Uh Cleveland Medical Center
11100 Euclid Avenue, Cleveland, OH 44106 · 130 Priced Procedures · 69% Patient Recommendation
Typical commercial prices here are +4% above the fair benchmark (1.04×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.04× fair market pricing.
Aligned Regional Benchmark Peer
Uh Cleveland Medical Center prices shoppable and inpatient services (1.2× to 1.1× Medicare, divergence 0.92×) in alignment with regional hospital peers (1.04× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.87× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 33% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (60/100 safety score) with 69% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (54.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.04× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 0.93× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (1.04× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Unnegotiated chargemaster list prices average 10.3× Medicare (22¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Uh Cleveland Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 130 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $41,772 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $25,118 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $24,943 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $22,797 | unverified |
| Total hip replacement CPT Code: 27130 | $12,146 | 0.9× |
| Total knee replacement CPT Code: 27447 | $12,146 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,849 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,720 | 0.9× |
| Breast lump removal CPT Code: 19120 | $3,704 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $3,387 | 0.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,096 | 0.9× |
| Bunion correction surgery CPT Code: 28296 | $3,096 | 0.9× |
| C-section delivery (full package) CPT Code: 59510 | $2,419 | 0.8× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,183 | 0.9× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,163 | 0.8× |
| Trauma team activation HCPCS Code: G0390 | $1,261 | 0.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,132 | 0.9× |
| Hospital observation (per hour) HCPCS Code: G0378 | $913 | 10.6× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $880 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $858 | 0.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $812 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $728 | 1.4× |
| Injection procedure for pain management HCPCS Code: G0260 | $668 | 0.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $604 | 1.6× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $594 | 1.3× |
Audit a Bill or Quote at Uh Cleveland Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $54,437
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (54.3% of gross = $54,437).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Uh Cleveland Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($100,253) is $69,478 above the denoised Fair BaseRate ($30,775) and 4.3× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (54.3% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Uh Cleveland Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-03·administrative_or_closure
Closure Notice
Recorded - 2025-03-25·warning_notice
Warning Notice
Recorded - 2023-12-01·administrative_or_closure
Closure Notice
Recorded - 2023-08-16·cap_corrective_action
CAP Request
Recorded - 2023-05-02·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (4,531 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Uh Cleveland Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.