Athrectomy tib/pero/unilat/ini ves 37229 at lutheran hospital
1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045
not published by hospital
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.
not published by hospital
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.
$6,580.39 with OPTUM vs $17,978.33 with Perennial Health — 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $6,580.39 | — |
| Paramount | Managed Medicaid | $7,134.53 | — |
| Buckeye | Managed Medicaid | $7,273.07 | — |
| MOLINA | Managed Medicaid | $7,273.07 | — |
| ANTHEM | Managed Medicaid | $7,273.07 | — |
| United BH | Managed Medicaid | $7,342.33 | — |
| UNITED | Managed Medicaid | $7,411.60 | — |
| CARESOURCE | Managed Medicaid | $7,411.60 | — |
| AMERIHEALTH | Managed Medicaid | $7,619.40 | — |
| HUMANA | Medicare Advantage HMO | $16,646.60 | — |
| OPTUM | Medicare Advantage Transplant | $16,646.60 | — |
| UNITED | MEDICARE ADVANTAGE | $16,646.60 | — |
| OPTUM | All Products VA | $16,646.60 | — |
| The Health Plan | MEDICARE ADVANTAGE | $16,646.60 | — |
| MMO | Medicare Advantage HMO | $16,646.60 | — |
| MMO | Medicare Advantage PPO | $17,146.00 | — |
| Perennial Health | MEDICARE ADVANTAGE | $17,978.33 | — |
Visitor-reported prices
Comments
Athrectomy tib/pero/unilat/ini ves 37229 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | not published | $8,435.63 – $17,978.33 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $11,724.47 – $13,575.71 |
| fairview hospital | Cleveland | not published | $6,911.93 – $17,978.33 |
| Trinity Medical Center East | Steubenville | $11,790.25 | $14,264.40 – $19,019.20 |
| Dublin Methodist Hospital | Dublin | $28,918.50 | $63,079.00 – $63,079.00 |
| Shelby Hospital | Shelby | $32,047.60 | not published |
| Berger Hospital | Circleville | $20,380.10 | $1,872.39 – $16,177.00 |
| Grant Medical Center | Columbus | $28,918.50 | $63,079.00 – $63,079.00 |