healthcosts.net
Exc/pilonidal cyst/sinus/simple 11770 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$760.50
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.
$1,170.00
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 $8,141.48 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% |
| Optum | Managed Medicaid Transplant | $107.20 | ↓ -86% |
| Buckeye | Managed Medicaid | $112.84 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $113.78 | ↓ -85% |
| Oscar | All Products | $118.41 | ↓ -84% |
| United | Managed Medicaid | $118.48 | ↓ -84% |
| Caresource | Managed Medicaid | $118.48 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $124.12 | ↓ -84% |
| Molina | Managed Medicaid | $124.12 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $131.72 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $148.78 | ↓ -80% |
| Summacare | Medicare Advantage MD | $166.29 | ↓ -78% |
| Humana | Medicare Advantage HMO | $175.62 | ↓ -77% |
| Valor | All Products | $175.62 | ↓ -77% |
| United | Medicare Advantage | $175.62 | ↓ -77% |
| Aetna | Medicare Advantage | $175.62 | ↓ -77% |
| The Health Plan | Medicare Advantage | $175.62 | ↓ -77% |
| The Health Plan | All Products | $175.62 | ↓ -77% |
| Anthem | Medicare Advantage | $175.62 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $175.62 | ↓ -77% |
| OHCP | All Products | $181.27 | ↓ -76% |
| CommuniCare | Medicare Advantage | $184.40 | ↓ -76% |
| PPHP | All Products | $189.04 | ↓ -75% |
| Aultcare | PPO/HMO | $230.20 | ↓ -70% |
| OMAS | All Products | $233.00 | ↓ -69% |
| Anthem | All Products Mid-Level Facility | $248.23 | ↓ -67% |
| Optum | All Products Transplant | $271.68 | ↓ -64% |
| PHPHI | All Products | $279.60 | ↓ -63% |
| MMO | Medicare HMO & PPO | $309.23 | ↓ -59% |
| GMS | All Products | $326.20 | ↓ -57% |
| MMO | Traditional | $326.20 | ↓ -57% |
| Consociate Health | All Products | $349.50 | ↓ -54% |
| Aetna | All Products First Health | $349.50 | ↓ -54% |
| Summacare | Premier | $357.08 | ↓ -53% |
| Summacare | Preferred | $358.26 | ↓ -53% |
| Aetna | Asa | $372.80 | ↓ -51% |
| Aetna | Acop | $388.39 | ↓ -49% |
| Multiplan | All Products | $419.40 | ↓ -45% |
| Cigna | All Products Mid-Level | $435.35 | ↓ -43% |
| Anthem | All Products Mid-Level Non-Facility | $465.60 | ↓ -39% |
| Aetna | Qhp/Ifp | $466.00 | ↓ -39% |
| Cigna | All Products Physician | $514.41 | ↓ -32% |
| Anthem | All Products Physician | $630.48 | ↓ -17% |
| Anthem | All Products Physician Facility | $630.48 | ↓ -17% |
| OPTUM | Managed Medicaid Transplant | $841.82 | ↑ +11% |
| United | HMO & PPO | $851.39 | ↑ +12% |
| CARESOURCE | Managed Medicaid | $886.13 | ↑ +17% |
| UNITED | Managed Medicaid | $930.44 | ↑ +22% |
| MOLINA | Managed Medicaid | $930.44 | ↑ +22% |
| ANTHEM | Managed Medicaid | $930.44 | ↑ +22% |
| United | All Products - Mid-Level | $935.53 | ↑ +23% |
| United BH | Managed Medicaid | $939.30 | ↑ +24% |
| AMERIHEALTH | Managed Medicaid | $974.74 | ↑ +28% |
| United | All Products | $1,008.32 | ↑ +33% |
| Anthem | All Products Physician Non-Facility | $1,182.54 | ↑ +55% |
| MMO | Medicare Advantage HMO & PPO | $2,644.48 | ↑ +248% |
| OPTUM | All Products VA | $2,644.48 | ↑ +248% |
| UNITED | MEDICARE ADVANTAGE | $2,644.48 | ↑ +248% |
| HUMANA | Medicare Advantage HMO | $2,644.48 | ↑ +248% |
| The Health Plan | MEDICARE ADVANTAGE | $2,737.03 | ↑ +260% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↑ +261% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↑ +261% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↑ +261% |
| UPMC | MEDICARE ADVANTAGE | $2,748.08 | ↑ +261% |
| Valor | HMO & PPO | $2,748.08 | ↑ +261% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↑ +272% |
| Perennial Health | MEDICARE ADVANTAGE | $2,856.04 | ↑ +276% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↑ +290% |
| PPHP | ALL PRODUCTS | $3,022.89 | ↑ +297% |
| MMO | NASCO | $4,850.94 | ↑ +538% |
| MMO | SuperMed | $4,850.94 | ↑ +538% |
| ANTHEM | HPN | $6,920.23 | ↑ +810% |
| MMO | ALL PRODUCTS | $7,073.57 | ↑ +830% |
| ANTHEM | PPO/HMO | $8,141.48 | ↑ +971% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exc/pilonidal cyst/sinus/simple 11770 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,580.90 | $0.01 – $7,727.40 |
| avon hospital | Avon | $5,580.90 | $0.01 – $7,727.40 |
| euclid hospital | Euclid | $5,580.90 | $0.01 – $7,727.40 |
| fairview hospital | Cleveland | $5,580.90 | $0.01 – $7,727.40 |
| lutheran hospital | Cleveland | $5,580.90 | $0.01 – $7,727.40 |
| hillcrest hospital | Mayfield Heights | $5,580.90 | $0.01 – $7,727.40 |
| marymount hospital | Garfield Heights | $5,580.90 | $0.01 – $7,727.40 |
| medina hospital | Medina | $5,580.90 | $0.01 – $7,727.40 |