healthcosts.net
Burr hole for vent puncture 61120 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$2,496.00
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.
$3,840.00
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.
$1.10 with Zing Health vs $4,629.01 with AMERIHEALTH — 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $402.67 | ↓ -84% |
| Buckeye | Managed Medicaid | $423.86 | ↓ -83% |
| United | Managed Medicaid | $445.05 | ↓ -82% |
| Caresource | Managed Medicaid | $445.05 | ↓ -82% |
| Molina | Managed Medicaid | $466.25 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $466.25 | ↓ -81% |
| Summacare | Medicare Advantage Lower Level | $472.09 | ↓ -81% |
| Summacare | Medicare Advantage Psych | $562.24 | ↓ -77% |
| Summacare | Medicare Advantage CNA | $617.35 | ↓ -75% |
| Summacare | Medicare Advantage MD | $689.98 | ↓ -72% |
| Optum | Medicare Advantage Transplant | $749.65 | ↓ -70% |
| Aetna | Medicare Advantage | $749.65 | ↓ -70% |
| Anthem | Medicare Advantage | $749.65 | ↓ -70% |
| Humana | Medicare Advantage HMO | $749.65 | ↓ -70% |
| The Health Plan | All Products | $749.65 | ↓ -70% |
| The Health Plan | Medicare Advantage | $749.65 | ↓ -70% |
| United | Medicare Advantage | $749.65 | ↓ -70% |
| Valor | All Products | $749.65 | ↓ -70% |
| PPHP | All Products | $784.39 | ↓ -69% |
| CommuniCare | Medicare Advantage | $787.13 | ↓ -68% |
| Oscar | All Products | $975.74 | ↓ -61% |
| Anthem | All Products Mid-Level Non-Facility | $1,022.87 | ↓ -59% |
| Anthem | All Products Mid-Level Facility | $1,022.87 | ↓ -59% |
| MMO | Medicare HMO & PPO | $1,295.70 | ↓ -48% |
| MMO | NASCO | $1,309.95 | ↓ -48% |
| MMO | SuperMed | $1,309.95 | ↓ -48% |
| Summacare | Premier | $1,481.63 | ↓ -41% |
| OHCP | All Products | $1,493.76 | ↓ -40% |
| Summacare | Preferred | $1,529.29 | ↓ -39% |
| United | HMO & PPO | $1,894.73 | ↓ -24% |
| Aultcare | PPO/HMO | $1,896.96 | ↓ -24% |
| OMAS | All Products | $1,920.00 | ↓ -23% |
| United | All Products - Mid-Level | $2,081.97 | ↓ -17% |
| Optum | All Products Transplant | $2,238.72 | ↓ -10% |
| United | All Products | $2,243.95 | ↓ -10% |
| PHPHI | All Products | $2,304.00 | ↓ -8% |
| Anthem | All Products Physician Facility | $2,597.89 | ↑ +4% |
| Anthem | All Products Physician | $2,597.89 | ↑ +4% |
| Anthem | All Products Physician Non-Facility | $2,597.89 | ↑ +4% |
| GMS | All Products | $2,688.00 | ↑ +8% |
| MMO | Traditional | $2,688.00 | ↑ +8% |
| Aetna | All Products First Health | $2,880.00 | ↑ +15% |
| Consociate Health | All Products | $2,880.00 | ↑ +15% |
| Aetna | Asa | $3,072.00 | ↑ +23% |
| Multiplan | All Products | $3,456.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $3,840.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $3,997.78 | ↑ +60% |
| CARESOURCE | Managed Medicaid | $4,208.19 | ↑ +69% |
| ANTHEM | Managed Medicaid | $4,418.60 | ↑ +77% |
| UNITED | Managed Medicaid | $4,418.60 | ↑ +77% |
| MOLINA | Managed Medicaid | $4,418.60 | ↑ +77% |
| United BH | Managed Medicaid | $4,460.68 | ↑ +79% |
| AMERIHEALTH | Managed Medicaid | $4,629.01 | ↑ +85% |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Burr hole for vent puncture 61120 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| mercy hospital | Canton | $2,496.00 | $1.10 – $4,517.23 |
| cleveland clinic main campus | Cleveland | not published | $2,002.67 – $5,831.66 |
| avon hospital | Avon | not published | $4,287.55 – $4,369.22 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,000.02 – $8,105.28 |
| euclid hospital | Euclid | not published | $4,392.71 – $5,086.29 |
| fairview hospital | Cleveland | not published | $4,126.72 – $4,778.31 |
| lutheran hospital | Cleveland | not published | $3,928.78 – $4,549.12 |
| hillcrest hospital | Mayfield Heights | not published | $4,299.40 – $4,978.25 |