healthcosts.net
Hc transcatheter placement and sbsq removal cepd perq at hillcrest hospital
6780 Mayfield Road, Mayfield Heights, OH · Cleveland Clinic · · NPI 1902858152
$2,037.10
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.
$3,134.00
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.
$162.13 with Humana Military vs $14,126.07 with AMERIHEALTH — 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 |
|---|---|---|---|
| Humana Military | ALL PRODUCTS | $162.13 | ↓ -92% |
| ANTHEM | HPN | $203.15 | ↓ -90% |
| ANTHEM | PPO/HMO | $238.99 | ↓ -88% |
| AETNA | MEDICARE ADVANTAGE | $683.21 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $886.30 | ↓ -56% |
| PHP | ALL PRODUCTS | $1,002.88 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $1,059.29 | ↓ -48% |
| Summacare | Preferred | $1,103.17 | ↓ -46% |
| Summacare | PREMIER | $1,200.32 | ↓ -41% |
| Aultcare | PPO/HMO | $1,278.67 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,410.30 | ↓ -31% |
| OHCP | ALL PRODUCTS | $1,523.12 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,567.00 | ↓ -23% |
| MMO | TRADITIONAL | $1,632.81 | ↓ -20% |
| MMO | NASCO | $1,632.81 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $1,692.36 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $1,723.70 | ↓ -15% |
| ANTHEM | TRADITIONAL | $1,750.34 | ↓ -14% |
| OPTUM | All Products Transplant | $1,773.84 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $1,880.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $1,880.40 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $2,037.10 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $2,193.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $2,193.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $2,193.80 | ↑ +8% |
| AETNA | ALL PRODUCTS | $2,350.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $2,350.50 | ↑ +15% |
| AETNA | Acop | $2,451.00 | ↑ +20% |
| FrontPath | TRANSPLANT | $2,820.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $2,820.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $2,820.60 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $2,820.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,820.60 | ↑ +38% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +40% |
| AETNA | International | $3,004.00 | ↑ +47% |
| AETNA | Qhp/Ipf | $3,134.00 | ↑ +54% |
| UNITED | ALL PRODUCTS | $3,398.00 | ↑ +67% |
| OPTUM | Managed Medicaid Transplant | $12,199.79 | ↑ +499% |
| Paramount | Managed Medicaid | $13,227.14 | ↑ +549% |
| Buckeye | Managed Medicaid | $13,483.97 | ↑ +562% |
| MOLINA | Managed Medicaid | $13,483.97 | ↑ +562% |
| ANTHEM | Managed Medicaid | $13,483.97 | ↑ +562% |
| UNITED | Managed Medicaid | $13,740.81 | ↑ +575% |
| CARESOURCE | Managed Medicaid | $13,740.81 | ↑ +575% |
| AMERIHEALTH | Managed Medicaid | $14,126.07 | ↑ +593% |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare Advantage HMO | not published by hospital | — |
| MMO | Medicare Advantage PPO | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
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Hc transcatheter placement and sbsq removal cepd perq at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,037.10 | $1.10 – $16,547.65 |
| akron general | Akron | $2,037.10 | $1.10 – $13,135.08 |
| avon hospital | Avon | $2,037.10 | $237.83 – $12,397.90 |
| euclid hospital | Euclid | $2,037.10 | $163.22 – $14,432.62 |
| fairview hospital | Cleveland | $2,037.10 | $162.13 – $13,558.72 |
| lutheran hospital | Cleveland | $2,037.10 | $162.13 – $12,908.36 |
| marymount hospital | Garfield Heights | $2,037.10 | $162.13 – $12,745.50 |
| medina hospital | Medina | $2,037.10 | $161.39 – $13,220.23 |