Care mgmt svc bhvl hlth cond at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$241.80
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.
$372.00
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 $372.00 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 | $26.38 | ↓ -89% |
| HUMANA | Medicare Advantage HMO | $27.53 | ↓ -89% |
| UNITED | MEDICARE ADVANTAGE | $27.53 | ↓ -89% |
| OPTUM | All Products VA | $27.53 | ↓ -89% |
| MMO | Medicare Advantage HMO & PPO | $27.53 | ↓ -89% |
| The Health Plan | MEDICARE ADVANTAGE | $28.49 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $28.85 | ↓ -88% |
| Perennial Health | MEDICARE ADVANTAGE | $29.73 | ↓ -88% |
| Anthem | All Products Mid-Level Facility | $33.70 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $34.50 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $35.45 | ↓ -85% |
| Summacare | MEDICARE ADVANTAGE | $35.45 | ↓ -85% |
| UPMC | MEDICARE ADVANTAGE | $35.45 | ↓ -85% |
| Valor | HMO & PPO | $35.45 | ↓ -85% |
| ANTHEM | MEDICARE ADVANTAGE | $35.45 | ↓ -85% |
| CIGNA | MEDICARE ADVANTAGE | $36.51 | ↓ -85% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $38.28 | ↓ -84% |
| United | Medicare Advantage | $38.46 | ↓ -84% |
| Humana | Medicare Advantage HMO | $38.46 | ↓ -84% |
| The Health Plan | All Products | $38.46 | ↓ -84% |
| The Health Plan | Medicare Advantage | $38.46 | ↓ -84% |
| Valor | All Products | $38.46 | ↓ -84% |
| Anthem | Medicare Advantage | $38.46 | ↓ -84% |
| Optum | Medicare Advantage Transplant | $38.46 | ↓ -84% |
| Aetna | Medicare Advantage | $38.46 | ↓ -84% |
| Summacare | Medicare Advantage MD | $38.56 | ↓ -84% |
| PPHP | ALL PRODUCTS | $38.99 | ↓ -84% |
| CommuniCare | Medicare Advantage | $40.38 | ↓ -83% |
| MMO | NASCO | $42.27 | ↓ -83% |
| MMO | SuperMed | $42.27 | ↓ -83% |
| PPHP | All Products | $42.31 | ↓ -83% |
| Anthem | All Products Mid-Level Non-Facility | $48.12 | ↓ -80% |
| Cigna | All Products Mid-Level | $52.50 | ↓ -78% |
| MMO | Medicare HMO & PPO | $55.15 | ↓ -77% |
| Anthem | All Products Physician Facility | $60.25 | ↓ -75% |
| Anthem | All Products Physician | $60.25 | ↓ -75% |
| Cigna | All Products Physician | $62.03 | ↓ -74% |
| Aetna | Acop | $65.20 | ↓ -73% |
| Summacare | Preferred | $78.46 | ↓ -68% |
| Summacare | Premier | $82.80 | ↓ -66% |
| Anthem | All Products Physician Non-Facility | $86.01 | ↓ -64% |
| United | HMO & PPO | $89.09 | ↓ -63% |
| ANTHEM | HPN | $89.27 | ↓ -63% |
| MMO | ALL PRODUCTS | $91.24 | ↓ -62% |
| Oscar | All Products | $94.53 | ↓ -61% |
| ANTHEM | PPO/HMO | $105.02 | ↓ -57% |
| United | All Products - Mid-Level | $109.14 | ↓ -55% |
| United | All Products | $117.73 | ↓ -51% |
| OHCP | All Products | $144.71 | ↓ -40% |
| Aultcare | PPO/HMO | $183.77 | ↓ -24% |
| OMAS | All Products | $186.00 | ↓ -23% |
| Optum | All Products Transplant | $216.88 | ↓ -10% |
| PHPHI | All Products | $223.20 | ↓ -8% |
| GMS | All Products | $260.40 | ↑ +8% |
| MMO | Traditional | $260.40 | ↑ +8% |
| Aetna | All Products First Health | $279.00 | ↑ +15% |
| Consociate Health | All Products | $279.00 | ↑ +15% |
| Aetna | Asa | $297.60 | ↑ +23% |
| Multiplan | All Products | $334.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $372.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
Visitor-reported prices
Comments
Care mgmt svc bhvl hlth cond at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $241.80 | $1.10 – $334.80 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $133.90 | $58.26 – $185.40 |
| mercy hospital | Canton | $241.80 | $1.10 – $334.80 |
| avon hospital | Avon | not published | $27.62 – $38.99 |
| euclid hospital | Euclid | not published | $24.89 – $38.99 |
| fairview hospital | Cleveland | not published | $24.89 – $38.99 |
| lutheran hospital | Cleveland | not published | $27.62 – $38.99 |
| hillcrest hospital | Mayfield Heights | not published | $24.89 – $38.99 |