healthcosts.net
Biopsy tongue anterior two-thirds at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$369.20
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.
$568.00
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 $1,511.66 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 Lower Level | $65.56 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $70.60 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $72.40 | ↓ -80% |
| Buckeye | Managed Medicaid | $76.21 | ↓ -79% |
| Caresource | Managed Medicaid | $80.02 | ↓ -78% |
| United | Managed Medicaid | $80.02 | ↓ -78% |
| Molina | Managed Medicaid | $83.83 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $83.83 | ↓ -77% |
| OPTUM | Managed Medicaid Transplant | $85.44 | ↓ -77% |
| Summacare | Medicare Advantage CNA | $85.73 | ↓ -77% |
| CARESOURCE | Managed Medicaid | $89.94 | ↓ -76% |
| Anthem | Medicare Advantage | $94.13 | ↓ -75% |
| The Health Plan | Medicare Advantage | $94.13 | ↓ -75% |
| The Health Plan | All Products | $94.13 | ↓ -75% |
| United | Medicare Advantage | $94.13 | ↓ -75% |
| Optum | Medicare Advantage Transplant | $94.13 | ↓ -75% |
| Aetna | Medicare Advantage | $94.13 | ↓ -75% |
| Valor | All Products | $94.13 | ↓ -75% |
| Humana | Medicare Advantage HMO | $94.13 | ↓ -75% |
| ANTHEM | Managed Medicaid | $94.44 | ↓ -74% |
| UNITED | Managed Medicaid | $94.44 | ↓ -74% |
| MOLINA | Managed Medicaid | $94.44 | ↓ -74% |
| United BH | Managed Medicaid | $95.34 | ↓ -74% |
| Summacare | Medicare Advantage MD | $95.82 | ↓ -74% |
| CommuniCare | Medicare Advantage | $98.84 | ↓ -73% |
| AMERIHEALTH | Managed Medicaid | $98.93 | ↓ -73% |
| PPHP | All Products | $103.54 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $142.47 | ↓ -61% |
| Oscar | All Products | $144.33 | ↓ -61% |
| MMO | Medicare HMO & PPO | $188.77 | ↓ -49% |
| Summacare | Preferred | $192.03 | ↓ -48% |
| Summacare | Premier | $205.75 | ↓ -44% |
| OHCP | All Products | $220.95 | ↓ -40% |
| Cigna | All Products Mid-Level | $229.13 | ↓ -38% |
| Aetna | Acop | $235.44 | ↓ -36% |
| Anthem | All Products Mid-Level Non-Facility | $245.06 | ↓ -34% |
| Cigna | All Products Physician | $270.74 | ↓ -27% |
| Aultcare | PPO/HMO | $280.59 | ↓ -24% |
| OMAS | All Products | $284.00 | ↓ -23% |
| Optum | All Products Transplant | $331.14 | ↓ -10% |
| PHPHI | All Products | $340.80 | ↓ -8% |
| Anthem | All Products Physician Facility | $361.83 | ↓ -2% |
| Anthem | All Products Physician | $361.83 | ↓ -2% |
| MMO | Traditional | $397.60 | ↑ +8% |
| GMS | All Products | $397.60 | ↑ +8% |
| Consociate Health | All Products | $426.00 | ↑ +15% |
| Aetna | All Products First Health | $426.00 | ↑ +15% |
| United | HMO & PPO | $449.59 | ↑ +22% |
| Aetna | Asa | $454.40 | ↑ +23% |
| MMO | Medicare Advantage HMO & PPO | $470.54 | ↑ +27% |
| HUMANA | Medicare Advantage HMO | $470.54 | ↑ +27% |
| UNITED | MEDICARE ADVANTAGE | $470.54 | ↑ +27% |
| OPTUM | All Products VA | $470.54 | ↑ +27% |
| The Health Plan | MEDICARE ADVANTAGE | $487.01 | ↑ +32% |
| United | All Products - Mid-Level | $494.02 | ↑ +34% |
| Perennial Health | MEDICARE ADVANTAGE | $508.18 | ↑ +38% |
| AETNA | MEDICARE ADVANTAGE | $510.25 | ↑ +38% |
| Summacare | MEDICARE ADVANTAGE | $510.25 | ↑ +38% |
| ANTHEM | MEDICARE ADVANTAGE | $510.25 | ↑ +38% |
| Valor | HMO & PPO | $510.25 | ↑ +38% |
| UPMC | MEDICARE ADVANTAGE | $510.25 | ↑ +38% |
| Multiplan | All Products | $511.20 | ↑ +38% |
| CIGNA | MEDICARE ADVANTAGE | $525.55 | ↑ +42% |
| United | All Products | $532.46 | ↑ +44% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $551.07 | ↑ +49% |
| PPHP | ALL PRODUCTS | $561.27 | ↑ +52% |
| Aetna | Qhp/Ifp | $568.00 | ↑ +54% |
| Anthem | All Products Physician Non-Facility | $622.38 | ↑ +69% |
| MMO | SuperMed | $939.01 | ↑ +154% |
| MMO | NASCO | $939.01 | ↑ +154% |
| ANTHEM | HPN | $1,284.90 | ↑ +248% |
| MMO | ALL PRODUCTS | $1,313.37 | ↑ +256% |
| ANTHEM | PPO/HMO | $1,511.66 | ↑ +309% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy tongue anterior two-thirds at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,522.95 | $0.01 – $2,108.70 |
| avon hospital | Avon | $1,522.95 | $0.01 – $2,108.70 |
| euclid hospital | Euclid | $1,522.95 | $0.01 – $2,108.70 |
| fairview hospital | Cleveland | $1,522.95 | $0.01 – $2,108.70 |
| lutheran hospital | Cleveland | $1,522.95 | $0.01 – $2,108.70 |
| hillcrest hospital | Mayfield Heights | $1,522.95 | $0.01 – $2,108.70 |
| marymount hospital | Garfield Heights | $1,522.95 | $0.01 – $2,108.70 |
| medina hospital | Medina | $1,522.95 | $0.01 – $2,108.70 |