healthcosts.net
Bundled special stain group 1 microorganisms at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$154.70
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.
$238.00
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.
$0.95 with AETNA vs $238.00 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 |
|---|---|---|---|
| AETNA | Acop | $0.95 | ↓ -99% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -99% |
| AETNA | Asa_Whirlpool_Peia | $1.11 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $15.78 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $18.43 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $20.64 | ↓ -87% |
| Summacare | Medicare Advantage MD | $23.07 | ↓ -85% |
| Humana | Medicare Advantage HMO | $24.57 | ↓ -84% |
| The Health Plan | Medicare Advantage | $24.57 | ↓ -84% |
| Valor | All Products | $24.57 | ↓ -84% |
| Aetna | Medicare Advantage | $24.57 | ↓ -84% |
| Anthem | Medicare Advantage | $24.57 | ↓ -84% |
| Optum | Medicare Advantage Transplant | $24.57 | ↓ -84% |
| United | Medicare Advantage | $24.57 | ↓ -84% |
| The Health Plan | All Products | $24.57 | ↓ -84% |
| CommuniCare | Medicare Advantage | $25.80 | ↓ -83% |
| PPHP | All Products | $26.22 | ↓ -83% |
| United | All Products | $27.24 | ↓ -82% |
| United | HMO & PPO | $27.24 | ↓ -82% |
| United | All Products - Mid-Level | $28.84 | ↓ -81% |
| OPTUM | Managed Medicaid Transplant | $29.68 | ↓ -81% |
| Buckeye | Managed Medicaid | $31.24 | ↓ -80% |
| CARESOURCE | Managed Medicaid | $31.24 | ↓ -80% |
| ANTHEM | Managed Medicaid | $32.80 | ↓ -79% |
| MOLINA | Managed Medicaid | $32.80 | ↓ -79% |
| UNITED | Managed Medicaid | $32.80 | ↓ -79% |
| United BH | Managed Medicaid | $33.11 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $34.36 | ↓ -78% |
| Anthem | All Products Mid-Level Non-Facility | $34.64 | ↓ -78% |
| Anthem | All Products Mid-Level Facility | $34.64 | ↓ -78% |
| MMO | Medicare HMO & PPO | $44.73 | ↓ -71% |
| ANTHEM | MEDICARE ADVANTAGE | $49.30 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $49.30 | ↓ -68% |
| Valor | HMO & PPO | $49.30 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $49.30 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $49.30 | ↓ -68% |
| UNITED | MEDICARE ADVANTAGE | $49.37 | ↓ -68% |
| HUMANA | Medicare Advantage HMO | $49.37 | ↓ -68% |
| MMO | Medicare Advantage HMO & PPO | $49.37 | ↓ -68% |
| OPTUM | All Products VA | $49.37 | ↓ -68% |
| Summacare | Premier | $49.53 | ↓ -68% |
| Summacare | Preferred | $50.12 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $50.78 | ↓ -67% |
| The Health Plan | MEDICARE ADVANTAGE | $51.10 | ↓ -67% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $53.25 | ↓ -66% |
| Perennial Health | MEDICARE ADVANTAGE | $53.32 | ↓ -66% |
| PPHP | ALL PRODUCTS | $54.23 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $58.54 | ↓ -62% |
| Oscar | All Products | $60.48 | ↓ -61% |
| Anthem | All Products Physician Facility | $61.67 | ↓ -60% |
| Anthem | All Products Physician Non-Facility | $61.67 | ↓ -60% |
| Anthem | All Products Physician | $61.67 | ↓ -60% |
| PHP | ALL PRODUCTS | $66.24 | ↓ -57% |
| PHPHI | ALL PRODUCTS | $66.24 | ↓ -57% |
| Summacare | PREMIER | $74.31 | ↓ -52% |
| OHCP | All Products | $92.58 | ↓ -40% |
| Amish Community Aid Plan | ALL PRODUCTS | $93.15 | ↓ -40% |
| OHCP | ALL PRODUCTS | $100.60 | ↓ -35% |
| Aultcare | PPO/HMO | $102.26 | ↓ -34% |
| OMAS | ALL PRODUCTS | $103.50 | ↓ -33% |
| AETNA | International | $104.91 | ↓ -32% |
| MMO | TRADITIONAL | $107.85 | ↓ -30% |
| Ohio Healthy | TRANSPLANT | $111.78 | ↓ -28% |
| UNITED | ALL PRODUCTS | $111.96 | ↓ -28% |
| ANTHEM | TRADITIONAL | $114.47 | ↓ -26% |
| OPTUM | All Products Transplant | $117.16 | ↓ -24% |
| OMAS | All Products | $119.00 | ↓ -23% |
| The Health Plan | HMO | $124.20 | ↓ -20% |
| UPMC | ALL PRODUCTS | $124.20 | ↓ -20% |
| MMO | ALL PRODUCTS | $126.90 | ↓ -18% |
| MMO | SuperMed | $128.52 | ↓ -17% |
| MMO | NASCO | $128.52 | ↓ -17% |
| CC EHP | ALL PRODUCTS | $133.53 | ↓ -14% |
| Optum | All Products Transplant | $138.75 | ↓ -10% |
| PHPHI | All Products | $142.80 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $142.83 | ↓ -8% |
| GMS | ALL PRODUCTS | $144.90 | ↓ -6% |
| Medical Benefit Corp | Transplant SMCP | $144.90 | ↓ -6% |
| ANTHEM | PPO/HMO | $146.06 | ↓ -6% |
| AETNA | ALL PRODUCTS | $155.25 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $155.25 | ↑ +0% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $165.60 | ↑ +7% |
| GMS | All Products | $166.60 | ↑ +8% |
| MMO | Traditional | $166.60 | ↑ +8% |
| Consociate Health | All Products | $178.50 | ↑ +15% |
| Aetna | All Products First Health | $178.50 | ↑ +15% |
| Tertiary Care Network | TRANSPLANT | $186.30 | ↑ +20% |
| MULTIPLAN | ALL PRODUCTS | $186.30 | ↑ +20% |
| Managed Care Services | TRANSPLANT | $186.30 | ↑ +20% |
| FrontPath | TRANSPLANT | $186.30 | ↑ +20% |
| Aetna | Asa | $190.40 | ↑ +23% |
| ANTHEM | HPN | $200.79 | ↑ +30% |
| AETNA | Qhp/Ipf | $207.00 | ↑ +34% |
| Multiplan | All Products | $214.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $238.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bundled special stain group 1 microorganisms at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $154.70 | $1.10 – $214.20 |
| avon hospital | Avon | $134.55 | $0.95 – $186.30 |
| euclid hospital | Euclid | $134.55 | $0.95 – $186.30 |
| fairview hospital | Cleveland | $134.55 | $0.95 – $186.30 |
| lutheran hospital | Cleveland | $134.55 | $0.95 – $186.30 |
| hillcrest hospital | Mayfield Heights | $134.55 | $0.95 – $186.30 |
| lodi hospital | Lodi | $134.55 | $49.80 – $186.30 |
| marymount hospital | Garfield Heights | $134.55 | $0.95 – $186.30 |