healthcosts.net
Complx repair enel addl 5cm/< 13153 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$618.80
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.
$952.00
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 $6,561.00 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 | $67.89 | ↓ -89% |
| Buckeye | Managed Medicaid | $71.46 | ↓ -88% |
| United | Managed Medicaid | $75.03 | ↓ -88% |
| Caresource | Managed Medicaid | $75.03 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $78.61 | ↓ -87% |
| Molina | Managed Medicaid | $78.61 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $83.96 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $84.09 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $109.79 | ↓ -82% |
| The Health Plan | Medicare Advantage | $112.12 | ↓ -82% |
| United | Medicare Advantage | $112.12 | ↓ -82% |
| Aetna | Medicare Advantage | $112.12 | ↓ -82% |
| Valor | All Products | $112.12 | ↓ -82% |
| Anthem | Medicare Advantage | $112.12 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $112.12 | ↓ -82% |
| The Health Plan | All Products | $112.12 | ↓ -82% |
| Humana | Medicare Advantage HMO | $112.12 | ↓ -82% |
| CommuniCare | Medicare Advantage | $117.73 | ↓ -81% |
| Summacare | Medicare Advantage MD | $122.71 | ↓ -80% |
| PPHP | All Products | $123.33 | ↓ -80% |
| AETNA | MEDICARE ADVANTAGE | $131.45 | ↓ -79% |
| OSCAR | ALL PRODUCTS | $170.53 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $182.44 | ↓ -71% |
| PHP | ALL PRODUCTS | $192.96 | ↓ -69% |
| PHPHI | ALL PRODUCTS | $192.96 | ↓ -69% |
| Summacare | Preferred | $198.99 | ↓ -68% |
| Summacare | PREMIER | $216.48 | ↓ -65% |
| ANTHEM | HPN | $228.87 | ↓ -63% |
| Cigna | All Products Mid-Level | $229.94 | ↓ -63% |
| ANTHEM | PPO/HMO | $235.71 | ↓ -62% |
| Oscar | All Products | $241.90 | ↓ -61% |
| CC EHP | ALL PRODUCTS | $244.22 | ↓ -61% |
| Anthem | All Products Mid-Level Non-Facility | $245.93 | ↓ -60% |
| MMO | Medicare HMO & PPO | $250.10 | ↓ -60% |
| Summacare | Premier | $263.51 | ↓ -57% |
| Aetna | Acop | $266.13 | ↓ -57% |
| Amish Community Aid Plan | ALL PRODUCTS | $271.35 | ↓ -56% |
| Cigna | All Products Physician | $271.70 | ↓ -56% |
| OHCP | ALL PRODUCTS | $293.06 | ↓ -53% |
| Aultcare | PPO/HMO | $297.88 | ↓ -52% |
| OMAS | ALL PRODUCTS | $301.50 | ↓ -51% |
| MMO | TRADITIONAL | $314.16 | ↓ -49% |
| Ohio Healthy | TRANSPLANT | $325.62 | ↓ -47% |
| ANTHEM | TRADITIONAL | $333.46 | ↓ -46% |
| OPTUM | All Products Transplant | $341.30 | ↓ -45% |
| UPMC | ALL PRODUCTS | $361.80 | ↓ -42% |
| The Health Plan | HMO | $361.80 | ↓ -42% |
| OHCP | All Products | $370.33 | ↓ -40% |
| The Health Plan | ASO Self-Funded | $416.07 | ↓ -33% |
| Medical Benefit Corp | Transplant SMCP | $422.10 | ↓ -32% |
| GMS | ALL PRODUCTS | $422.10 | ↓ -32% |
| United | HMO & PPO | $450.20 | ↓ -27% |
| Consociate Health | ALL PRODUCTS | $452.25 | ↓ -27% |
| AETNA | ALL PRODUCTS | $452.25 | ↓ -27% |
| Anthem | All Products Physician Facility | $463.38 | ↓ -25% |
| Anthem | All Products Physician | $463.38 | ↓ -25% |
| OMAS | All Products | $476.00 | ↓ -23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $482.40 | ↓ -22% |
| United | All Products - Mid-Level | $494.69 | ↓ -20% |
| MMO | NASCO | $514.08 | ↓ -17% |
| MMO | SuperMed | $514.08 | ↓ -17% |
| United | All Products | $533.18 | ↓ -14% |
| MULTIPLAN | ALL PRODUCTS | $542.70 | ↓ -12% |
| FrontPath | TRANSPLANT | $542.70 | ↓ -12% |
| Managed Care Services | TRANSPLANT | $542.70 | ↓ -12% |
| Tertiary Care Network | TRANSPLANT | $542.70 | ↓ -12% |
| Optum | All Products Transplant | $555.02 | ↓ -10% |
| PHPHI | All Products | $571.20 | ↓ -8% |
| AETNA | Qhp/Ipf | $603.00 | ↓ -3% |
| Anthem | All Products Physician Non-Facility | $624.59 | ↑ +1% |
| MMO | Traditional | $666.40 | ↑ +8% |
| GMS | All Products | $666.40 | ↑ +8% |
| Aetna | All Products First Health | $714.00 | ↑ +15% |
| Consociate Health | All Products | $714.00 | ↑ +15% |
| Aetna | Asa | $761.60 | ↑ +23% |
| OPTUM | Managed Medicaid Transplant | $841.82 | ↑ +36% |
| Multiplan | All Products | $856.80 | ↑ +38% |
| CARESOURCE | Managed Medicaid | $886.13 | ↑ +43% |
| MOLINA | Managed Medicaid | $930.44 | ↑ +50% |
| ANTHEM | Managed Medicaid | $930.44 | ↑ +50% |
| UNITED | Managed Medicaid | $930.44 | ↑ +50% |
| United BH | Managed Medicaid | $939.30 | ↑ +52% |
| Aetna | Qhp/Ifp | $952.00 | ↑ +54% |
| AMERIHEALTH | Managed Medicaid | $974.74 | ↑ +58% |
| AETNA | Acop | $5,355.00 | ↑ +765% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↑ +910% |
| AETNA | International | $6,561.00 | ↑ +960% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | 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 | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair enel addl 5cm/< 13153 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $618.80 | $0.01 – $1,227.99 |
| avon hospital | Avon | $391.95 | $131.45 – $920.04 |
| euclid hospital | Euclid | $391.95 | $131.45 – $1,071.04 |
| fairview hospital | Cleveland | $391.95 | $131.45 – $1,006.18 |
| lutheran hospital | Cleveland | $391.95 | $131.45 – $957.91 |
| hillcrest hospital | Mayfield Heights | $391.95 | $131.45 – $1,048.29 |
| marymount hospital | Garfield Heights | $391.95 | $131.45 – $945.84 |
| medina hospital | Medina | $391.95 | $131.45 – $981.07 |