healthcosts.net
Established Patient Office Visit (level 4) at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$499.20
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.
$768.00
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.
$0.01 with UNITED vs $257.54 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Oscar | All Products | $6.35 | ↓ -99% |
| OHCP | All Products | $9.73 | ↓ -98% |
| Aultcare | PPO/HMO | $12.35 | ↓ -98% |
| OMAS | All Products | $12.50 | ↓ -97% |
| Optum | All Products Transplant | $14.58 | ↓ -97% |
| PHPHI | All Products | $15.00 | ↓ -97% |
| MMO | Traditional | $17.50 | ↓ -96% |
| GMS | All Products | $17.50 | ↓ -96% |
| Consociate Health | All Products | $18.75 | ↓ -96% |
| Aetna | All Products First Health | $18.75 | ↓ -96% |
| Aetna | Asa | $20.00 | ↓ -96% |
| Multiplan | All Products | $22.50 | ↓ -95% |
| Aetna | Qhp/Ifp | $25.00 | ↓ -95% |
| AETNA | MEDICARE ADVANTAGE | $40.77 | ↓ -92% |
| Optum | Managed Medicaid Transplant | $47.02 | ↓ -91% |
| AETNA | Acop | $48.59 | ↓ -90% |
| Buckeye | Managed Medicaid | $49.49 | ↓ -90% |
| Caresource | Managed Medicaid | $51.96 | ↓ -90% |
| United | Managed Medicaid | $51.96 | ↓ -90% |
| OSCAR | ALL PRODUCTS | $52.88 | ↓ -89% |
| Molina | Managed Medicaid | $54.44 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $54.44 | ↓ -89% |
| OPTUM | Managed Medicaid Transplant | $54.56 | ↓ -89% |
| AETNA | Asa_Whirlpool_Peia | $56.71 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $57.43 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $59.53 | ↓ -88% |
| PHP | ALL PRODUCTS | $59.84 | ↓ -88% |
| PHPHI | ALL PRODUCTS | $59.84 | ↓ -88% |
| AETNA | International | $60.00 | ↓ -88% |
| ANTHEM | Managed Medicaid | $60.30 | ↓ -88% |
| UNITED | Managed Medicaid | $60.30 | ↓ -88% |
| MOLINA | Managed Medicaid | $60.30 | ↓ -88% |
| United BH | Managed Medicaid | $60.88 | ↓ -88% |
| Summacare | Preferred | $61.71 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $62.69 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $63.17 | ↓ -87% |
| Summacare | PREMIER | $67.13 | ↓ -87% |
| CC EHP | ALL PRODUCTS | $72.37 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $77.84 | ↓ -84% |
| The Health Plan | All Products | $83.59 | ↓ -83% |
| United | Medicare Advantage | $83.59 | ↓ -83% |
| Anthem | Medicare Advantage | $83.59 | ↓ -83% |
| Valor | All Products | $83.59 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $83.59 | ↓ -83% |
| Humana | Medicare Advantage HMO | $83.59 | ↓ -83% |
| Aetna | Medicare Advantage | $83.59 | ↓ -83% |
| The Health Plan | Medicare Advantage | $83.59 | ↓ -83% |
| Amish Community Aid Plan | ALL PRODUCTS | $84.15 | ↓ -83% |
| CommuniCare | Medicare Advantage | $87.77 | ↓ -82% |
| OHCP | ALL PRODUCTS | $90.88 | ↓ -82% |
| PPHP | All Products | $91.95 | ↓ -82% |
| OMAS | ALL PRODUCTS | $93.50 | ↓ -81% |
| Summacare | Medicare Advantage MD | $96.16 | ↓ -81% |
| MMO | TRADITIONAL | $97.43 | ↓ -80% |
| Ohio Healthy | TRANSPLANT | $100.98 | ↓ -80% |
| ANTHEM | TRADITIONAL | $103.41 | ↓ -79% |
| OPTUM | All Products Transplant | $105.84 | ↓ -79% |
| Anthem | All Products Mid-Level Facility | $111.30 | ↓ -78% |
| The Health Plan | HMO | $112.20 | ↓ -78% |
| UPMC | ALL PRODUCTS | $112.20 | ↓ -78% |
| The Health Plan | ASO Self-Funded | $129.03 | ↓ -74% |
| MMO | Medicare HMO & PPO | $130.52 | ↓ -74% |
| Medical Benefit Corp | Transplant SMCP | $130.90 | ↓ -74% |
| GMS | ALL PRODUCTS | $130.90 | ↓ -74% |
| Managed Care Services | TRANSPLANT | $140.25 | ↓ -72% |
| AETNA | ALL PRODUCTS | $140.25 | ↓ -72% |
| Consociate Health | ALL PRODUCTS | $140.25 | ↓ -72% |
| MMO | NASCO | $142.79 | ↓ -71% |
| MMO | SuperMed | $142.79 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $144.09 | ↓ -71% |
| Aetna | Acop | $148.30 | ↓ -70% |
| Cigna | All Products Mid-Level | $157.18 | ↓ -69% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $160.68 | ↓ -68% |
| MULTIPLAN | ALL PRODUCTS | $168.30 | ↓ -66% |
| Tertiary Care Network | TRANSPLANT | $168.30 | ↓ -66% |
| FrontPath | TRANSPLANT | $168.30 | ↓ -66% |
| ANTHEM | HPN | $168.74 | ↓ -66% |
| United | HMO & PPO | $169.75 | ↓ -66% |
| ANTHEM | PPO/HMO | $183.35 | ↓ -63% |
| Cigna | All Products Physician | $185.73 | ↓ -63% |
| Summacare | Premier | $186.82 | ↓ -63% |
| AETNA | Qhp/Ipf | $187.00 | ↓ -63% |
| Anthem | All Products Physician | $198.93 | ↓ -60% |
| Anthem | All Products Physician Facility | $198.93 | ↓ -60% |
| United | All Products - Mid-Level | $210.35 | ↓ -58% |
| United | All Products | $226.95 | ↓ -55% |
| Anthem | All Products Physician Non-Facility | $257.54 | ↓ -48% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $121.55 | $0.01 – $168.30 |
| cleveland clinic main campus | Cleveland | $499.20 | $0.01 – $168.30 |
| avon hospital | Avon | $121.55 | $0.01 – $168.30 |
| euclid hospital | Euclid | $121.55 | $0.01 – $168.30 |
| fairview hospital | Cleveland | $121.55 | $0.01 – $168.30 |
| lutheran hospital | Cleveland | $121.55 | $0.01 – $168.30 |
| hillcrest hospital | Mayfield Heights | $121.55 | $0.01 – $168.30 |
| lodi hospital | Lodi | $121.55 | $0.01 – $168.30 |