healthcosts.net
Biopsy of prostate at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,198.60
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.
$1,844.00
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 $9,879.99 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% |
| Summacare | Medicare Advantage Psych | $73.40 | ↓ -94% |
| Valor | All Products | $97.86 | ↓ -92% |
| United | Medicare Advantage | $97.86 | ↓ -92% |
| Aetna | Medicare Advantage | $97.86 | ↓ -92% |
| The Health Plan | Medicare Advantage | $97.86 | ↓ -92% |
| Optum | Medicare Advantage Transplant | $97.86 | ↓ -92% |
| Humana | Medicare Advantage HMO | $97.86 | ↓ -92% |
| Anthem | Medicare Advantage | $97.86 | ↓ -92% |
| The Health Plan | All Products | $97.86 | ↓ -92% |
| CommuniCare | Medicare Advantage | $102.75 | ↓ -91% |
| PPHP | All Products | $107.65 | ↓ -91% |
| Summacare | Medicare Advantage Lower Level | $162.91 | ↓ -86% |
| Summacare | Preferred | $199.63 | ↓ -83% |
| Optum | Managed Medicaid Transplant | $202.32 | ↓ -83% |
| Buckeye | Managed Medicaid | $212.97 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $213.04 | ↓ -82% |
| United | Managed Medicaid | $223.62 | ↓ -81% |
| Caresource | Managed Medicaid | $223.62 | ↓ -81% |
| Molina | Managed Medicaid | $234.27 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $234.27 | ↓ -80% |
| Summacare | Medicare Advantage MD | $238.10 | ↓ -80% |
| Anthem | All Products Mid-Level Non-Facility | $351.73 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $351.73 | ↓ -71% |
| Oscar | All Products | $468.56 | ↓ -61% |
| MMO | Medicare HMO & PPO | $476.39 | ↓ -60% |
| Summacare | Premier | $511.29 | ↓ -57% |
| United | HMO & PPO | $653.08 | ↓ -46% |
| OHCP | All Products | $717.32 | ↓ -40% |
| United | All Products - Mid-Level | $717.62 | ↓ -40% |
| United | All Products | $773.45 | ↓ -35% |
| Anthem | All Products Physician | $893.34 | ↓ -25% |
| Anthem | All Products Physician Non-Facility | $893.34 | ↓ -25% |
| Anthem | All Products Physician Facility | $893.34 | ↓ -25% |
| OPTUM | Managed Medicaid Transplant | $895.32 | ↓ -25% |
| Aultcare | PPO/HMO | $910.94 | ↓ -24% |
| OMAS | All Products | $922.00 | ↓ -23% |
| CARESOURCE | Managed Medicaid | $942.44 | ↓ -21% |
| MOLINA | Managed Medicaid | $989.56 | ↓ -17% |
| ANTHEM | Managed Medicaid | $989.56 | ↓ -17% |
| UNITED | Managed Medicaid | $989.56 | ↓ -17% |
| United BH | Managed Medicaid | $998.99 | ↓ -17% |
| AMERIHEALTH | Managed Medicaid | $1,036.68 | ↓ -14% |
| Optum | All Products Transplant | $1,075.05 | ↓ -10% |
| PHPHI | All Products | $1,106.40 | ↓ -8% |
| GMS | All Products | $1,290.80 | ↑ +8% |
| MMO | Traditional | $1,290.80 | ↑ +8% |
| Consociate Health | All Products | $1,383.00 | ↑ +15% |
| Aetna | All Products First Health | $1,383.00 | ↑ +15% |
| Aetna | Asa | $1,475.20 | ↑ +23% |
| Multiplan | All Products | $1,659.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,844.00 | ↑ +54% |
| OPTUM | All Products VA | $3,186.78 | ↑ +166% |
| HUMANA | Medicare Advantage HMO | $3,186.78 | ↑ +166% |
| UNITED | MEDICARE ADVANTAGE | $3,186.78 | ↑ +166% |
| MMO | Medicare Advantage HMO & PPO | $3,186.78 | ↑ +166% |
| The Health Plan | MEDICARE ADVANTAGE | $3,298.32 | ↑ +175% |
| Summacare | MEDICARE ADVANTAGE | $3,334.90 | ↑ +178% |
| Valor | HMO & PPO | $3,334.90 | ↑ +178% |
| UPMC | MEDICARE ADVANTAGE | $3,334.90 | ↑ +178% |
| ANTHEM | MEDICARE ADVANTAGE | $3,334.90 | ↑ +178% |
| AETNA | MEDICARE ADVANTAGE | $3,334.90 | ↑ +178% |
| CIGNA | MEDICARE ADVANTAGE | $3,434.95 | ↑ +187% |
| Perennial Health | MEDICARE ADVANTAGE | $3,441.72 | ↑ +187% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,601.70 | ↑ +200% |
| PPHP | ALL PRODUCTS | $3,668.39 | ↑ +206% |
| MMO | NASCO | $5,953.02 | ↑ +397% |
| MMO | SuperMed | $5,953.02 | ↑ +397% |
| ANTHEM | HPN | $8,397.95 | ↑ +601% |
| MMO | ALL PRODUCTS | $8,584.04 | ↑ +616% |
| ANTHEM | PPO/HMO | $9,879.99 | ↑ +724% |
| 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
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Biopsy of prostate at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $10,312.25 | $0.01 – $14,278.50 |
| avon hospital | Avon | $10,312.25 | $0.01 – $14,278.50 |
| euclid hospital | Euclid | $10,312.25 | $0.01 – $14,278.50 |
| fairview hospital | Cleveland | $10,312.25 | $0.01 – $14,278.50 |
| lutheran hospital | Cleveland | $10,312.25 | $0.01 – $14,278.50 |
| hillcrest hospital | Mayfield Heights | $10,312.25 | $0.01 – $14,278.50 |
| marymount hospital | Garfield Heights | $10,312.25 | $0.01 – $14,278.50 |
| medina hospital | Medina | $10,312.25 | $0.01 – $14,278.50 |