healthcosts.net
Cystourethro w/implant at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,144.00
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.
$1,760.00
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 $4,128.64 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 | $128.29 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $136.34 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $167.76 | ↓ -85% |
| Optum | Managed Medicaid Transplant | $179.86 | ↓ -84% |
| Anthem | Medicare Advantage | $181.79 | ↓ -84% |
| Aetna | Medicare Advantage | $181.79 | ↓ -84% |
| The Health Plan | Medicare Advantage | $181.79 | ↓ -84% |
| The Health Plan | All Products | $181.79 | ↓ -84% |
| United | Medicare Advantage | $181.79 | ↓ -84% |
| Optum | Medicare Advantage Transplant | $181.79 | ↓ -84% |
| Valor | All Products | $181.79 | ↓ -84% |
| Humana | Medicare Advantage HMO | $181.79 | ↓ -84% |
| Summacare | Medicare Advantage MD | $187.50 | ↓ -84% |
| Buckeye | Managed Medicaid | $189.33 | ↓ -83% |
| CommuniCare | Medicare Advantage | $190.88 | ↓ -83% |
| Caresource | Managed Medicaid | $198.80 | ↓ -83% |
| United | Managed Medicaid | $198.80 | ↓ -83% |
| PPHP | All Products | $199.97 | ↓ -83% |
| Molina | Managed Medicaid | $208.26 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $208.26 | ↓ -82% |
| Anthem | All Products Mid-Level Facility | $276.80 | ↓ -76% |
| MMO | NASCO | $354.82 | ↓ -69% |
| MMO | SuperMed | $354.82 | ↓ -69% |
| Summacare | Preferred | $370.85 | ↓ -68% |
| MMO | Medicare HMO & PPO | $395.22 | ↓ -65% |
| Summacare | Premier | $402.63 | ↓ -65% |
| Oscar | All Products | $447.22 | ↓ -61% |
| OHCP | All Products | $684.64 | ↓ -40% |
| Anthem | All Products Physician Facility | $703.02 | ↓ -39% |
| Anthem | All Products Physician | $703.02 | ↓ -39% |
| Aultcare | PPO/HMO | $869.44 | ↓ -24% |
| OMAS | All Products | $880.00 | ↓ -23% |
| OPTUM | Managed Medicaid Transplant | $895.32 | ↓ -22% |
| CARESOURCE | Managed Medicaid | $942.44 | ↓ -18% |
| UNITED | Managed Medicaid | $989.56 | ↓ -14% |
| MOLINA | Managed Medicaid | $989.56 | ↓ -14% |
| ANTHEM | Managed Medicaid | $989.56 | ↓ -14% |
| United BH | Managed Medicaid | $998.99 | ↓ -13% |
| Optum | All Products Transplant | $1,026.08 | ↓ -10% |
| AMERIHEALTH | Managed Medicaid | $1,036.68 | ↓ -9% |
| PHPHI | All Products | $1,056.00 | ↓ -8% |
| MMO | Traditional | $1,232.00 | ↑ +8% |
| GMS | All Products | $1,232.00 | ↑ +8% |
| Consociate Health | All Products | $1,320.00 | ↑ +15% |
| Aetna | All Products First Health | $1,320.00 | ↑ +15% |
| Aetna | Asa | $1,408.00 | ↑ +23% |
| Cigna | All Products Mid-Level | $1,519.92 | ↑ +33% |
| Multiplan | All Products | $1,584.00 | ↑ +38% |
| Anthem | All Products Mid-Level Non-Facility | $1,625.57 | ↑ +42% |
| Aetna | Acop | $1,694.50 | ↑ +48% |
| Aetna | Qhp/Ifp | $1,760.00 | ↑ +54% |
| Cigna | All Products Physician | $1,795.95 | ↑ +57% |
| United | HMO & PPO | $2,951.24 | ↑ +158% |
| United | All Products - Mid-Level | $3,242.89 | ↑ +183% |
| United | All Products | $3,495.20 | ↑ +206% |
| Anthem | All Products Physician Non-Facility | $4,128.64 | ↑ +261% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Cystourethro w/implant at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,850.25 | $0.01 – $3,946.50 |
| mercy hospital | Canton | $1,144.00 | $1.10 – $1,584.00 |
| avon hospital | Avon | not published | $960.21 – $978.50 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,567.68 – $1,815.21 |
| euclid hospital | Euclid | not published | $983.76 – $1,139.09 |
| fairview hospital | Cleveland | not published | $924.19 – $1,070.11 |
| lutheran hospital | Cleveland | not published | $879.86 – $1,018.79 |
| hillcrest hospital | Mayfield Heights | not published | $962.86 – $1,114.89 |