healthcosts.net
Biospy of bladder at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$6,124.95
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.
?
What you pay up front if you don't use insurance.
$9,423.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.01 with Anthem vs $8,932.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Anthem | All Products Physician Facility | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Anthem | All Products Physician Non-Facility | $0.01 | ↓ -100% |
| Anthem | All Products Mid-Level Facility | $0.01 | ↓ -100% |
| Anthem | All Products Mid-Level Non-Facility | $0.01 | ↓ -100% |
| Anthem | All Products Physician | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Oscar | All Products | $121.97 | ↓ -98% |
| OHCP | All Products | $186.72 | ↓ -97% |
| OPTUM | All Products VA | $224.72 | ↓ -96% |
| HUMANA | Medicare Advantage HMO | $224.72 | ↓ -96% |
| MMO | Medicare Advantage HMO & PPO | $224.72 | ↓ -96% |
| UNITED | MEDICARE ADVANTAGE | $224.72 | ↓ -96% |
| The Health Plan | MEDICARE ADVANTAGE | $232.59 | ↓ -96% |
| ANTHEM | MEDICARE ADVANTAGE | $236.38 | ↓ -96% |
| Summacare | MEDICARE ADVANTAGE | $236.38 | ↓ -96% |
| Valor | HMO & PPO | $236.38 | ↓ -96% |
| UPMC | MEDICARE ADVANTAGE | $236.38 | ↓ -96% |
| AETNA | MEDICARE ADVANTAGE | $236.38 | ↓ -96% |
| Aultcare | PPO/HMO | $237.12 | ↓ -96% |
| OMAS | All Products | $240.00 | ↓ -96% |
| Perennial Health | MEDICARE ADVANTAGE | $242.70 | ↓ -96% |
| CIGNA | MEDICARE ADVANTAGE | $243.47 | ↓ -96% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $255.29 | ↓ -96% |
| PPHP | ALL PRODUCTS | $260.01 | ↓ -96% |
| Optum | All Products Transplant | $279.84 | ↓ -95% |
| PHPHI | All Products | $288.00 | ↓ -95% |
| Summacare | Medicare Advantage MD | $336.00 | ↓ -95% |
| GMS | All Products | $336.00 | ↓ -95% |
| MMO | Traditional | $336.00 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $336.00 | ↓ -95% |
| Summacare | Medicare Advantage Lower Level | $336.00 | ↓ -95% |
| Summacare | Medicare Advantage Psych | $336.00 | ↓ -95% |
| Summacare | Preferred | $336.00 | ↓ -95% |
| Summacare | Premier | $336.00 | ↓ -95% |
| Aetna | All Products First Health | $360.00 | ↓ -94% |
| Consociate Health | All Products | $360.00 | ↓ -94% |
| Aetna | Asa | $384.00 | ↓ -94% |
| MMO | NASCO | $421.12 | ↓ -93% |
| MMO | SuperMed | $421.12 | ↓ -93% |
| Multiplan | All Products | $432.00 | ↓ -93% |
| Aetna | Qhp/Ifp | $480.00 | ↓ -92% |
| ANTHEM | HPN | $595.24 | ↓ -90% |
| MMO | ALL PRODUCTS | $608.43 | ↓ -90% |
| ANTHEM | PPO/HMO | $700.29 | ↓ -89% |
| OPTUM | Managed Medicaid Transplant | $797.19 | ↓ -87% |
| Buckeye | Managed Medicaid | $839.15 | ↓ -86% |
| CARESOURCE | Managed Medicaid | $839.15 | ↓ -86% |
| UNITED | Managed Medicaid | $881.11 | ↓ -86% |
| ANTHEM | Managed Medicaid | $881.11 | ↓ -86% |
| MOLINA | Managed Medicaid | $881.11 | ↓ -86% |
| United BH | Managed Medicaid | $889.50 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $923.07 | ↓ -85% |
| AETNA | Acop | $2,451.00 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $2,525.97 | ↓ -59% |
| PHPHI | ALL PRODUCTS | $2,858.24 | ↓ -53% |
| PHP | ALL PRODUCTS | $2,858.24 | ↓ -53% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↓ -53% |
| AETNA | International | $3,004.00 | ↓ -51% |
| Summacare | PREMIER | $3,206.59 | ↓ -48% |
| CC EHP | ALL PRODUCTS | $3,617.46 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $4,019.40 | ↓ -34% |
| OHCP | ALL PRODUCTS | $4,340.95 | ↓ -29% |
| OMAS | ALL PRODUCTS | $4,466.00 | ↓ -27% |
| MMO | TRADITIONAL | $4,653.57 | ↓ -24% |
| Ohio Healthy | TRANSPLANT | $4,823.28 | ↓ -21% |
| ANTHEM | TRADITIONAL | $4,939.40 | ↓ -19% |
| OPTUM | All Products Transplant | $5,055.51 | ↓ -17% |
| The Health Plan | HMO | $5,359.20 | ↓ -13% |
| UPMC | ALL PRODUCTS | $5,359.20 | ↓ -13% |
| The Health Plan | ASO Self-Funded | $6,163.08 | ↑ +1% |
| GMS | ALL PRODUCTS | $6,252.40 | ↑ +2% |
| Medical Benefit Corp | Transplant SMCP | $6,252.40 | ↑ +2% |
| AETNA | ALL PRODUCTS | $6,699.00 | ↑ +9% |
| Consociate Health | ALL PRODUCTS | $6,699.00 | ↑ +9% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $7,145.60 | ↑ +17% |
| MULTIPLAN | ALL PRODUCTS | $8,038.80 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $8,038.80 | ↑ +31% |
| FrontPath | TRANSPLANT | $8,038.80 | ↑ +31% |
| Managed Care Services | TRANSPLANT | $8,038.80 | ↑ +31% |
| AETNA | Qhp/Ipf | $8,932.00 | ↑ +46% |
| United | All Products | not published by hospital | — |
| United | All Products - Mid-Level | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| PPHP | All Products | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| The Health Plan | All Products | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Biospy of bladder at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $11,867.70 | $0.01 – $1,202.40 |
| avon hospital | Avon | $6,124.95 | $0.01 – $1,359.90 |
| euclid hospital | Euclid | $6,124.95 | $0.01 – $1,359.90 |
| fairview hospital | Cleveland | $6,124.95 | $0.01 – $1,359.90 |
| lutheran hospital | Cleveland | $6,124.95 | $0.01 – $1,359.90 |
| hillcrest hospital | Mayfield Heights | $6,124.95 | $0.01 – $1,359.90 |
| marymount hospital | Garfield Heights | $6,124.95 | $0.01 – $1,359.90 |
| medina hospital | Medina | $6,124.95 | $0.01 – $1,359.90 |