Adhesiolysis tube ovary 58740 at south pointe hospital

20000 Harvard Road, Warrensville Heights, OH · Cleveland Clinic · · NPI 1235183542

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 13, 2026

$91.65

Cash price

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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.

$141.00

Gross charge

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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.

$30.74 with AETNA vs $8,422.00 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 →

Payer
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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
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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 $30.74 ↓ -66%
OSCAR ALL PRODUCTS $39.87 ↓ -56%
PHP ALL PRODUCTS $45.12 ↓ -51%
CC EHP ALL PRODUCTS $47.66 ↓ -48%
Summacare Preferred $49.35 ↓ -46%
Summacare PREMIER $53.72 ↓ -41%
Aultcare PPO/HMO $58.37 ↓ -36%
CIGNA ALL PRODUCTS $66.55 ↓ -27%
OHCP ALL PRODUCTS $68.53 ↓ -25%
OMAS ALL PRODUCTS $70.50 ↓ -23%
MMO NASCO $73.74 ↓ -20%
Ohio Healthy TRANSPLANT $76.14 ↓ -17%
HEALTHSMART ALL PRODUCTS $77.55 ↓ -15%
ANTHEM TRADITIONAL $79.03 ↓ -14%
OPTUM All Products Transplant $79.81 ↓ -13%
The Health Plan ALL PRODUCTS $84.60 ↓ -8%
UPMC ALL PRODUCTS $84.60 ↓ -8%
THREE RIVERS ALL PRODUCTS $91.65 ↑ +0%
Quality Care Partners ALL PRODUCTS $98.70 ↑ +8%
GMS ALL PRODUCTS $98.70 ↑ +8%
Medical Benefit Corp Transplant SMCP $98.70 ↑ +8%
Consociate Health ALL PRODUCTS $105.75 ↑ +15%
AETNA ALL PRODUCTS $105.75 ↑ +15%
Evernorth (Cigna BH) All Products Psychiatrist $112.80 ↑ +23%
Humana Military ALL PRODUCTS $119.85 ↑ +31%
Tertiary Care Network TRANSPLANT $126.90 ↑ +38%
MULTIPLAN ALL PRODUCTS $126.90 ↑ +38%
FrontPath TRANSPLANT $126.90 ↑ +38%
USA Managed Care ALL PRODUCTS $126.90 ↑ +38%
Managed Care Services TRANSPLANT $126.90 ↑ +38%
AETNA Qhp/Ipf $141.00 ↑ +54%
ANTHEM PPO/HMO $1,658.28 ↑ +1709%
OPTUM Managed Medicaid Transplant $2,531.56 ↑ +2662%
Paramount Managed Medicaid $2,744.74 ↑ +2895%
ANTHEM Managed Medicaid $2,798.04 ↑ +2953%
Buckeye Managed Medicaid $2,798.04 ↑ +2953%
MOLINA Managed Medicaid $2,798.04 ↑ +2953%
UNITED Managed Medicaid $2,851.34 ↑ +3011%
CARESOURCE Managed Medicaid $2,851.34 ↑ +3011%
AMERIHEALTH Managed Medicaid $2,931.28 ↑ +3098%
MMO ALL PRODUCTS $3,321.00 ↑ +3524%
UNITED ALL PRODUCTS $5,553.00 ↑ +5959%
AETNA Asa_Whirlpool_Peia $7,310.00 ↑ +7876%
AETNA International $8,288.00 ↑ +8943%
AETNA Acop $8,422.00 ↑ +9089%
The Health Plan MEDICARE ADVANTAGE not published by hospital —
UNITED MEDICARE ADVANTAGE not published by hospital —
HUMANA Medicare Advantage HMO not published by hospital —
UPMC MEDICARE ADVANTAGE not published by hospital —
CommuniCare MEDICARE ADVANTAGE not published by hospital —
DEVOTED HEALTH MEDICARE ADVANTAGE not published by hospital —
ANTHEM MEDICARE ADVANTAGE not published by hospital —
OPTUM All Products VA not published by hospital —
OPTUM Medicare Advantage Transplant not published by hospital —
CIGNA MEDICARE ADVANTAGE 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 —
PPHP ALL PRODUCTS not published by hospital —
Summacare MEDICARE ADVANTAGE not published by hospital —
AETNA NAP not published by hospital —
Valor HMO & PPO not published by hospital —

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Adhesiolysis tube ovary 58740 at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland $3,874.00 $1.10 – $5,364.00
akron general Akron $3,874.00 $1.10 – $5,364.00
avon hospital Avon $91.65 $30.74 – $2,416.62
euclid hospital Euclid $91.65 $30.74 – $2,813.23
fairview hospital Cleveland $91.65 $30.74 – $2,642.88
lutheran hospital Cleveland $91.65 $30.74 – $2,516.12
hillcrest hospital Mayfield Heights $91.65 $30.74 – $2,753.48
marymount hospital Garfield Heights $91.65 $30.74 – $2,484.37

All Ohio hospitals for this procedure →