healthcosts.net
Closed tx post hip arthroplasty disloc w/anes 27266 at hillcrest hospital
6780 Mayfield Road, Mayfield Heights, OH · Cleveland Clinic · · NPI 1902858152
$4,785.30
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.
$7,362.00
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.
$703.98 with OPTUM vs $6,616.00 with AETNA — 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 | $703.98 | ↓ -85% |
| Paramount | Managed Medicaid | $763.26 | ↓ -84% |
| ANTHEM | Managed Medicaid | $778.08 | ↓ -84% |
| Buckeye | Managed Medicaid | $778.08 | ↓ -84% |
| MOLINA | Managed Medicaid | $778.08 | ↓ -84% |
| UNITED | Managed Medicaid | $792.90 | ↓ -83% |
| CARESOURCE | Managed Medicaid | $792.90 | ↓ -83% |
| AMERIHEALTH | Managed Medicaid | $815.13 | ↓ -83% |
| ANTHEM | HPN | $921.76 | ↓ -81% |
| The Health Plan | MEDICARE ADVANTAGE | $1,394.34 | ↓ -71% |
| OPTUM | All Products VA | $1,483.64 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $1,483.64 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $1,483.64 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $1,483.64 | ↓ -69% |
| MMO | Medicare Advantage HMO | $1,483.64 | ↓ -69% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $1,521.28 | ↓ -68% |
| Valor | HMO & PPO | $1,521.28 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $1,521.28 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $1,521.28 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $1,521.28 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $1,521.28 | ↓ -68% |
| MMO | Medicare Advantage PPO | $1,528.15 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $1,566.92 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $1,597.35 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $1,602.34 | ↓ -67% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,642.99 | ↓ -66% |
| PPHP | ALL PRODUCTS | $1,673.41 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $1,871.00 | ↓ -61% |
| PHP | ALL PRODUCTS | $2,117.12 | ↓ -56% |
| CC EHP | ALL PRODUCTS | $2,236.21 | ↓ -53% |
| Summacare | Preferred | $2,328.83 | ↓ -51% |
| UNITED | ALL PRODUCTS | $2,453.00 | ↓ -49% |
| Summacare | PREMIER | $2,533.93 | ↓ -47% |
| Aultcare | PPO/HMO | $2,699.33 | ↓ -44% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,977.20 | ↓ -38% |
| OHCP | ALL PRODUCTS | $3,215.38 | ↓ -33% |
| AETNA | Acop | $3,265.00 | ↓ -32% |
| OMAS | ALL PRODUCTS | $3,308.00 | ↓ -31% |
| MMO | TRADITIONAL | $3,446.94 | ↓ -28% |
| MMO | NASCO | $3,446.94 | ↓ -28% |
| Ohio Healthy | TRANSPLANT | $3,572.64 | ↓ -25% |
| HEALTHSMART | ALL PRODUCTS | $3,638.80 | ↓ -24% |
| ANTHEM | TRADITIONAL | $3,695.04 | ↓ -23% |
| OPTUM | All Products Transplant | $3,744.66 | ↓ -22% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -20% |
| The Health Plan | ALL PRODUCTS | $3,969.60 | ↓ -17% |
| UPMC | ALL PRODUCTS | $3,969.60 | ↓ -17% |
| AETNA | International | $4,001.00 | ↓ -16% |
| THREE RIVERS | ALL PRODUCTS | $4,300.40 | ↓ -10% |
| ANTHEM | PPO/HMO | $4,387.99 | ↓ -8% |
| MMO | ALL PRODUCTS | $4,413.25 | ↓ -8% |
| Medical Benefit Corp | Transplant SMCP | $4,631.20 | ↓ -3% |
| Quality Care Partners | ALL PRODUCTS | $4,631.20 | ↓ -3% |
| GMS | ALL PRODUCTS | $4,631.20 | ↓ -3% |
| AETNA | ALL PRODUCTS | $4,962.00 | ↑ +4% |
| Consociate Health | ALL PRODUCTS | $4,962.00 | ↑ +4% |
| Humana Military | ALL PRODUCTS | $5,521.50 | ↑ +15% |
| MULTIPLAN | ALL PRODUCTS | $5,954.40 | ↑ +24% |
| USA Managed Care | ALL PRODUCTS | $5,954.40 | ↑ +24% |
| Tertiary Care Network | TRANSPLANT | $5,954.40 | ↑ +24% |
| FrontPath | TRANSPLANT | $5,954.40 | ↑ +24% |
| Managed Care Services | TRANSPLANT | $5,954.40 | ↑ +24% |
| AETNA | Qhp/Ipf | $6,616.00 | ↑ +38% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Closed tx post hip arthroplasty disloc w/anes 27266 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,785.30 | $1.10 – $5,954.40 |
| akron general | Akron | $4,785.30 | $1.10 – $5,954.40 |
| avon hospital | Avon | $4,785.30 | $702.04 – $5,954.40 |
| euclid hospital | Euclid | $4,785.30 | $719.26 – $5,954.40 |
| fairview hospital | Cleveland | $4,785.30 | $675.71 – $5,954.40 |
| lutheran hospital | Cleveland | $4,785.30 | $643.29 – $5,954.40 |
| lodi hospital | Lodi | $4,785.30 | $1,098.29 – $6,625.80 |
| marymount hospital | Garfield Heights | $4,785.30 | $635.18 – $5,954.40 |