healthcosts.net
Clsd tx/patellar fx without manip 27520 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$790.40
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.
$1,216.00
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 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $164.71 | ↓ -79% |
| Buckeye | Managed Medicaid | $173.38 | ↓ -78% |
| Caresource | Managed Medicaid | $182.05 | ↓ -77% |
| United | Managed Medicaid | $182.05 | ↓ -77% |
| Summacare | Medicare Advantage Lower Level | $189.77 | ↓ -76% |
| AmeriHealth | Managed Medicaid | $190.72 | ↓ -76% |
| Molina | Managed Medicaid | $190.72 | ↓ -76% |
| HUMANA | Medicare Advantage HMO | $221.64 | ↓ -72% |
| UNITED | MEDICARE ADVANTAGE | $221.64 | ↓ -72% |
| OPTUM | All Products VA | $221.64 | ↓ -72% |
| MMO | Medicare Advantage HMO & PPO | $221.64 | ↓ -72% |
| Summacare | Medicare Advantage Psych | $221.93 | ↓ -72% |
| The Health Plan | MEDICARE ADVANTAGE | $229.40 | ↓ -71% |
| Summacare | MEDICARE ADVANTAGE | $233.37 | ↓ -70% |
| Valor | HMO & PPO | $233.37 | ↓ -70% |
| UPMC | MEDICARE ADVANTAGE | $233.37 | ↓ -70% |
| AETNA | MEDICARE ADVANTAGE | $233.37 | ↓ -70% |
| ANTHEM | MEDICARE ADVANTAGE | $233.37 | ↓ -70% |
| OPTUM | Managed Medicaid Transplant | $234.24 | ↓ -70% |
| Perennial Health | MEDICARE ADVANTAGE | $239.38 | ↓ -70% |
| CIGNA | MEDICARE ADVANTAGE | $240.37 | ↓ -70% |
| CARESOURCE | Managed Medicaid | $246.57 | ↓ -69% |
| Summacare | Medicare Advantage CNA | $248.16 | ↓ -69% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $252.04 | ↓ -68% |
| PPHP | ALL PRODUCTS | $256.70 | ↓ -68% |
| MOLINA | Managed Medicaid | $258.90 | ↓ -67% |
| UNITED | Managed Medicaid | $258.90 | ↓ -67% |
| ANTHEM | Managed Medicaid | $258.90 | ↓ -67% |
| United BH | Managed Medicaid | $261.36 | ↓ -67% |
| AMERIHEALTH | Managed Medicaid | $271.23 | ↓ -66% |
| Summacare | Medicare Advantage MD | $277.35 | ↓ -65% |
| Optum | Medicare Advantage Transplant | $295.91 | ↓ -63% |
| Anthem | Medicare Advantage | $295.91 | ↓ -63% |
| Humana | Medicare Advantage HMO | $295.91 | ↓ -63% |
| Valor | All Products | $295.91 | ↓ -63% |
| Aetna | Medicare Advantage | $295.91 | ↓ -63% |
| United | Medicare Advantage | $295.91 | ↓ -63% |
| The Health Plan | Medicare Advantage | $295.91 | ↓ -63% |
| The Health Plan | All Products | $295.91 | ↓ -63% |
| Oscar | All Products | $308.99 | ↓ -61% |
| CommuniCare | Medicare Advantage | $310.71 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $311.93 | ↓ -61% |
| PPHP | All Products | $315.31 | ↓ -60% |
| PHP | ALL PRODUCTS | $352.96 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $352.96 | ↓ -55% |
| Summacare | Preferred | $363.99 | ↓ -54% |
| Summacare | PREMIER | $395.98 | ↓ -50% |
| MMO | NASCO | $403.20 | ↓ -49% |
| MMO | SuperMed | $403.20 | ↓ -49% |
| Anthem | All Products Mid-Level Facility | $406.19 | ↓ -49% |
| Cigna | All Products Mid-Level | $409.66 | ↓ -48% |
| Anthem | All Products Mid-Level Non-Facility | $438.13 | ↓ -45% |
