healthcosts.net
Exc tendon sheath or cap lesion 26160 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,021.15
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.
?
What you pay up front if you don't use insurance.
$1,571.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $4,506.96 with ANTHEM — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $154.68 | ↓ -85% |
| Buckeye | Managed Medicaid | $162.82 | ↓ -84% |
| Caresource | Managed Medicaid | $170.96 | ↓ -83% |
| United | Managed Medicaid | $170.96 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $179.10 | ↓ -82% |
| Molina | Managed Medicaid | $179.10 | ↓ -82% |
| Summacare | Medicare Advantage Lower Level | $196.85 | ↓ -81% |
| Summacare | Medicare Advantage Psych | $221.59 | ↓ -78% |
| Summacare | Medicare Advantage CNA | $257.41 | ↓ -75% |
| Summacare | Medicare Advantage MD | $287.70 | ↓ -72% |
| Humana | Medicare Advantage HMO | $295.45 | ↓ -71% |
| Valor | All Products | $295.45 | ↓ -71% |
| United | Medicare Advantage | $295.45 | ↓ -71% |
| Aetna | Medicare Advantage | $295.45 | ↓ -71% |
| The Health Plan | Medicare Advantage | $295.45 | ↓ -71% |
| The Health Plan | All Products | $295.45 | ↓ -71% |
| Anthem | Medicare Advantage | $295.45 | ↓ -71% |
| Optum | Medicare Advantage Transplant | $295.45 | ↓ -71% |
| CommuniCare | Medicare Advantage | $310.22 | ↓ -70% |
| PPHP | All Products | $325.00 | ↓ -68% |
| Oscar | All Products | $399.19 | ↓ -61% |
| Anthem | All Products Mid-Level Facility | $423.12 | ↓ -59% |
| MMO | Medicare HMO & PPO | $551.47 | ↓ -46% |
| Summacare | Preferred | $602.72 | ↓ -41% |
| OHCP | All Products | $611.12 | ↓ -40% |
| Summacare | Premier | $617.79 | ↓ -40% |
| Cigna | All Products Mid-Level | $752.17 | ↓ -26% |
| Aultcare | PPO/HMO | $776.07 | ↓ -24% |
| OMAS | All Products | $785.50 | ↓ -23% |
| Aetna | Acop | $788.65 | ↓ -23% |
| Anthem | All Products Mid-Level Non-Facility | $804.46 | ↓ -21% |
| Cigna | All Products Physician | $888.77 | ↓ -13% |
| Optum | All Products Transplant | $915.89 | ↓ -10% |
| OPTUM | Managed Medicaid Transplant | $927.34 | ↓ -9% |
| PHPHI | All Products | $942.60 | ↓ -8% |
| CARESOURCE | Managed Medicaid | $976.15 | ↓ -4% |
| UNITED | Managed Medicaid | $1,024.96 | ↑ +0% |
| MOLINA | Managed Medicaid | $1,024.96 | ↑ +0% |
| ANTHEM | Managed Medicaid | $1,024.96 | ↑ +0% |
| United BH | Managed Medicaid | $1,034.72 | ↑ +1% |
| AMERIHEALTH | Managed Medicaid | $1,073.77 | ↑ +5% |
| Anthem | All Products Physician Facility | $1,074.63 | ↑ +5% |
| Anthem | All Products Physician | $1,074.63 | ↑ +5% |
| GMS | All Products | $1,099.70 | ↑ +8% |
| MMO | Traditional | $1,099.70 | ↑ +8% |
| Consociate Health | All Products | $1,178.25 | ↑ +15% |
| Aetna | All Products First Health | $1,178.25 | ↑ +15% |
| Aetna | Asa | $1,256.80 | ↑ +23% |
| Multiplan | All Products | $1,413.90 | ↑ +38% |
| United | HMO & PPO | $1,472.32 | ↑ +44% |
| HUMANA | Medicare Advantage HMO | $1,478.75 | ↑ +45% |
| MMO | Medicare Advantage HMO & PPO | $1,478.75 | ↑ +45% |
| UNITED | MEDICARE ADVANTAGE | $1,478.75 | ↑ +45% |
| OPTUM | All Products VA | $1,478.75 | ↑ +45% |
| AETNA | MEDICARE ADVANTAGE | $1,521.28 | ↑ +49% |
| Valor | HMO & PPO | $1,521.28 | ↑ +49% |
| ANTHEM | MEDICARE ADVANTAGE | $1,521.28 | ↑ +49% |
| Summacare | MEDICARE ADVANTAGE | $1,521.28 | ↑ +49% |
| UPMC | MEDICARE ADVANTAGE | $1,521.28 | ↑ +49% |
| The Health Plan | MEDICARE ADVANTAGE | $1,530.50 | ↑ +50% |
| CIGNA | MEDICARE ADVANTAGE | $1,566.92 | ↑ +53% |
| Aetna | Qhp/Ifp | $1,571.00 | ↑ +54% |
| Perennial Health | MEDICARE ADVANTAGE | $1,597.05 | ↑ +56% |
| United | All Products - Mid-Level | $1,617.82 | ↑ +58% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,642.99 | ↑ +61% |
| PPHP | ALL PRODUCTS | $1,673.41 | ↑ +64% |
| United | All Products | $1,743.69 | ↑ +71% |
| Anthem | All Products Physician Non-Facility | $2,043.15 | ↑ +100% |
| MMO | SuperMed | $2,743.55 | ↑ +169% |
| MMO | NASCO | $2,743.55 | ↑ +169% |
| ANTHEM | HPN | $3,830.90 | ↑ +275% |
| MMO | ALL PRODUCTS | $3,915.79 | ↑ +283% |
| ANTHEM | PPO/HMO | $4,506.96 | ↑ +341% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exc tendon sheath or cap lesion 26160 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,785.30 | $0.01 – $6,625.80 |
| avon hospital | Avon | $4,785.30 | $0.01 – $6,625.80 |
| euclid hospital | Euclid | $4,785.30 | $0.01 – $6,625.80 |
| fairview hospital | Cleveland | $4,785.30 | $0.01 – $6,625.80 |
| lutheran hospital | Cleveland | $4,785.30 | $0.01 – $6,625.80 |
| hillcrest hospital | Mayfield Heights | $4,785.30 | $0.01 – $6,625.80 |
| marymount hospital | Garfield Heights | $4,785.30 | $0.01 – $6,625.80 |
| medina hospital | Medina | $4,785.30 | $0.01 – $6,625.80 |