healthcosts.net
Biliary endoscopy thru skin at fairview hospital
18101 Lorain Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1215989611
$10,552.10
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.
$16,234.00
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.
$720.67 with ANTHEM vs $29,174.32 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 |
|---|---|---|---|
| ANTHEM | HPN | $720.67 | ↓ -93% |
| OPTUM | Managed Medicaid Transplant | $2,345.93 | ↓ -78% |
| Paramount | Managed Medicaid | $2,543.48 | ↓ -76% |
| MOLINA | Managed Medicaid | $2,592.87 | ↓ -75% |
| Buckeye | Managed Medicaid | $2,592.87 | ↓ -75% |
| ANTHEM | Managed Medicaid | $2,592.87 | ↓ -75% |
| United BH | Managed Medicaid | $2,617.56 | ↓ -75% |
| CARESOURCE | Managed Medicaid | $2,642.26 | ↓ -75% |
| UNITED | Managed Medicaid | $2,642.26 | ↓ -75% |
| AMERIHEALTH | Managed Medicaid | $2,716.34 | ↓ -74% |
| OSCAR | ALL PRODUCTS | $4,590.98 | ↓ -56% |
| PHP | ALL PRODUCTS | $5,194.88 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $5,194.88 | ↓ -51% |
| AETNA | Acop | $5,355.00 | ↓ -49% |
| CC EHP | ALL PRODUCTS | $5,487.09 | ↓ -48% |
| Summacare | Preferred | $5,714.37 | ↓ -46% |
| Summacare | PREMIER | $6,217.62 | ↓ -41% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↓ -41% |
| AETNA | International | $6,561.00 | ↓ -38% |
| Aultcare | PPO/HMO | $6,769.58 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $7,305.30 | ↓ -31% |
| OHCP | ALL PRODUCTS | $7,889.72 | ↓ -25% |
| OMAS | ALL PRODUCTS | $8,117.00 | ↓ -23% |
| MMO | NASCO | $8,457.91 | ↓ -20% |
| MMO | TRADITIONAL | $8,457.91 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $8,766.36 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $8,928.70 | ↓ -15% |
| HUMANA | Medicare Advantage HMO | $8,930.36 | ↓ -15% |
| ANTHEM | TRADITIONAL | $9,066.69 | ↓ -14% |
| OPTUM | All Products Transplant | $9,188.44 | ↓ -13% |
| UNITED | ALL PRODUCTS | $9,608.00 | ↓ -9% |
| UNITED | MEDICARE ADVANTAGE | $9,651.62 | ↓ -9% |
| MMO | Medicare Advantage HMO | $9,651.62 | ↓ -9% |
| OPTUM | All Products VA | $9,651.62 | ↓ -9% |
| OPTUM | Medicare Advantage Transplant | $9,651.62 | ↓ -9% |
| The Health Plan | MEDICARE ADVANTAGE | $9,651.62 | ↓ -9% |
| UPMC | ALL PRODUCTS | $9,740.40 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $9,740.40 | ↓ -8% |
| MMO | Medicare Advantage PPO | $9,941.17 | ↓ -6% |
| Summacare | MEDICARE ADVANTAGE | $10,056.64 | ↓ -5% |
| Valor | HMO & PPO | $10,056.64 | ↓ -5% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $10,056.64 | ↓ -5% |
| ANTHEM | MEDICARE ADVANTAGE | $10,056.64 | ↓ -5% |
| UPMC | MEDICARE ADVANTAGE | $10,056.64 | ↓ -5% |
| AETNA | MEDICARE ADVANTAGE | $10,056.64 | ↓ -5% |
| CIGNA | MEDICARE ADVANTAGE | $10,358.34 | ↓ -2% |
| Perennial Health | MEDICARE ADVANTAGE | $10,423.75 | ↓ -1% |
| THREE RIVERS | ALL PRODUCTS | $10,552.10 | ↑ +0% |
| CommuniCare | MEDICARE ADVANTAGE | $10,559.47 | ↑ +0% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $10,861.17 | ↑ +3% |
| Zing Health | Medicare Advantage | $11,062.31 | ↑ +5% |
| PPHP | ALL PRODUCTS | $11,062.31 | ↑ +5% |
| Medical Benefit Corp | Transplant SMCP | $11,363.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $11,363.80 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $11,363.80 | ↑ +8% |
| AETNA | ALL PRODUCTS | $12,175.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $12,175.50 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $12,987.20 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $13,798.90 | ↑ +31% |
| MULTIPLAN | ALL PRODUCTS | $14,610.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $14,610.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $14,610.60 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $14,610.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $14,610.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $16,234.00 | ↑ +54% |
| ANTHEM | PPO/HMO | $29,007.38 | ↑ +175% |
| MMO | ALL PRODUCTS | $29,174.32 | ↑ +176% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $10,552.10 | $1.10 – $14,610.60 |
| lutheran hospital | Cleveland | $10,552.10 | $843.70 – $14,610.60 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,979.31 – $4,607.63 |
| akron general | Akron | $10,552.10 | $764.23 – $14,610.60 |
| avon hospital | Avon | $10,552.10 | $843.70 – $14,610.60 |
| euclid hospital | Euclid | $10,552.10 | $843.70 – $14,610.60 |
| hillcrest hospital | Mayfield Heights | $10,552.10 | $720.67 – $14,610.60 |
| marymount hospital | Garfield Heights | $10,552.10 | $843.70 – $14,610.60 |