Cleveland Clinic
Cleveland Clinic in Cleveland, OH charges 5.2x the Medicare reimbursement rate across 252 analyzed procedures, with only 2% classified as pricing outliers.
Cleveland, OH 44195 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
5.25x
Charge / Medicare rate
Max markup
11.93x
Worst procedure
Procedures analyzed
252
With pricing data
Outlier procedures
1.6%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $54,630 | $27,315 | — | 11.9x |
| SEIZURES WITHOUT MCC | 101 | $63,956 | $31,978 | — | 9.6x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $33,900 | $16,950 | — | 9x |
| MAJOR HEAD AND NECK PROCEDURES WITH CC | 141 | $129,564 | $64,782 | — | 8.3x |
| KIDNEY TRANSPLANT | 652 | $169,037 | $84,518 | — | 8.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $63,180 | $31,590 | — | 8.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $51,704 | $25,852 | — | 8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $42,925 | $21,463 | — | 8x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $87,324 | $43,662 | — | 7.9x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | 353 | $148,624 | $74,312 | — | 7.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $53,547 | $26,774 | — | 7.5x |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $36,158 | $18,079 | — | 7.4x |
| MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | 142 | $100,013 | $50,007 | — | 7.3x |
| OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | 144 | $105,078 | $52,539 | — | 7.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $51,487 | $25,743 | — | 7.2x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $62,458 | $31,229 | — | 7.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $59,544 | $29,772 | — | 7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $65,350 | $32,675 | — | 6.9x |
| UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | 742 | $90,751 | $45,375 | — | 6.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $51,895 | $25,947 | — | 6.8x |
| COAGULATION DISORDERS | 813 | $85,643 | $42,821 | — | 6.8x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $40,984 | $20,492 | — | 6.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $93,160 | $46,580 | — | 6.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $52,494 | $26,247 | — | 6.7x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $44,081 | $22,041 | — | 6.7x |
| RESPIRATORY SIGNS AND SYMPTOMS | 204 | $43,346 | $21,673 | — | 6.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $86,243 | $43,122 | — | 6.7x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $201,372 | $100,686 | — | 6.7x |
| HYPERTENSION WITH MCC | 304 | $59,873 | $29,937 | — | 6.6x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $119,766 | $59,883 | — | 6.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $128,568 | $64,284 | — | 6.6x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $75,833 | $37,917 | — | 6.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $64,331 | $32,166 | — | 6.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $68,531 | $34,265 | — | 6.5x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $81,301 | $40,651 | — | 6.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $95,919 | $47,959 | — | 6.4x |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $139,720 | $69,860 | — | 6.4x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $69,501 | $34,750 | — | 6.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $203,135 | $101,568 | — | 6.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $77,055 | $38,528 | — | 6.3x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $123,711 | $61,856 | — | 6.3x |
| EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | 146 | $99,352 | $49,676 | — | 6.3x |
| ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | 880 | $43,214 | $21,607 | — | 6.3x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $284,047 | $142,023 | — | 6.3x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $79,763 | $39,882 | — | 6.3x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $59,977 | $29,989 | — | 6.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $115,243 | $57,621 | — | 6.2x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $96,444 | $48,222 | — | 6.2x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $146,506 | $73,253 | — | 6.2x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $70,235 | $35,117 | — | 6.2x |
Showing 50 of 252 procedures
How CLEVELAND CLINIC compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use