Vit for macular hole at cleveland clinic main campus
9500 Euclid Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1679525919
$4,245.80
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.
$6,532.00
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 $13,821.00 with MMO — 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% |
| Summacare | Medicare Advantage Lower Level | $680.84 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $694.83 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $792.78 | ↓ -81% |
| Paramount | Managed Medicaid | $859.55 | ↓ -80% |
| Buckeye | Managed Medicaid | $876.24 | ↓ -79% |
| Caresource | Managed Medicaid | $876.24 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $890.32 | ↓ -79% |
| Molina | Managed Medicaid | $917.96 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $917.96 | ↓ -78% |
| United | Managed Medicaid | $922.86 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $926.44 | ↓ -78% |
| Valor | All Products | $926.44 | ↓ -78% |
| Aetna | Medicare Advantage | $926.44 | ↓ -78% |
| Aetna | Medicare Advantage Transplant | $926.44 | ↓ -78% |
| UPMC | Medicare Advantage | $926.44 | ↓ -78% |
| United | Medicare Advantage | $926.44 | ↓ -78% |
| Anthem | Medicare Advantage | $926.44 | ↓ -78% |
| The Health Plan | Medicare Advantage | $926.44 | ↓ -78% |
| Humana | Medicare Advantage HMO | $926.44 | ↓ -78% |
| Cigna | Medicare Advantage | $954.23 | ↓ -78% |
| CommuniCare | Medicare Advantage | $972.76 | ↓ -77% |
| Summacare | Medicare Advantage MD | $995.07 | ↓ -77% |
| Perennial Health | Medicare Advantage | $1,000.56 | ↓ -76% |
| PPHP | All Products | $1,019.08 | ↓ -76% |
| Devoted Health | Medicare Advantage | $1,047.44 | ↓ -75% |
| Humana Military | All Products | $1,382.41 | ↓ -67% |
| Aetna | All Products Transplant | $1,400.30 | ↓ -67% |
| Anthem | All Products Mid-Level Non-Facility | $1,484.33 | ↓ -65% |
| Anthem | All Products Mid-Level Facility | $1,484.33 | ↓ -65% |
| Oscar | All Products | $1,659.78 | ↓ -61% |
| CC EHP | All Products | $1,990.14 | ↓ -53% |
| Summacare | Preferred | $2,233.55 | ↓ -47% |
| Summacare | Premier | $2,434.00 | ↓ -43% |
| Aetna | Acop | $2,539.00 | ↓ -40% |
| OHCP | All Products | $2,540.95 | ↓ -40% |
| Ohio Healthy | Transplant | $2,612.80 | ↓ -38% |
| Aultcare | PPO/HMO | $2,861.02 | ↓ -33% |
| OPTUM | Managed Medicaid Transplant | $2,885.13 | ↓ -32% |
| Amish Community Aid Plan | All Products | $2,939.40 | ↓ -31% |
| United | All Products - Mid-Level | $3,022.97 | ↓ -29% |
| CARESOURCE | Managed Medicaid | $3,036.98 | ↓ -28% |
| Optum | Commercial CRS Care Solutions | $3,063.51 | ↓ -28% |
| MOLINA | Managed Medicaid | $3,188.83 | ↓ -25% |
| ANTHEM | Managed Medicaid | $3,188.83 | ↓ -25% |
| UNITED | Managed Medicaid | $3,249.57 | ↓ -23% |
| United | HMO & PPO | $3,258.16 | ↓ -23% |
| United | All Products | $3,258.16 | ↓ -23% |
| OMAS | All Products | $3,266.00 | ↓ -23% |
| United BH | Managed Medicaid | $3,340.68 | ↓ -21% |
| UNITED | MEDICARE ADVANTAGE | $3,527.34 | ↓ -17% |
| Healthsmart | All Products | $3,592.60 | ↓ -15% |
| The Health Plan | All Products | $3,592.60 | ↓ -15% |
| The Health Plan | MEDICARE ADVANTAGE | $3,729.35 | ↓ -12% |
