Biopsy eyelid & lid margin at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$893.75
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.
$1,375.00
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.
$0.01 with UNITED vs $3,004.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Psych | $40.71 | ↓ -95% |
| Summacare | Medicare Advantage Lower Level | $41.59 | ↓ -95% |
| Optum | Managed Medicaid Transplant | $51.23 | ↓ -94% |
| Buckeye | Managed Medicaid | $53.93 | ↓ -94% |
| The Health Plan | All Products | $54.28 | ↓ -94% |
| Anthem | Medicare Advantage | $54.28 | ↓ -94% |
| Optum | Medicare Advantage Transplant | $54.28 | ↓ -94% |
| Valor | All Products | $54.28 | ↓ -94% |
| Humana | Medicare Advantage HMO | $54.28 | ↓ -94% |
| Aetna | Medicare Advantage | $54.28 | ↓ -94% |
| United | Medicare Advantage | $54.28 | ↓ -94% |
| The Health Plan | Medicare Advantage | $54.28 | ↓ -94% |
| Summacare | Medicare Advantage CNA | $54.38 | ↓ -94% |
| Caresource | Managed Medicaid | $56.63 | ↓ -94% |
| United | Managed Medicaid | $56.63 | ↓ -94% |
| CommuniCare | Medicare Advantage | $56.99 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $59.32 | ↓ -93% |
| Molina | Managed Medicaid | $59.32 | ↓ -93% |
| PPHP | All Products | $59.71 | ↓ -93% |
| Summacare | Medicare Advantage MD | $60.78 | ↓ -93% |
| Anthem | All Products Mid-Level Facility | $90.07 | ↓ -90% |
| Summacare | Preferred | $110.73 | ↓ -88% |
| ANTHEM | HPN | $115.28 | ↓ -87% |
| Summacare | Premier | $130.52 | ↓ -85% |
| Oscar | All Products | $131.88 | ↓ -85% |
| OPTUM | Managed Medicaid Transplant | $157.33 | ↓ -82% |
| MMO | Medicare HMO & PPO | $157.71 | ↓ -82% |
| CARESOURCE | Managed Medicaid | $165.61 | ↓ -81% |
| MOLINA | Managed Medicaid | $173.89 | ↓ -81% |
| ANTHEM | Managed Medicaid | $173.89 | ↓ -81% |
| UNITED | Managed Medicaid | $173.89 | ↓ -81% |
| United BH | Managed Medicaid | $175.55 | ↓ -80% |
| AMERIHEALTH | Managed Medicaid | $182.17 | ↓ -80% |
| OHCP | All Products | $201.89 | ↓ -77% |
| Cigna | All Products Mid-Level | $223.37 | ↓ -75% |
| Anthem | All Products Physician | $228.74 | ↓ -74% |
| Anthem | All Products Physician Facility | $228.74 | ↓ -74% |
| Aetna | Acop | $236.43 | ↓ -74% |
| Anthem | All Products Mid-Level Non-Facility | $238.90 | ↓ -73% |
| Aultcare | PPO/HMO | $256.39 | ↓ -71% |
| OMAS | All Products | $259.50 | ↓ -71% |
| Cigna | All Products Physician | $263.93 | ↓ -70% |
| HUMANA | Medicare Advantage HMO | $276.21 | ↓ -69% |
| OPTUM | All Products VA | $276.21 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $276.21 | ↓ -69% |
| MMO | Medicare Advantage HMO & PPO | $276.21 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $285.87 | ↓ -68% |
| Perennial Health | MEDICARE ADVANTAGE | $298.30 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $300.29 | ↓ -66% |
| Valor | HMO & PPO | $300.29 | ↓ -66% |
| UPMC | MEDICARE ADVANTAGE | $300.29 | ↓ -66% |
| ANTHEM | MEDICARE ADVANTAGE | $300.29 | ↓ -66% |
| Summacare | MEDICARE ADVANTAGE | $300.29 | ↓ -66% |
| Optum | All Products Transplant | $302.58 | ↓ -66% |
| CIGNA | MEDICARE ADVANTAGE | $309.30 | ↓ -65% |
| PHPHI | All Products | $311.40 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $324.31 | ↓ -64% |
| PPHP | ALL PRODUCTS | $330.32 | ↓ -63% |
| MMO | Traditional | $363.30 | ↓ -59% |
| GMS | All Products | $363.30 | ↓ -59% |
| OSCAR | ALL PRODUCTS | $388.85 | ↓ -56% |
| Consociate Health | All Products | $389.25 | ↓ -56% |
| Aetna | All Products First Health | $389.25 | ↓ -56% |
| Aetna | Asa | $415.20 | ↓ -54% |
| United | HMO & PPO | $435.36 | ↓ -51% |
| PHP | ALL PRODUCTS | $440.00 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $440.00 | ↓ -51% |
| Multiplan | All Products | $467.10 | ↓ -48% |
| United | All Products - Mid-Level | $478.39 | ↓ -46% |
| Summacare | PREMIER | $493.63 | ↓ -45% |
| MMO | NASCO | $498.18 | ↓ -44% |
| MMO | SuperMed | $498.18 | ↓ -44% |
| United | All Products | $515.60 | ↓ -42% |
| Aetna | Qhp/Ifp | $519.00 | ↓ -42% |
| CC EHP | ALL PRODUCTS | $556.88 | ↓ -38% |
| Anthem | All Products Physician Non-Facility | $606.77 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $618.75 | ↓ -31% |
| OHCP | ALL PRODUCTS | $668.25 | ↓ -25% |
| OMAS | ALL PRODUCTS | $687.50 | ↓ -23% |
| MMO | TRADITIONAL | $716.38 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $742.50 | ↓ -17% |
| ANTHEM | TRADITIONAL | $760.38 | ↓ -15% |
| MMO | ALL PRODUCTS | $772.95 | ↓ -14% |
| OPTUM | All Products Transplant | $778.25 | ↓ -13% |
| The Health Plan | HMO | $825.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $825.00 | ↓ -8% |
| ANTHEM | PPO/HMO | $889.64 | ↓ -0% |
| The Health Plan | ASO Self-Funded | $948.75 | ↑ +6% |
| GMS | ALL PRODUCTS | $962.50 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $962.50 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $1,031.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $1,031.25 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,100.00 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $1,237.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,237.50 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,237.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,237.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,375.00 | ↑ +54% |
| AETNA | Acop | $2,451.00 | ↑ +174% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +220% |
| AETNA | International | $3,004.00 | ↑ +236% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy eyelid & lid margin at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $893.75 | $0.01 – $1,237.50 |
| mercy hospital | Canton | $337.35 | $1.10 – $467.10 |
| University Hospitals Ahuja Medical Center | Beachwood | $576.00 | $169.73 – $691.20 |
| University Hospitals Beachwood Medical Center | Beachwood | $576.00 | $300.29 – $760.54 |
| University Hospitals Elyria Medical Center | Elyria | $576.00 | $300.29 – $540.52 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $576.00 | $300.29 – $540.52 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $576.00 | $300.29 – $540.52 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $576.00 | $300.29 – $540.52 |