healthcosts.net
Debr g/per/abd wall 11006 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$3,406.00
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.
$5,240.00
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 $2,394.89 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 | $292.47 | ↓ -91% |
| Summacare | Medicare Advantage Lower Level | $432.02 | ↓ -87% |
| OPTUM | Managed Medicaid Transplant | $444.21 | ↓ -87% |
| OHCP | All Products | $447.74 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $464.08 | ↓ -86% |
| CARESOURCE | Managed Medicaid | $467.59 | ↓ -86% |
| Buckeye | Managed Medicaid | $467.59 | ↓ -86% |
| UNITED | Managed Medicaid | $490.97 | ↓ -86% |
| ANTHEM | Managed Medicaid | $490.97 | ↓ -86% |
| MOLINA | Managed Medicaid | $490.97 | ↓ -86% |
| United BH | Managed Medicaid | $495.65 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $514.35 | ↓ -85% |
| Optum | Managed Medicaid Transplant | $521.96 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $564.94 | ↓ -83% |
| Aultcare | PPO/HMO | $568.59 | ↓ -83% |
| OMAS | All Products | $575.50 | ↓ -83% |
| Caresource | Managed Medicaid | $576.90 | ↓ -83% |
| United | Managed Medicaid | $576.90 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $604.37 | ↓ -82% |
| Molina | Managed Medicaid | $604.37 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $618.77 | ↓ -82% |
| Aetna | Medicare Advantage | $618.77 | ↓ -82% |
| Anthem | Medicare Advantage | $618.77 | ↓ -82% |
| Humana | Medicare Advantage HMO | $618.77 | ↓ -82% |
| The Health Plan | All Products | $618.77 | ↓ -82% |
| The Health Plan | Medicare Advantage | $618.77 | ↓ -82% |
| United | Medicare Advantage | $618.77 | ↓ -82% |
| Valor | All Products | $618.77 | ↓ -82% |
| Summacare | Medicare Advantage MD | $631.41 | ↓ -81% |
| CommuniCare | Medicare Advantage | $649.71 | ↓ -81% |
| Optum | All Products Transplant | $671.03 | ↓ -80% |
| PPHP | All Products | $680.65 | ↓ -80% |
| PHPHI | All Products | $690.60 | ↓ -80% |
| MMO | Traditional | $805.70 | ↓ -76% |
| GMS | All Products | $805.70 | ↓ -76% |
| Aetna | All Products First Health | $863.25 | ↓ -75% |
| Consociate Health | All Products | $863.25 | ↓ -75% |
| Aetna | Asa | $920.80 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $942.94 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $942.94 | ↓ -72% |
| Multiplan | All Products | $1,035.90 | ↓ -70% |
| Aetna | Qhp/Ifp | $1,151.00 | ↓ -66% |
| MMO | SuperMed | $1,198.85 | ↓ -65% |
| MMO | NASCO | $1,198.85 | ↓ -65% |
| MMO | Medicare HMO & PPO | $1,249.46 | ↓ -63% |
| Summacare | Preferred | $1,262.29 | ↓ -63% |
| Summacare | Premier | $1,355.87 | ↓ -60% |
| United | HMO & PPO | $1,733.52 | ↓ -49% |
| United | All Products - Mid-Level | $1,904.83 | ↓ -44% |
| United | All Products | $2,053.03 | ↓ -40% |
| Anthem | All Products Physician | $2,394.89 | ↓ -30% |
| Anthem | All Products Physician Non-Facility | $2,394.89 | ↓ -30% |
| Anthem | All Products Physician Facility | $2,394.89 | ↓ -30% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Debr g/per/abd wall 11006 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,406.00 | $1.10 – $4,716.00 |
| mercy hospital | Canton | $3,406.00 | $1.10 – $1,035.90 |
| avon hospital | Avon | not published | $476.42 – $485.49 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $777.81 – $900.63 |
| euclid hospital | Euclid | not published | $488.10 – $565.17 |
| fairview hospital | Cleveland | not published | $458.55 – $530.95 |
| lutheran hospital | Cleveland | not published | $436.54 – $505.47 |
| hillcrest hospital | Mayfield Heights | not published | $477.73 – $553.16 |