healthcosts.net
Bx breast add lesion mr imag at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,626.95
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.
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What you pay up front if you don't use insurance.
$2,503.00
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 $3,004.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $54.39 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $56.23 | ↓ -97% |
| Optum | Managed Medicaid Transplant | $64.74 | ↓ -96% |
| Buckeye | Managed Medicaid | $68.15 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $71.12 | ↓ -96% |
| United | Managed Medicaid | $71.56 | ↓ -96% |
| Caresource | Managed Medicaid | $71.56 | ↓ -96% |
| Optum | Medicare Advantage Transplant | $74.97 | ↓ -95% |
| Valor | All Products | $74.97 | ↓ -95% |
| United | Medicare Advantage | $74.97 | ↓ -95% |
| Aetna | Medicare Advantage | $74.97 | ↓ -95% |
| The Health Plan | Medicare Advantage | $74.97 | ↓ -95% |
| The Health Plan | All Products | $74.97 | ↓ -95% |
| Humana | Medicare Advantage HMO | $74.97 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $74.97 | ↓ -95% |
| Molina | Managed Medicaid | $74.97 | ↓ -95% |
| Anthem | Medicare Advantage | $74.97 | ↓ -95% |
| CommuniCare | Medicare Advantage | $78.72 | ↓ -95% |
| Summacare | Medicare Advantage MD | $79.49 | ↓ -95% |
| PPHP | All Products | $82.47 | ↓ -95% |
| Anthem | All Products Mid-Level Facility | $119.99 | ↓ -93% |
| Summacare | Preferred | $152.94 | ↓ -91% |
| ANTHEM | HPN | $154.44 | ↓ -91% |
| MMO | Medicare HMO & PPO | $154.72 | ↓ -90% |
| ANTHEM | PPO/HMO | $163.82 | ↓ -90% |
| Summacare | Premier | $170.69 | ↓ -90% |
| Oscar | All Products | $203.53 | ↓ -87% |
| Anthem | All Products Physician | $304.75 | ↓ -81% |
| Anthem | All Products Physician Facility | $304.75 | ↓ -81% |
| OHCP | All Products | $311.59 | ↓ -81% |
| Aultcare | PPO/HMO | $395.69 | ↓ -76% |
| OMAS | All Products | $400.50 | ↓ -75% |
| MMO | SuperMed | $432.54 | ↓ -73% |
| MMO | NASCO | $432.54 | ↓ -73% |
| Optum | All Products Transplant | $466.98 | ↓ -71% |
| PHPHI | All Products | $480.60 | ↓ -70% |
| AETNA | MEDICARE ADVANTAGE | $545.65 | ↓ -66% |
| GMS | All Products | $560.70 | ↓ -66% |
| MMO | Traditional | $560.70 | ↓ -66% |
| Consociate Health | All Products | $600.75 | ↓ -63% |
| Aetna | All Products First Health | $600.75 | ↓ -63% |
| Aetna | Asa | $640.80 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $707.85 | ↓ -56% |
| Cigna | All Products Mid-Level | $720.72 | ↓ -56% |
| Multiplan | All Products | $720.90 | ↓ -56% |
| Anthem | All Products Mid-Level Non-Facility | $770.82 | ↓ -53% |
| PHPHI | ALL PRODUCTS | $800.96 | ↓ -51% |
| PHP | ALL PRODUCTS | $800.96 | ↓ -51% |
| Aetna | Qhp/Ifp | $801.00 | ↓ -51% |
| OPTUM | Managed Medicaid Transplant | $819.01 | ↓ -50% |
| Cigna | All Products Physician | $851.61 | ↓ -48% |
| CARESOURCE | Managed Medicaid | $862.12 | ↓ -47% |
| Summacare | PREMIER | $898.58 | ↓ -45% |
| MOLINA | Managed Medicaid | $905.23 | ↓ -44% |
| UNITED | Managed Medicaid | $905.23 | ↓ -44% |
| ANTHEM | Managed Medicaid | $905.23 | ↓ -44% |
| United BH | Managed Medicaid | $913.85 | ↓ -44% |
| AMERIHEALTH | Managed Medicaid | $948.33 | ↓ -42% |
| CC EHP | ALL PRODUCTS | $1,013.72 | ↓ -38% |
| Aetna | Acop | $1,024.81 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,126.35 | ↓ -31% |
| OHCP | ALL PRODUCTS | $1,216.46 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,251.50 | ↓ -23% |
| MMO | TRADITIONAL | $1,304.06 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $1,351.62 | ↓ -17% |
| United | HMO & PPO | $1,370.19 | ↓ -16% |
| ANTHEM | TRADITIONAL | $1,384.16 | ↓ -15% |
| OPTUM | All Products Transplant | $1,416.70 | ↓ -13% |
| UPMC | ALL PRODUCTS | $1,501.80 | ↓ -8% |
| The Health Plan | HMO | $1,501.80 | ↓ -8% |
| United | All Products - Mid-Level | $1,505.60 | ↓ -7% |
| United | All Products | $1,622.74 | ↓ -0% |
| The Health Plan | ASO Self-Funded | $1,727.07 | ↑ +6% |
| GMS | ALL PRODUCTS | $1,752.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,752.10 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $1,877.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $1,877.25 | ↑ +15% |
| Anthem | All Products Physician Non-Facility | $1,957.74 | ↑ +20% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,002.40 | ↑ +23% |
| UNITED | ALL PRODUCTS | $2,105.02 | ↑ +29% |
| FrontPath | TRANSPLANT | $2,252.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,252.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $2,252.70 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $2,252.70 | ↑ +38% |
| AETNA | Acop | $2,451.00 | ↑ +51% |
| AETNA | Qhp/Ipf | $2,503.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +76% |
| AETNA | International | $3,004.00 | ↑ +85% |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
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Bx breast add lesion mr imag at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,626.95 | $1.10 – $2,252.70 |
| mercy hospital | Canton | $520.65 | $1.10 – $925.43 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,008.25 | $494.85 – $3,609.90 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,008.25 | $241.04 – $3,609.90 |
| University Hospitals Conneaut Medical Center | Conneaut | $2,781.75 | not published |
| University Hospitals Elyria Medical Center | Elyria | $3,008.25 | $510.68 – $919.22 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,008.25 | $510.68 – $919.22 |
| University Hospitals Geneva Medical Center | Geneva | $2,781.75 | not published |