healthcosts.net
Biopsy skin incisional single lesion at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,193.40
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.
$1,836.00
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 | $34.38 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $34.59 | ↓ -97% |
| Optum | Managed Medicaid Transplant | $36.84 | ↓ -97% |
| Buckeye | Managed Medicaid | $38.78 | ↓ -97% |
| Caresource | Managed Medicaid | $40.72 | ↓ -97% |
| United | Managed Medicaid | $40.72 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $42.66 | ↓ -96% |
| Molina | Managed Medicaid | $42.66 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $45.24 | ↓ -96% |
| Optum | Medicare Advantage Transplant | $45.84 | ↓ -96% |
| Valor | All Products | $45.84 | ↓ -96% |
| Aetna | Medicare Advantage | $45.84 | ↓ -96% |
| United | Medicare Advantage | $45.84 | ↓ -96% |
| The Health Plan | Medicare Advantage | $45.84 | ↓ -96% |
| The Health Plan | All Products | $45.84 | ↓ -96% |
| Humana | Medicare Advantage HMO | $45.84 | ↓ -96% |
| Anthem | Medicare Advantage | $45.84 | ↓ -96% |
| CommuniCare | Medicare Advantage | $48.13 | ↓ -96% |
| PPHP | All Products | $50.42 | ↓ -96% |
| Summacare | Medicare Advantage MD | $50.56 | ↓ -96% |
| Anthem | All Products Mid-Level Facility | $75.15 | ↓ -94% |
| Summacare | Preferred | $93.51 | ↓ -92% |
| ANTHEM | HPN | $95.44 | ↓ -92% |
| Oscar | All Products | $102.66 | ↓ -91% |
| MMO | Medicare HMO & PPO | $105.11 | ↓ -91% |
| Summacare | Premier | $108.57 | ↓ -91% |
| OHCP | All Products | $157.16 | ↓ -87% |
| Cigna | All Products Mid-Level | $188.59 | ↓ -84% |
| Anthem | All Products Physician | $190.86 | ↓ -84% |
| Anthem | All Products Physician Facility | $190.86 | ↓ -84% |
| Aultcare | PPO/HMO | $199.58 | ↓ -83% |
| Anthem | All Products Mid-Level Non-Facility | $201.69 | ↓ -83% |
| Aetna | Acop | $201.95 | ↓ -83% |
| OMAS | All Products | $202.00 | ↓ -83% |
| Cigna | All Products Physician | $222.84 | ↓ -81% |
| Optum | All Products Transplant | $235.53 | ↓ -80% |
| PHPHI | All Products | $242.40 | ↓ -80% |
| MMO | Traditional | $282.80 | ↓ -76% |
| GMS | All Products | $282.80 | ↓ -76% |
| Consociate Health | All Products | $303.00 | ↓ -75% |
| Aetna | All Products First Health | $303.00 | ↓ -75% |
| OPTUM | Managed Medicaid Transplant | $309.06 | ↓ -74% |
| Aetna | Asa | $323.20 | ↓ -73% |
| CARESOURCE | Managed Medicaid | $325.33 | ↓ -73% |
| MOLINA | Managed Medicaid | $341.60 | ↓ -71% |
| ANTHEM | Managed Medicaid | $341.60 | ↓ -71% |
| UNITED | Managed Medicaid | $341.60 | ↓ -71% |
| United BH | Managed Medicaid | $344.85 | ↓ -71% |
| AMERIHEALTH | Managed Medicaid | $357.86 | ↓ -70% |
| Multiplan | All Products | $363.60 | ↓ -70% |
| United | HMO & PPO | $370.11 | ↓ -69% |
| Aetna | Qhp/Ifp | $404.00 | ↓ -66% |
| United | All Products - Mid-Level | $406.68 | ↓ -66% |
| United | All Products | $438.32 | ↓ -63% |
| Anthem | All Products Physician Non-Facility | $512.27 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $519.22 | ↓ -56% |
| OPTUM | All Products VA | $565.60 | ↓ -53% |
| HUMANA | Medicare Advantage HMO | $565.60 | ↓ -53% |
| UNITED | MEDICARE ADVANTAGE | $565.60 | ↓ -53% |
| MMO | Medicare Advantage HMO & PPO | $565.60 | ↓ -53% |
| The Health Plan | MEDICARE ADVANTAGE | $585.39 | ↓ -51% |
| PHP | ALL PRODUCTS | $587.52 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $587.52 | ↓ -51% |
| Perennial Health | MEDICARE ADVANTAGE | $610.84 | ↓ -49% |
| Summacare | PREMIER | $659.12 | ↓ -45% |
| Valor | HMO & PPO | $699.22 | ↓ -41% |
| AETNA | MEDICARE ADVANTAGE | $699.22 | ↓ -41% |
| ANTHEM | MEDICARE ADVANTAGE | $699.22 | ↓ -41% |
| Summacare | MEDICARE ADVANTAGE | $699.22 | ↓ -41% |
| UPMC | MEDICARE ADVANTAGE | $699.22 | ↓ -41% |
| CIGNA | MEDICARE ADVANTAGE | $720.20 | ↓ -40% |
| CC EHP | ALL PRODUCTS | $743.58 | ↓ -38% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $755.16 | ↓ -37% |
| PPHP | ALL PRODUCTS | $769.14 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $826.20 | ↓ -31% |
| OHCP | ALL PRODUCTS | $892.30 | ↓ -25% |
| OMAS | ALL PRODUCTS | $918.00 | ↓ -23% |
| MMO | TRADITIONAL | $956.56 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $991.44 | ↓ -17% |
| ANTHEM | TRADITIONAL | $1,015.31 | ↓ -15% |
| OPTUM | All Products Transplant | $1,039.18 | ↓ -13% |
| MMO | SuperMed | $1,071.62 | ↓ -10% |
| MMO | NASCO | $1,071.62 | ↓ -10% |
| The Health Plan | HMO | $1,101.60 | ↓ -8% |
| UPMC | ALL PRODUCTS | $1,101.60 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $1,266.84 | ↑ +6% |
| GMS | ALL PRODUCTS | $1,285.20 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,285.20 | ↑ +8% |
| AETNA | ALL PRODUCTS | $1,377.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,377.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,468.80 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $1,652.40 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $1,652.40 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,652.40 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,652.40 | ↑ +38% |
| MMO | ALL PRODUCTS | $1,799.79 | ↑ +51% |
| AETNA | Qhp/Ipf | $1,836.00 | ↑ +54% |
| ANTHEM | PPO/HMO | $2,071.51 | ↑ +74% |
| AETNA | Acop | $2,451.00 | ↑ +105% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +140% |
| AETNA | International | $3,004.00 | ↑ +152% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,193.40 | $0.01 – $1,652.40 |
| avon hospital | Avon | $1,193.40 | $0.01 – $1,652.40 |
| euclid hospital | Euclid | $1,193.40 | $0.01 – $1,652.40 |
| fairview hospital | Cleveland | $1,193.40 | $0.01 – $1,652.40 |
| lutheran hospital | Cleveland | $1,193.40 | $0.01 – $1,652.40 |
| hillcrest hospital | Mayfield Heights | $1,193.40 | $0.01 – $1,652.40 |
| marymount hospital | Garfield Heights | $1,193.40 | $0.01 – $1,652.40 |
| medina hospital | Medina | $1,193.40 | $0.01 – $1,652.40 |