healthcosts.net
Anl sp inf pmp w/mdreprg&fil at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$257.40
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.
$396.00
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 $860.86 with ANTHEM — 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 | $22.19 | ↓ -91% |
| Buckeye | Managed Medicaid | $23.36 | ↓ -91% |
| Caresource | Managed Medicaid | $24.53 | ↓ -90% |
| United | Managed Medicaid | $24.53 | ↓ -90% |
| Molina | Managed Medicaid | $25.70 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $25.70 | ↓ -90% |
| Summacare | Medicare Advantage Lower Level | $28.18 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $29.24 | ↓ -89% |
| Summacare | Medicare Advantage CNA | $36.86 | ↓ -86% |
| Humana | Medicare Advantage HMO | $38.99 | ↓ -85% |
| Optum | Medicare Advantage Transplant | $38.99 | ↓ -85% |
| Valor | All Products | $38.99 | ↓ -85% |
| Aetna | Medicare Advantage | $38.99 | ↓ -85% |
| The Health Plan | Medicare Advantage | $38.99 | ↓ -85% |
| The Health Plan | All Products | $38.99 | ↓ -85% |
| United | Medicare Advantage | $38.99 | ↓ -85% |
| Anthem | Medicare Advantage | $38.99 | ↓ -85% |
| CommuniCare | Medicare Advantage | $40.94 | ↓ -84% |
| Summacare | Medicare Advantage MD | $41.19 | ↓ -84% |
| PPHP | All Products | $42.89 | ↓ -83% |
| Anthem | All Products Mid-Level Facility | $61.53 | ↓ -76% |
| OPTUM | Managed Medicaid Transplant | $73.53 | ↓ -71% |
| CARESOURCE | Managed Medicaid | $77.40 | ↓ -70% |
| Summacare | Preferred | $79.54 | ↓ -69% |
| MMO | Medicare HMO & PPO | $80.02 | ↓ -69% |
| UNITED | Managed Medicaid | $81.27 | ↓ -68% |
| MOLINA | Managed Medicaid | $81.27 | ↓ -68% |
| ANTHEM | Managed Medicaid | $81.27 | ↓ -68% |
| United BH | Managed Medicaid | $82.04 | ↓ -68% |
| AMERIHEALTH | Managed Medicaid | $85.14 | ↓ -67% |
| Summacare | Premier | $88.45 | ↓ -66% |
| Oscar | All Products | $100.62 | ↓ -61% |
| Cigna | All Products Mid-Level | $112.96 | ↓ -56% |
| Anthem | All Products Mid-Level Non-Facility | $120.80 | ↓ -53% |
| Cigna | All Products Physician | $133.47 | ↓ -48% |
| OHCP | All Products | $154.04 | ↓ -40% |
| Anthem | All Products Physician | $156.28 | ↓ -39% |
| Anthem | All Products Physician Facility | $156.28 | ↓ -39% |
| Aetna | Acop | $164.67 | ↓ -36% |
| Aultcare | PPO/HMO | $195.62 | ↓ -24% |
| OMAS | All Products | $198.00 | ↓ -23% |
| United | HMO & PPO | $222.03 | ↓ -14% |
| Optum | All Products Transplant | $230.87 | ↓ -10% |
| PHPHI | All Products | $237.60 | ↓ -8% |
| United | All Products - Mid-Level | $243.97 | ↓ -5% |
| United | All Products | $262.95 | ↑ +2% |
| HUMANA | Medicare Advantage HMO | $277.11 | ↑ +8% |
| OPTUM | All Products VA | $277.11 | ↑ +8% |
| MMO | Medicare Advantage HMO & PPO | $277.11 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $277.11 | ↑ +8% |
| GMS | All Products | $277.20 | ↑ +8% |
| MMO | Traditional | $277.20 | ↑ +8% |
| The Health Plan | MEDICARE ADVANTAGE | $286.81 | ↑ +11% |
| UPMC | MEDICARE ADVANTAGE | $290.58 | ↑ +13% |
| Valor | HMO & PPO | $290.58 | ↑ +13% |
| ANTHEM | MEDICARE ADVANTAGE | $290.58 | ↑ +13% |
| AETNA | MEDICARE ADVANTAGE | $290.58 | ↑ +13% |
| Summacare | MEDICARE ADVANTAGE | $290.58 | ↑ +13% |
| Aetna | All Products First Health | $297.00 | ↑ +15% |
| Consociate Health | All Products | $297.00 | ↑ +15% |
| Perennial Health | MEDICARE ADVANTAGE | $299.28 | ↑ +16% |
| CIGNA | MEDICARE ADVANTAGE | $299.29 | ↑ +16% |
| Anthem | All Products Physician Non-Facility | $306.82 | ↑ +19% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $313.82 | ↑ +22% |
| Aetna | Asa | $316.80 | ↑ +23% |
| PPHP | ALL PRODUCTS | $319.63 | ↑ +24% |
| Multiplan | All Products | $356.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $396.00 | ↑ +54% |
| MMO | SuperMed | $510.72 | ↑ +98% |
| MMO | NASCO | $510.72 | ↑ +98% |
| ANTHEM | HPN | $731.73 | ↑ +184% |
| MMO | ALL PRODUCTS | $747.94 | ↑ +191% |
| ANTHEM | PPO/HMO | $860.86 | ↑ +234% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Anl sp inf pmp w/mdreprg&fil at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,344.85 | $0.01 – $1,862.10 |
| avon hospital | Avon | $1,344.85 | $0.01 – $1,862.10 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1,344.85 | $128.76 – $1,862.10 |
| euclid hospital | Euclid | $1,344.85 | $0.01 – $1,862.10 |
| fairview hospital | Cleveland | $1,344.85 | $0.01 – $1,862.10 |
| lutheran hospital | Cleveland | $1,344.85 | $0.01 – $1,862.10 |
| hillcrest hospital | Mayfield Heights | $1,344.85 | $0.01 – $1,862.10 |
| marymount hospital | Garfield Heights | $1,344.85 | $0.01 – $1,862.10 |