Bx breast 1st lesion strtctc at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$7,267.00
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.
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What you pay up front if you don't use insurance.
$11,180.00
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 $11,180.00 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% |
| Oscar | All Products | $81.31 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $99.33 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $103.03 | ↓ -99% |
| OHCP | All Products | $124.48 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $129.89 | ↓ -98% |
| Optum | Managed Medicaid Transplant | $134.95 | ↓ -98% |
| The Health Plan | All Products | $137.37 | ↓ -98% |
| The Health Plan | Medicare Advantage | $137.37 | ↓ -98% |
| Valor | All Products | $137.37 | ↓ -98% |
| Anthem | Medicare Advantage | $137.37 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $137.37 | ↓ -98% |
| United | Medicare Advantage | $137.37 | ↓ -98% |
| Aetna | Medicare Advantage | $137.37 | ↓ -98% |
| Humana | Medicare Advantage HMO | $137.37 | ↓ -98% |
| Buckeye | Managed Medicaid | $142.05 | ↓ -98% |
| CommuniCare | Medicare Advantage | $144.24 | ↓ -98% |
| Summacare | Medicare Advantage MD | $145.17 | ↓ -98% |
| Caresource | Managed Medicaid | $149.15 | ↓ -98% |
| United | Managed Medicaid | $149.15 | ↓ -98% |
| PPHP | All Products | $151.11 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $156.26 | ↓ -98% |
| Molina | Managed Medicaid | $156.26 | ↓ -98% |
| Aultcare | PPO/HMO | $158.08 | ↓ -98% |
| OMAS | All Products | $160.00 | ↓ -98% |
| Optum | All Products Transplant | $186.56 | ↓ -97% |
| PHPHI | All Products | $192.00 | ↓ -97% |
| Anthem | All Products Mid-Level Facility | $218.36 | ↓ -97% |
| GMS | All Products | $224.00 | ↓ -97% |
| MMO | Traditional | $224.00 | ↓ -97% |
| Aetna | All Products First Health | $240.00 | ↓ -97% |
| Consociate Health | All Products | $240.00 | ↓ -97% |
| Aetna | Asa | $256.00 | ↓ -96% |
| Summacare | Preferred | $280.23 | ↓ -96% |
| ANTHEM | HPN | $280.55 | ↓ -96% |
| Multiplan | All Products | $288.00 | ↓ -96% |
| Summacare | Premier | $311.73 | ↓ -96% |
| Aetna | Qhp/Ifp | $320.00 | ↓ -96% |
| MMO | Medicare HMO & PPO | $322.52 | ↓ -96% |
| Anthem | All Products Physician | $554.59 | ↓ -92% |
| Anthem | All Products Physician Facility | $554.59 | ↓ -92% |
| Cigna | All Products Mid-Level | $611.44 | ↓ -92% |
| Anthem | All Products Mid-Level Non-Facility | $653.95 | ↓ -91% |
| Cigna | All Products Physician | $722.48 | ↓ -90% |
| OPTUM | Managed Medicaid Transplant | $819.01 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $862.12 | ↓ -88% |
| Aetna | Acop | $867.61 | ↓ -88% |
| MOLINA | Managed Medicaid | $905.23 | ↓ -88% |
| UNITED | Managed Medicaid | $905.23 | ↓ -88% |
| ANTHEM | Managed Medicaid | $905.23 | ↓ -88% |
| United BH | Managed Medicaid | $913.85 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $948.33 | ↓ -87% |
| United | HMO & PPO | $1,176.60 | ↓ -84% |
| United | All Products - Mid-Level | $1,292.87 | ↓ -82% |
| United | All Products | $1,393.46 | ↓ -81% |
| MMO | Medicare Advantage HMO & PPO | $1,497.07 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $1,497.07 | ↓ -79% |
| OPTUM | All Products VA | $1,497.07 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $1,497.07 | ↓ -79% |
| The Health Plan | MEDICARE ADVANTAGE | $1,549.47 | ↓ -79% |
| Summacare | MEDICARE ADVANTAGE | $1,562.54 | ↓ -78% |
| ANTHEM | MEDICARE ADVANTAGE | $1,562.54 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $1,562.54 | ↓ -78% |
| UPMC | MEDICARE ADVANTAGE | $1,562.54 | ↓ -78% |
| Valor | HMO & PPO | $1,562.54 | ↓ -78% |
| CIGNA | MEDICARE ADVANTAGE | $1,609.41 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $1,616.83 | ↓ -78% |
| Anthem | All Products Physician Non-Facility | $1,660.87 | ↓ -77% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,687.54 | ↓ -77% |
| PPHP | ALL PRODUCTS | $1,718.79 | ↓ -76% |
| MMO | SuperMed | $2,768.64 | ↓ -62% |
| MMO | NASCO | $2,768.64 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $3,161.70 | ↓ -56% |
| AETNA | Acop | $3,265.00 | ↓ -55% |
| PHP | ALL PRODUCTS | $3,577.60 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $3,577.60 | ↓ -51% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -48% |
| AETNA | International | $4,001.00 | ↓ -45% |
| Summacare | PREMIER | $4,013.62 | ↓ -45% |
| MMO | ALL PRODUCTS | $4,021.97 | ↓ -45% |
| CC EHP | ALL PRODUCTS | $4,527.90 | ↓ -38% |
| ANTHEM | PPO/HMO | $4,629.18 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $5,031.00 | ↓ -31% |
| OHCP | ALL PRODUCTS | $5,433.48 | ↓ -25% |
| OMAS | ALL PRODUCTS | $5,590.00 | ↓ -23% |
| MMO | TRADITIONAL | $5,824.78 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $6,037.20 | ↓ -17% |
| ANTHEM | TRADITIONAL | $6,182.54 | ↓ -15% |
| OPTUM | All Products Transplant | $6,327.88 | ↓ -13% |
| The Health Plan | HMO | $6,708.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $6,708.00 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $7,714.20 | ↑ +6% |
| GMS | ALL PRODUCTS | $7,826.00 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $7,826.00 | ↑ +8% |
| AETNA | ALL PRODUCTS | $8,385.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $8,385.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $8,944.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $10,062.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $10,062.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $10,062.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $10,062.00 | ↑ +38% |
| AETNA | Qhp/Ipf | $11,180.00 | ↑ +54% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast 1st lesion strtctc at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $8,388.00 | not published |
| Anderson Hospital | Cincinnati | $8,807.40 | not published |
| Clermont Hospital | Batavia | $8,388.00 | not published |
| Mercy West Hospital | Cincinnati | $11,000.24 | $1,637.46 – $1,670.21 |
| St Ritas Medical Center | Lima | $4,222.80 | not published |
| cleveland clinic main campus | Cleveland | $7,267.00 | $0.01 – $10,062.00 |
| avon hospital | Avon | $7,267.00 | $0.01 – $10,062.00 |
| euclid hospital | Euclid | $7,267.00 | $0.01 – $10,062.00 |