healthcosts.net
Ercp remove duct calculi 43264 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,896.05
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.
$2,917.00
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 $10,806.30 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 | $220.15 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $234.23 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $287.89 | ↓ -85% |
| Humana | Medicare Advantage HMO | $312.31 | ↓ -84% |
| The Health Plan | Medicare Advantage | $312.31 | ↓ -84% |
| The Health Plan | All Products | $312.31 | ↓ -84% |
| Optum | Medicare Advantage Transplant | $312.31 | ↓ -84% |
| Valor | All Products | $312.31 | ↓ -84% |
| United | Medicare Advantage | $312.31 | ↓ -84% |
| Aetna | Medicare Advantage | $312.31 | ↓ -84% |
| Anthem | Medicare Advantage | $312.31 | ↓ -84% |
| Summacare | Medicare Advantage MD | $321.76 | ↓ -83% |
| CommuniCare | Medicare Advantage | $327.93 | ↓ -83% |
| Optum | Managed Medicaid Transplant | $335.31 | ↓ -82% |
| PPHP | All Products | $343.54 | ↓ -82% |
| Buckeye | Managed Medicaid | $352.96 | ↓ -81% |
| United | Managed Medicaid | $370.61 | ↓ -80% |
| Caresource | Managed Medicaid | $370.61 | ↓ -80% |
| Molina | Managed Medicaid | $388.26 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $388.26 | ↓ -80% |
| Anthem | All Products Mid-Level Facility | $480.03 | ↓ -75% |
| Anthem | All Products Mid-Level Non-Facility | $480.03 | ↓ -75% |
| Summacare | Preferred | $637.11 | ↓ -66% |
| Summacare | Premier | $690.93 | ↓ -64% |
| Oscar | All Products | $741.21 | ↓ -61% |
| United | HMO & PPO | $886.35 | ↓ -53% |
| MMO | Medicare HMO & PPO | $910.65 | ↓ -52% |
| United | All Products - Mid-Level | $973.95 | ↓ -49% |
| United | All Products | $1,049.72 | ↓ -45% |
| OHCP | All Products | $1,134.71 | ↓ -40% |
| Anthem | All Products Physician Facility | $1,219.16 | ↓ -36% |
| Anthem | All Products Physician | $1,219.16 | ↓ -36% |
| Anthem | All Products Physician Non-Facility | $1,219.16 | ↓ -36% |
| Aultcare | PPO/HMO | $1,441.00 | ↓ -24% |
| OMAS | All Products | $1,458.50 | ↓ -23% |
| Optum | All Products Transplant | $1,700.61 | ↓ -10% |
| PHPHI | All Products | $1,750.20 | ↓ -8% |
| MMO | Traditional | $2,041.90 | ↑ +8% |
| GMS | All Products | $2,041.90 | ↑ +8% |
| Aetna | All Products First Health | $2,187.75 | ↑ +15% |
| Consociate Health | All Products | $2,187.75 | ↑ +15% |
| Aetna | Asa | $2,333.60 | ↑ +23% |
| Multiplan | All Products | $2,625.30 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,917.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $3,515.31 | ↑ +85% |
| HUMANA | Medicare Advantage HMO | $3,515.31 | ↑ +85% |
| OPTUM | All Products VA | $3,515.31 | ↑ +85% |
| MMO | Medicare Advantage HMO & PPO | $3,515.31 | ↑ +85% |
| The Health Plan | MEDICARE ADVANTAGE | $3,638.35 | ↑ +92% |
| UPMC | MEDICARE ADVANTAGE | $3,647.57 | ↑ +92% |
| AETNA | MEDICARE ADVANTAGE | $3,647.57 | ↑ +92% |
| ANTHEM | MEDICARE ADVANTAGE | $3,647.57 | ↑ +92% |
| Summacare | MEDICARE ADVANTAGE | $3,647.57 | ↑ +92% |
| Valor | HMO & PPO | $3,647.57 | ↑ +92% |
| CIGNA | MEDICARE ADVANTAGE | $3,757.00 | ↑ +98% |
| Perennial Health | MEDICARE ADVANTAGE | $3,796.53 | ↑ +100% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,939.38 | ↑ +108% |
| PPHP | ALL PRODUCTS | $4,012.33 | ↑ +112% |
| MMO | NASCO | $6,539.01 | ↑ +245% |
| MMO | SuperMed | $6,539.01 | ↑ +245% |
| ANTHEM | HPN | $9,185.32 | ↑ +384% |
| MMO | ALL PRODUCTS | $9,388.86 | ↑ +395% |
| ANTHEM | PPO/HMO | $10,806.30 | ↑ +470% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Ercp remove duct calculi 43264 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $11,375.65 | $1.10 – $15,750.90 |
| avon hospital | Avon | $11,375.65 | $669.03 – $15,750.90 |
| euclid hospital | Euclid | $11,375.65 | $669.03 – $15,750.90 |
| fairview hospital | Cleveland | $11,375.65 | $571.47 – $15,750.90 |
| lutheran hospital | Cleveland | $11,375.65 | $669.03 – $15,750.90 |
| hillcrest hospital | Mayfield Heights | $11,375.65 | $571.47 – $15,750.90 |
| marymount hospital | Garfield Heights | $11,375.65 | $669.03 – $15,750.90 |
| medina hospital | Medina | $11,375.65 | $419.00 – $15,750.90 |