healthcosts.net
Egd/remov tum/polyp/hot bx forcep 43250 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$849.55
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.
$1,307.00
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 $5,378.41 with ANTHEM — 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 | $103.60 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $112.40 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $135.48 | ↓ -84% |
| The Health Plan | Medicare Advantage | $149.87 | ↓ -82% |
| The Health Plan | All Products | $149.87 | ↓ -82% |
| Humana | Medicare Advantage HMO | $149.87 | ↓ -82% |
| Valor | All Products | $149.87 | ↓ -82% |
| United | Medicare Advantage | $149.87 | ↓ -82% |
| Aetna | Medicare Advantage | $149.87 | ↓ -82% |
| Anthem | Medicare Advantage | $149.87 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $149.87 | ↓ -82% |
| Summacare | Medicare Advantage MD | $151.42 | ↓ -82% |
| Optum | Managed Medicaid Transplant | $153.15 | ↓ -82% |
| CommuniCare | Medicare Advantage | $157.36 | ↓ -81% |
| Buckeye | Managed Medicaid | $161.21 | ↓ -81% |
| PPHP | All Products | $164.86 | ↓ -81% |
| United | Managed Medicaid | $169.27 | ↓ -80% |
| Caresource | Managed Medicaid | $169.27 | ↓ -80% |
| Molina | Managed Medicaid | $177.33 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $177.33 | ↓ -79% |
| Anthem | All Products Mid-Level Facility | $225.26 | ↓ -73% |
| Summacare | Preferred | $305.73 | ↓ -64% |
| Summacare | Premier | $325.16 | ↓ -62% |
| Oscar | All Products | $332.11 | ↓ -61% |
| MMO | Medicare HMO & PPO | $334.68 | ↓ -61% |
| OHCP | All Products | $508.42 | ↓ -40% |
| Cigna | All Products Mid-Level | $548.31 | ↓ -35% |
| Aetna | Acop | $560.43 | ↓ -34% |
| Anthem | All Products Physician | $572.10 | ↓ -33% |
| Anthem | All Products Physician Facility | $572.10 | ↓ -33% |
| Anthem | All Products Mid-Level Non-Facility | $586.42 | ↓ -31% |
| OPTUM | Managed Medicaid Transplant | $619.37 | ↓ -27% |
| Aultcare | PPO/HMO | $645.66 | ↓ -24% |
| Cigna | All Products Physician | $647.88 | ↓ -24% |
| CARESOURCE | Managed Medicaid | $651.97 | ↓ -23% |
| OMAS | All Products | $653.50 | ↓ -23% |
| ANTHEM | Managed Medicaid | $684.57 | ↓ -19% |
| UNITED | Managed Medicaid | $684.57 | ↓ -19% |
| MOLINA | Managed Medicaid | $684.57 | ↓ -19% |
| United BH | Managed Medicaid | $691.09 | ↓ -19% |
| AMERIHEALTH | Managed Medicaid | $717.17 | ↓ -16% |
| Optum | All Products Transplant | $761.98 | ↓ -10% |
| PHPHI | All Products | $784.20 | ↓ -8% |
| MMO | Traditional | $914.90 | ↑ +8% |
| GMS | All Products | $914.90 | ↑ +8% |
| Aetna | All Products First Health | $980.25 | ↑ +15% |
| Consociate Health | All Products | $980.25 | ↑ +15% |
| Aetna | Asa | $1,045.60 | ↑ +23% |
| United | HMO & PPO | $1,066.97 | ↑ +26% |
| United | All Products - Mid-Level | $1,172.41 | ↑ +38% |
| Multiplan | All Products | $1,176.30 | ↑ +38% |
| United | All Products | $1,263.63 | ↑ +49% |
| Aetna | Qhp/Ifp | $1,307.00 | ↑ +54% |
| Anthem | All Products Physician Non-Facility | $1,489.40 | ↑ +75% |
| UNITED | MEDICARE ADVANTAGE | $1,752.78 | ↑ +106% |
| HUMANA | Medicare Advantage HMO | $1,752.78 | ↑ +106% |
| MMO | Medicare Advantage HMO & PPO | $1,752.78 | ↑ +106% |
| OPTUM | All Products VA | $1,752.78 | ↑ +106% |
| The Health Plan | MEDICARE ADVANTAGE | $1,814.13 | ↑ +114% |
| Summacare | MEDICARE ADVANTAGE | $1,815.43 | ↑ +114% |
| AETNA | MEDICARE ADVANTAGE | $1,815.43 | ↑ +114% |
| UPMC | MEDICARE ADVANTAGE | $1,815.43 | ↑ +114% |
| ANTHEM | MEDICARE ADVANTAGE | $1,815.43 | ↑ +114% |
| Valor | HMO & PPO | $1,815.43 | ↑ +114% |
| CIGNA | MEDICARE ADVANTAGE | $1,869.90 | ↑ +120% |
| Perennial Health | MEDICARE ADVANTAGE | $1,893.00 | ↑ +123% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,960.67 | ↑ +131% |
| PPHP | ALL PRODUCTS | $1,996.98 | ↑ +135% |
| MMO | SuperMed | $3,248.90 | ↑ +282% |
| MMO | NASCO | $3,248.90 | ↑ +282% |
| ANTHEM | HPN | $4,571.63 | ↑ +438% |
| MMO | ALL PRODUCTS | $4,672.93 | ↑ +450% |
| ANTHEM | PPO/HMO | $5,378.41 | ↑ +533% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Egd/remov tum/polyp/hot bx forcep 43250 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,671.90 | $1.10 – $7,853.40 |
| avon hospital | Avon | $5,671.90 | $315.02 – $7,853.40 |
| euclid hospital | Euclid | $5,671.90 | $315.02 – $7,853.40 |
| fairview hospital | Cleveland | $5,671.90 | $269.08 – $7,853.40 |
| lutheran hospital | Cleveland | $5,671.90 | $315.02 – $7,853.40 |
| hillcrest hospital | Mayfield Heights | $5,671.90 | $269.08 – $7,853.40 |
| marymount hospital | Garfield Heights | $5,671.90 | $315.02 – $7,853.40 |
| medina hospital | Medina | $5,671.90 | $213.76 – $7,853.40 |