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Hernia repair (inguinal) at south pointe hospital
20000 Harvard Road, Warrensville Heights, OH · Cleveland Clinic · · NPI 1235183542
$10,552.10
Cash price
What you pay up front if you don't use insurance.
$16,234.00
Gross charge
The hospital's undiscounted list price — almost no one pays this.
$989.15 with ANTHEM vs $16,234.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
| Payer | Plan | Negotiated rate | vs. cash |
|---|---|---|---|
| ANTHEM | PPO/HMO | $989.15 | ↓ -91% |
| OPTUM | Managed Medicaid Transplant | $2,214.29 | ↓ -79% |
| Paramount | Managed Medicaid | $2,400.75 | ↓ -77% |
| ANTHEM | Managed Medicaid | $2,447.37 | ↓ -77% |
| MOLINA | Managed Medicaid | $2,447.37 | ↓ -77% |
| Buckeye | Managed Medicaid | $2,447.37 | ↓ -77% |
| UNITED | Managed Medicaid | $2,493.99 | ↓ -76% |
| CARESOURCE | Managed Medicaid | $2,493.99 | ↓ -76% |
| AMERIHEALTH | Managed Medicaid | $2,563.91 | ↓ -76% |
| UNITED | MEDICARE ADVANTAGE | $3,001.45 | ↓ -72% |
| The Health Plan | MEDICARE ADVANTAGE | $3,271.58 | ↓ -69% |
| OPTUM | All Products VA | $3,271.58 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $3,271.58 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $3,271.58 | ↓ -69% |
| Summacare | MEDICARE ADVANTAGE | $3,387.33 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $3,387.33 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $3,387.33 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $3,387.33 | ↓ -68% |
| Valor | HMO & PPO | $3,387.33 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $3,387.33 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $3,488.95 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $3,533.31 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $3,556.70 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,658.32 | ↓ -65% |
| PPHP | ALL PRODUCTS | $3,726.07 | ↓ -65% |
| MMO | ALL PRODUCTS | $4,042.00 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $4,590.98 | ↓ -56% |
| PHP | ALL PRODUCTS | $5,194.88 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $5,487.09 | ↓ -48% |
| Summacare | Preferred | $5,681.90 | ↓ -46% |
| AETNA | Asa_Whirlpool_Peia | $6,072.00 | ↓ -42% |
| AETNA | Acop | $6,075.00 | ↓ -42% |
| Summacare | PREMIER | $6,185.15 | ↓ -41% |
| CIGNA | ALL PRODUCTS | $6,565.00 | ↓ -38% |
| Aultcare | PPO/HMO | $6,720.88 | ↓ -36% |
| UNITED | ALL PRODUCTS | $6,757.00 | ↓ -36% |
| AETNA | International | $6,885.00 | ↓ -35% |
| OHCP | ALL PRODUCTS | $7,889.72 | ↓ -25% |
| OMAS | ALL PRODUCTS | $8,117.00 | ↓ -23% |
| MMO | NASCO | $8,490.38 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $8,766.36 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $8,928.70 | ↓ -15% |
| ANTHEM | TRADITIONAL | $9,099.16 | ↓ -14% |
| OPTUM | All Products Transplant | $9,188.44 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $9,740.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $9,740.40 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $10,552.10 | ↑ +0% |
| Quality Care Partners | ALL PRODUCTS | $11,363.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $11,363.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $11,363.80 | ↑ +8% |
| AETNA | ALL PRODUCTS | $12,175.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $12,175.50 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $12,987.20 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $13,798.90 | ↑ +31% |
| MULTIPLAN | ALL PRODUCTS | $14,610.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $14,610.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $14,610.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $14,610.60 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $14,610.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $16,234.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
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Hernia repair (inguinal) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,069.60 | $1.10 – $3,387.33 |
| akron general | Akron | $2,069.60 | $1.10 – $3,521.64 |
| avon hospital | Avon | $10,552.10 | $989.15 – $14,610.60 |
| euclid hospital | Euclid | $10,552.10 | $989.15 – $14,610.60 |
| fairview hospital | Cleveland | $10,552.10 | $844.91 – $14,610.60 |
| hillcrest hospital | Mayfield Heights | $10,552.10 | $844.91 – $14,610.60 |
| lutheran hospital | Cleveland | $10,552.10 | $989.15 – $14,610.60 |
| marymount hospital | Garfield Heights | $10,552.10 | $989.15 – $14,610.60 |