% |
| CommuniCare | MEDICARE ADVANTAGE | $315.30 | ↓ -60% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $324.31 | ↓ -58% |
| Zing Health | Medicare Advantage | $330.32 | ↓ -58% |
| PPHP | ALL PRODUCTS | $330.32 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $333.60 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $339.36 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $384.00 | ↓ -51% |
| PHP | ALL PRODUCTS | $384.00 | ↓ -51% |
| AETNA | Asa_Whirlpool_Peia | $454.80 | ↓ -42% |
| Summacare | Preferred | $504.00 | ↓ -35% |
| Aultcare | PPO/HMO | $525.60 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $540.00 | ↓ -31% |
| Summacare | PREMIER | $547.20 | ↓ -30% |
| ANTHEM | HPN | $564.48 | ↓ -28% |
| OHCP | ALL PRODUCTS | $583.20 | ↓ -25% |
| CIGNA | ALL PRODUCTS | $588.00 | ↓ -25% |
| OMAS | ALL PRODUCTS | $600.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $648.00 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $660.00 | ↓ -15% |
| ANTHEM | PPO/HMO | $664.08 | ↓ -15% |
| OPTUM | All Products Transplant | $679.20 | ↓ -13% |
| AETNA | Acop | $720.00 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $720.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $720.00 | ↓ -8% |
| OPTUM | Commercial CHD Care Solutions | $723.60 | ↓ -7% |
| OPTUM | Commercial CRS Care Solutions | $723.60 | ↓ -7% |
| MMO | NASCO | $754.80 | ↓ -3% |
| MMO | TRADITIONAL | $754.80 | ↓ -3% |
| Clarity Health | ALL PRODUCTS | $780.00 | ↑ +0% |
| THREE RIVERS | ALL PRODUCTS | $780.00 | ↑ +0% |
| UNITED | ALL PRODUCTS | $826.80 | ↑ +6% |
| Ohio Healthy | Transplant SMCP | $840.00 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $840.00 | ↑ +8% |
| Parkview Health Plan | Transplant SMCP | $840.00 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $840.00 | ↑ +8% |
| GMS | ALL PRODUCTS | $840.00 | ↑ +8% |
| Quality Care Partners | Transplant SMCP | $840.00 | ↑ +8% |
| AETNA | International | $862.80 | ↑ +11% |
| CIGNA | PPO | $890.40 | ↑ +14% |
| Consociate Health | TRANSPLANT | $900.00 | ↑ +15% |
| Humana Military | ALL PRODUCTS | $900.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $900.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $900.00 | ↑ +15% |
| ANTHEM | TRADITIONAL | $923.04 | ↑ +18% |
| Community Health Alliance | ALL PRODUCTS | $960.00 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $960.00 | ↑ +23% |
| Community Health Alliance | TRANSPLANT | $960.00 | ↑ +23% |
| UNITED | All Products International | $1,020.00 | ↑ +31% |
| FrontPath | TRANSPLANT | $1,080.00 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,080.00 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $1,080.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,080.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $1,080.00 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,200.00 | ↑ +54% |
| United BH | ALL PRODUCTS | not published by hospital | — |
| CIGNA | PPO Lifesource | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | All Products Transplant | not published by hospital | — |
| CIGNA | Indemnity Lifesource | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Kaiser Transplant | ALL PRODUCTS | not published by hospital | — |
| CIGNA | HMO Lifesource | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| AETNA | Medicare Advantage Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted procedure orbit 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 |