healthcosts.net
Bx skin punch ea sep/ addl les at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$128.70
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.
$198.00
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 $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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $12.33 | ↓ -90% |
| Buckeye | Managed Medicaid | $12.98 | ↓ -90% |
| Caresource | Managed Medicaid | $13.63 | ↓ -89% |
| United | Managed Medicaid | $13.63 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $14.28 | ↓ -89% |
| Molina | Managed Medicaid | $14.28 | ↓ -89% |
| Summacare | Medicare Advantage Lower Level | $15.55 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $15.84 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $20.34 | ↓ -84% |
| Humana | Medicare Advantage HMO | $21.12 | ↓ -84% |
| Valor | All Products | $21.12 | ↓ -84% |
| Aetna | Medicare Advantage | $21.12 | ↓ -84% |
| United | Medicare Advantage | $21.12 | ↓ -84% |
| The Health Plan | Medicare Advantage | $21.12 | ↓ -84% |
| The Health Plan | All Products | $21.12 | ↓ -84% |
| Anthem | Medicare Advantage | $21.12 | ↓ -84% |
| Optum | Medicare Advantage Transplant | $21.12 | ↓ -84% |
| CommuniCare | Medicare Advantage | $22.18 | ↓ -83% |
| Summacare | Medicare Advantage MD | $22.73 | ↓ -82% |
| PPHP | All Products | $23.23 | ↓ -82% |
| Anthem | All Products Mid-Level Facility | $34.20 | ↓ -73% |
| AETNA | MEDICARE ADVANTAGE | $40.11 | ↓ -69% |
| ANTHEM | HPN | $42.80 | ↓ -67% |
| Summacare | Preferred | $43.08 | ↓ -67% |
| ANTHEM | PPO/HMO | $44.39 | ↓ -66% |
| MMO | Medicare HMO & PPO | $47.08 | ↓ -63% |
| Summacare | Premier | $48.82 | ↓ -62% |
| Oscar | All Products | $50.31 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $52.04 | ↓ -60% |
| PHPHI | ALL PRODUCTS | $58.88 | ↓ -54% |
| PHP | ALL PRODUCTS | $58.88 | ↓ -54% |
| Summacare | PREMIER | $66.06 | ↓ -49% |
| Cigna | All Products Mid-Level | $72.07 | ↓ -44% |
| CC EHP | ALL PRODUCTS | $74.52 | ↓ -42% |
| OHCP | All Products | $77.02 | ↓ -40% |
| Anthem | All Products Mid-Level Non-Facility | $77.08 | ↓ -40% |
| Aetna | Acop | $82.19 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $82.80 | ↓ -36% |
| Cigna | All Products Physician | $85.16 | ↓ -34% |
| Anthem | All Products Physician Facility | $86.86 | ↓ -33% |
| Anthem | All Products Physician | $86.86 | ↓ -33% |
| OHCP | ALL PRODUCTS | $89.42 | ↓ -31% |
| Aultcare | PPO/HMO | $90.90 | ↓ -29% |
| OMAS | ALL PRODUCTS | $92.00 | ↓ -29% |
| MMO | TRADITIONAL | $95.86 | ↓ -26% |
| OMAS | All Products | $99.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $99.36 | ↓ -23% |
| ANTHEM | TRADITIONAL | $101.75 | ↓ -21% |
| OPTUM | All Products Transplant | $104.14 | ↓ -19% |
| MMO | NASCO | $106.92 | ↓ -17% |
| MMO | SuperMed | $106.92 | ↓ -17% |
| UPMC | ALL PRODUCTS | $110.40 | ↓ -14% |
| The Health Plan | HMO | $110.40 | ↓ -14% |
| Optum | All Products Transplant | $115.43 | ↓ -10% |
| PHPHI | All Products | $118.80 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $126.96 | ↓ -1% |
| GMS | ALL PRODUCTS | $128.80 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $128.80 | ↑ +0% |
| AETNA | ALL PRODUCTS | $138.00 | ↑ +7% |
| Consociate Health | ALL PRODUCTS | $138.00 | ↑ +7% |
| GMS | All Products | $138.60 | ↑ +8% |
| MMO | Traditional | $138.60 | ↑ +8% |
| United | HMO & PPO | $142.44 | ↑ +11% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $147.20 | ↑ +14% |
| Consociate Health | All Products | $148.50 | ↑ +15% |
| Aetna | All Products First Health | $148.50 | ↑ +15% |
| United | All Products - Mid-Level | $156.52 | ↑ +22% |
| Aetna | Asa | $158.40 | ↑ +23% |
| Managed Care Services | TRANSPLANT | $165.60 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $165.60 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $165.60 | ↑ +29% |
| FrontPath | TRANSPLANT | $165.60 | ↑ +29% |
| United | All Products | $168.70 | ↑ +31% |
| Multiplan | All Products | $178.20 | ↑ +38% |
| AETNA | Qhp/Ipf | $184.00 | ↑ +43% |
| Anthem | All Products Physician Non-Facility | $195.77 | ↑ +52% |
| Aetna | Qhp/Ifp | $198.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $309.06 | ↑ +140% |
| CARESOURCE | Managed Medicaid | $325.33 | ↑ +153% |
| MOLINA | Managed Medicaid | $341.60 | ↑ +165% |
| ANTHEM | Managed Medicaid | $341.60 | ↑ +165% |
| UNITED | Managed Medicaid | $341.60 | ↑ +165% |
| United BH | Managed Medicaid | $344.85 | ↑ +168% |
| AMERIHEALTH | Managed Medicaid | $357.86 | ↑ +178% |
| AETNA | Acop | $2,451.00 | ↑ +1804% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +2122% |
| AETNA | International | $3,004.00 | ↑ +2234% |
| The Health Plan | 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 | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bx skin punch ea sep/ addl les at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $128.70 | $0.01 – $450.84 |
| avon hospital | Avon | $119.60 | $0.01 – $337.78 |
| euclid hospital | Euclid | $119.60 | $0.01 – $393.21 |
| fairview hospital | Cleveland | $119.60 | $0.01 – $369.40 |
| lutheran hospital | Cleveland | $119.60 | $0.01 – $351.68 |
| hillcrest hospital | Mayfield Heights | $119.60 | $0.01 – $384.86 |
| marymount hospital | Garfield Heights | $119.60 | $0.01 – $347.25 |
| medina hospital | Medina | $119.60 | $0.01 – $360.18 |