healthcosts.net
Biopsy roof of mouth at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$388.70
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.
$598.00
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 $4,348.85 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 | $62.69 | ↓ -84% |
| Buckeye | Managed Medicaid | $65.99 | ↓ -83% |
| Summacare | Medicare Advantage Lower Level | $67.12 | ↓ -83% |
| Caresource | Managed Medicaid | $69.29 | ↓ -82% |
| United | Managed Medicaid | $69.29 | ↓ -82% |
| Molina | Managed Medicaid | $72.59 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $72.59 | ↓ -81% |
| Summacare | Medicare Advantage Psych | $73.22 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $87.77 | ↓ -77% |
| The Health Plan | Medicare Advantage | $97.63 | ↓ -75% |
| Aetna | Medicare Advantage | $97.63 | ↓ -75% |
| Humana | Medicare Advantage HMO | $97.63 | ↓ -75% |
| Anthem | Medicare Advantage | $97.63 | ↓ -75% |
| United | Medicare Advantage | $97.63 | ↓ -75% |
| The Health Plan | All Products | $97.63 | ↓ -75% |
| Valor | All Products | $97.63 | ↓ -75% |
| Optum | Medicare Advantage Transplant | $97.63 | ↓ -75% |
| Summacare | Medicare Advantage MD | $98.10 | ↓ -75% |
| CommuniCare | Medicare Advantage | $102.51 | ↓ -74% |
| PPHP | All Products | $107.39 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $145.50 | ↓ -63% |
| Oscar | All Products | $151.95 | ↓ -61% |
| Cigna | All Products Mid-Level | $180.09 | ↓ -54% |
| MMO | Medicare HMO & PPO | $188.32 | ↓ -52% |
| Anthem | All Products Mid-Level Non-Facility | $192.61 | ↓ -50% |
| Summacare | Preferred | $199.17 | ↓ -49% |
| Aetna | Acop | $204.65 | ↓ -47% |
| Summacare | Premier | $210.65 | ↓ -46% |
| Cigna | All Products Physician | $212.79 | ↓ -45% |
| OHCP | All Products | $232.62 | ↓ -40% |
| Aultcare | PPO/HMO | $295.41 | ↓ -24% |
| OMAS | All Products | $299.00 | ↓ -23% |
| Optum | All Products Transplant | $348.63 | ↓ -10% |
| United | HMO & PPO | $353.15 | ↓ -9% |
| PHPHI | All Products | $358.80 | ↓ -8% |
| Anthem | All Products Physician | $369.57 | ↓ -5% |
| Anthem | All Products Physician Facility | $369.57 | ↓ -5% |
| United | All Products - Mid-Level | $388.05 | ↓ -0% |
| United | All Products | $418.24 | ↑ +8% |
| GMS | All Products | $418.60 | ↑ +8% |
| MMO | Traditional | $418.60 | ↑ +8% |
| Aetna | All Products First Health | $448.50 | ↑ +15% |
| Consociate Health | All Products | $448.50 | ↑ +15% |
| Aetna | Asa | $478.40 | ↑ +23% |
| Anthem | All Products Physician Non-Facility | $489.19 | ↑ +26% |
| Multiplan | All Products | $538.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $598.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $745.85 | ↑ +92% |
| CARESOURCE | Managed Medicaid | $785.10 | ↑ +102% |
| MOLINA | Managed Medicaid | $824.36 | ↑ +112% |
| ANTHEM | Managed Medicaid | $824.36 | ↑ +112% |
| UNITED | Managed Medicaid | $824.36 | ↑ +112% |
| United BH | Managed Medicaid | $832.21 | ↑ +114% |
| AMERIHEALTH | Managed Medicaid | $863.61 | ↑ +122% |
| UNITED | MEDICARE ADVANTAGE | $1,368.67 | ↑ +252% |
| HUMANA | Medicare Advantage HMO | $1,368.67 | ↑ +252% |
| MMO | Medicare Advantage HMO & PPO | $1,368.67 | ↑ +252% |
| OPTUM | All Products VA | $1,368.67 | ↑ +252% |
| The Health Plan | MEDICARE ADVANTAGE | $1,416.58 | ↑ +264% |
| Valor | HMO & PPO | $1,467.92 | ↑ +278% |
| ANTHEM | MEDICARE ADVANTAGE | $1,467.92 | ↑ +278% |
| AETNA | MEDICARE ADVANTAGE | $1,467.92 | ↑ +278% |
| UPMC | MEDICARE ADVANTAGE | $1,467.92 | ↑ +278% |
| Summacare | MEDICARE ADVANTAGE | $1,467.92 | ↑ +278% |
| Perennial Health | MEDICARE ADVANTAGE | $1,478.17 | ↑ +280% |
| CIGNA | MEDICARE ADVANTAGE | $1,511.96 | ↑ +289% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,585.35 | ↑ +308% |
| PPHP | ALL PRODUCTS | $1,614.71 | ↑ +315% |
| MMO | NASCO | $2,603.78 | ↑ +570% |
| MMO | SuperMed | $2,603.78 | ↑ +570% |
| ANTHEM | HPN | $3,696.51 | ↑ +851% |
| MMO | ALL PRODUCTS | $3,778.42 | ↑ +872% |
| ANTHEM | PPO/HMO | $4,348.85 | ↑ +1019% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy roof of mouth at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,429.10 | $0.01 – $6,132.60 |
| avon hospital | Avon | $4,429.10 | $0.01 – $6,132.60 |
| euclid hospital | Euclid | $4,429.10 | $0.01 – $6,132.60 |
| fairview hospital | Cleveland | $4,429.10 | $0.01 – $6,132.60 |
| lutheran hospital | Cleveland | $4,429.10 | $0.01 – $6,132.60 |
| hillcrest hospital | Mayfield Heights | $4,429.10 | $0.01 – $6,132.60 |
| marymount hospital | Garfield Heights | $4,429.10 | $0.01 – $6,132.60 |
| medina hospital | Medina | $4,429.10 | $0.01 – $6,132.60 |