healthcosts.net
Bx muscle at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$379.60
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.
$584.00
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 $4,629.18 with ANTHEM — 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% |
| Optum | Managed Medicaid Transplant | $58.27 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $59.25 | ↓ -84% |
| Buckeye | Managed Medicaid | $61.34 | ↓ -84% |
| Caresource | Managed Medicaid | $64.41 | ↓ -83% |
| United | Managed Medicaid | $64.41 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $66.05 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $67.47 | ↓ -82% |
| Molina | Managed Medicaid | $67.47 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $77.49 | ↓ -80% |
| Summacare | Medicare Advantage MD | $86.60 | ↓ -77% |
| Humana | Medicare Advantage HMO | $88.07 | ↓ -77% |
| Valor | All Products | $88.07 | ↓ -77% |
| United | Medicare Advantage | $88.07 | ↓ -77% |
| Aetna | Medicare Advantage | $88.07 | ↓ -77% |
| The Health Plan | Medicare Advantage | $88.07 | ↓ -77% |
| The Health Plan | All Products | $88.07 | ↓ -77% |
| Anthem | Medicare Advantage | $88.07 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $88.07 | ↓ -77% |
| CommuniCare | Medicare Advantage | $92.47 | ↓ -76% |
| PPHP | All Products | $96.88 | ↓ -74% |
| Anthem | All Products Mid-Level Facility | $127.48 | ↓ -66% |
| Oscar | All Products | $148.39 | ↓ -61% |
| MMO | Medicare HMO & PPO | $163.33 | ↓ -57% |
| Summacare | Preferred | $179.66 | ↓ -53% |
| Summacare | Premier | $185.97 | ↓ -51% |
| OHCP | All Products | $227.18 | ↓ -40% |
| Cigna | All Products Mid-Level | $266.22 | ↓ -30% |
| Aetna | Acop | $283.00 | ↓ -25% |
| Anthem | All Products Mid-Level Non-Facility | $284.72 | ↓ -25% |
| Aultcare | PPO/HMO | $288.50 | ↓ -24% |
| OMAS | All Products | $292.00 | ↓ -23% |
| Cigna | All Products Physician | $314.57 | ↓ -17% |
| Anthem | All Products Physician Facility | $323.79 | ↓ -15% |
| Anthem | All Products Physician | $323.79 | ↓ -15% |
| Optum | All Products Transplant | $340.47 | ↓ -10% |
| PHPHI | All Products | $350.40 | ↓ -8% |
| GMS | All Products | $408.80 | ↑ +8% |
| MMO | Traditional | $408.80 | ↑ +8% |
| Aetna | All Products First Health | $438.00 | ↑ +15% |
| Consociate Health | All Products | $438.00 | ↑ +15% |
| Aetna | Asa | $467.20 | ↑ +23% |
| United | HMO & PPO | $517.50 | ↑ +36% |
| Multiplan | All Products | $525.60 | ↑ +38% |
| United | All Products - Mid-Level | $568.64 | ↑ +50% |
| Aetna | Qhp/Ifp | $584.00 | ↑ +54% |
| United | All Products | $612.88 | ↑ +61% |
| Anthem | All Products Physician Non-Facility | $723.13 | ↑ +90% |
| OPTUM | Managed Medicaid Transplant | $1,072.58 | ↑ +183% |
| CARESOURCE | Managed Medicaid | $1,129.03 | ↑ +197% |
| ANTHEM | Managed Medicaid | $1,185.48 | ↑ +212% |
| MOLINA | Managed Medicaid | $1,185.48 | ↑ +212% |
| UNITED | Managed Medicaid | $1,185.48 | ↑ +212% |
| United BH | Managed Medicaid | $1,196.77 | ↑ +215% |
| AMERIHEALTH | Managed Medicaid | $1,241.93 | ↑ +227% |
| UNITED | MEDICARE ADVANTAGE | $1,497.07 | ↑ +294% |
| HUMANA | Medicare Advantage HMO | $1,497.07 | ↑ +294% |
| MMO | Medicare Advantage HMO & PPO | $1,497.07 | ↑ +294% |
| OPTUM | All Products VA | $1,497.07 | ↑ +294% |
| The Health Plan | MEDICARE ADVANTAGE | $1,549.47 | ↑ +308% |
| Summacare | MEDICARE ADVANTAGE | $1,562.54 | ↑ +312% |
| AETNA | MEDICARE ADVANTAGE | $1,562.54 | ↑ +312% |
| UPMC | MEDICARE ADVANTAGE | $1,562.54 | ↑ +312% |
| ANTHEM | MEDICARE ADVANTAGE | $1,562.54 | ↑ +312% |
| Valor | HMO & PPO | $1,562.54 | ↑ +312% |
| CIGNA | MEDICARE ADVANTAGE | $1,609.41 | ↑ +324% |
| Perennial Health | MEDICARE ADVANTAGE | $1,616.83 | ↑ +326% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,687.54 | ↑ +345% |
| PPHP | ALL PRODUCTS | $1,718.79 | ↑ +353% |
| MMO | SuperMed | $2,768.64 | ↑ +629% |
| MMO | NASCO | $2,768.64 | ↑ +629% |
| ANTHEM | HPN | $3,934.78 | ↑ +937% |
| MMO | ALL PRODUCTS | $4,021.97 | ↑ +960% |
| ANTHEM | PPO/HMO | $4,629.18 | ↑ +1119% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bx muscle at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $379.60 | $1.10 – $1,564.60 |
| mercy hospital | Canton | $379.60 | $1.10 – $1,609.41 |
| avon hospital | Avon | not published | $1,150.32 – $1,718.79 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,878.06 – $2,174.60 |
| euclid hospital | Euclid | not published | $1,178.53 – $1,718.79 |
| fairview hospital | Cleveland | not published | $1,107.18 – $1,718.79 |
| lutheran hospital | Cleveland | not published | $1,054.06 – $1,718.79 |
| hillcrest hospital | Mayfield Heights | not published | $1,153.50 – $1,718.79 |