healthcosts.net
Debride/subq tissue/ea add 20sq cm 11045 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,123.85
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.
$1,729.00
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.
$0.01 with UNITED vs $3,004.00 with AETNA — 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $12.66 | ↓ -99% |
| Buckeye | Managed Medicaid | $13.33 | ↓ -99% |
| United | Managed Medicaid | $14.00 | ↓ -99% |
| Caresource | Managed Medicaid | $14.00 | ↓ -99% |
| Molina | Managed Medicaid | $14.66 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $14.66 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $15.29 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $16.41 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $19.99 | ↓ -98% |
| Anthem | Medicare Advantage | $21.88 | ↓ -98% |
| Valor | All Products | $21.88 | ↓ -98% |
| Aetna | Medicare Advantage | $21.88 | ↓ -98% |
| United | Medicare Advantage | $21.88 | ↓ -98% |
| The Health Plan | Medicare Advantage | $21.88 | ↓ -98% |
| The Health Plan | All Products | $21.88 | ↓ -98% |
| Humana | Medicare Advantage HMO | $21.88 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $21.88 | ↓ -98% |
| Summacare | Medicare Advantage MD | $22.34 | ↓ -98% |
| CommuniCare | Medicare Advantage | $22.97 | ↓ -98% |
| PPHP | All Products | $24.07 | ↓ -98% |
| MMO | Medicare HMO & PPO | $31.68 | ↓ -97% |
| Anthem | All Products Mid-Level Facility | $34.12 | ↓ -97% |
| ANTHEM | HPN | $42.56 | ↓ -96% |
| Summacare | Preferred | $44.64 | ↓ -96% |
| ANTHEM | PPO/HMO | $46.68 | ↓ -96% |
| Summacare | Premier | $47.98 | ↓ -96% |
| Cigna | All Products Mid-Level | $49.20 | ↓ -96% |
| Oscar | All Products | $50.82 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $52.62 | ↓ -95% |
| Aetna | Acop | $57.05 | ↓ -95% |
| Cigna | All Products Physician | $58.13 | ↓ -95% |
| OHCP | All Products | $77.80 | ↓ -93% |
| Anthem | All Products Physician | $86.66 | ↓ -92% |
| Anthem | All Products Physician Facility | $86.66 | ↓ -92% |
| United | HMO & PPO | $97.41 | ↓ -91% |
| Aultcare | PPO/HMO | $98.80 | ↓ -91% |
| OMAS | All Products | $100.00 | ↓ -91% |
| United | All Products - Mid-Level | $107.04 | ↓ -90% |
| MMO | SuperMed | $108.00 | ↓ -90% |
| MMO | NASCO | $108.00 | ↓ -90% |
| United | All Products | $115.36 | ↓ -90% |
| Optum | All Products Transplant | $116.60 | ↓ -90% |
| PHPHI | All Products | $120.00 | ↓ -89% |
| Anthem | All Products Physician Non-Facility | $133.64 | ↓ -88% |
| MMO | Traditional | $140.00 | ↓ -88% |
| GMS | All Products | $140.00 | ↓ -88% |
| Consociate Health | All Products | $150.00 | ↓ -87% |
| Aetna | All Products First Health | $150.00 | ↓ -87% |
| Aetna | Asa | $160.00 | ↓ -86% |
| Multiplan | All Products | $180.00 | ↓ -84% |
| Aetna | Qhp/Ifp | $200.00 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $376.92 | ↓ -66% |
| OPTUM | Managed Medicaid Transplant | $444.21 | ↓ -60% |
| CARESOURCE | Managed Medicaid | $467.59 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $488.96 | ↓ -56% |
| ANTHEM | Managed Medicaid | $490.97 | ↓ -56% |
| MOLINA | Managed Medicaid | $490.97 | ↓ -56% |
| UNITED | Managed Medicaid | $490.97 | ↓ -56% |
| United BH | Managed Medicaid | $495.65 | ↓ -56% |
| AMERIHEALTH | Managed Medicaid | $514.35 | ↓ -54% |
| PHPHI | ALL PRODUCTS | $553.28 | ↓ -51% |
| PHP | ALL PRODUCTS | $553.28 | ↓ -51% |
| Summacare | PREMIER | $620.71 | ↓ -45% |
| CC EHP | ALL PRODUCTS | $700.25 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $778.05 | ↓ -31% |
| OHCP | ALL PRODUCTS | $840.29 | ↓ -25% |
| OMAS | ALL PRODUCTS | $864.50 | ↓ -23% |
| MMO | TRADITIONAL | $900.81 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $933.66 | ↓ -17% |
| ANTHEM | TRADITIONAL | $956.14 | ↓ -15% |
| OPTUM | All Products Transplant | $978.61 | ↓ -13% |
| UPMC | ALL PRODUCTS | $1,037.40 | ↓ -8% |
| The Health Plan | HMO | $1,037.40 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $1,193.01 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $1,210.30 | ↑ +8% |
| GMS | ALL PRODUCTS | $1,210.30 | ↑ +8% |
| AETNA | ALL PRODUCTS | $1,296.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,296.75 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,383.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $1,556.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,556.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $1,556.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,556.10 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,729.00 | ↑ +54% |
| AETNA | Acop | $2,451.00 | ↑ +118% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +154% |
| AETNA | International | $3,004.00 | ↑ +167% |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Debride/subq tissue/ea add 20sq cm 11045 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,123.85 | $0.01 – $1,556.10 |
| avon hospital | Avon | $1,123.85 | $0.01 – $1,556.10 |
| euclid hospital | Euclid | $1,123.85 | $0.01 – $1,556.10 |
| fairview hospital | Cleveland | $1,123.85 | $0.01 – $1,556.10 |
| lutheran hospital | Cleveland | $1,123.85 | $0.01 – $1,556.10 |
| hillcrest hospital | Mayfield Heights | $1,123.85 | $0.01 – $1,556.10 |
| marymount hospital | Garfield Heights | $1,123.85 | $0.01 – $1,556.10 |
| medina hospital | Medina | $1,123.85 | $0.01 – $1,556.10 |