Revasc lithotrip tibi/perone at fairview hospital
18101 Lorain Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1215989611
$17,438.85
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.
$26,829.00
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.
$3,828.25 with OPTUM vs $31,683.83 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $3,828.25 | ↓ -78% |
| Paramount | Managed Medicaid | $4,150.63 | ↓ -76% |
| Buckeye | Managed Medicaid | $4,231.23 | ↓ -76% |
| MOLINA | Managed Medicaid | $4,231.23 | ↓ -76% |
| ANTHEM | Managed Medicaid | $4,231.23 | ↓ -76% |
| United BH | Managed Medicaid | $4,271.52 | ↓ -76% |
| UNITED | Managed Medicaid | $4,311.82 | ↓ -75% |
| CARESOURCE | Managed Medicaid | $4,311.82 | ↓ -75% |
| AMERIHEALTH | Managed Medicaid | $4,432.71 | ↓ -75% |
| AETNA | Acop | $6,075.00 | ↓ -65% |
| AETNA | Asa_Whirlpool_Peia | $7,090.00 | ↓ -59% |
| AETNA | International | $7,445.00 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $7,587.24 | ↓ -56% |
| PHP | ALL PRODUCTS | $8,585.28 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $8,585.28 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $9,068.20 | ↓ -48% |
| Summacare | Preferred | $9,443.81 | ↓ -46% |
| HUMANA | Medicare Advantage HMO | $9,544.11 | ↓ -45% |
| Summacare | PREMIER | $10,275.51 | ↓ -41% |
| UNITED | MEDICARE ADVANTAGE | $10,513.16 | ↓ -40% |
| MMO | Medicare Advantage HMO | $10,513.16 | ↓ -40% |
| OPTUM | Medicare Advantage Transplant | $10,513.16 | ↓ -40% |
| OPTUM | All Products VA | $10,513.16 | ↓ -40% |
| The Health Plan | MEDICARE ADVANTAGE | $10,513.16 | ↓ -40% |
| MMO | Medicare Advantage PPO | $10,828.56 | ↓ -38% |
| ANTHEM | MEDICARE ADVANTAGE | $10,921.69 | ↓ -37% |
| UPMC | MEDICARE ADVANTAGE | $10,921.69 | ↓ -37% |
| Summacare | MEDICARE ADVANTAGE | $10,921.69 | ↓ -37% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $10,921.69 | ↓ -37% |
| Valor | HMO & PPO | $10,921.69 | ↓ -37% |
| AETNA | MEDICARE ADVANTAGE | $10,921.69 | ↓ -37% |
| Aultcare | PPO/HMO | $11,187.69 | ↓ -36% |
| CIGNA | MEDICARE ADVANTAGE | $11,249.34 | ↓ -35% |
| Perennial Health | MEDICARE ADVANTAGE | $11,354.21 | ↓ -35% |
| CommuniCare | MEDICARE ADVANTAGE | $11,467.78 | ↓ -34% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $11,795.43 | ↓ -32% |
| Zing Health | Medicare Advantage | $12,013.86 | ↓ -31% |
| PPHP | ALL PRODUCTS | $12,013.86 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $12,073.05 | ↓ -31% |
| UNITED | ALL PRODUCTS | $12,230.00 | ↓ -30% |
| OHCP | ALL PRODUCTS | $13,038.89 | ↓ -25% |
| OMAS | ALL PRODUCTS | $13,414.50 | ↓ -23% |
| MMO | NASCO | $13,977.91 | ↓ -20% |
| MMO | TRADITIONAL | $13,977.91 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $14,487.66 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $14,755.95 | ↓ -15% |
| ANTHEM | TRADITIONAL | $14,984.00 | ↓ -14% |
| OPTUM | All Products Transplant | $15,185.21 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $16,097.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $16,097.40 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $17,438.85 | ↑ +0% |
| GMS | ALL PRODUCTS | $18,780.30 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $18,780.30 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $18,780.30 | ↑ +8% |
| AETNA | ALL PRODUCTS | $20,121.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $20,121.75 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $21,463.20 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $22,804.65 | ↑ +31% |
| USA Managed Care | ALL PRODUCTS | $24,146.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $24,146.10 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $24,146.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $24,146.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $24,146.10 | ↑ +38% |
| ANTHEM | HPN | $26,776.71 | ↑ +54% |
| AETNA | Qhp/Ipf | $26,829.00 | ↑ +54% |
| ANTHEM | PPO/HMO | $31,502.53 | ↑ +81% |
| MMO | ALL PRODUCTS | $31,683.83 | ↑ +82% |
| 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
Revasc lithotrip tibi/perone at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $17,438.85 | $3,924.00 – $24,146.10 |
| lutheran hospital | Cleveland | $17,438.85 | $3,644.62 – $24,146.10 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $6,493.73 – $7,519.05 |
| Trinity Medical Center East | Steubenville | $6,621.67 | $8,011.20 – $10,681.60 |
| akron general | Akron | $17,438.85 | $3,708.64 – $24,146.10 |
| avon hospital | Avon | $17,438.85 | $3,977.44 – $24,146.10 |
| euclid hospital | Euclid | $17,438.85 | $4,075.00 – $24,146.10 |
| hillcrest hospital | Mayfield Heights | $17,438.85 | $3,988.44 – $24,146.10 |