healthcosts.net
Biopsy of salivary gland 42400 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$2,104.05
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.
$3,237.00
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 Lower Level | $32.10 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $34.73 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $41.97 | ↓ -98% |
| Optum | Managed Medicaid Transplant | $45.49 | ↓ -98% |
| Humana | Medicare Advantage HMO | $46.30 | ↓ -98% |
| Valor | All Products | $46.30 | ↓ -98% |
| Aetna | Medicare Advantage | $46.30 | ↓ -98% |
| United | Medicare Advantage | $46.30 | ↓ -98% |
| The Health Plan | Medicare Advantage | $46.30 | ↓ -98% |
| The Health Plan | All Products | $46.30 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $46.30 | ↓ -98% |
| Anthem | Medicare Advantage | $46.30 | ↓ -98% |
| Summacare | Medicare Advantage MD | $46.91 | ↓ -98% |
| Buckeye | Managed Medicaid | $47.88 | ↓ -98% |
| CommuniCare | Medicare Advantage | $48.62 | ↓ -98% |
| Caresource | Managed Medicaid | $50.27 | ↓ -98% |
| United | Managed Medicaid | $50.27 | ↓ -98% |
| PPHP | All Products | $50.93 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $52.67 | ↓ -97% |
| Molina | Managed Medicaid | $52.67 | ↓ -97% |
| Anthem | All Products Mid-Level Facility | $69.73 | ↓ -97% |
| Oscar | All Products | $87.16 | ↓ -96% |
| ANTHEM | HPN | $87.79 | ↓ -96% |
| Summacare | Preferred | $94.45 | ↓ -96% |
| MMO | Medicare HMO & PPO | $97.61 | ↓ -95% |
| Summacare | Premier | $100.74 | ↓ -95% |
| Cigna | All Products Mid-Level | $118.27 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $126.49 | ↓ -94% |
| OHCP | All Products | $133.43 | ↓ -94% |
| Cigna | All Products Physician | $139.75 | ↓ -93% |
| Aetna | Acop | $140.11 | ↓ -93% |
| Aultcare | PPO/HMO | $169.44 | ↓ -92% |
| OMAS | All Products | $171.50 | ↓ -92% |
| Anthem | All Products Physician Facility | $177.10 | ↓ -92% |
| Anthem | All Products Physician | $177.10 | ↓ -92% |
| Optum | All Products Transplant | $199.97 | ↓ -90% |
| PHPHI | All Products | $205.80 | ↓ -90% |
| United | HMO & PPO | $228.66 | ↓ -89% |
| MMO | Traditional | $240.10 | ↓ -89% |
| GMS | All Products | $240.10 | ↓ -89% |
| United | All Products - Mid-Level | $251.26 | ↓ -88% |
| Consociate Health | All Products | $257.25 | ↓ -88% |
| Aetna | All Products First Health | $257.25 | ↓ -88% |
| United | All Products | $270.80 | ↓ -87% |
| Aetna | Asa | $274.40 | ↓ -87% |
| Multiplan | All Products | $308.70 | ↓ -85% |
| Anthem | All Products Physician Non-Facility | $321.26 | ↓ -85% |
| Aetna | Qhp/Ifp | $343.00 | ↓ -84% |
| UNITED | MEDICARE ADVANTAGE | $650.10 | ↓ -69% |
| MMO | Medicare Advantage HMO & PPO | $650.10 | ↓ -69% |
| OPTUM | All Products VA | $650.10 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $650.10 | ↓ -69% |
| Valor | HMO & PPO | $669.95 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $669.95 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $669.95 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $669.95 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $669.95 | ↓ -68% |
| The Health Plan | MEDICARE ADVANTAGE | $672.86 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $690.05 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $702.11 | ↓ -67% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $723.54 | ↓ -66% |
| PPHP | ALL PRODUCTS | $736.94 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $818.99 | ↓ -61% |
| PHPHI | ALL PRODUCTS | $926.72 | ↓ -56% |
| PHP | ALL PRODUCTS | $926.72 | ↓ -56% |
| Summacare | PREMIER | $1,039.66 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $1,172.88 | ↓ -44% |
| MMO | SuperMed | $1,200.64 | ↓ -43% |
| MMO | NASCO | $1,200.64 | ↓ -43% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,303.20 | ↓ -38% |
| OPTUM | Managed Medicaid Transplant | $1,358.50 | ↓ -35% |
| OHCP | ALL PRODUCTS | $1,407.46 | ↓ -33% |
| CARESOURCE | Managed Medicaid | $1,430.00 | ↓ -32% |
| OMAS | ALL PRODUCTS | $1,448.00 | ↓ -31% |
| MOLINA | Managed Medicaid | $1,501.50 | ↓ -29% |
| ANTHEM | Managed Medicaid | $1,501.50 | ↓ -29% |
| UNITED | Managed Medicaid | $1,501.50 | ↓ -29% |
| MMO | TRADITIONAL | $1,508.82 | ↓ -28% |
| United BH | Managed Medicaid | $1,515.80 | ↓ -28% |
| Ohio Healthy | TRANSPLANT | $1,563.84 | ↓ -26% |
| AMERIHEALTH | Managed Medicaid | $1,573.00 | ↓ -25% |
| ANTHEM | TRADITIONAL | $1,601.49 | ↓ -24% |
| OPTUM | All Products Transplant | $1,639.14 | ↓ -22% |
| MMO | ALL PRODUCTS | $1,724.45 | ↓ -18% |
| The Health Plan | HMO | $1,737.60 | ↓ -17% |
| UPMC | ALL PRODUCTS | $1,737.60 | ↓ -17% |
| ANTHEM | PPO/HMO | $1,984.79 | ↓ -6% |
| The Health Plan | ASO Self-Funded | $1,998.24 | ↓ -5% |
| GMS | ALL PRODUCTS | $2,027.20 | ↓ -4% |
| Medical Benefit Corp | Transplant SMCP | $2,027.20 | ↓ -4% |
| Consociate Health | ALL PRODUCTS | $2,172.00 | ↑ +3% |
| AETNA | ALL PRODUCTS | $2,172.00 | ↑ +3% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,316.80 | ↑ +10% |
| AETNA | Acop | $2,451.00 | ↑ +16% |
| Managed Care Services | TRANSPLANT | $2,606.40 | ↑ +24% |
| FrontPath | TRANSPLANT | $2,606.40 | ↑ +24% |
| MULTIPLAN | ALL PRODUCTS | $2,606.40 | ↑ +24% |
| Tertiary Care Network | TRANSPLANT | $2,606.40 | ↑ +24% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +36% |
| AETNA | Qhp/Ipf | $2,896.00 | ↑ +38% |
| AETNA | International | $3,004.00 | ↑ +43% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,104.05 | $0.01 – $2,913.30 |
| avon hospital | Avon | $2,104.05 | $0.01 – $2,913.30 |
| euclid hospital | Euclid | $2,104.05 | $0.01 – $2,913.30 |
| fairview hospital | Cleveland | $2,104.05 | $0.01 – $2,913.30 |
| lutheran hospital | Cleveland | $2,104.05 | $0.01 – $2,913.30 |
| hillcrest hospital | Mayfield Heights | $2,104.05 | $0.01 – $2,913.30 |
| lodi hospital | Lodi | $1,882.40 | $703.59 – $2,606.40 |
| marymount hospital | Garfield Heights | $2,104.05 | $0.01 – $2,913.30 |