healthcosts.net
Closed treatment of femoral fracture proximal end neck; wi at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$3,167.45
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.
$4,873.00
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 $4,873.00 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% |
| OPTUM | Managed Medicaid Transplant | $234.24 | ↓ -93% |
| CARESOURCE | Managed Medicaid | $246.57 | ↓ -92% |
| Buckeye | Managed Medicaid | $246.57 | ↓ -92% |
| ANTHEM | Managed Medicaid | $258.90 | ↓ -92% |
| MOLINA | Managed Medicaid | $258.90 | ↓ -92% |
| UNITED | Managed Medicaid | $258.90 | ↓ -92% |
| United BH | Managed Medicaid | $261.36 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $271.23 | ↓ -91% |
| Summacare | Medicare Advantage Lower Level | $453.91 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $510.51 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $540.96 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $593.57 | ↓ -81% |
| United | Managed Medicaid | $597.90 | ↓ -81% |
| Caresource | Managed Medicaid | $597.90 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $626.37 | ↓ -80% |
| Molina | Managed Medicaid | $626.37 | ↓ -80% |
| Summacare | Medicare Advantage MD | $663.40 | ↓ -79% |
| The Health Plan | Medicare Advantage | $680.68 | ↓ -79% |
| Valor | All Products | $680.68 | ↓ -79% |
| Aetna | Medicare Advantage | $680.68 | ↓ -79% |
| United | Medicare Advantage | $680.68 | ↓ -79% |
| Anthem | Medicare Advantage | $680.68 | ↓ -79% |
| The Health Plan | All Products | $680.68 | ↓ -79% |
| Humana | Medicare Advantage HMO | $680.68 | ↓ -79% |
| Optum | Medicare Advantage Transplant | $680.68 | ↓ -79% |
| CommuniCare | Medicare Advantage | $714.71 | ↓ -77% |
| PPHP | All Products | $748.75 | ↓ -76% |
| Anthem | All Products Mid-Level Non-Facility | $980.89 | ↓ -69% |
| Anthem | All Products Mid-Level Facility | $980.89 | ↓ -69% |
| Oscar | All Products | $1,191.22 | ↓ -62% |
| ANTHEM | HPN | $1,211.80 | ↓ -62% |
| MMO | NASCO | $1,252.61 | ↓ -60% |
| MMO | SuperMed | $1,252.61 | ↓ -60% |
| MMO | Medicare HMO & PPO | $1,324.82 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $1,378.08 | ↓ -56% |
| Summacare | Preferred | $1,388.59 | ↓ -56% |
| Summacare | Premier | $1,424.57 | ↓ -55% |
| AETNA | MEDICARE ADVANTAGE | $1,521.28 | ↓ -52% |
| UPMC | MEDICARE ADVANTAGE | $1,521.28 | ↓ -52% |
| ANTHEM | MEDICARE ADVANTAGE | $1,521.28 | ↓ -52% |
| Summacare | MEDICARE ADVANTAGE | $1,521.28 | ↓ -52% |
| Valor | HMO & PPO | $1,521.28 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $1,559.36 | ↓ -51% |
| PHP | ALL PRODUCTS | $1,559.36 | ↓ -51% |
| CIGNA | MEDICARE ADVANTAGE | $1,566.92 | ↓ -51% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,642.99 | ↓ -48% |
| PPHP | ALL PRODUCTS | $1,673.41 | ↓ -47% |
| Summacare | PREMIER | $1,749.41 | ↓ -45% |
| United | HMO & PPO | $1,811.42 | ↓ -43% |
| OHCP | All Products | $1,823.63 | ↓ -42% |
| CC EHP | ALL PRODUCTS | $1,973.57 | ↓ -38% |
| United | All Products - Mid-Level | $1,990.43 | ↓ -37% |
| United | All Products | $2,145.29 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,192.85 | ↓ -31% |
| Aultcare | PPO/HMO | $2,315.87 | ↓ -27% |
| OMAS | All Products | $2,344.00 | ↓ -26% |
| OHCP | ALL PRODUCTS | $2,368.28 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,436.50 | ↓ -23% |
| AETNA | Acop | $2,451.00 | ↓ -23% |
| UNITED | ALL PRODUCTS | $2,453.00 | ↓ -23% |
| Anthem | All Products Physician Facility | $2,491.25 | ↓ -21% |
| Anthem | All Products Physician Non-Facility | $2,491.25 | ↓ -21% |
| Anthem | All Products Physician | $2,491.25 | ↓ -21% |
| MMO | TRADITIONAL | $2,538.83 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $2,631.42 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,694.77 | ↓ -15% |
| Optum | All Products Transplant | $2,733.10 | ↓ -14% |
| OPTUM | All Products Transplant | $2,758.12 | ↓ -13% |
| PHPHI | All Products | $2,812.80 | ↓ -11% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↓ -10% |
| UPMC | ALL PRODUCTS | $2,923.80 | ↓ -8% |
| The Health Plan | HMO | $2,923.80 | ↓ -8% |
| AETNA | International | $3,004.00 | ↓ -5% |
| MMO | Traditional | $3,281.60 | ↑ +4% |
| GMS | All Products | $3,281.60 | ↑ +4% |
| The Health Plan | ASO Self-Funded | $3,362.37 | ↑ +6% |
| GMS | ALL PRODUCTS | $3,411.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $3,411.10 | ↑ +8% |
| Aetna | All Products First Health | $3,516.00 | ↑ +11% |
| Consociate Health | All Products | $3,516.00 | ↑ +11% |
| Consociate Health | ALL PRODUCTS | $3,654.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $3,654.75 | ↑ +15% |
| Aetna | Asa | $3,750.40 | ↑ +18% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,898.40 | ↑ +23% |
| MMO | ALL PRODUCTS | $3,915.79 | ↑ +24% |
| Multiplan | All Products | $4,219.20 | ↑ +33% |
| Tertiary Care Network | TRANSPLANT | $4,385.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $4,385.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $4,385.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $4,385.70 | ↑ +38% |
| ANTHEM | PPO/HMO | $4,506.96 | ↑ +42% |
| Aetna | Qhp/Ifp | $4,688.00 | ↑ +48% |
| AETNA | Qhp/Ipf | $4,873.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| AETNA | NAP | 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 | — |
| OPTUM | All Products VA | not published by hospital | — |
Visitor-reported prices
Comments
Closed treatment of femoral fracture proximal end neck; wi at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,167.45 | $1.10 – $4,385.70 |
| avon hospital | Avon | $3,167.45 | $251.22 – $4,385.70 |
| euclid hospital | Euclid | $3,167.45 | $257.38 – $4,385.70 |
| fairview hospital | Cleveland | $3,167.45 | $241.80 – $4,385.70 |
| lutheran hospital | Cleveland | $3,167.45 | $230.20 – $4,385.70 |
| hillcrest hospital | Mayfield Heights | $3,167.45 | $251.92 – $4,385.70 |
| marymount hospital | Garfield Heights | $3,167.45 | $227.30 – $4,385.70 |
| medina hospital | Medina | $3,167.45 | $235.76 – $4,385.70 |