| HUMANA | Medicare Advantage HMO | $3,729.35 | ↓ -12% |
| OPTUM | All Products VA | $3,729.35 | ↓ -12% |
| MMO | Medicare Advantage HMO | $3,729.35 | ↓ -12% |
| OPTUM | Medicare Advantage Transplant | $3,729.35 | ↓ -12% |
| Anthem | All Products Physician Non-Facility | $3,769.88 | ↓ -11% |
| Anthem | All Products Physician | $3,769.88 | ↓ -11% |
| Anthem | All Products Physician Facility | $3,769.88 | ↓ -11% |
| Optum | All Products Transplant | $3,808.16 | ↓ -10% |
| MMO | Medicare Advantage PPO | $3,841.23 | ↓ -10% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,910.54 | ↓ -8% |
| Valor | ALL PRODUCTS | $3,910.54 | ↓ -8% |
| UPMC | MEDICARE ADVANTAGE | $3,910.54 | ↓ -8% |
| AETNA | MEDICARE ADVANTAGE | $3,910.54 | ↓ -8% |
| ANTHEM | MEDICARE ADVANTAGE | $3,910.54 | ↓ -8% |
| Summacare | MEDICARE ADVANTAGE | $3,910.54 | ↓ -8% |
| CIGNA | Medicare Advantage Lifesource | $3,910.54 | ↓ -8% |
| PHPHI | All Products | $3,919.20 | ↓ -8% |
| UPMC | All Products | $3,919.20 | ↓ -8% |
| Optum | Commercial CHD Care Solutions | $3,964.92 | ↓ -7% |
| Perennial Health | MEDICARE ADVANTAGE | $4,027.70 | ↓ -5% |
| CIGNA | MEDICARE ADVANTAGE | $4,027.85 | ↓ -5% |
| MMO | Medicare HMO | $4,039.82 | ↓ -5% |
| CommuniCare | MEDICARE ADVANTAGE | $4,106.06 | ↓ -3% |
| MMO | Medicare PPO | $4,161.01 | ↓ -2% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $4,223.38 | ↓ -1% |
| Three Rivers | All Products | $4,245.80 | ↑ +0% |
| Clarity Health | All Products | $4,245.80 | ↑ +0% |
| PPHP | ALL PRODUCTS | $4,301.59 | ↑ +1% |
| GMS | All Products | $4,572.40 | ↑ +8% |
| Quality Care Partners | All Products | $4,572.40 | ↑ +8% |
| Consociate Health | All Products | $4,899.00 | ↑ +15% |
| Aetna | All Products First Health | $4,899.00 | ↑ +15% |
| MMO | NASCO | $5,225.60 | ↑ +23% |
| Aetna | Asa | $5,225.60 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $5,225.60 | ↑ +23% |
| Multiplan | All Products | $5,878.80 | ↑ +38% |
| USA Managed Care | All Products | $5,878.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $6,532.00 | ↑ +54% |
| UNITED | ALL PRODUCTS | $8,702.00 | ↑ +105% |
| ANTHEM | PPO/HMO | $9,509.00 | ↑ +124% |
| CIGNA | ALL PRODUCTS | $10,364.00 | ↑ +144% |
| MMO | SuperMed | $11,858.31 | ↑ +179% |
| MMO | ALL PRODUCTS | $13,821.00 | ↑ +226% |
| United BH | All Products PHD | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | All Products MA | not published by hospital | — |
| United BH | All Products MD | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | All Products RN | not published by hospital | — |
Visitor-reported prices
Comments
Vit for macular hole at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,009.98 – $4,643.13 |
| fairview hospital | Cleveland | not published | $2,364.01 – $4,301.59 |
| lutheran hospital | Cleveland | not published | $2,250.62 – $4,301.59 |
| St Elizabeth Boardman Hospital | Youngstown | $11,370.06 | $3,910.54 – $3,988.75 |
| St Joseph Warren Hospital | Warren | $10,034.94 | $3,910.54 – $3,988.75 |
| St Anne Hospital | Toledo | $20,696.69 | $4,015.43 – $4,095.74 |
| akron general | Akron | not published | $2,290.15 – $4,301.59 |
| avon hospital | Avon | not published | $2,456.14 – $4,301.59 |