healthcosts.net
Decompression of tibia nerve at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,359.80
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.
?
What you pay up front if you don't use insurance.
$2,092.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $5,473.19 with ANTHEM — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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% |
| Optum | Managed Medicaid Transplant | $190.64 | ↓ -86% |
| Buckeye | Managed Medicaid | $200.67 | ↓ -85% |
| Caresource | Managed Medicaid | $210.70 | ↓ -85% |
| United | Managed Medicaid | $210.70 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $220.74 | ↓ -84% |
| Molina | Managed Medicaid | $220.74 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $223.70 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $249.27 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $292.54 | ↓ -78% |
| Summacare | Medicare Advantage MD | $326.95 | ↓ -76% |
| Humana | Medicare Advantage HMO | $332.36 | ↓ -76% |
| Valor | All Products | $332.36 | ↓ -76% |
| United | Medicare Advantage | $332.36 | ↓ -76% |
| Aetna | Medicare Advantage | $332.36 | ↓ -76% |
| The Health Plan | Medicare Advantage | $332.36 | ↓ -76% |
| The Health Plan | All Products | $332.36 | ↓ -76% |
| Anthem | Medicare Advantage | $332.36 | ↓ -76% |
| Optum | Medicare Advantage Transplant | $332.36 | ↓ -76% |
| CommuniCare | Medicare Advantage | $348.98 | ↓ -74% |
| PPHP | All Products | $365.60 | ↓ -73% |
| Anthem | All Products Mid-Level Facility | $476.87 | ↓ -65% |
| Oscar | All Products | $531.58 | ↓ -61% |
| MMO | Medicare HMO & PPO | $611.55 | ↓ -55% |
| Cigna | All Products Mid-Level | $644.79 | ↓ -53% |
| Summacare | Preferred | $678.01 | ↓ -50% |
| Anthem | All Products Mid-Level Non-Facility | $689.61 | ↓ -49% |
| Summacare | Premier | $702.09 | ↓ -48% |
| Aetna | Acop | $731.95 | ↓ -46% |
| Cigna | All Products Physician | $761.89 | ↓ -44% |
| OHCP | All Products | $813.79 | ↓ -40% |
| Aultcare | PPO/HMO | $1,033.45 | ↓ -24% |
| OMAS | All Products | $1,046.00 | ↓ -23% |
| Anthem | All Products Physician | $1,211.16 | ↓ -11% |
| Anthem | All Products Physician Facility | $1,211.16 | ↓ -11% |
| Optum | All Products Transplant | $1,219.64 | ↓ -10% |
| PHPHI | All Products | $1,255.20 | ↓ -8% |
| United | HMO & PPO | $1,273.34 | ↓ -6% |
| United | All Products - Mid-Level | $1,399.18 | ↑ +3% |
| MMO | Traditional | $1,464.40 | ↑ +8% |
| GMS | All Products | $1,464.40 | ↑ +8% |
| United | All Products | $1,508.04 | ↑ +11% |
| Consociate Health | All Products | $1,569.00 | ↑ +15% |
| Aetna | All Products First Health | $1,569.00 | ↑ +15% |
| Aetna | Asa | $1,673.60 | ↑ +23% |
| Anthem | All Products Physician Non-Facility | $1,751.46 | ↑ +29% |
| UNITED | MEDICARE ADVANTAGE | $1,804.32 | ↑ +33% |
| HUMANA | Medicare Advantage HMO | $1,804.32 | ↑ +33% |
| MMO | Medicare Advantage HMO & PPO | $1,804.32 | ↑ +33% |
| OPTUM | All Products VA | $1,804.32 | ↑ +33% |
| AETNA | MEDICARE ADVANTAGE | $1,847.43 | ↑ +36% |
| Valor | HMO & PPO | $1,847.43 | ↑ +36% |
| UPMC | MEDICARE ADVANTAGE | $1,847.43 | ↑ +36% |
| Summacare | MEDICARE ADVANTAGE | $1,847.43 | ↑ +36% |
| ANTHEM | MEDICARE ADVANTAGE | $1,847.43 | ↑ +36% |
| The Health Plan | MEDICARE ADVANTAGE | $1,867.47 | ↑ +37% |
| Multiplan | All Products | $1,882.80 | ↑ +38% |
| CIGNA | MEDICARE ADVANTAGE | $1,902.85 | ↑ +40% |
| Perennial Health | MEDICARE ADVANTAGE | $1,948.67 | ↑ +43% |
| OPTUM | Managed Medicaid Transplant | $1,971.00 | ↑ +45% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,995.22 | ↑ +47% |
| PPHP | ALL PRODUCTS | $2,032.17 | ↑ +49% |
| CARESOURCE | Managed Medicaid | $2,074.74 | ↑ +53% |
| Aetna | Qhp/Ifp | $2,092.00 | ↑ +54% |
| UNITED | Managed Medicaid | $2,178.48 | ↑ +60% |
| MOLINA | Managed Medicaid | $2,178.48 | ↑ +60% |
| ANTHEM | Managed Medicaid | $2,178.48 | ↑ +60% |
| United BH | Managed Medicaid | $2,199.22 | ↑ +62% |
| AMERIHEALTH | Managed Medicaid | $2,282.21 | ↑ +68% |
| MMO | SuperMed | $3,297.28 | ↑ +142% |
| MMO | NASCO | $3,297.28 | ↑ +142% |
| ANTHEM | HPN | $4,652.19 | ↑ +242% |
| MMO | ALL PRODUCTS | $4,755.28 | ↑ +250% |
| ANTHEM | PPO/HMO | $5,473.19 | ↑ +302% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Decompression of tibia nerve at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,359.80 | $1.10 – $2,875.16 |
| mercy hospital | Canton | $1,359.80 | $1.10 – $2,227.10 |
| avon hospital | Avon | not published | $1,810.30 – $2,154.13 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,451.18 – $3,996.10 |
| euclid hospital | Euclid | not published | $1,675.06 – $2,507.67 |
| fairview hospital | Cleveland | not published | $1,675.06 – $2,355.83 |
| lutheran hospital | Cleveland | not published | $1,810.30 – $2,242.82 |
| hillcrest hospital | Mayfield Heights | not published | $1,675.06 – $2,454.40 |