healthcosts.net
Exc sq tum/neck/ant thorax 3cm/> 21552 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,687.40
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.
$2,596.00
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 | $246.31 | ↓ -85% |
| Oscar | All Products | $251.05 | ↓ -85% |
| Buckeye | Managed Medicaid | $259.27 | ↓ -85% |
| Caresource | Managed Medicaid | $272.23 | ↓ -84% |
| United | Managed Medicaid | $272.23 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $277.63 | ↓ -84% |
| Molina | Managed Medicaid | $285.20 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $285.20 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $312.81 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $363.06 | ↓ -78% |
| OHCP | All Products | $384.33 | ↓ -77% |
| Summacare | Medicare Advantage MD | $405.77 | ↓ -76% |
| Humana | Medicare Advantage HMO | $417.08 | ↓ -75% |
| Anthem | Medicare Advantage | $417.08 | ↓ -75% |
| United | Medicare Advantage | $417.08 | ↓ -75% |
| Valor | All Products | $417.08 | ↓ -75% |
| The Health Plan | Medicare Advantage | $417.08 | ↓ -75% |
| Aetna | Medicare Advantage | $417.08 | ↓ -75% |
| The Health Plan | All Products | $417.08 | ↓ -75% |
| Optum | Medicare Advantage Transplant | $417.08 | ↓ -75% |
| CommuniCare | Medicare Advantage | $437.93 | ↓ -74% |
| PPHP | All Products | $458.79 | ↓ -73% |
| Aultcare | PPO/HMO | $488.07 | ↓ -71% |
| OMAS | All Products | $494.00 | ↓ -71% |
| Optum | All Products Transplant | $576.00 | ↓ -66% |
| PHPHI | All Products | $592.80 | ↓ -65% |
| Anthem | All Products Mid-Level Non-Facility | $601.71 | ↓ -64% |
| Anthem | All Products Mid-Level Facility | $601.71 | ↓ -64% |
| GMS | All Products | $691.60 | ↓ -59% |
| MMO | Traditional | $691.60 | ↓ -59% |
| Consociate Health | All Products | $741.00 | ↓ -56% |
| Aetna | All Products First Health | $741.00 | ↓ -56% |
| MMO | Medicare HMO & PPO | $788.16 | ↓ -53% |
| Aetna | Asa | $790.40 | ↓ -53% |
| Summacare | Preferred | $850.84 | ↓ -50% |
| Summacare | Premier | $871.35 | ↓ -48% |
| Multiplan | All Products | $889.20 | ↓ -47% |
| Aetna | Qhp/Ifp | $988.00 | ↓ -41% |
| United | HMO & PPO | $1,113.25 | ↓ -34% |
| United | All Products - Mid-Level | $1,223.27 | ↓ -28% |
| United | All Products | $1,318.44 | ↓ -22% |
| OPTUM | Managed Medicaid Transplant | $1,367.07 | ↓ -19% |
| CARESOURCE | Managed Medicaid | $1,439.02 | ↓ -15% |
| MOLINA | Managed Medicaid | $1,510.97 | ↓ -10% |
| UNITED | Managed Medicaid | $1,510.97 | ↓ -10% |
| ANTHEM | Managed Medicaid | $1,510.97 | ↓ -10% |
| United BH | Managed Medicaid | $1,525.36 | ↓ -10% |
| Anthem | All Products Physician Facility | $1,528.19 | ↓ -9% |
| Anthem | All Products Physician Non-Facility | $1,528.19 | ↓ -9% |
| Anthem | All Products Physician | $1,528.19 | ↓ -9% |
| AMERIHEALTH | Managed Medicaid | $1,582.92 | ↓ -6% |
| OPTUM | All Products VA | $2,644.48 | ↑ +57% |
| UNITED | MEDICARE ADVANTAGE | $2,644.48 | ↑ +57% |
| MMO | Medicare Advantage HMO & PPO | $2,644.48 | ↑ +57% |
| HUMANA | Medicare Advantage HMO | $2,644.48 | ↑ +57% |
| The Health Plan | MEDICARE ADVANTAGE | $2,737.03 | ↑ +62% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↑ +63% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↑ +63% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↑ +63% |
| UPMC | MEDICARE ADVANTAGE | $2,748.08 | ↑ +63% |
| Valor | HMO & PPO | $2,748.08 | ↑ +63% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↑ +68% |
| Perennial Health | MEDICARE ADVANTAGE | $2,856.04 | ↑ +69% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↑ +76% |
| PPHP | ALL PRODUCTS | $3,022.89 | ↑ +79% |
| MMO | SuperMed | $4,850.94 | ↑ +187% |
| MMO | NASCO | $4,850.94 | ↑ +187% |
| AETNA | Acop | $5,355.00 | ↑ +217% |
| ANTHEM | HPN | $6,920.23 | ↑ +310% |
| MMO | ALL PRODUCTS | $7,073.57 | ↑ +319% |
| ANTHEM | PPO/HMO | $8,141.48 | ↑ +382% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | 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
Exc sq tum/neck/ant thorax 3cm/> 21552 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $8,557.25 | $0.01 – $11,848.50 |
| mercy hospital | Canton | $1,687.40 | $1.10 – $2,830.53 |
| University Hospitals Ahuja Medical Center | Beachwood | $5,280.00 | $900.00 – $6,336.00 |
| University Hospitals Beachwood Medical Center | Beachwood | $5,280.00 | $900.00 – $6,960.13 |
| University Hospitals Elyria Medical Center | Elyria | $5,280.00 | $2,748.08 – $4,946.55 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $5,280.00 | $2,748.08 – $4,946.55 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $5,280.00 | $2,748.08 – $4,946.55 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $5,280.00 | $2,748.08 – $4,946.55 |