healthcosts.net
Upper ext harvest for cabg1 seg 35600 at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$1,027.00
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.
?
What you pay up front if you don't use insurance.
$1,580.00
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 $5,561.01 with United BH — 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 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $113.29 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $126.03 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $148.15 | ↓ -86% |
| United | Managed Medicaid | $148.89 | ↓ -86% |
| Summacare | Medicare Advantage MD | $165.58 | ↓ -84% |
| Humana | Medicare Advantage HMO | $168.04 | ↓ -84% |
| Optum | Medicare Advantage Transplant | $168.04 | ↓ -84% |
| United | Medicare Advantage | $168.04 | ↓ -84% |
| Aetna | Medicare Advantage | $168.04 | ↓ -84% |
| Valor | All Products | $168.04 | ↓ -84% |
| UPMC | Medicare Advantage | $168.04 | ↓ -84% |
| Aetna | Medicare Advantage Transplant | $168.04 | ↓ -84% |
| The Health Plan | Medicare Advantage | $168.04 | ↓ -84% |
| Anthem | Medicare Advantage | $168.04 | ↓ -84% |
| Cigna | Medicare Advantage | $173.08 | ↓ -83% |
| Devoted Health | Medicare Advantage | $174.29 | ↓ -83% |
| CommuniCare | Medicare Advantage | $176.44 | ↓ -83% |
| Optum | Managed Medicaid Transplant | $179.84 | ↓ -82% |
| Perennial Health | Medicare Advantage | $181.48 | ↓ -82% |
| PPHP | All Products | $184.84 | ↓ -82% |
| Paramount | Managed Medicaid | $194.98 | ↓ -81% |
| Caresource | Managed Medicaid | $198.77 | ↓ -81% |
| Buckeye | Managed Medicaid | $198.77 | ↓ -81% |
| Molina | Managed Medicaid | $208.23 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $208.23 | ↓ -80% |
| Humana Military | All Products | $225.78 | ↓ -78% |
| Aetna | All Products Transplant | $228.04 | ↓ -78% |
| Anthem | All Products Mid-Level Facility | $248.22 | ↓ -76% |
| Anthem | All Products Mid-Level Non-Facility | $248.22 | ↓ -76% |
| CC EHP | All Products | $331.15 | ↓ -68% |
| Summacare | Preferred | $395.34 | ↓ -62% |
| Oscar | All Products | $401.48 | ↓ -61% |
| Summacare | Premier | $430.82 | ↓ -58% |
| Aetna | Acop | $449.41 | ↓ -56% |
| MMO | ALL PRODUCTS | $482.71 | ↓ -53% |
| United | All Products - Mid-Level | $501.84 | ↓ -51% |
| MMO | SuperMed | $538.74 | ↓ -48% |
| United | HMO & PPO | $540.88 | ↓ -47% |
| United | All Products | $540.88 | ↓ -47% |
| OHCP | All Products | $614.62 | ↓ -40% |
| Anthem | All Products Physician | $630.42 | ↓ -39% |
| Anthem | All Products Physician Facility | $630.42 | ↓ -39% |
| Anthem | All Products Physician Non-Facility | $630.42 | ↓ -39% |
| Ohio Healthy | Transplant | $632.00 | ↓ -38% |
| Aultcare | PPO/HMO | $692.04 | ↓ -33% |
| Amish Community Aid Plan | All Products | $711.00 | ↓ -31% |
| MMO | Medicare HMO | $740.66 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $741.02 | ↓ -28% |
| MMO | Medicare PPO | $762.88 | ↓ -26% |
| OMAS | All Products | $790.00 | ↓ -23% |
| Healthsmart | All Products | $869.00 | ↓ -15% |
| The Health Plan | All Products | $869.00 | ↓ -15% |
| Optum | All Products Transplant | $921.14 | ↓ -10% |
| PHPHI | All Products | $948.00 | ↓ -8% |
| UPMC | All Products | $948.00 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $959.06 | ↓ -7% |
| Clarity Health | All Products | $1,027.00 | ↑ +0% |
| Three Rivers | All Products | $1,027.00 | ↑ +0% |
| GMS | All Products | $1,106.00 | ↑ +8% |
| Quality Care Partners | All Products | $1,106.00 | ↑ +8% |
| Aetna | All Products First Health | $1,185.00 | ↑ +15% |
| Consociate Health | All Products | $1,185.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,264.00 | ↑ +23% |
| MMO | NASCO | $1,264.00 | ↑ +23% |
| Aetna | Asa | $1,264.00 | ↑ +23% |
| USA Managed Care | All Products | $1,422.00 | ↑ +38% |
| Multiplan | All Products | $1,422.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,580.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $4,802.69 | ↑ +368% |
| CARESOURCE | Managed Medicaid | $5,055.46 | ↑ +392% |
| MOLINA | Managed Medicaid | $5,308.23 | ↑ +417% |
| ANTHEM | Managed Medicaid | $5,308.23 | ↑ +417% |
| UNITED | Managed Medicaid | $5,409.34 | ↑ +427% |
| United BH | Managed Medicaid | $5,561.01 | ↑ +441% |
| United BH | All Products MD | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products PHD | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Upper ext harvest for cabg1 seg 35600 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $6,675.14 – $7,729.11 |
| fairview hospital | Cleveland | not published | $3,935.20 – $4,556.55 |
| lutheran hospital | Cleveland | not published | $3,746.44 – $4,337.98 |
| akron general | Akron | $1,027.00 | $1.10 – $4,414.18 |
| mercy hospital | Canton | $1,027.00 | $1.10 – $4,307.58 |
| avon hospital | Avon | not published | $4,088.56 – $4,166.44 |
| euclid hospital | Euclid | not published | $4,188.84 – $4,850.23 |
| hillcrest hospital | Mayfield Heights | not published | $4,099.86 – $4,747.20 |