healthcosts.net
Cystorrhaphy wound simple 51860 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$3,276.00
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.
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What you pay up front if you don't use insurance.
$5,040.00
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 $26,533.05 with ANTHEM — 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% |
| Oscar | All Products | $350.66 | ↓ -89% |
| Summacare | Medicare Advantage Lower Level | $457.33 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $501.04 | ↓ -85% |
| Optum | Managed Medicaid Transplant | $521.27 | ↓ -84% |
| OHCP | All Products | $536.82 | ↓ -84% |
| Buckeye | Managed Medicaid | $548.71 | ↓ -83% |
| Caresource | Managed Medicaid | $576.15 | ↓ -82% |
| United | Managed Medicaid | $576.15 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $598.05 | ↓ -82% |
| Molina | Managed Medicaid | $603.58 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $603.58 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $668.05 | ↓ -80% |
| Valor | All Products | $668.05 | ↓ -80% |
| The Health Plan | Medicare Advantage | $668.05 | ↓ -80% |
| The Health Plan | All Products | $668.05 | ↓ -80% |
| Aetna | Medicare Advantage | $668.05 | ↓ -80% |
| Humana | Medicare Advantage HMO | $668.05 | ↓ -80% |
| Anthem | Medicare Advantage | $668.05 | ↓ -80% |
| United | Medicare Advantage | $668.05 | ↓ -80% |
| Summacare | Medicare Advantage MD | $668.41 | ↓ -80% |
| Aultcare | PPO/HMO | $681.72 | ↓ -79% |
| OMAS | All Products | $690.00 | ↓ -79% |
| CommuniCare | Medicare Advantage | $701.45 | ↓ -79% |
| PPHP | All Products | $734.86 | ↓ -78% |
| Optum | All Products Transplant | $804.54 | ↓ -75% |
| PHPHI | All Products | $828.00 | ↓ -75% |
| GMS | All Products | $966.00 | ↓ -71% |
| MMO | Traditional | $966.00 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $994.42 | ↓ -70% |
| Anthem | All Products Mid-Level Non-Facility | $994.42 | ↓ -70% |
| Consociate Health | All Products | $1,035.00 | ↓ -68% |
| Aetna | All Products First Health | $1,035.00 | ↓ -68% |
| Aetna | Asa | $1,104.00 | ↓ -66% |
| Multiplan | All Products | $1,242.00 | ↓ -62% |
| MMO | Medicare HMO & PPO | $1,318.29 | ↓ -60% |
| Summacare | Preferred | $1,362.82 | ↓ -58% |
| Aetna | Qhp/Ifp | $1,380.00 | ↓ -58% |
| Summacare | Premier | $1,435.32 | ↓ -56% |
| United | HMO & PPO | $1,842.58 | ↓ -44% |
| United | All Products - Mid-Level | $2,024.67 | ↓ -38% |
| United | All Products | $2,182.19 | ↓ -33% |
| OPTUM | Managed Medicaid Transplant | $2,248.18 | ↓ -31% |
| CARESOURCE | Managed Medicaid | $2,366.50 | ↓ -28% |
| ANTHEM | Managed Medicaid | $2,484.83 | ↓ -24% |
| MOLINA | Managed Medicaid | $2,484.83 | ↓ -24% |
| UNITED | Managed Medicaid | $2,484.83 | ↓ -24% |
| United BH | Managed Medicaid | $2,508.49 | ↓ -23% |
| Anthem | All Products Physician Facility | $2,525.63 | ↓ -23% |
| Anthem | All Products Physician | $2,525.63 | ↓ -23% |
| Anthem | All Products Physician Non-Facility | $2,525.63 | ↓ -23% |
| AMERIHEALTH | Managed Medicaid | $2,603.15 | ↓ -21% |
| MMO | Medicare Advantage HMO & PPO | $8,544.18 | ↑ +161% |
| HUMANA | Medicare Advantage HMO | $8,544.18 | ↑ +161% |
| UNITED | MEDICARE ADVANTAGE | $8,544.18 | ↑ +161% |
| OPTUM | All Products VA | $8,544.18 | ↑ +161% |
| The Health Plan | MEDICARE ADVANTAGE | $8,843.23 | ↑ +170% |
| AETNA | MEDICARE ADVANTAGE | $8,956.00 | ↑ +173% |
| Summacare | MEDICARE ADVANTAGE | $8,956.00 | ↑ +173% |
| ANTHEM | MEDICARE ADVANTAGE | $8,956.00 | ↑ +173% |
| UPMC | MEDICARE ADVANTAGE | $8,956.00 | ↑ +173% |
| Valor | HMO & PPO | $8,956.00 | ↑ +173% |
| CIGNA | MEDICARE ADVANTAGE | $9,224.68 | ↑ +182% |
| Perennial Health | MEDICARE ADVANTAGE | $9,227.72 | ↑ +182% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $9,672.48 | ↑ +195% |
| PPHP | ALL PRODUCTS | $9,851.60 | ↑ +201% |
| MMO | SuperMed | $15,728.38 | ↑ +380% |
| MMO | NASCO | $15,728.38 | ↑ +380% |
| ANTHEM | HPN | $22,553.01 | ↑ +588% |
| MMO | ALL PRODUCTS | $23,052.75 | ↑ +604% |
| ANTHEM | PPO/HMO | $26,533.05 | ↑ +710% |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Cystorrhaphy wound simple 51860 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,276.00 | $1.10 – $8,956.00 |
| avon hospital | Avon | $27,649.05 | $1,388.98 – $38,283.30 |
| euclid hospital | Euclid | $27,649.05 | $1,388.98 – $38,283.30 |
| fairview hospital | Cleveland | $27,649.05 | $1,186.44 – $38,283.30 |
| lutheran hospital | Cleveland | $27,649.05 | $1,388.98 – $38,283.30 |
| hillcrest hospital | Mayfield Heights | $27,649.05 | $1,186.44 – $38,283.30 |
| marymount hospital | Garfield Heights | $27,649.05 | $1,388.98 – $38,283.30 |
| medina hospital | Medina | $27,649.05 | $942.53 – $38,283.30 |