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Biopsy of heart lining at medina hospital
1000 East Washington Street, Medina, OH · Cleveland Clinic · · NPI 1083696710
$11,763.70
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.
$18,098.00
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.
$948.78 with ANTHEM vs $18,098.00 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 |
|---|---|---|---|
| ANTHEM | HPN | $948.78 | ↓ -92% |
| OPTUM | Managed Medicaid Transplant | $1,556.16 | ↓ -87% |
| Paramount | Managed Medicaid | $1,687.20 | ↓ -86% |
| ANTHEM | Managed Medicaid | $1,719.96 | ↓ -85% |
| MOLINA | Managed Medicaid | $1,719.96 | ↓ -85% |
| Buckeye | Managed Medicaid | $1,719.96 | ↓ -85% |
| UNITED | Managed Medicaid | $1,752.72 | ↓ -85% |
| CARESOURCE | Managed Medicaid | $1,752.72 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $1,801.87 | ↓ -85% |
| AETNA | Asa_Whirlpool_Peia | $2,693.00 | ↓ -77% |
| OPTUM | All Products VA | $2,917.86 | ↓ -75% |
| UNITED | MEDICARE ADVANTAGE | $2,917.86 | ↓ -75% |
| The Health Plan | MEDICARE ADVANTAGE | $2,917.86 | ↓ -75% |
| HUMANA | Medicare Advantage HMO | $2,917.86 | ↓ -75% |
| MMO | Medicare Advantage HMO | $2,917.86 | ↓ -75% |
| OPTUM | Medicare Advantage Transplant | $2,917.86 | ↓ -75% |
| Valor | HMO & PPO | $2,987.22 | ↓ -75% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $2,987.22 | ↓ -75% |
| Summacare | MEDICARE ADVANTAGE | $2,987.22 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $2,987.22 | ↓ -75% |
| ANTHEM | MEDICARE ADVANTAGE | $2,987.22 | ↓ -75% |
| UPMC | MEDICARE ADVANTAGE | $2,987.22 | ↓ -75% |
| MMO | Medicare Advantage PPO | $3,005.39 | ↓ -74% |
| AETNA | International | $3,053.00 | ↓ -74% |
| CIGNA | MEDICARE ADVANTAGE | $3,076.84 | ↓ -74% |
| CommuniCare | MEDICARE ADVANTAGE | $3,136.58 | ↓ -73% |
| Perennial Health | MEDICARE ADVANTAGE | $3,151.29 | ↓ -73% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,226.20 | ↓ -73% |
| Zing Health | Medicare Advantage | $3,285.94 | ↓ -72% |
| PPHP | ALL PRODUCTS | $3,285.94 | ↓ -72% |
| OSCAR | ALL PRODUCTS | $5,118.11 | ↓ -56% |
| PHP | ALL PRODUCTS | $5,791.36 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $5,791.36 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $6,117.12 | ↓ -48% |
| Summacare | Preferred | $6,334.30 | ↓ -46% |
| UNITED | ALL PRODUCTS | $6,757.00 | ↓ -43% |
| ANTHEM | PPO/HMO | $6,853.88 | ↓ -42% |
| MMO | ALL PRODUCTS | $6,861.64 | ↓ -42% |
| Summacare | PREMIER | $6,895.34 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $8,144.10 | ↓ -31% |
| Aultcare | PPO/HMO | $8,198.39 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $8,542.26 | ↓ -27% |
| AETNA | Acop | $8,566.00 | ↓ -27% |
| OHCP | ALL PRODUCTS | $8,795.63 | ↓ -25% |
| OMAS | ALL PRODUCTS | $9,049.00 | ↓ -23% |
| MMO | TRADITIONAL | $9,465.25 | ↓ -20% |
| MMO | NASCO | $9,465.25 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $9,772.92 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $9,953.90 | ↓ -15% |
| ANTHEM | TRADITIONAL | $10,093.25 | ↓ -14% |
| OPTUM | All Products Transplant | $10,243.47 | ↓ -13% |
| UPMC | ALL PRODUCTS | $10,858.80 | ↓ -8% |
| The Health Plan | Secure Care | $12,668.60 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $12,668.60 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $12,668.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $12,668.60 | ↑ +8% |
| AETNA | ALL PRODUCTS | $13,573.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $13,573.50 | ↑ +15% |
| The Health Plan | ALL PRODUCTS | $15,926.24 | ↑ +35% |
| Tertiary Care Network | TRANSPLANT | $16,288.20 | ↑ +38% |
| FrontPath | TRANSPLANT | $16,288.20 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $16,288.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $16,288.20 | ↑ +38% |
| AETNA | Qhp/Ipf | $18,098.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of heart lining at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $12,942.15 | $1.10 – $16,288.20 |
| akron general | Akron | $12,942.15 | $1.10 – $16,288.20 |
| avon hospital | Avon | $11,763.70 | $1,398.18 – $16,288.20 |
| euclid hospital | Euclid | $11,763.70 | $831.05 – $16,288.20 |
| fairview hospital | Cleveland | $11,763.70 | $794.04 – $16,288.20 |
| lutheran hospital | Cleveland | $11,763.70 | $794.04 – $16,288.20 |
| hillcrest hospital | Mayfield Heights | $11,763.70 | $794.04 – $16,288.20 |
| marymount hospital | Garfield Heights | $11,763.70 | $794.04 – $16,288.20 |