healthcosts.net
Electrophysiology evaluation at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$9,911.20
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.
$15,248.00
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 $14,588.00 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 | $49.30 | ↓ -100% |
| Summacare | Medicare Advantage Psych | $58.58 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $64.47 | ↓ -99% |
| Summacare | Medicare Advantage MD | $72.06 | ↓ -99% |
| United | Medicare Advantage | $78.10 | ↓ -99% |
| Anthem | Medicare Advantage | $78.10 | ↓ -99% |
| The Health Plan | Medicare Advantage | $78.10 | ↓ -99% |
| The Health Plan | All Products | $78.10 | ↓ -99% |
| Optum | Medicare Advantage Transplant | $78.10 | ↓ -99% |
| Humana | Medicare Advantage HMO | $78.10 | ↓ -99% |
| Aetna | Medicare Advantage | $78.10 | ↓ -99% |
| Valor | All Products | $78.10 | ↓ -99% |
| PPHP | All Products | $81.92 | ↓ -99% |
| CommuniCare | Medicare Advantage | $82.01 | ↓ -99% |
| Anthem | All Products Mid-Level Facility | $109.30 | ↓ -99% |
| Anthem | All Products Mid-Level Non-Facility | $109.30 | ↓ -99% |
| Summacare | Premier | $154.73 | ↓ -98% |
| Summacare | Preferred | $159.32 | ↓ -98% |
| Oscar | All Products | $167.71 | ↓ -98% |
| United | HMO & PPO | $178.07 | ↓ -98% |
| MMO | Medicare HMO & PPO | $213.96 | ↓ -98% |
| United | All Products - Mid-Level | $242.66 | ↓ -98% |
| OHCP | All Products | $256.74 | ↓ -97% |
| United | All Products | $257.73 | ↓ -97% |
| Anthem | All Products Physician Facility | $277.58 | ↓ -97% |
| Anthem | All Products Physician Non-Facility | $277.58 | ↓ -97% |
| Anthem | All Products Physician | $277.58 | ↓ -97% |
| Aultcare | PPO/HMO | $326.04 | ↓ -97% |
| OMAS | All Products | $330.00 | ↓ -97% |
| MMO | SuperMed | $356.40 | ↓ -96% |
| MMO | NASCO | $356.40 | ↓ -96% |
| Optum | All Products Transplant | $384.78 | ↓ -96% |
| PHPHI | All Products | $396.00 | ↓ -96% |
| GMS | All Products | $462.00 | ↓ -95% |
| MMO | Traditional | $462.00 | ↓ -95% |
| Aetna | All Products First Health | $495.00 | ↓ -95% |
| Consociate Health | All Products | $495.00 | ↓ -95% |
| Aetna | Asa | $528.00 | ↓ -95% |
| Multiplan | All Products | $594.00 | ↓ -94% |
| Aetna | Qhp/Ifp | $660.00 | ↓ -93% |
| Optum | Managed Medicaid Transplant | $784.17 | ↓ -92% |
| Buckeye | Managed Medicaid | $825.44 | ↓ -92% |
| Caresource | Managed Medicaid | $866.71 | ↓ -91% |
| United | Managed Medicaid | $866.71 | ↓ -91% |
| Molina | Managed Medicaid | $907.98 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $907.98 | ↓ -91% |
| OPTUM | Managed Medicaid Transplant | $1,238.33 | ↓ -88% |
| CARESOURCE | Managed Medicaid | $1,303.51 | ↓ -87% |
| MOLINA | Managed Medicaid | $1,368.69 | ↓ -86% |
| ANTHEM | Managed Medicaid | $1,368.69 | ↓ -86% |
| UNITED | Managed Medicaid | $1,368.69 | ↓ -86% |
| United BH | Managed Medicaid | $1,381.72 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $1,433.86 | ↓ -86% |
| ANTHEM | HPN | $2,170.69 | ↓ -78% |
| ANTHEM | PPO/HMO | $2,552.90 | ↓ -74% |
| AETNA | MEDICARE ADVANTAGE | $3,180.18 | ↓ -68% |
| OSCAR | ALL PRODUCTS | $4,125.49 | ↓ -58% |
| PHPHI | ALL PRODUCTS | $4,668.16 | ↓ -53% |
| PHP | ALL PRODUCTS | $4,668.16 | ↓ -53% |
| Summacare | PREMIER | $5,237.09 | ↓ -47% |
| CC EHP | ALL PRODUCTS | $5,908.14 | ↓ -40% |
| Amish Community Aid Plan | ALL PRODUCTS | $6,564.60 | ↓ -34% |
| OHCP | ALL PRODUCTS | $7,089.77 | ↓ -28% |
| OMAS | ALL PRODUCTS | $7,294.00 | ↓ -26% |
| MMO | TRADITIONAL | $7,600.35 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $7,877.52 | ↓ -21% |
| ANTHEM | TRADITIONAL | $8,067.16 | ↓ -19% |
| OPTUM | All Products Transplant | $8,256.81 | ↓ -17% |
| AETNA | Acop | $8,752.80 | ↓ -12% |
| The Health Plan | HMO | $8,752.80 | ↓ -12% |
| UPMC | ALL PRODUCTS | $8,752.80 | ↓ -12% |
| AETNA | Asa_Whirlpool_Peia | $8,885.00 | ↓ -10% |
| AETNA | International | $9,329.00 | ↓ -6% |
| The Health Plan | ASO Self-Funded | $10,065.72 | ↑ +2% |
| GMS | ALL PRODUCTS | $10,211.60 | ↑ +3% |
| Medical Benefit Corp | Transplant SMCP | $10,211.60 | ↑ +3% |
| Consociate Health | ALL PRODUCTS | $10,941.00 | ↑ +10% |
| AETNA | ALL PRODUCTS | $10,941.00 | ↑ +10% |
| UNITED | ALL PRODUCTS | $11,393.23 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $11,670.40 | ↑ +18% |
| MULTIPLAN | ALL PRODUCTS | $13,129.20 | ↑ +32% |
| Tertiary Care Network | TRANSPLANT | $13,129.20 | ↑ +32% |
| Managed Care Services | TRANSPLANT | $13,129.20 | ↑ +32% |
| FrontPath | TRANSPLANT | $13,129.20 | ↑ +32% |
| AETNA | Qhp/Ipf | $14,588.00 | ↑ +47% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $9,911.20 | $1.10 – $13,129.20 |
| avon hospital | Avon | $9,482.20 | $1,328.08 – $13,129.20 |
| euclid hospital | Euclid | $9,482.20 | $1,360.66 – $13,129.20 |
| fairview hospital | Cleveland | $9,482.20 | $1,278.27 – $13,129.20 |
| lutheran hospital | Cleveland | $9,482.20 | $1,216.96 – $13,129.20 |
| hillcrest hospital | Mayfield Heights | $9,482.20 | $1,331.76 – $13,129.20 |
| marymount hospital | Garfield Heights | $9,482.20 | $1,201.60 – $13,129.20 |
| medina hospital | Medina | $9,482.20 | $1,246.36 – $13,129.20 |