healthcosts.net
Ankle arthroscopy/surgery at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$2,670.20
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.
?
What you pay up front if you don't use insurance.
$4,108.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $20,338.07 with ANTHEM — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $397.24 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $436.15 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $471.06 | ↓ -82% |
| Buckeye | Managed Medicaid | $495.85 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $519.47 | ↓ -81% |
| United | Managed Medicaid | $520.64 | ↓ -81% |
| Caresource | Managed Medicaid | $520.64 | ↓ -81% |
| Molina | Managed Medicaid | $545.44 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $545.44 | ↓ -80% |
| Summacare | Medicare Advantage MD | $580.58 | ↓ -78% |
| The Health Plan | Medicare Advantage | $581.53 | ↓ -78% |
| The Health Plan | All Products | $581.53 | ↓ -78% |
| United | Medicare Advantage | $581.53 | ↓ -78% |
| Valor | All Products | $581.53 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $581.53 | ↓ -78% |
| Humana | Medicare Advantage HMO | $581.53 | ↓ -78% |
| Anthem | Medicare Advantage | $581.53 | ↓ -78% |
| Aetna | Medicare Advantage | $581.53 | ↓ -78% |
| CommuniCare | Medicare Advantage | $610.61 | ↓ -77% |
| PPHP | All Products | $639.68 | ↓ -76% |
| Anthem | All Products Mid-Level Non-Facility | $858.46 | ↓ -68% |
| Anthem | All Products Mid-Level Facility | $858.46 | ↓ -68% |
| Oscar | All Products | $1,043.84 | ↓ -61% |
| MMO | Medicare HMO & PPO | $1,150.54 | ↓ -57% |
| Summacare | Preferred | $1,186.32 | ↓ -56% |
| Summacare | Premier | $1,246.73 | ↓ -53% |
| United | HMO & PPO | $1,591.48 | ↓ -40% |
| OHCP | All Products | $1,598.01 | ↓ -40% |
| United | All Products - Mid-Level | $1,748.76 | ↓ -35% |
| United | All Products | $1,884.81 | ↓ -29% |
| Aultcare | PPO/HMO | $2,029.35 | ↓ -24% |
| OMAS | All Products | $2,054.00 | ↓ -23% |
| Anthem | All Products Physician Non-Facility | $2,180.29 | ↓ -18% |
| Anthem | All Products Physician Facility | $2,180.29 | ↓ -18% |
| Anthem | All Products Physician | $2,180.29 | ↓ -18% |
| Optum | All Products Transplant | $2,394.96 | ↓ -10% |
| PHPHI | All Products | $2,464.80 | ↓ -8% |
| GMS | All Products | $2,875.60 | ↑ +8% |
| MMO | Traditional | $2,875.60 | ↑ +8% |
| Aetna | All Products First Health | $3,081.00 | ↑ +15% |
| Consociate Health | All Products | $3,081.00 | ↑ +15% |
| Aetna | Asa | $3,286.40 | ↑ +23% |
| OPTUM | Managed Medicaid Transplant | $3,451.33 | ↑ +29% |
| CARESOURCE | Managed Medicaid | $3,632.98 | ↑ +36% |
| Multiplan | All Products | $3,697.20 | ↑ +38% |
| MOLINA | Managed Medicaid | $3,814.63 | ↑ +43% |
| ANTHEM | Managed Medicaid | $3,814.63 | ↑ +43% |
| UNITED | Managed Medicaid | $3,814.63 | ↑ +43% |
| United BH | Managed Medicaid | $3,850.96 | ↑ +44% |
| AMERIHEALTH | Managed Medicaid | $3,996.28 | ↑ +50% |
| Aetna | Qhp/Ifp | $4,108.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $6,600.66 | ↑ +147% |
| MMO | Medicare Advantage HMO & PPO | $6,600.66 | ↑ +147% |
| OPTUM | All Products VA | $6,600.66 | ↑ +147% |
| HUMANA | Medicare Advantage HMO | $6,600.66 | ↑ +147% |
| The Health Plan | MEDICARE ADVANTAGE | $6,831.69 | ↑ +156% |
| UPMC | MEDICARE ADVANTAGE | $6,864.94 | ↑ +157% |
| Valor | HMO & PPO | $6,864.94 | ↑ +157% |
| Summacare | MEDICARE ADVANTAGE | $6,864.94 | ↑ +157% |
| ANTHEM | MEDICARE ADVANTAGE | $6,864.94 | ↑ +157% |
| AETNA | MEDICARE ADVANTAGE | $6,864.94 | ↑ +157% |
| CIGNA | MEDICARE ADVANTAGE | $7,070.89 | ↑ +165% |
| Perennial Health | MEDICARE ADVANTAGE | $7,128.72 | ↑ +167% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,414.13 | ↑ +178% |
| PPHP | ALL PRODUCTS | $7,551.43 | ↑ +183% |
| MMO | NASCO | $12,214.27 | ↑ +357% |
| MMO | SuperMed | $12,214.27 | ↑ +357% |
| ANTHEM | HPN | $17,287.29 | ↑ +547% |
| MMO | ALL PRODUCTS | $17,670.35 | ↑ +562% |
| ANTHEM | PPO/HMO | $20,338.07 | ↑ +662% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Ankle arthroscopy/surgery at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,670.20 | $1.10 – $6,864.94 |
| mercy hospital | Canton | $2,670.20 | $1.10 – $7,070.89 |
| avon hospital | Avon | not published | $3,701.48 – $7,551.43 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $6,043.19 – $6,997.38 |
| euclid hospital | Euclid | not published | $3,792.27 – $7,551.43 |
| fairview hospital | Cleveland | not published | $3,562.64 – $7,551.43 |
| lutheran hospital | Cleveland | not published | $3,391.76 – $7,551.43 |
| hillcrest hospital | Mayfield Heights | not published | $3,711.72 – $7,551.43 |