healthcosts.net
Dilation of urethra at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$197.60
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.
?
What you pay up front if you don't use insurance.
$304.00
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 $5,859.03 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 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $22.89 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $24.59 | ↓ -88% |
| Optum | Managed Medicaid Transplant | $29.58 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $29.93 | ↓ -85% |
| Buckeye | Managed Medicaid | $31.14 | ↓ -84% |
| Caresource | Managed Medicaid | $32.70 | ↓ -83% |
| United | Managed Medicaid | $32.70 | ↓ -83% |
| The Health Plan | All Products | $32.79 | ↓ -83% |
| Valor | All Products | $32.79 | ↓ -83% |
| United | Medicare Advantage | $32.79 | ↓ -83% |
| Aetna | Medicare Advantage | $32.79 | ↓ -83% |
| Anthem | Medicare Advantage | $32.79 | ↓ -83% |
| The Health Plan | Medicare Advantage | $32.79 | ↓ -83% |
| Humana | Medicare Advantage HMO | $32.79 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $32.79 | ↓ -83% |
| Summacare | Medicare Advantage MD | $33.45 | ↓ -83% |
| Molina | Managed Medicaid | $34.25 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $34.25 | ↓ -83% |
| CommuniCare | Medicare Advantage | $34.43 | ↓ -83% |
| PPHP | All Products | $36.07 | ↓ -82% |
| Anthem | All Products Mid-Level Non-Facility | $50.87 | ↓ -74% |
| Anthem | All Products Mid-Level Facility | $50.87 | ↓ -74% |
| Summacare | Preferred | $66.89 | ↓ -66% |
| MMO | Medicare HMO & PPO | $68.85 | ↓ -65% |
| Summacare | Premier | $71.83 | ↓ -64% |
| Oscar | All Products | $77.25 | ↓ -61% |
| United | HMO & PPO | $93.28 | ↓ -53% |
| United | All Products - Mid-Level | $102.50 | ↓ -48% |
| United | All Products | $110.47 | ↓ -44% |
| OHCP | All Products | $118.26 | ↓ -40% |
| Anthem | All Products Physician Facility | $129.19 | ↓ -35% |
| Anthem | All Products Physician | $129.19 | ↓ -35% |
| Anthem | All Products Physician Non-Facility | $129.19 | ↓ -35% |
| Aultcare | PPO/HMO | $150.18 | ↓ -24% |
| OMAS | All Products | $152.00 | ↓ -23% |
| Optum | All Products Transplant | $177.23 | ↓ -10% |
| PHPHI | All Products | $182.40 | ↓ -8% |
| GMS | All Products | $212.80 | ↑ +8% |
| MMO | Traditional | $212.80 | ↑ +8% |
| OPTUM | Managed Medicaid Transplant | $226.03 | ↑ +14% |
| Aetna | All Products First Health | $228.00 | ↑ +15% |
| Consociate Health | All Products | $228.00 | ↑ +15% |
| CARESOURCE | Managed Medicaid | $237.93 | ↑ +20% |
| Aetna | Asa | $243.20 | ↑ +23% |
| UNITED | Managed Medicaid | $249.83 | ↑ +26% |
| MOLINA | Managed Medicaid | $249.83 | ↑ +26% |
| ANTHEM | Managed Medicaid | $249.83 | ↑ +26% |
| United BH | Managed Medicaid | $252.21 | ↑ +28% |
| AMERIHEALTH | Managed Medicaid | $261.72 | ↑ +32% |
| Multiplan | All Products | $273.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $304.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $1,892.78 | ↑ +858% |
| MMO | Medicare Advantage HMO & PPO | $1,892.78 | ↑ +858% |
| OPTUM | All Products VA | $1,892.78 | ↑ +858% |
| HUMANA | Medicare Advantage HMO | $1,892.78 | ↑ +858% |
| The Health Plan | MEDICARE ADVANTAGE | $1,959.03 | ↑ +891% |
| UPMC | MEDICARE ADVANTAGE | $1,977.66 | ↑ +901% |
| Valor | HMO & PPO | $1,977.66 | ↑ +901% |
| Summacare | MEDICARE ADVANTAGE | $1,977.66 | ↑ +901% |
| ANTHEM | MEDICARE ADVANTAGE | $1,977.66 | ↑ +901% |
| AETNA | MEDICARE ADVANTAGE | $1,977.66 | ↑ +901% |
| CIGNA | MEDICARE ADVANTAGE | $2,036.99 | ↑ +931% |
| Perennial Health | MEDICARE ADVANTAGE | $2,044.20 | ↑ +935% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,135.88 | ↑ +981% |
| PPHP | ALL PRODUCTS | $2,175.43 | ↑ +1001% |
| MMO | NASCO | $3,478.27 | ↑ +1660% |
| MMO | SuperMed | $3,478.27 | ↑ +1660% |
| ANTHEM | HPN | $4,980.15 | ↑ +2420% |
| MMO | ALL PRODUCTS | $5,090.51 | ↑ +2476% |
| ANTHEM | PPO/HMO | $5,859.03 | ↑ +2865% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Dilation of urethra at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $197.60 | $1.10 – $1,977.66 |
| mercy hospital | Canton | $197.60 | $1.10 – $2,036.99 |
| avon hospital | Avon | not published | $242.42 – $2,175.43 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $395.79 – $458.28 |
| euclid hospital | Euclid | not published | $248.37 – $2,175.43 |
| fairview hospital | Cleveland | not published | $233.33 – $2,175.43 |
| lutheran hospital | Cleveland | not published | $222.14 – $2,175.43 |
| hillcrest hospital | Mayfield Heights | not published | $243.10 – $2,175.43 |