healthcosts.net
Exc sq tum/neck or ant thorax <3cm 21555 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,029.60
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.
$1,584.00
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 $4,629.18 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 | $149.92 | ↓ -85% |
| Buckeye | Managed Medicaid | $157.81 | ↓ -85% |
| Oscar | All Products | $165.42 | ↓ -84% |
| United | Managed Medicaid | $165.70 | ↓ -84% |
| Caresource | Managed Medicaid | $165.70 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $173.59 | ↓ -83% |
| Molina | Managed Medicaid | $173.59 | ↓ -83% |
| Summacare | Medicare Advantage Lower Level | $189.92 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $215.21 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $248.35 | ↓ -76% |
| OHCP | All Products | $253.24 | ↓ -75% |
| Summacare | Medicare Advantage MD | $277.57 | ↓ -73% |
| Anthem | Medicare Advantage | $286.95 | ↓ -72% |
| Valor | All Products | $286.95 | ↓ -72% |
| United | Medicare Advantage | $286.95 | ↓ -72% |
| Aetna | Medicare Advantage | $286.95 | ↓ -72% |
| The Health Plan | Medicare Advantage | $286.95 | ↓ -72% |
| The Health Plan | All Products | $286.95 | ↓ -72% |
| Humana | Medicare Advantage HMO | $286.95 | ↓ -72% |
| Optum | Medicare Advantage Transplant | $286.95 | ↓ -72% |
| CommuniCare | Medicare Advantage | $301.30 | ↓ -71% |
| PPHP | All Products | $315.55 | ↓ -69% |
| Aultcare | PPO/HMO | $321.59 | ↓ -69% |
| OMAS | All Products | $325.50 | ↓ -68% |
| Optum | All Products Transplant | $379.53 | ↓ -63% |
| PHPHI | All Products | $390.60 | ↓ -62% |
| Anthem | All Products Mid-Level Facility | $410.04 | ↓ -60% |
| GMS | All Products | $455.70 | ↓ -56% |
| MMO | Traditional | $455.70 | ↓ -56% |
| Consociate Health | All Products | $488.25 | ↓ -53% |
| Aetna | All Products First Health | $488.25 | ↓ -53% |
| Aetna | Asa | $520.80 | ↓ -49% |
| MMO | Medicare HMO & PPO | $528.50 | ↓ -49% |
| Cigna | All Products Mid-Level | $535.14 | ↓ -48% |
| Anthem | All Products Mid-Level Non-Facility | $572.34 | ↓ -44% |
| Aetna | Acop | $578.58 | ↓ -44% |
| Summacare | Preferred | $585.38 | ↓ -43% |
| Multiplan | All Products | $585.90 | ↓ -43% |
| Summacare | Premier | $596.05 | ↓ -42% |
| Cigna | All Products Physician | $632.32 | ↓ -39% |
| Aetna | Qhp/Ifp | $651.00 | ↓ -37% |
| Anthem | All Products Physician Facility | $1,041.42 | ↑ +1% |
| Anthem | All Products Physician | $1,041.42 | ↑ +1% |
| United | HMO & PPO | $1,052.84 | ↑ +2% |
| United | All Products - Mid-Level | $1,156.89 | ↑ +12% |
| United | All Products | $1,246.90 | ↑ +21% |
| OPTUM | Managed Medicaid Transplant | $1,367.07 | ↑ +33% |
| CARESOURCE | Managed Medicaid | $1,439.02 | ↑ +40% |
| Anthem | All Products Physician Non-Facility | $1,453.63 | ↑ +41% |
| UNITED | MEDICARE ADVANTAGE | $1,497.07 | ↑ +45% |
| HUMANA | Medicare Advantage HMO | $1,497.07 | ↑ +45% |
| OPTUM | All Products VA | $1,497.07 | ↑ +45% |
| MMO | Medicare Advantage HMO & PPO | $1,497.07 | ↑ +45% |
| UNITED | Managed Medicaid | $1,510.97 | ↑ +47% |
| MOLINA | Managed Medicaid | $1,510.97 | ↑ +47% |
| ANTHEM | Managed Medicaid | $1,510.97 | ↑ +47% |
| United BH | Managed Medicaid | $1,525.36 | ↑ +48% |
| The Health Plan | MEDICARE ADVANTAGE | $1,549.47 | ↑ +50% |
| ANTHEM | MEDICARE ADVANTAGE | $1,562.54 | ↑ +52% |
| Summacare | MEDICARE ADVANTAGE | $1,562.54 | ↑ +52% |
| AETNA | MEDICARE ADVANTAGE | $1,562.54 | ↑ +52% |
| UPMC | MEDICARE ADVANTAGE | $1,562.54 | ↑ +52% |
| Valor | HMO & PPO | $1,562.54 | ↑ +52% |
| AMERIHEALTH | Managed Medicaid | $1,582.92 | ↑ +54% |
| CIGNA | MEDICARE ADVANTAGE | $1,609.41 | ↑ +56% |
| Perennial Health | MEDICARE ADVANTAGE | $1,616.83 | ↑ +57% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,687.54 | ↑ +64% |
| PPHP | ALL PRODUCTS | $1,718.79 | ↑ +67% |
| MMO | NASCO | $2,768.64 | ↑ +169% |
| MMO | SuperMed | $2,768.64 | ↑ +169% |
| ANTHEM | HPN | $3,934.78 | ↑ +282% |
| MMO | ALL PRODUCTS | $4,021.97 | ↑ +291% |
| ANTHEM | PPO/HMO | $4,629.18 | ↑ +350% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exc sq tum/neck or ant thorax <3cm 21555 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,844.45 | $0.01 – $6,707.70 |
| avon hospital | Avon | $4,844.45 | $0.01 – $6,707.70 |
| euclid hospital | Euclid | $4,844.45 | $0.01 – $6,707.70 |
| fairview hospital | Cleveland | $4,844.45 | $0.01 – $6,707.70 |
| lutheran hospital | Cleveland | $4,844.45 | $0.01 – $6,707.70 |
| hillcrest hospital | Mayfield Heights | $4,844.45 | $0.01 – $6,707.70 |
| marymount hospital | Garfield Heights | $4,844.45 | $0.01 – $6,707.70 |
| medina hospital | Medina | $4,844.45 | $0.01 – $6,707.70 |