healthcosts.net
Advance care planning each additional 30 min 99498 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$364.00
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.
$560.00
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 $560.00 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% |
| OPTUM | Managed Medicaid Transplant | $17.35 | ↓ -95% |
| Buckeye | Managed Medicaid | $18.26 | ↓ -95% |
| CARESOURCE | Managed Medicaid | $18.26 | ↓ -95% |
| MOLINA | Managed Medicaid | $19.17 | ↓ -95% |
| UNITED | Managed Medicaid | $19.17 | ↓ -95% |
| ANTHEM | Managed Medicaid | $19.17 | ↓ -95% |
| United BH | Managed Medicaid | $19.36 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $20.09 | ↓ -94% |
| Summacare | Medicare Advantage Lower Level | $43.49 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $46.96 | ↓ -87% |
| Optum | Managed Medicaid Transplant | $50.26 | ↓ -86% |
| Caresource | Managed Medicaid | $55.55 | ↓ -85% |
| United | Managed Medicaid | $55.55 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $56.87 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $58.19 | ↓ -84% |
| Molina | Managed Medicaid | $58.19 | ↓ -84% |
| Optum | Medicare Advantage Transplant | $62.61 | ↓ -83% |
| Aetna | Medicare Advantage | $62.61 | ↓ -83% |
| Anthem | Medicare Advantage | $62.61 | ↓ -83% |
| Humana | Medicare Advantage HMO | $62.61 | ↓ -83% |
| The Health Plan | All Products | $62.61 | ↓ -83% |
| The Health Plan | Medicare Advantage | $62.61 | ↓ -83% |
| United | Medicare Advantage | $62.61 | ↓ -83% |
| Valor | All Products | $62.61 | ↓ -83% |
| Summacare | Medicare Advantage MD | $63.56 | ↓ -83% |
| CommuniCare | Medicare Advantage | $65.74 | ↓ -82% |
| PPHP | All Products | $68.87 | ↓ -81% |
| Anthem | All Products Mid-Level Facility | $81.51 | ↓ -78% |
| Anthem | All Products Mid-Level Non-Facility | $81.86 | ↓ -78% |
| Cigna | All Products Mid-Level | $89.30 | ↓ -75% |
| Aetna | Acop | $103.88 | ↓ -71% |
| Cigna | All Products Physician | $105.52 | ↓ -71% |
| United | HMO & PPO | $116.17 | ↓ -68% |
| MMO | Medicare HMO & PPO | $125.42 | ↓ -66% |
| Summacare | Preferred | $127.72 | ↓ -65% |
| Summacare | Premier | $136.48 | ↓ -63% |
| Oscar | All Products | $142.30 | ↓ -61% |
| United | All Products - Mid-Level | $142.31 | ↓ -61% |
| Anthem | All Products Physician | $145.69 | ↓ -60% |
| Anthem | All Products Physician Facility | $145.69 | ↓ -60% |
| Anthem | All Products Physician Non-Facility | $146.33 | ↓ -60% |
| United | All Products | $153.51 | ↓ -58% |
| OHCP | All Products | $217.84 | ↓ -40% |
| Aultcare | PPO/HMO | $276.64 | ↓ -24% |
| OMAS | All Products | $280.00 | ↓ -23% |
| MMO | NASCO | $302.40 | ↓ -17% |
| MMO | SuperMed | $302.40 | ↓ -17% |
| Optum | All Products Transplant | $326.48 | ↓ -10% |
| PHPHI | All Products | $336.00 | ↓ -8% |
| MMO | Traditional | $392.00 | ↑ +8% |
| GMS | All Products | $392.00 | ↑ +8% |
| Consociate Health | All Products | $420.00 | ↑ +15% |
| Aetna | All Products First Health | $420.00 | ↑ +15% |
| Aetna | Asa | $448.00 | ↑ +23% |
| Multiplan | All Products | $504.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $560.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Advance care planning each additional 30 min 99498 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $364.00 | $0.01 – $346.50 |
| avon hospital | Avon | $63.70 | $0.01 – $88.20 |
| euclid hospital | Euclid | $63.70 | $0.01 – $88.20 |
| fairview hospital | Cleveland | $63.70 | $0.01 – $88.20 |
| lutheran hospital | Cleveland | $63.70 | $0.01 – $88.20 |
| hillcrest hospital | Mayfield Heights | $63.70 | $0.01 – $88.20 |
| marymount hospital | Garfield Heights | $63.70 | $0.01 – $88.20 |
| medina hospital | Medina | $63.70 | $0.01 – $88.20 |