healthcosts.net
Establish brain cavity shunt at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$4,018.30
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.
$6,182.00
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 $6,182.00 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 | $644.48 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $730.82 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $746.40 | ↓ -81% |
| Buckeye | Managed Medicaid | $769.28 | ↓ -81% |
| United | Managed Medicaid | $807.74 | ↓ -80% |
| Caresource | Managed Medicaid | $807.74 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $842.78 | ↓ -79% |
| Molina | Managed Medicaid | $846.21 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $846.21 | ↓ -79% |
| Summacare | Medicare Advantage MD | $941.93 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $995.20 | ↓ -75% |
| Aetna | Medicare Advantage | $995.20 | ↓ -75% |
| Anthem | Medicare Advantage | $995.20 | ↓ -75% |
| Humana | Medicare Advantage HMO | $995.20 | ↓ -75% |
| The Health Plan | All Products | $995.20 | ↓ -75% |
| The Health Plan | Medicare Advantage | $995.20 | ↓ -75% |
| United | Medicare Advantage | $995.20 | ↓ -75% |
| Valor | All Products | $995.20 | ↓ -75% |
| CommuniCare | Medicare Advantage | $1,044.96 | ↓ -74% |
| PPHP | All Products | $1,070.82 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $1,411.14 | ↓ -65% |
| Anthem | All Products Mid-Level Facility | $1,411.14 | ↓ -65% |
| Oscar | All Products | $1,570.85 | ↓ -61% |
| MMO | NASCO | $1,797.38 | ↓ -55% |
| MMO | SuperMed | $1,797.38 | ↓ -55% |
| MMO | Medicare HMO & PPO | $1,838.90 | ↓ -54% |
| Summacare | Premier | $2,022.66 | ↓ -50% |
| Summacare | Preferred | $2,030.21 | ↓ -49% |
| OHCP | All Products | $2,404.80 | ↓ -40% |
| United | HMO & PPO | $2,600.69 | ↓ -35% |
| United | All Products - Mid-Level | $2,857.70 | ↓ -29% |
| Aultcare | PPO/HMO | $3,053.91 | ↓ -24% |
| United | All Products | $3,080.04 | ↓ -23% |
| OMAS | All Products | $3,091.00 | ↓ -23% |
| Anthem | All Products Physician Facility | $3,584.00 | ↓ -11% |
| Anthem | All Products Physician Non-Facility | $3,584.00 | ↓ -11% |
| Anthem | All Products Physician | $3,584.00 | ↓ -11% |
| Optum | All Products Transplant | $3,604.11 | ↓ -10% |
| PHPHI | All Products | $3,709.20 | ↓ -8% |
| OPTUM | Managed Medicaid Transplant | $4,252.42 | ↑ +6% |
| GMS | All Products | $4,327.40 | ↑ +8% |
| MMO | Traditional | $4,327.40 | ↑ +8% |
| CARESOURCE | Managed Medicaid | $4,476.23 | ↑ +11% |
| Aetna | All Products First Health | $4,636.50 | ↑ +15% |
| Consociate Health | All Products | $4,636.50 | ↑ +15% |
| UNITED | Managed Medicaid | $4,700.04 | ↑ +17% |
| MOLINA | Managed Medicaid | $4,700.04 | ↑ +17% |
| ANTHEM | Managed Medicaid | $4,700.04 | ↑ +17% |
| United BH | Managed Medicaid | $4,744.80 | ↑ +18% |
| AMERIHEALTH | Managed Medicaid | $4,923.85 | ↑ +23% |
| Aetna | Asa | $4,945.60 | ↑ +23% |
| Multiplan | All Products | $5,563.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $6,182.00 | ↑ +54% |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Establish brain cavity shunt at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,018.30 | $1.10 – $6,203.10 |
| mercy hospital | Canton | $4,018.30 | $1.10 – $5,563.80 |
| avon hospital | Avon | not published | $4,560.64 – $4,647.51 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,445.87 – $8,621.54 |
| euclid hospital | Euclid | not published | $4,672.49 – $5,410.25 |
| fairview hospital | Cleveland | not published | $4,389.57 – $5,082.66 |
| lutheran hospital | Cleveland | not published | $4,179.02 – $4,838.87 |
| hillcrest hospital | Mayfield Heights | not published | $4,573.24 – $5,295.33 |