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Cystourethro w/addl implant 52442 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$288.60
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.
$444.00
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 $3,019.01 with AMERIHEALTH — 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 | $31.15 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $32.80 | ↓ -89% |
| Summacare | Medicare Advantage CNA | $40.73 | ↓ -86% |
| The Health Plan | Medicare Advantage | $43.73 | ↓ -85% |
| The Health Plan | All Products | $43.73 | ↓ -85% |
| Humana | Medicare Advantage HMO | $43.73 | ↓ -85% |
| Valor | All Products | $43.73 | ↓ -85% |
| United | Medicare Advantage | $43.73 | ↓ -85% |
| Aetna | Medicare Advantage | $43.73 | ↓ -85% |
| Anthem | Medicare Advantage | $43.73 | ↓ -85% |
| Optum | Medicare Advantage Transplant | $43.73 | ↓ -85% |
| Summacare | Medicare Advantage MD | $45.52 | ↓ -84% |
| CommuniCare | Medicare Advantage | $45.92 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $48.00 | ↓ -83% |
| PPHP | All Products | $48.10 | ↓ -83% |
| Buckeye | Managed Medicaid | $50.53 | ↓ -82% |
| Caresource | Managed Medicaid | $53.06 | ↓ -82% |
| United | Managed Medicaid | $53.06 | ↓ -82% |
| Molina | Managed Medicaid | $55.58 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $55.58 | ↓ -81% |
| Anthem | All Products Mid-Level Facility | $67.17 | ↓ -77% |
| MMO | NASCO | $86.02 | ↓ -70% |
| MMO | SuperMed | $86.02 | ↓ -70% |
| Summacare | Preferred | $89.21 | ↓ -69% |
| Summacare | Premier | $97.76 | ↓ -66% |
| MMO | Medicare HMO & PPO | $105.73 | ↓ -63% |
| Oscar | All Products | $112.82 | ↓ -61% |
| Anthem | All Products Physician Facility | $170.59 | ↓ -41% |
| Anthem | All Products Physician | $170.59 | ↓ -41% |
| OHCP | All Products | $172.72 | ↓ -40% |
| Aultcare | PPO/HMO | $219.34 | ↓ -24% |
| OMAS | All Products | $222.00 | ↓ -23% |
| Optum | All Products Transplant | $258.85 | ↓ -10% |
| PHPHI | All Products | $266.40 | ↓ -8% |
| GMS | All Products | $310.80 | ↑ +8% |
| MMO | Traditional | $310.80 | ↑ +8% |
| Aetna | All Products First Health | $333.00 | ↑ +15% |
| Consociate Health | All Products | $333.00 | ↑ +15% |
| Aetna | Asa | $355.20 | ↑ +23% |
| Multiplan | All Products | $399.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $444.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $1,031.42 | ↑ +257% |
| Anthem | All Products Mid-Level Non-Facility | $1,103.12 | ↑ +282% |
| Cigna | All Products Physician | $1,218.73 | ↑ +322% |
| Aetna | Acop | $1,260.83 | ↑ +337% |
| United | HMO & PPO | $1,991.58 | ↑ +590% |
| United | All Products - Mid-Level | $2,188.39 | ↑ +658% |
| United | All Products | $2,358.65 | ↑ +717% |
| OPTUM | Managed Medicaid Transplant | $2,607.32 | ↑ +803% |
| CARESOURCE | Managed Medicaid | $2,744.55 | ↑ +851% |
| Anthem | All Products Physician Non-Facility | $2,801.71 | ↑ +871% |
| MOLINA | Managed Medicaid | $2,881.78 | ↑ +899% |
| UNITED | Managed Medicaid | $2,881.78 | ↑ +899% |
| ANTHEM | Managed Medicaid | $2,881.78 | ↑ +899% |
| United BH | Managed Medicaid | $2,909.22 | ↑ +908% |
| AMERIHEALTH | Managed Medicaid | $3,019.01 | ↑ +946% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Cystourethro w/addl implant 52442 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,842.85 | $0.01 – $8,090.10 |
| mercy hospital | Canton | $288.60 | $1.10 – $2,946.10 |
| avon hospital | Avon | not published | $2,796.30 – $2,849.56 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,565.35 – $5,286.19 |
| euclid hospital | Euclid | not published | $2,864.89 – $3,317.24 |
| fairview hospital | Cleveland | not published | $2,691.42 – $3,116.38 |
| lutheran hospital | Cleveland | not published | $2,562.31 – $2,966.89 |
| hillcrest hospital | Mayfield Heights | not published | $2,804.03 – $3,246.77 |