healthcosts.net
Drng of mouth lesion 40801 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,522.95
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.
$2,343.00
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 $4,001.00 with AETNA — 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% |
| Summacare | Medicare Advantage Lower Level | $122.86 | ↓ -92% |
| Summacare | Medicare Advantage Psych | $136.75 | ↓ -91% |
| Optum | Managed Medicaid Transplant | $148.76 | ↓ -90% |
| Buckeye | Managed Medicaid | $156.59 | ↓ -90% |
| Summacare | Medicare Advantage CNA | $160.67 | ↓ -89% |
| United | Managed Medicaid | $164.42 | ↓ -89% |
| Caresource | Managed Medicaid | $164.42 | ↓ -89% |
| Molina | Managed Medicaid | $172.25 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $172.25 | ↓ -89% |
| Summacare | Medicare Advantage MD | $179.57 | ↓ -88% |
| Aetna | Medicare Advantage | $182.33 | ↓ -88% |
| Humana | Medicare Advantage HMO | $182.33 | ↓ -88% |
| United | Medicare Advantage | $182.33 | ↓ -88% |
| The Health Plan | Medicare Advantage | $182.33 | ↓ -88% |
| Optum | Medicare Advantage Transplant | $182.33 | ↓ -88% |
| Valor | All Products | $182.33 | ↓ -88% |
| Anthem | Medicare Advantage | $182.33 | ↓ -88% |
| The Health Plan | All Products | $182.33 | ↓ -88% |
| CommuniCare | Medicare Advantage | $191.45 | ↓ -87% |
| PPHP | All Products | $200.56 | ↓ -87% |
| Anthem | All Products Mid-Level Facility | $260.11 | ↓ -83% |
| Oscar | All Products | $267.31 | ↓ -82% |
| ANTHEM | HPN | $334.18 | ↓ -78% |
| Cigna | All Products Mid-Level | $353.68 | ↓ -77% |
| Summacare | Preferred | $371.95 | ↓ -76% |
| Anthem | All Products Mid-Level Non-Facility | $378.27 | ↓ -75% |
| MMO | Medicare HMO & PPO | $378.29 | ↓ -75% |
| Summacare | Premier | $385.60 | ↓ -75% |
| OHCP | All Products | $409.23 | ↓ -73% |
| Cigna | All Products Physician | $417.91 | ↓ -73% |
| Aetna | Acop | $422.84 | ↓ -72% |
| OPTUM | All Products VA | $470.54 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $470.54 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $470.54 | ↓ -69% |
| MMO | Medicare Advantage HMO & PPO | $470.54 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $487.01 | ↓ -68% |
| Perennial Health | MEDICARE ADVANTAGE | $508.18 | ↓ -67% |
| UPMC | MEDICARE ADVANTAGE | $510.25 | ↓ -66% |
| ANTHEM | MEDICARE ADVANTAGE | $510.25 | ↓ -66% |
| Valor | HMO & PPO | $510.25 | ↓ -66% |
| Summacare | MEDICARE ADVANTAGE | $510.25 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $510.25 | ↓ -66% |
| Aultcare | PPO/HMO | $519.69 | ↓ -66% |
| CIGNA | MEDICARE ADVANTAGE | $525.55 | ↓ -65% |
| OMAS | All Products | $526.00 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $551.07 | ↓ -64% |
| PPHP | ALL PRODUCTS | $561.27 | ↓ -63% |
| Optum | All Products Transplant | $613.32 | ↓ -60% |
| PHPHI | All Products | $631.20 | ↓ -59% |
| Anthem | All Products Physician | $660.63 | ↓ -57% |
| Anthem | All Products Physician Facility | $660.63 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $662.60 | ↓ -56% |
| United | HMO & PPO | $700.84 | ↓ -54% |
| GMS | All Products | $736.40 | ↓ -52% |
| MMO | Traditional | $736.40 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $749.76 | ↓ -51% |
| PHP | ALL PRODUCTS | $749.76 | ↓ -51% |
| United | All Products - Mid-Level | $770.10 | ↓ -49% |
| Consociate Health | All Products | $789.00 | ↓ -48% |
| Aetna | All Products First Health | $789.00 | ↓ -48% |
| United | All Products | $830.02 | ↓ -45% |
| Summacare | PREMIER | $841.14 | ↓ -45% |
| Aetna | Asa | $841.60 | ↓ -45% |
| MMO | NASCO | $939.01 | ↓ -38% |
| MMO | SuperMed | $939.01 | ↓ -38% |
| Multiplan | All Products | $946.80 | ↓ -38% |
| CC EHP | ALL PRODUCTS | $948.92 | ↓ -38% |
| Anthem | All Products Physician Non-Facility | $960.71 | ↓ -37% |
| Aetna | Qhp/Ifp | $1,052.00 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,054.35 | ↓ -31% |
| OHCP | ALL PRODUCTS | $1,138.70 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,171.50 | ↓ -23% |
| MMO | TRADITIONAL | $1,220.70 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $1,265.22 | ↓ -17% |
| ANTHEM | TRADITIONAL | $1,295.68 | ↓ -15% |
| MMO | ALL PRODUCTS | $1,313.37 | ↓ -14% |
| OPTUM | All Products Transplant | $1,326.14 | ↓ -13% |
| OPTUM | Managed Medicaid Transplant | $1,358.50 | ↓ -11% |
| The Health Plan | HMO | $1,405.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $1,405.80 | ↓ -8% |
| CARESOURCE | Managed Medicaid | $1,430.00 | ↓ -6% |
| MOLINA | Managed Medicaid | $1,501.50 | ↓ -1% |
| ANTHEM | Managed Medicaid | $1,501.50 | ↓ -1% |
| UNITED | Managed Medicaid | $1,501.50 | ↓ -1% |
| ANTHEM | PPO/HMO | $1,511.66 | ↓ -1% |
| United BH | Managed Medicaid | $1,515.80 | ↓ -0% |
| AMERIHEALTH | Managed Medicaid | $1,573.00 | ↑ +3% |
| The Health Plan | ASO Self-Funded | $1,616.67 | ↑ +6% |
| GMS | ALL PRODUCTS | $1,640.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,640.10 | ↑ +8% |
| AETNA | ALL PRODUCTS | $1,757.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,757.25 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,874.40 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $2,108.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,108.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $2,108.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $2,108.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $2,343.00 | ↑ +54% |
| UNITED | ALL PRODUCTS | $2,453.00 | ↑ +61% |
| AETNA | Acop | $3,265.00 | ↑ +114% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↑ +150% |
| AETNA | International | $4,001.00 | ↑ +163% |
| United BH | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Drng of mouth lesion 40801 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,522.95 | $1.10 – $2,108.70 |
| lodi hospital | Lodi | $1,522.95 | $509.25 – $2,108.70 |
| mercy hospital | Canton | $683.80 | $1.10 – $1,573.00 |
| avon hospital | Avon | not published | $472.10 – $1,530.10 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,358.50 – $1,573.00 |
| euclid hospital | Euclid | not published | $472.10 – $1,573.00 |
| fairview hospital | Cleveland | not published | $472.10 – $1,573.00 |
| lutheran hospital | Cleveland | not published | $472.10 – $1,573.00 |