Endoluminal bx biliary tree at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$2,476.50
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.
$3,810.00
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 $3,810.00 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 | $86.23 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $91.79 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $112.76 | ↓ -95% |
| Valor | All Products | $122.39 | ↓ -95% |
| Humana | Medicare Advantage HMO | $122.39 | ↓ -95% |
| The Health Plan | Medicare Advantage | $122.39 | ↓ -95% |
| The Health Plan | All Products | $122.39 | ↓ -95% |
| Optum | Medicare Advantage Transplant | $122.39 | ↓ -95% |
| Anthem | Medicare Advantage | $122.39 | ↓ -95% |
| United | Medicare Advantage | $122.39 | ↓ -95% |
| Aetna | Medicare Advantage | $122.39 | ↓ -95% |
| Summacare | Medicare Advantage MD | $126.03 | ↓ -95% |
| CommuniCare | Medicare Advantage | $128.51 | ↓ -95% |
| Optum | Managed Medicaid Transplant | $130.60 | ↓ -95% |
| PPHP | All Products | $134.63 | ↓ -95% |
| Buckeye | Managed Medicaid | $137.47 | ↓ -94% |
| United | Managed Medicaid | $144.34 | ↓ -94% |
| Caresource | Managed Medicaid | $144.34 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $151.22 | ↓ -94% |
| Molina | Managed Medicaid | $151.22 | ↓ -94% |
| Anthem | All Products Mid-Level Facility | $189.99 | ↓ -92% |
| ANTHEM | HPN | $245.43 | ↓ -90% |
| Summacare | Preferred | $249.68 | ↓ -90% |
| ANTHEM | PPO/HMO | $266.42 | ↓ -89% |
| Summacare | Premier | $270.63 | ↓ -89% |
| MMO | Medicare HMO & PPO | $295.44 | ↓ -88% |
| Oscar | All Products | $304.92 | ↓ -88% |
| OHCP | All Products | $466.80 | ↓ -81% |
| Cigna | All Products Mid-Level | $477.99 | ↓ -81% |
| Anthem | All Products Physician Facility | $482.55 | ↓ -81% |
| Anthem | All Products Physician | $482.55 | ↓ -81% |
| Anthem | All Products Mid-Level Non-Facility | $511.22 | ↓ -79% |
| Cigna | All Products Physician | $564.80 | ↓ -77% |
| Aultcare | PPO/HMO | $592.80 | ↓ -76% |
| OMAS | All Products | $600.00 | ↓ -76% |
| Aetna | Acop | $632.81 | ↓ -74% |
| MMO | NASCO | $648.00 | ↓ -74% |
| MMO | SuperMed | $648.00 | ↓ -74% |
| Optum | All Products Transplant | $699.60 | ↓ -72% |
| PHPHI | All Products | $720.00 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $830.58 | ↓ -66% |
| MMO | Traditional | $840.00 | ↓ -66% |
| GMS | All Products | $840.00 | ↓ -66% |
| Consociate Health | All Products | $900.00 | ↓ -64% |
| Aetna | All Products First Health | $900.00 | ↓ -64% |
| United | HMO & PPO | $919.02 | ↓ -63% |
| Aetna | Asa | $960.00 | ↓ -61% |
| United | All Products - Mid-Level | $1,009.84 | ↓ -59% |
| OSCAR | ALL PRODUCTS | $1,077.47 | ↓ -56% |
| Multiplan | All Products | $1,080.00 | ↓ -56% |
| United | All Products | $1,088.41 | ↓ -56% |
| Aetna | Qhp/Ifp | $1,200.00 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $1,219.20 | ↓ -51% |
| PHP | ALL PRODUCTS | $1,219.20 | ↓ -51% |
| Anthem | All Products Physician Non-Facility | $1,298.39 | ↓ -48% |
| Summacare | PREMIER | $1,367.79 | ↓ -45% |
| CC EHP | ALL PRODUCTS | $1,543.05 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,714.50 | ↓ -31% |
| OHCP | ALL PRODUCTS | $1,851.66 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,905.00 | ↓ -23% |
| MMO | TRADITIONAL | $1,985.01 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $2,057.40 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,106.93 | ↓ -15% |
| OPTUM | All Products Transplant | $2,156.46 | ↓ -13% |
| UPMC | ALL PRODUCTS | $2,286.00 | ↓ -8% |
| The Health Plan | HMO | $2,286.00 | ↓ -8% |
| AETNA | Acop | $2,451.00 | ↓ -1% |
| The Health Plan | ASO Self-Funded | $2,628.90 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $2,667.00 | ↑ +8% |
| GMS | ALL PRODUCTS | $2,667.00 | ↑ +8% |
| OPTUM | Managed Medicaid Transplant | $2,755.97 | ↑ +11% |
| AETNA | ALL PRODUCTS | $2,857.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $2,857.50 | ↑ +15% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +15% |
| CARESOURCE | Managed Medicaid | $2,901.02 | ↑ +17% |
| AETNA | International | $3,004.00 | ↑ +21% |
| ANTHEM | Managed Medicaid | $3,046.07 | ↑ +23% |
| UNITED | Managed Medicaid | $3,046.07 | ↑ +23% |
| MOLINA | Managed Medicaid | $3,046.07 | ↑ +23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,048.00 | ↑ +23% |
| United BH | Managed Medicaid | $3,075.08 | ↑ +24% |
| AMERIHEALTH | Managed Medicaid | $3,191.12 | ↑ +29% |
| UNITED | ALL PRODUCTS | $3,398.00 | ↑ +37% |
| MULTIPLAN | ALL PRODUCTS | $3,429.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $3,429.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $3,429.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $3,429.00 | ↑ +38% |
| AETNA | Qhp/Ipf | $3,810.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | 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 | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | 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 | — |
Visitor-reported prices
Comments
Endoluminal bx biliary tree at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $1,175.40 | not published |
| Anderson Hospital | Cincinnati | $1,365.60 | not published |
| Kings Mills Hospital | Mason | $1,175.40 | not published |
| St Ritas Medical Center | Lima | $1,426.20 | not published |
| cleveland clinic main campus | Cleveland | $2,476.50 | $1.10 – $4,020.19 |
| avon hospital | Avon | $2,476.50 | $267.67 – $3,429.00 |
| euclid hospital | Euclid | $2,476.50 | $267.67 – $3,506.35 |
| fairview hospital | Cleveland | $2,476.50 | $228.64 – $3,429.00 |