Revasc lithotr-ather tib/per at lutheran hospital

1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

$23,623.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$36,344.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6,072.00 with AETNA vs $37,546.17 with ANTHEM — 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 →

Payer
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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
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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
AETNA Asa_Whirlpool_Peia $6,072.00 ↓ -74%
AETNA Acop $6,075.00 ↓ -74%
OPTUM Managed Medicaid Transplant $6,580.39 ↓ -72%
AETNA International $6,885.00 ↓ -71%
Paramount Managed Medicaid $7,134.53 ↓ -70%
ANTHEM Managed Medicaid $7,273.07 ↓ -69%
MOLINA Managed Medicaid $7,273.07 ↓ -69%
Buckeye Managed Medicaid $7,273.07 ↓ -69%
United BH Managed Medicaid $7,342.33 ↓ -69%
UNITED Managed Medicaid $7,411.60 ↓ -69%
CARESOURCE Managed Medicaid $7,411.60 ↓ -69%
AMERIHEALTH Managed Medicaid $7,619.40 ↓ -68%
OSCAR ALL PRODUCTS $10,278.08 ↓ -56%
UNITED ALL PRODUCTS $10,529.00 ↓ -55%
PHP ALL PRODUCTS $11,630.08 ↓ -51%
PHPHI ALL PRODUCTS $11,630.08 ↓ -51%
CC EHP ALL PRODUCTS $12,284.27 ↓ -48%
Summacare Preferred $12,720.40 ↓ -46%
Summacare PREMIER $13,847.06 ↓ -41%
Aultcare PPO/HMO $15,046.42 ↓ -36%
Amish Community Aid Plan ALL PRODUCTS $16,354.80 ↓ -31%
OPTUM All Products VA $16,646.60 ↓ -30%
OPTUM Medicare Advantage Transplant $16,646.60 ↓ -30%
MMO Medicare Advantage HMO $16,646.60 ↓ -30%
HUMANA Medicare Advantage HMO $16,646.60 ↓ -30%
The Health Plan MEDICARE ADVANTAGE $16,646.60 ↓ -30%
UNITED MEDICARE ADVANTAGE $16,646.60 ↓ -30%
MMO Medicare Advantage PPO $17,146.00 ↓ -27%
CIGNA ALL PRODUCTS $17,154.37 ↓ -27%
AETNA MEDICARE ADVANTAGE $17,343.14 ↓ -27%
Valor HMO & PPO $17,343.14 ↓ -27%
UPMC MEDICARE ADVANTAGE $17,343.14 ↓ -27%
ANTHEM MEDICARE ADVANTAGE $17,343.14 ↓ -27%
Summacare MEDICARE ADVANTAGE $17,343.14 ↓ -27%
DEVOTED HEALTH MEDICARE ADVANTAGE $17,343.14 ↓ -27%
OHCP ALL PRODUCTS $17,663.18 ↓ -25%
CIGNA MEDICARE ADVANTAGE $17,863.44 ↓ -24%
Perennial Health MEDICARE ADVANTAGE $17,978.33 ↓ -24%
OMAS ALL PRODUCTS $18,172.00 ↓ -23%
CommuniCare MEDICARE ADVANTAGE $18,210.30 ↓ -23%
Perennial Health HMO I-SNP and HMO C-SNP $18,730.59 ↓ -21%
MMO TRADITIONAL $19,007.91 ↓ -20%
MMO NASCO $19,007.91 ↓ -20%
Zing Health Medicare Advantage $19,077.46 ↓ -19%
PPHP ALL PRODUCTS $19,077.46 ↓ -19%
Ohio Healthy TRANSPLANT $19,625.76 ↓ -17%
HEALTHSMART ALL PRODUCTS $19,989.20 ↓ -15%
ANTHEM TRADITIONAL $20,370.81 ↓ -14%
OPTUM All Products Transplant $20,570.70 ↓ -13%
MMO ALL PRODUCTS $20,607.05 ↓ -13%
The Health Plan ALL PRODUCTS $21,806.40 ↓ -8%
UPMC ALL PRODUCTS $21,806.40 ↓ -8%
THREE RIVERS ALL PRODUCTS $23,623.60 ↑ +0%
GMS ALL PRODUCTS $25,440.80 ↑ +8%
Medical Benefit Corp Transplant SMCP $25,440.80 ↑ +8%
Quality Care Partners ALL PRODUCTS $25,440.80 ↑ +8%
AETNA ALL PRODUCTS $27,258.00 ↑ +15%
Consociate Health ALL PRODUCTS $27,258.00 ↑ +15%
Evernorth (Cigna BH) All Products Psychiatrist $29,075.20 ↑ +23%
Humana Military ALL PRODUCTS $30,892.40 ↑ +31%
FrontPath TRANSPLANT $32,709.60 ↑ +38%
USA Managed Care ALL PRODUCTS $32,709.60 ↑ +38%
Managed Care Services TRANSPLANT $32,709.60 ↑ +38%
Tertiary Care Network TRANSPLANT $32,709.60 ↑ +38%
MULTIPLAN ALL PRODUCTS $32,709.60 ↑ +38%
AETNA Qhp/Ipf $36,344.00 ↑ +54%
ANTHEM PPO/HMO $37,546.17 ↑ +59%
AETNA NAP not published by hospital
United BH ALL PRODUCTS not published by hospital
United BH MEDICARE ADVANTAGE not published by hospital

Visitor-reported prices

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Revasc lithotr-ather tib/per at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland $23,623.60 $6,021.00 – $32,709.60
fairview hospital Cleveland $23,623.60 $6,075.00 – $32,709.60
cleveland clinic childrens hospital for rehabilitation Cleveland not published $11,724.47 – $13,575.71
Trinity Medical Center East Steubenville $10,392.22 $12,573.00 – $16,764.00
akron general Akron $23,623.60 $6,075.00 – $32,709.60
avon hospital Avon $23,623.60 $6,072.00 – $32,709.60
euclid hospital Euclid $23,623.60 $6,072.00 – $32,709.60
hillcrest hospital Mayfield Heights $23,623.60 $6,075.00 – $32,709.60

All Ohio hospitals for this procedure →