Revasc lithotrip-stent-ather 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

$22,399.65

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.

Full explanation →

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

$34,461.00

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.

Full explanation →

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

$6,580.39 with OPTUM vs $37,546.17 with ANTHEM — 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 →

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 ↓ -71%
Paramount Managed Medicaid $7,134.53 ↓ -68%
MOLINA Managed Medicaid $7,273.07 ↓ -68%
Buckeye Managed Medicaid $7,273.07 ↓ -68%
ANTHEM Managed Medicaid $7,273.07 ↓ -68%
AETNA Asa_Whirlpool_Peia $7,310.00 ↓ -67%
United BH Managed Medicaid $7,342.33 ↓ -67%
UNITED Managed Medicaid $7,411.60 ↓ -67%
CARESOURCE Managed Medicaid $7,411.60 ↓ -67%
AMERIHEALTH Managed Medicaid $7,619.40 ↓ -66%
AETNA International $8,288.00 ↓ -63%
AETNA Acop $8,422.00 ↓ -62%
OSCAR ALL PRODUCTS $9,745.57 ↓ -56%
UNITED ALL PRODUCTS $10,529.00 ↓ -53%
PHPHI ALL PRODUCTS $11,027.52 ↓ -51%
PHP ALL PRODUCTS $11,027.52 ↓ -51%
CC EHP ALL PRODUCTS $11,647.82 ↓ -48%
Summacare Preferred $12,061.35 ↓ -46%
Summacare PREMIER $13,129.64 ↓ -41%
Aultcare PPO/HMO $14,266.85 ↓ -36%
Amish Community Aid Plan ALL PRODUCTS $15,507.45 ↓ -31%
CIGNA ALL PRODUCTS $16,265.59 ↓ -27%
OPTUM Medicare Advantage Transplant $16,646.60 ↓ -26%
OPTUM All Products VA $16,646.60 ↓ -26%
The Health Plan MEDICARE ADVANTAGE $16,646.60 ↓ -26%
MMO Medicare Advantage HMO $16,646.60 ↓ -26%
HUMANA Medicare Advantage HMO $16,646.60 ↓ -26%
UNITED MEDICARE ADVANTAGE $16,646.60 ↓ -26%
OHCP ALL PRODUCTS $16,748.05 ↓ -25%
MMO Medicare Advantage PPO $17,146.00 ↓ -23%
OMAS ALL PRODUCTS $17,230.50 ↓ -23%
DEVOTED HEALTH MEDICARE ADVANTAGE $17,343.14 ↓ -23%
AETNA MEDICARE ADVANTAGE $17,343.14 ↓ -23%
UPMC MEDICARE ADVANTAGE $17,343.14 ↓ -23%
Valor HMO & PPO $17,343.14 ↓ -23%
Summacare MEDICARE ADVANTAGE $17,343.14 ↓ -23%
ANTHEM MEDICARE ADVANTAGE $17,343.14 ↓ -23%
CIGNA MEDICARE ADVANTAGE $17,863.44 ↓ -20%
Perennial Health MEDICARE ADVANTAGE $17,978.33 ↓ -20%
MMO TRADITIONAL $18,023.10 ↓ -20%
MMO NASCO $18,023.10 ↓ -20%
CommuniCare MEDICARE ADVANTAGE $18,210.30 ↓ -19%
Ohio Healthy TRANSPLANT $18,608.94 ↓ -17%
Perennial Health HMO I-SNP and HMO C-SNP $18,730.59 ↓ -16%
HEALTHSMART ALL PRODUCTS $18,953.55 ↓ -15%
Zing Health Medicare Advantage $19,077.46 ↓ -15%
PPHP ALL PRODUCTS $19,077.46 ↓ -15%
ANTHEM TRADITIONAL $19,315.39 ↓ -14%
OPTUM All Products Transplant $19,504.93 ↓ -13%
MMO ALL PRODUCTS $19,539.39 ↓ -13%
UPMC ALL PRODUCTS $20,676.60 ↓ -8%
The Health Plan ALL PRODUCTS $20,676.60 ↓ -8%
THREE RIVERS ALL PRODUCTS $22,399.65 ↑ +0%
Medical Benefit Corp Transplant SMCP $24,122.70 ↑ +8%
Quality Care Partners ALL PRODUCTS $24,122.70 ↑ +8%
GMS ALL PRODUCTS $24,122.70 ↑ +8%
AETNA ALL PRODUCTS $25,845.75 ↑ +15%
Consociate Health ALL PRODUCTS $25,845.75 ↑ +15%
Evernorth (Cigna BH) All Products Psychiatrist $27,568.80 ↑ +23%
Humana Military ALL PRODUCTS $29,291.85 ↑ +31%
Managed Care Services TRANSPLANT $31,014.90 ↑ +38%
USA Managed Care ALL PRODUCTS $31,014.90 ↑ +38%
MULTIPLAN ALL PRODUCTS $31,014.90 ↑ +38%
FrontPath TRANSPLANT $31,014.90 ↑ +38%
Tertiary Care Network TRANSPLANT $31,014.90 ↑ +38%
AETNA Qhp/Ipf $34,461.00 ↑ +54%
ANTHEM PPO/HMO $37,546.17 ↑ +68%
United BH ALL PRODUCTS not published by hospital
United BH MEDICARE ADVANTAGE not published by hospital
AETNA NAP not published by hospital

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Revasc lithotrip-stent-ather at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland $22,399.65 $7,663.00 – $31,014.90
fairview hospital Cleveland $22,399.65 $6,911.93 – $31,014.90
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 $22,399.65 $6,695.97 – $31,014.90
avon hospital Avon $22,399.65 $7,181.31 – $31,014.90
euclid hospital Euclid $22,399.65 $7,310.00 – $31,014.90
hillcrest hospital Mayfield Heights $22,399.65 $7,201.15 – $31,014.90

All Ohio hospitals for this procedure →