healthcosts.net
Drainage of mouth lesion at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$694.20
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.
$1,068.00
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 $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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $71.41 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $80.19 | ↓ -88% |
| OPTUM | Managed Medicaid Transplant | $85.44 | ↓ -88% |
| CARESOURCE | Managed Medicaid | $89.94 | ↓ -87% |
| Buckeye | Managed Medicaid | $89.94 | ↓ -87% |
| Optum | Managed Medicaid Transplant | $90.80 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $93.38 | ↓ -87% |
| MOLINA | Managed Medicaid | $94.44 | ↓ -86% |
| ANTHEM | Managed Medicaid | $94.44 | ↓ -86% |
| UNITED | Managed Medicaid | $94.44 | ↓ -86% |
| United BH | Managed Medicaid | $95.34 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $98.93 | ↓ -86% |
| Caresource | Managed Medicaid | $100.36 | ↓ -86% |
| United | Managed Medicaid | $100.36 | ↓ -86% |
| Summacare | Medicare Advantage MD | $104.37 | ↓ -85% |
| Molina | Managed Medicaid | $105.14 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $105.14 | ↓ -85% |
| Humana | Medicare Advantage HMO | $106.92 | ↓ -85% |
| The Health Plan | All Products | $106.92 | ↓ -85% |
| Optum | Medicare Advantage Transplant | $106.92 | ↓ -85% |
| Anthem | Medicare Advantage | $106.92 | ↓ -85% |
| The Health Plan | Medicare Advantage | $106.92 | ↓ -85% |
| United | Medicare Advantage | $106.92 | ↓ -85% |
| Aetna | Medicare Advantage | $106.92 | ↓ -85% |
| Valor | All Products | $106.92 | ↓ -85% |
| CommuniCare | Medicare Advantage | $112.27 | ↓ -84% |
| PPHP | All Products | $117.61 | ↓ -83% |
| Oscar | All Products | $133.15 | ↓ -81% |
| Anthem | All Products Mid-Level Facility | $157.44 | ↓ -77% |
| ANTHEM | HPN | $199.35 | ↓ -71% |
| OHCP | All Products | $203.84 | ↓ -71% |
| OPTUM | All Products VA | $214.57 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $214.57 | ↓ -69% |
| MMO | Medicare Advantage HMO & PPO | $214.57 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $214.57 | ↓ -69% |
| MMO | Medicare HMO & PPO | $217.72 | ↓ -69% |
| Summacare | Preferred | $218.12 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $222.08 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $224.08 | ↓ -68% |
| Valor | HMO & PPO | $224.08 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $224.08 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $224.08 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $224.08 | ↓ -68% |
| Summacare | Premier | $224.11 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $230.80 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $231.73 | ↓ -67% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $242.00 | ↓ -65% |
| PPHP | ALL PRODUCTS | $246.49 | ↓ -64% |
| Aultcare | PPO/HMO | $258.86 | ↓ -63% |
| OMAS | All Products | $262.00 | ↓ -62% |
| Cigna | All Products Mid-Level | $290.30 | ↓ -58% |
| Aetna | Acop | $299.80 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $302.03 | ↓ -56% |
| Optum | All Products Transplant | $305.49 | ↓ -56% |
| Anthem | All Products Mid-Level Non-Facility | $310.48 | ↓ -55% |
| PHPHI | All Products | $314.40 | ↓ -55% |
| PHP | ALL PRODUCTS | $341.76 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $341.76 | ↓ -51% |
| Cigna | All Products Physician | $343.02 | ↓ -51% |
| MMO | Traditional | $366.80 | ↓ -47% |
| GMS | All Products | $366.80 | ↓ -47% |
| Summacare | PREMIER | $383.41 | ↓ -45% |
| Aetna | All Products First Health | $393.00 | ↓ -43% |
| Consociate Health | All Products | $393.00 | ↓ -43% |
| Anthem | All Products Physician | $399.86 | ↓ -42% |
| Anthem | All Products Physician Facility | $399.86 | ↓ -42% |
| MMO | NASCO | $417.54 | ↓ -40% |
| MMO | SuperMed | $417.54 | ↓ -40% |
| Aetna | Asa | $419.20 | ↓ -40% |
| CC EHP | ALL PRODUCTS | $432.54 | ↓ -38% |
| Multiplan | All Products | $471.60 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $480.60 | ↓ -31% |
| OHCP | ALL PRODUCTS | $519.05 | ↓ -25% |
| Aetna | Qhp/Ifp | $524.00 | ↓ -25% |
| OMAS | ALL PRODUCTS | $534.00 | ↓ -23% |
| United | HMO & PPO | $541.06 | ↓ -22% |
| MMO | TRADITIONAL | $556.43 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $576.72 | ↓ -17% |
| MMO | ALL PRODUCTS | $576.78 | ↓ -17% |
| ANTHEM | TRADITIONAL | $590.60 | ↓ -15% |
| United | All Products - Mid-Level | $594.53 | ↓ -14% |
| OPTUM | All Products Transplant | $604.49 | ↓ -13% |
| United | All Products | $640.78 | ↓ -8% |
| The Health Plan | HMO | $640.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $640.80 | ↓ -8% |
| ANTHEM | PPO/HMO | $663.85 | ↓ -4% |
| The Health Plan | ASO Self-Funded | $736.92 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $747.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $747.60 | ↑ +8% |
| Anthem | All Products Physician Non-Facility | $788.54 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $801.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $801.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $854.40 | ↑ +23% |
| Managed Care Services | TRANSPLANT | $961.20 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $961.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $961.20 | ↑ +38% |
| FrontPath | TRANSPLANT | $961.20 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,068.00 | ↑ +54% |
| AETNA | Acop | $2,451.00 | ↑ +253% |
| UNITED | ALL PRODUCTS | $2,453.00 | ↑ +253% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +312% |
| AETNA | International | $3,004.00 | ↑ +333% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $694.20 | $1.10 – $961.20 |
| avon hospital | Avon | $694.20 | $91.63 – $961.20 |
| euclid hospital | Euclid | $694.20 | $93.89 – $961.20 |
| fairview hospital | Cleveland | $694.20 | $88.20 – $961.20 |
| lutheran hospital | Cleveland | $694.20 | $83.97 – $961.20 |
| hillcrest hospital | Mayfield Heights | $694.20 | $91.89 – $961.20 |
| marymount hospital | Garfield Heights | $694.20 | $82.91 – $961.20 |
| medina hospital | Medina | $694.20 | $85.99 – $961.20 |