| Aetna | Acop | $441.29 | ↓ -44% |
| CC EHP | ALL PRODUCTS | $446.72 | ↓ -43% |
| OHCP | All Products | $473.02 | ↓ -40% |
| MMO | Medicare HMO & PPO | $480.63 | ↓ -39% |
| Cigna | All Products Physician | $484.06 | ↓ -39% |
| Amish Community Aid Plan | ALL PRODUCTS | $496.35 | ↓ -37% |
| ANTHEM | HPN | $529.55 | ↓ -33% |
| OHCP | ALL PRODUCTS | $536.06 | ↓ -32% |
| Aultcare | PPO/HMO | $544.88 | ↓ -31% |
| OMAS | ALL PRODUCTS | $551.50 | ↓ -30% |
| MMO | TRADITIONAL | $574.66 | ↓ -27% |
| Summacare | Premier | $595.58 | ↓ -25% |
| Ohio Healthy | TRANSPLANT | $595.62 | ↓ -25% |
| MMO | ALL PRODUCTS | $600.68 | ↓ -24% |
| OMAS | All Products | $608.00 | ↓ -23% |
| ANTHEM | TRADITIONAL | $609.96 | ↓ -23% |
| OPTUM | All Products Transplant | $624.30 | ↓ -21% |
| The Health Plan | HMO | $661.80 | ↓ -16% |
| UPMC | ALL PRODUCTS | $661.80 | ↓ -16% |
| ANTHEM | PPO/HMO | $691.37 | ↓ -13% |
| Optum | All Products Transplant | $708.93 | ↓ -10% |
| PHPHI | All Products | $729.60 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $761.07 | ↓ -4% |
| Medical Benefit Corp | Transplant SMCP | $772.10 | ↓ -2% |
| GMS | ALL PRODUCTS | $772.10 | ↓ -2% |
| United | HMO & PPO | $818.70 | ↑ +4% |
| AETNA | ALL PRODUCTS | $827.25 | ↑ +5% |
| Consociate Health | ALL PRODUCTS | $827.25 | ↑ +5% |
| GMS | All Products | $851.20 | ↑ +8% |
| MMO | Traditional | $851.20 | ↑ +8% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $882.40 | ↑ +12% |
| United | All Products - Mid-Level | $899.61 | ↑ +14% |
| Consociate Health | All Products | $912.00 | ↑ +15% |
| Aetna | All Products First Health | $912.00 | ↑ +15% |
| United | All Products | $969.60 | ↑ +23% |
| Aetna | Asa | $972.80 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $992.70 | ↑ +26% |
| FrontPath | TRANSPLANT | $992.70 | ↑ +26% |
| Managed Care Services | TRANSPLANT | $992.70 | ↑ +26% |
| Tertiary Care Network | TRANSPLANT | $992.70 | ↑ +26% |
| Anthem | All Products Physician Facility | $1,031.65 | ↑ +31% |
| Anthem | All Products Physician | $1,031.65 | ↑ +31% |
| Multiplan | All Products | $1,094.40 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,103.00 | ↑ +40% |
| Anthem | All Products Physician Non-Facility | $1,112.78 | ↑ +41% |
| Aetna | Qhp/Ifp | $1,216.00 | ↑ +54% |
| AETNA | Acop | $2,451.00 | ↑ +210% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +262% |
| AETNA | International | $3,004.00 | ↑ +280% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx/patellar fx without manip 27520 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $790.40 | $0.01 – $1,094.40 |
| avon hospital | Avon | $716.95 | $0.01 – $992.70 |
| euclid hospital | Euclid | $716.95 | $0.01 – $992.70 |
| fairview hospital | Cleveland | $716.95 | $0.01 – $992.70 |
| lutheran hospital | Cleveland | $716.95 | $0.01 – $992.70 |
| hillcrest hospital | Mayfield Heights | $716.95 | $0.01 – $992.70 |
| lodi hospital | Lodi | $716.95 | $239.88 – $992.70 |
| marymount hospital | Garfield Heights | $716.95 | $0.01 – $992.70 |