Crtj pericardial window/prtl resecj w/drg/bx at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$5,785.00
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.
?
What you pay up front if you don't use insurance.
$8,900.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $8,900.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $471.96 | ↓ -92% |
| Summacare | Medicare Advantage Psych | $545.15 | ↓ -91% |
| Summacare | Medicare Advantage CNA | $617.18 | ↓ -89% |
| Optum | Managed Medicaid Transplant | $645.22 | ↓ -89% |
| Buckeye | Managed Medicaid | $679.18 | ↓ -88% |
| Summacare | Medicare Advantage MD | $689.79 | ↓ -88% |
| United | Managed Medicaid | $713.14 | ↓ -88% |
| Caresource | Managed Medicaid | $713.14 | ↓ -88% |
| Optum | Medicare Advantage Transplant | $726.87 | ↓ -87% |
| Aetna | Medicare Advantage | $726.87 | ↓ -87% |
| United | Medicare Advantage | $726.87 | ↓ -87% |
| Humana | Medicare Advantage HMO | $726.87 | ↓ -87% |
| Valor | All Products | $726.87 | ↓ -87% |
| Anthem | Medicare Advantage | $726.87 | ↓ -87% |
| The Health Plan | All Products | $726.87 | ↓ -87% |
| The Health Plan | Medicare Advantage | $726.87 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $747.10 | ↓ -87% |
| Molina | Managed Medicaid | $747.10 | ↓ -87% |
| CommuniCare | Medicare Advantage | $763.21 | ↓ -87% |
| PPHP | All Products | $784.18 | ↓ -86% |
| Anthem | All Products Mid-Level Non-Facility | $1,028.62 | ↓ -82% |
| Anthem | All Products Mid-Level Facility | $1,028.62 | ↓ -82% |
| ANTHEM | HPN | $1,256.32 | ↓ -78% |
| MMO | NASCO | $1,311.74 | ↓ -77% |
| MMO | SuperMed | $1,311.74 | ↓ -77% |
| MMO | Medicare HMO & PPO | $1,458.26 | ↓ -75% |
| ANTHEM | PPO/HMO | $1,461.66 | ↓ -75% |
| Oscar | All Products | $1,475.81 | ↓ -74% |
| Summacare | Premier | $1,481.22 | ↓ -74% |
| Summacare | Preferred | $1,482.81 | ↓ -74% |
| United | HMO & PPO | $1,896.41 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $1,940.20 | ↓ -66% |
| United | All Products - Mid-Level | $2,083.82 | ↓ -64% |
| United | All Products | $2,245.94 | ↓ -61% |
| OHCP | All Products | $2,259.31 | ↓ -61% |
| OPTUM | Managed Medicaid Transplant | $2,417.07 | ↓ -58% |
| UNITED | ALL PRODUCTS | $2,453.00 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $2,516.92 | ↓ -56% |
| CARESOURCE | Managed Medicaid | $2,544.28 | ↓ -56% |
| Anthem | All Products Physician Non-Facility | $2,612.47 | ↓ -55% |
| Anthem | All Products Physician Facility | $2,612.47 | ↓ -55% |
| Anthem | All Products Physician | $2,612.47 | ↓ -55% |
| MOLINA | Managed Medicaid | $2,671.49 | ↓ -54% |
| ANTHEM | Managed Medicaid | $2,671.49 | ↓ -54% |
| UNITED | Managed Medicaid | $2,671.49 | ↓ -54% |
| United BH | Managed Medicaid | $2,696.94 | ↓ -53% |
| AMERIHEALTH | Managed Medicaid | $2,798.71 | ↓ -52% |
| PHP | ALL PRODUCTS | $2,848.00 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $2,848.00 | ↓ -51% |
| Aultcare | PPO/HMO | $2,869.15 | ↓ -50% |
| OMAS | All Products | $2,904.00 | ↓ -50% |
| Summacare | PREMIER | $3,195.10 | ↓ -45% |
| Optum | All Products Transplant | $3,386.06 | ↓ -41% |
| PHPHI | All Products | $3,484.80 | ↓ -40% |
| CC EHP | ALL PRODUCTS | $3,604.50 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $4,005.00 | ↓ -31% |
| GMS | All Products | $4,065.60 | ↓ -30% |
| MMO | Traditional | $4,065.60 | ↓ -30% |
| OHCP | ALL PRODUCTS | $4,325.40 | ↓ -25% |
| Aetna | All Products First Health | $4,356.00 | ↓ -25% |
| Consociate Health | All Products | $4,356.00 | ↓ -25% |
| OMAS | ALL PRODUCTS | $4,450.00 | ↓ -23% |
| MMO | TRADITIONAL | $4,636.90 | ↓ -20% |
| Aetna | Asa | $4,646.40 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $4,806.00 | ↓ -17% |
| ANTHEM | TRADITIONAL | $4,921.70 | ↓ -15% |
| OPTUM | All Products Transplant | $5,037.40 | ↓ -13% |
| Multiplan | All Products | $5,227.20 | ↓ -10% |
| The Health Plan | HMO | $5,340.00 | ↓ -8% |
| AETNA | Acop | $5,340.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $5,340.00 | ↓ -8% |
| Aetna | Qhp/Ifp | $5,808.00 | ↑ +0% |
| The Health Plan | ASO Self-Funded | $6,141.00 | ↑ +6% |
| AETNA | International | $6,230.00 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $6,230.00 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $6,230.00 | ↑ +8% |
| GMS | ALL PRODUCTS | $6,230.00 | ↑ +8% |
| AETNA | ALL PRODUCTS | $6,675.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $6,675.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $7,120.00 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $8,010.00 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $8,010.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $8,010.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $8,010.00 | ↑ +38% |
| AETNA | Qhp/Ipf | $8,900.00 | ↑ +54% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| MMO | ALL PRODUCTS | 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 | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | 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 | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Crtj pericardial window/prtl resecj w/drg/bx at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,785.00 | $1.10 – $8,010.00 |
| avon hospital | Avon | $5,785.00 | $1,468.56 – $8,010.00 |
| euclid hospital | Euclid | $5,785.00 | $1,468.56 – $8,010.00 |
| fairview hospital | Cleveland | $5,785.00 | $1,254.41 – $8,010.00 |
| lutheran hospital | Cleveland | $5,785.00 | $1,468.56 – $8,010.00 |
| hillcrest hospital | Mayfield Heights | $5,785.00 | $1,254.41 – $8,010.00 |
| marymount hospital | Garfield Heights | $5,785.00 | $1,468.56 – $8,010.00 |
| medina hospital | Medina | $5,785.00 | $996.53 – $8,010.00 |