Adv prim care mgmt lvl 3 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$477.75
Cash price 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.
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What you pay up front if you don't use insurance.
$735.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $735.00 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $50.75 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $54.05 | ↓ -89% |
| Optum | Managed Medicaid Transplant | $58.63 | ↓ -88% |
| Buckeye | Managed Medicaid | $61.72 | ↓ -87% |
| Caresource | Managed Medicaid | $64.81 | ↓ -86% |
| United | Managed Medicaid | $64.81 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $66.36 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $67.89 | ↓ -86% |
| Molina | Managed Medicaid | $67.89 | ↓ -86% |
| MMO | Medicare HMO & PPO | $72.07 | ↓ -85% |
| Humana | Medicare Advantage HMO | $72.07 | ↓ -85% |
| Optum | Medicare Advantage Transplant | $72.07 | ↓ -85% |
| Valor | All Products | $72.07 | ↓ -85% |
| Anthem | Medicare Advantage | $72.07 | ↓ -85% |
| The Health Plan | All Products | $72.07 | ↓ -85% |
| United | Medicare Advantage | $72.07 | ↓ -85% |
| The Health Plan | Medicare Advantage | $72.07 | ↓ -85% |
| Aetna | Medicare Advantage | $72.07 | ↓ -85% |
| Summacare | Medicare Advantage MD | $74.17 | ↓ -84% |
| CommuniCare | Medicare Advantage | $75.67 | ↓ -84% |
| PPHP | All Products | $79.28 | ↓ -83% |
| MMO | Medicare Advantage HMO & PPO | $85.47 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $85.47 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $85.47 | ↓ -82% |
| OPTUM | All Products VA | $85.47 | ↓ -82% |
| The Health Plan | MEDICARE ADVANTAGE | $88.46 | ↓ -81% |
| Perennial Health | MEDICARE ADVANTAGE | $92.31 | ↓ -81% |
| UPMC | MEDICARE ADVANTAGE | $96.11 | ↓ -80% |
| ANTHEM | MEDICARE ADVANTAGE | $96.11 | ↓ -80% |
| AETNA | MEDICARE ADVANTAGE | $96.11 | ↓ -80% |
| Summacare | MEDICARE ADVANTAGE | $96.11 | ↓ -80% |
| Valor | HMO & PPO | $96.11 | ↓ -80% |
| CIGNA | MEDICARE ADVANTAGE | $98.99 | ↓ -79% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $103.80 | ↓ -78% |
| PPHP | ALL PRODUCTS | $105.72 | ↓ -78% |
| Summacare | Preferred | $147.02 | ↓ -69% |
| Summacare | Premier | $159.26 | ↓ -67% |
| Oscar | All Products | $186.76 | ↓ -61% |
| United | All Products - Mid-Level | $217.76 | ↓ -54% |
| United | All Products | $234.90 | ↓ -51% |
| ANTHEM | HPN | $242.03 | ↓ -49% |
| MMO | ALL PRODUCTS | $247.39 | ↓ -48% |
| ANTHEM | PPO/HMO | $284.74 | ↓ -40% |
| OHCP | All Products | $285.92 | ↓ -40% |
| Aultcare | PPO/HMO | $363.09 | ↓ -24% |
| OMAS | All Products | $367.50 | ↓ -23% |
| MMO | SuperMed | $396.90 | ↓ -17% |
| MMO | NASCO | $396.90 | ↓ -17% |
| Optum | All Products Transplant | $428.51 | ↓ -10% |
| PHPHI | All Products | $441.00 | ↓ -8% |
| GMS | All Products | $514.50 | ↑ +8% |
| MMO | Traditional | $514.50 | ↑ +8% |
| Aetna | All Products First Health | $551.25 | ↑ +15% |
| Consociate Health | All Products | $551.25 | ↑ +15% |
| Aetna | Asa | $588.00 | ↑ +23% |
| Multiplan | All Products | $661.50 | ↑ +38% |
| Aetna | Qhp/Ifp | $735.00 | ↑ +54% |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Anthem | All Products Physician | not published by hospital | — |
| Anthem | All Products Mid-Level Non-Facility | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| Anthem | All Products Physician Non-Facility | not published by hospital | — |
| Anthem | All Products Mid-Level Facility | not published by hospital | — |
| Anthem | All Products Physician Facility | not published by hospital | — |
Visitor-reported prices
Comments
Adv prim care mgmt lvl 3 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $477.75 | $1.10 – $661.50 |
| mercy hospital | Canton | $477.75 | $1.10 – $661.50 |
| avon hospital | Avon | not published | $85.75 – $105.72 |
| euclid hospital | Euclid | not published | $85.75 – $105.72 |
| fairview hospital | Cleveland | not published | $85.75 – $105.72 |
| lutheran hospital | Cleveland | not published | $85.75 – $105.72 |
| hillcrest hospital | Mayfield Heights | not published | $85.75 – $105.72 |
| lodi hospital | Lodi | not published | $92.50 – $103.79 |