healthcosts.net
Bx of breast open 19101 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$839.80
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.
$1,292.00
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 $10,974.37 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 | $109.81 | ↓ -87% |
| Buckeye | Managed Medicaid | $115.59 | ↓ -86% |
| United | Managed Medicaid | $121.37 | ↓ -86% |
| Caresource | Managed Medicaid | $121.37 | ↓ -86% |
| Oscar | All Products | $121.97 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $127.15 | ↓ -85% |
| Molina | Managed Medicaid | $127.15 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $138.15 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $157.73 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $180.66 | ↓ -78% |
| OHCP | All Products | $186.72 | ↓ -78% |
| Summacare | Medicare Advantage MD | $201.91 | ↓ -76% |
| Anthem | Medicare Advantage | $210.31 | ↓ -75% |
| Valor | All Products | $210.31 | ↓ -75% |
| United | Medicare Advantage | $210.31 | ↓ -75% |
| Aetna | Medicare Advantage | $210.31 | ↓ -75% |
| The Health Plan | Medicare Advantage | $210.31 | ↓ -75% |
| The Health Plan | All Products | $210.31 | ↓ -75% |
| Humana | Medicare Advantage HMO | $210.31 | ↓ -75% |
| Optum | Medicare Advantage Transplant | $210.31 | ↓ -75% |
| CommuniCare | Medicare Advantage | $220.83 | ↓ -74% |
| PPHP | All Products | $229.54 | ↓ -73% |
| Aultcare | PPO/HMO | $237.12 | ↓ -72% |
| OMAS | All Products | $240.00 | ↓ -71% |
| Optum | All Products Transplant | $279.84 | ↓ -67% |
| PHPHI | All Products | $288.00 | ↓ -66% |
| Anthem | All Products Mid-Level Facility | $300.59 | ↓ -64% |
| GMS | All Products | $336.00 | ↓ -60% |
| MMO | Traditional | $336.00 | ↓ -60% |
| Consociate Health | All Products | $360.00 | ↓ -57% |
| Aetna | All Products First Health | $360.00 | ↓ -57% |
| MMO | Medicare HMO & PPO | $374.26 | ↓ -55% |
| Aetna | Asa | $384.00 | ↓ -54% |
| Cigna | All Products Mid-Level | $407.63 | ↓ -51% |
| Summacare | Preferred | $429.03 | ↓ -49% |
| Multiplan | All Products | $432.00 | ↓ -49% |
| Summacare | Premier | $433.58 | ↓ -48% |
| Anthem | All Products Mid-Level Non-Facility | $435.96 | ↓ -48% |
| Aetna | Acop | $462.78 | ↓ -45% |
| Aetna | Qhp/Ifp | $480.00 | ↓ -43% |
| Cigna | All Products Physician | $481.65 | ↓ -43% |
| Anthem | All Products Physician | $763.42 | ↓ -9% |
| Anthem | All Products Physician Facility | $763.42 | ↓ -9% |
| United | HMO & PPO | $796.59 | ↓ -5% |
| OPTUM | Managed Medicaid Transplant | $819.01 | ↓ -2% |
| CARESOURCE | Managed Medicaid | $862.12 | ↑ +3% |
| United | All Products - Mid-Level | $875.32 | ↑ +4% |
| UNITED | Managed Medicaid | $905.23 | ↑ +8% |
| MOLINA | Managed Medicaid | $905.23 | ↑ +8% |
| ANTHEM | Managed Medicaid | $905.23 | ↑ +8% |
| United BH | Managed Medicaid | $913.85 | ↑ +9% |
| United | All Products | $943.42 | ↑ +12% |
| AMERIHEALTH | Managed Medicaid | $948.33 | ↑ +13% |
| Anthem | All Products Physician Non-Facility | $1,107.24 | ↑ +32% |
| HUMANA | Medicare Advantage HMO | $3,538.18 | ↑ +321% |
| OPTUM | All Products VA | $3,538.18 | ↑ +321% |
| UNITED | MEDICARE ADVANTAGE | $3,538.18 | ↑ +321% |
| MMO | Medicare Advantage HMO & PPO | $3,538.18 | ↑ +321% |
| The Health Plan | MEDICARE ADVANTAGE | $3,662.01 | ↑ +336% |
| ANTHEM | MEDICARE ADVANTAGE | $3,704.30 | ↑ +341% |
| Summacare | MEDICARE ADVANTAGE | $3,704.30 | ↑ +341% |
| AETNA | MEDICARE ADVANTAGE | $3,704.30 | ↑ +341% |
| UPMC | MEDICARE ADVANTAGE | $3,704.30 | ↑ +341% |
| Valor | HMO & PPO | $3,704.30 | ↑ +341% |
| CIGNA | MEDICARE ADVANTAGE | $3,815.43 | ↑ +354% |
| Perennial Health | MEDICARE ADVANTAGE | $3,821.23 | ↑ +355% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $4,000.65 | ↑ +376% |
| PPHP | ALL PRODUCTS | $4,074.73 | ↑ +385% |
| MMO | SuperMed | $6,508.54 | ↑ +675% |
| MMO | NASCO | $6,508.54 | ↑ +675% |
| ANTHEM | HPN | $9,328.17 | ↑ +1011% |
| MMO | ALL PRODUCTS | $9,534.87 | ↑ +1035% |
| ANTHEM | PPO/HMO | $10,974.37 | ↑ +1207% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bx of breast open 19101 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $7,467.20 | $0.01 – $10,339.20 |
| avon hospital | Avon | $7,467.20 | $0.01 – $10,339.20 |
| euclid hospital | Euclid | $7,467.20 | $0.01 – $10,339.20 |
| fairview hospital | Cleveland | $7,467.20 | $0.01 – $10,339.20 |
| lutheran hospital | Cleveland | $7,467.20 | $0.01 – $10,339.20 |
| hillcrest hospital | Mayfield Heights | $7,467.20 | $0.01 – $10,339.20 |
| marymount hospital | Garfield Heights | $7,467.20 | $0.01 – $10,339.20 |
| medina hospital | Medina | $7,467.20 | $0.01 – $10,339.20 |