CLEVELAND CLINIC
CLEVELAND, OH 44195 · Acute Care Hospitals
252 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
252
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.3x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
2%
Compared to OH hospitals
Understanding Your Costs
When you receive a bill from CLEVELAND CLINIC, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, CLEVELAND CLINIC lists chargemaster rates that average 5.3x the corresponding Medicare reimbursement amount across 252 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in OH has a chargemaster-to-Medicare ratio of 4.7x, with ratios across the state ranging from 2.0x to 8.7x. At 5.3x, this facility’s average ratio is above the state median. 113 hospitals in OH report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at CLEVELAND CLINIC is INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC (DRG 066). The listed chargemaster rate is $54,630, while Medicare reimburses $4,579 for the same procedure — a ratio of 11.9x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
4 of 252 procedures (2%) at this facility have listed rates above the 90th percentile compared to other OH hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
CLEVELAND CLINIC is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 5/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $54,630 | $4,579 | 11.9x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $63,956 | $6,648 | 9.6x | 1th | Compare your bill |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $33,900 | $3,749 | 9.0x | 1th | Compare your bill |
| MAJOR HEAD AND NECK PROCEDURES WITH CC | 141 | $129,564 | $15,649 | 8.3x | 1th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $169,037 | $20,625 | 8.2x | 0th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $63,180 | $7,732 | 8.2x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $51,704 | $6,445 | 8.0x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $42,925 | $5,369 | 8.0x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $87,324 | $11,023 | 7.9x | 1th | Compare your bill |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | 353 | $148,624 | $19,479 | 7.6x | — | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $53,547 | $7,191 | 7.5x | 1th | Compare your bill |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $36,158 | $4,892 | 7.4x | 0th | Compare your bill |
| MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | 142 | $100,013 | $13,644 | 7.3x | 1th | Compare your bill |
| OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | 144 | $105,078 | $14,385 | 7.3x | 0th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $51,487 | $7,140 | 7.2x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $62,458 | $8,750 | 7.1x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $59,544 | $8,510 | 7.0x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $65,350 | $9,489 | 6.9x | 1th | Compare your bill |
| UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | 742 | $90,751 | $13,287 | 6.8x | 0th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $51,895 | $7,619 | 6.8x | 1th | Compare your bill |
| COAGULATION DISORDERS | 813 | $85,643 | $12,644 | 6.8x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH CC | 292 | $40,984 | $6,082 | 6.7x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $93,160 | $13,875 | 6.7x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $52,494 | $7,845 | 6.7x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $44,081 | $6,588 | 6.7x | 1th | Compare your bill |
| RESPIRATORY SIGNS AND SYMPTOMS | 204 | $43,346 | $6,503 | 6.7x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $86,243 | $12,939 | 6.7x | 0th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $201,372 | $30,241 | 6.7x | 1th | Compare your bill |
| HYPERTENSION WITH MCC | 304 | $59,873 | $9,034 | 6.6x | 1th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $119,766 | $18,138 | 6.6x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $128,568 | $19,485 | 6.6x | 1th | Compare your bill |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $75,833 | $11,522 | 6.6x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $64,331 | $9,862 | 6.5x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $68,531 | $10,585 | 6.5x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $81,301 | $12,580 | 6.5x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $95,919 | $14,939 | 6.4x | 1th | Compare your bill |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $139,720 | $21,781 | 6.4x | 0th | Compare your bill |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $69,501 | $10,887 | 6.4x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $203,135 | $31,999 | 6.3x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $77,055 | $12,144 | 6.3x | 0th | Compare your bill |
| ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | 880 | $43,214 | $6,836 | 6.3x | 1th | Compare your bill |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $123,711 | $19,565 | 6.3x | 0th | Compare your bill |
| EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | 146 | $99,352 | $15,719 | 6.3x | 0th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $284,047 | $45,091 | 6.3x | 0th | Compare your bill |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $79,763 | $12,719 | 6.3x | 1th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $59,977 | $9,613 | 6.2x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $115,243 | $18,522 | 6.2x | 0th | Compare your bill |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $96,444 | $15,568 | 6.2x | 1th | Compare your bill |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $70,235 | $11,353 | 6.2x | 0th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $146,506 | $23,677 | 6.2x | 1th | Compare your bill |
Showing 50 of 252 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across OH hospitals
113 hospitals in OH report pricing data to CMS. This facility's average ratio of 5.3x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About CLEVELAND CLINIC
How much does CLEVELAND CLINIC charge compared to Medicare?
According to CMS IPPS data, CLEVELAND CLINIC's listed chargemaster rates average 5.3x the Medicare reimbursement amount across 252 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at CLEVELAND CLINIC?
The procedure with the highest chargemaster-to-Medicare ratio at CLEVELAND CLINIC is INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC (DRG 066), with a listed charge of $54,630 compared to Medicare reimbursement of $4,579 — a ratio of 11.9x. Source: CMS IPPS Provider Summary.
Is CLEVELAND CLINIC expensive compared to other OH hospitals?
CLEVELAND CLINIC's average chargemaster-to-Medicare ratio is 5.3x. Ratios vary significantly across OH hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for CLEVELAND CLINIC come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from CLEVELAND CLINIC is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does CLEVELAND CLINIC in CLEVELAND, OH accept Medicare?
CLEVELAND CLINIC is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact CLEVELAND CLINIC directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.