healthcosts.net
Cystostomy cystotomy w/drainage 51040 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,167.40
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.
$1,796.00
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 $5,859.03 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% |
| Summacare | Medicare Advantage Lower Level | $179.52 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $198.72 | ↓ -83% |
| Oscar | All Products | $203.79 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $234.75 | ↓ -80% |
| Optum | Managed Medicaid Transplant | $236.29 | ↓ -80% |
| Buckeye | Managed Medicaid | $248.73 | ↓ -79% |
| Caresource | Managed Medicaid | $261.17 | ↓ -78% |
| United | Managed Medicaid | $261.17 | ↓ -78% |
| Summacare | Medicare Advantage MD | $262.37 | ↓ -78% |
| The Health Plan | All Products | $264.96 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $264.96 | ↓ -77% |
| The Health Plan | Medicare Advantage | $264.96 | ↓ -77% |
| Anthem | Medicare Advantage | $264.96 | ↓ -77% |
| Aetna | Medicare Advantage | $264.96 | ↓ -77% |
| United | Medicare Advantage | $264.96 | ↓ -77% |
| Humana | Medicare Advantage HMO | $264.96 | ↓ -77% |
| Valor | All Products | $264.96 | ↓ -77% |
| Molina | Managed Medicaid | $273.60 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $273.60 | ↓ -77% |
| CommuniCare | Medicare Advantage | $278.21 | ↓ -76% |
| PPHP | All Products | $291.46 | ↓ -75% |
| OHCP | All Products | $311.98 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $385.23 | ↓ -67% |
| Anthem | All Products Mid-Level Facility | $385.23 | ↓ -67% |
| Aultcare | PPO/HMO | $396.19 | ↓ -66% |
| OMAS | All Products | $401.00 | ↓ -66% |
| Optum | All Products Transplant | $467.57 | ↓ -60% |
| PHPHI | All Products | $481.20 | ↓ -59% |
| MMO | Medicare HMO & PPO | $514.23 | ↓ -56% |
| Summacare | Preferred | $540.52 | ↓ -54% |
| GMS | All Products | $561.40 | ↓ -52% |
| MMO | Traditional | $561.40 | ↓ -52% |
| Summacare | Premier | $563.41 | ↓ -52% |
| Consociate Health | All Products | $601.50 | ↓ -48% |
| Aetna | All Products First Health | $601.50 | ↓ -48% |
| Aetna | Asa | $641.60 | ↓ -45% |
| United | HMO & PPO | $720.09 | ↓ -38% |
| Multiplan | All Products | $721.80 | ↓ -38% |
| United | All Products - Mid-Level | $791.26 | ↓ -32% |
| Aetna | Qhp/Ifp | $802.00 | ↓ -31% |
| OPTUM | Managed Medicaid Transplant | $846.52 | ↓ -27% |
| United | All Products | $852.82 | ↓ -27% |
| CARESOURCE | Managed Medicaid | $891.07 | ↓ -24% |
| MOLINA | Managed Medicaid | $935.62 | ↓ -20% |
| UNITED | Managed Medicaid | $935.62 | ↓ -20% |
| ANTHEM | Managed Medicaid | $935.62 | ↓ -20% |
| United BH | Managed Medicaid | $944.53 | ↓ -19% |
| Anthem | All Products Physician | $978.40 | ↓ -16% |
| Anthem | All Products Physician Non-Facility | $978.40 | ↓ -16% |
| Anthem | All Products Physician Facility | $978.40 | ↓ -16% |
| AMERIHEALTH | Managed Medicaid | $980.18 | ↓ -16% |
| MMO | Medicare Advantage HMO & PPO | $1,892.78 | ↑ +62% |
| HUMANA | Medicare Advantage HMO | $1,892.78 | ↑ +62% |
| OPTUM | All Products VA | $1,892.78 | ↑ +62% |
| UNITED | MEDICARE ADVANTAGE | $1,892.78 | ↑ +62% |
| The Health Plan | MEDICARE ADVANTAGE | $1,959.03 | ↑ +68% |
| ANTHEM | MEDICARE ADVANTAGE | $1,977.66 | ↑ +69% |
| Summacare | MEDICARE ADVANTAGE | $1,977.66 | ↑ +69% |
| UPMC | MEDICARE ADVANTAGE | $1,977.66 | ↑ +69% |
| AETNA | MEDICARE ADVANTAGE | $1,977.66 | ↑ +69% |
| Valor | HMO & PPO | $1,977.66 | ↑ +69% |
| CIGNA | MEDICARE ADVANTAGE | $2,036.99 | ↑ +74% |
| Perennial Health | MEDICARE ADVANTAGE | $2,044.20 | ↑ +75% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,135.88 | ↑ +83% |
| PPHP | ALL PRODUCTS | $2,175.43 | ↑ +86% |
| MMO | SuperMed | $3,478.27 | ↑ +198% |
| MMO | NASCO | $3,478.27 | ↑ +198% |
| ANTHEM | HPN | $4,980.15 | ↑ +327% |
| MMO | ALL PRODUCTS | $5,090.51 | ↑ +336% |
| ANTHEM | PPO/HMO | $5,859.03 | ↑ +402% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $6,124.95 | $1.10 – $8,480.70 |
| avon hospital | Avon | $6,124.95 | $549.75 – $8,480.70 |
| euclid hospital | Euclid | $6,124.95 | $549.75 – $8,480.70 |
| fairview hospital | Cleveland | $6,124.95 | $469.59 – $8,480.70 |
| lutheran hospital | Cleveland | $6,124.95 | $549.75 – $8,480.70 |
| hillcrest hospital | Mayfield Heights | $6,124.95 | $469.59 – $8,480.70 |
| marymount hospital | Garfield Heights | $6,124.95 | $549.75 – $8,480.70 |
| medina hospital | Medina | $6,124.95 | $373.05 – $8,480.70 |