healthcosts.net
Expl lap celiotomy w/wo bx 49000 at hillcrest hospital
6780 Mayfield Road, Mayfield Heights, OH · Cleveland Clinic · · NPI 1902858152
$1,020.50
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.
$1,570.00
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.
$342.26 with AETNA vs $7,821.00 with UNITED — 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 |
|---|---|---|---|
| AETNA | MEDICARE ADVANTAGE | $342.26 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $444.00 | ↓ -56% |
| PHP | ALL PRODUCTS | $502.40 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $530.66 | ↓ -48% |
| Summacare | Preferred | $552.64 | ↓ -46% |
| Summacare | PREMIER | $601.31 | ↓ -41% |
| Aultcare | PPO/HMO | $640.56 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $706.50 | ↓ -31% |
| OHCP | ALL PRODUCTS | $763.02 | ↓ -25% |
| OMAS | ALL PRODUCTS | $785.00 | ↓ -23% |
| MMO | NASCO | $817.97 | ↓ -20% |
| MMO | TRADITIONAL | $817.97 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $847.80 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $863.50 | ↓ -15% |
| ANTHEM | TRADITIONAL | $876.85 | ↓ -14% |
| OPTUM | All Products Transplant | $888.62 | ↓ -13% |
| UPMC | ALL PRODUCTS | $942.00 | ↓ -8% |
| The Health Plan | ALL PRODUCTS | $942.00 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $1,020.50 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $1,099.00 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $1,099.00 | ↑ +8% |
| GMS | ALL PRODUCTS | $1,099.00 | ↑ +8% |
| AETNA | ALL PRODUCTS | $1,177.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,177.50 | ↑ +15% |
| ANTHEM | HPN | $1,229.25 | ↑ +20% |
| Humana Military | ALL PRODUCTS | $1,334.50 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $1,413.00 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $1,413.00 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,413.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,413.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,413.00 | ↑ +38% |
| ANTHEM | PPO/HMO | $1,446.14 | ↑ +42% |
| AETNA | Qhp/Ipf | $1,570.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $1,732.90 | ↑ +70% |
| Paramount | Managed Medicaid | $1,878.83 | ↑ +84% |
| ANTHEM | Managed Medicaid | $1,915.32 | ↑ +88% |
| Buckeye | Managed Medicaid | $1,915.32 | ↑ +88% |
| MOLINA | Managed Medicaid | $1,915.32 | ↑ +88% |
| CARESOURCE | Managed Medicaid | $1,951.80 | ↑ +91% |
| UNITED | Managed Medicaid | $1,951.80 | ↑ +91% |
| AMERIHEALTH | Managed Medicaid | $2,006.52 | ↑ +97% |
| AETNA | Acop | $6,075.00 | ↑ +495% |
| AETNA | Asa_Whirlpool_Peia | $7,090.00 | ↑ +595% |
| AETNA | International | $7,445.00 | ↑ +630% |
| UNITED | ALL PRODUCTS | $7,821.00 | ↑ +666% |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
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Expl lap celiotomy w/wo bx 49000 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,260.40 | $1.10 – $4,514.40 |
| akron general | Akron | $3,260.40 | $1.10 – $4,514.40 |
| avon hospital | Avon | $1,020.50 | $342.26 – $1,761.04 |
| euclid hospital | Euclid | $1,020.50 | $342.26 – $2,050.06 |
| fairview hospital | Cleveland | $1,020.50 | $342.26 – $1,925.94 |
| lutheran hospital | Cleveland | $1,020.50 | $342.26 – $1,833.55 |
| marymount hospital | Garfield Heights | $1,020.50 | $342.26 – $1,810.41 |
| medina hospital | Medina | $1,020.50 | $342.26 – $1,877.85 |