healthcosts.net
Exchange biliary drg cath at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$10,552.10
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.
$16,234.00
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 $16,234.00 with AETNA — 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% |
| Summacare | Medicare Advantage Lower Level | $79.92 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $85.07 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $104.51 | ↓ -99% |
| Humana | Medicare Advantage HMO | $113.43 | ↓ -99% |
| The Health Plan | Medicare Advantage | $113.43 | ↓ -99% |
| The Health Plan | All Products | $113.43 | ↓ -99% |
| Optum | Medicare Advantage Transplant | $113.43 | ↓ -99% |
| Anthem | Medicare Advantage | $113.43 | ↓ -99% |
| Valor | All Products | $113.43 | ↓ -99% |
| United | Medicare Advantage | $113.43 | ↓ -99% |
| Aetna | Medicare Advantage | $113.43 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $113.94 | ↓ -99% |
| Summacare | Medicare Advantage MD | $116.80 | ↓ -99% |
| CommuniCare | Medicare Advantage | $119.10 | ↓ -99% |
| Buckeye | Managed Medicaid | $119.94 | ↓ -99% |
| PPHP | All Products | $124.77 | ↓ -99% |
| United | Managed Medicaid | $125.94 | ↓ -99% |
| Caresource | Managed Medicaid | $125.94 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $131.93 | ↓ -99% |
| Molina | Managed Medicaid | $131.93 | ↓ -99% |
| Anthem | All Products Mid-Level Facility | $173.43 | ↓ -98% |
| ANTHEM | HPN | $224.84 | ↓ -98% |
| Summacare | Preferred | $231.40 | ↓ -98% |
| Summacare | Premier | $250.82 | ↓ -98% |
| MMO | Medicare HMO & PPO | $258.30 | ↓ -98% |
| Oscar | All Products | $291.71 | ↓ -97% |
| Anthem | All Products Physician Facility | $440.46 | ↓ -96% |
| Anthem | All Products Physician | $440.46 | ↓ -96% |
| OHCP | All Products | $446.57 | ↓ -96% |
| Aultcare | PPO/HMO | $567.11 | ↓ -95% |
| OMAS | All Products | $574.00 | ↓ -95% |
| Optum | All Products Transplant | $669.28 | ↓ -94% |
| PHPHI | All Products | $688.80 | ↓ -93% |
| Cigna | All Products Mid-Level | $768.73 | ↓ -93% |
| GMS | All Products | $803.60 | ↓ -92% |
| MMO | Traditional | $803.60 | ↓ -92% |
| Anthem | All Products Mid-Level Non-Facility | $822.17 | ↓ -92% |
| Aetna | All Products First Health | $861.00 | ↓ -92% |
| Consociate Health | All Products | $861.00 | ↓ -92% |
| Cigna | All Products Physician | $908.33 | ↓ -91% |
| Aetna | Acop | $918.32 | ↓ -91% |
| Aetna | Asa | $918.40 | ↓ -91% |
| Multiplan | All Products | $1,033.20 | ↓ -90% |
| OPTUM | Managed Medicaid Transplant | $1,082.41 | ↓ -90% |
| CARESOURCE | Managed Medicaid | $1,139.38 | ↓ -89% |
| Aetna | Qhp/Ifp | $1,148.00 | ↓ -89% |
| MOLINA | Managed Medicaid | $1,196.35 | ↓ -89% |
| ANTHEM | Managed Medicaid | $1,196.35 | ↓ -89% |
| UNITED | Managed Medicaid | $1,196.35 | ↓ -89% |
| United BH | Managed Medicaid | $1,207.74 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $1,253.32 | ↓ -88% |
| United | HMO & PPO | $1,467.02 | ↓ -86% |
| United | All Products - Mid-Level | $1,611.99 | ↓ -85% |
| United | All Products | $1,737.41 | ↓ -84% |
| Anthem | All Products Physician Non-Facility | $2,088.14 | ↓ -80% |
| HUMANA | Medicare Advantage HMO | $3,260.78 | ↓ -69% |
| MMO | Medicare Advantage HMO & PPO | $3,260.78 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $3,260.78 | ↓ -69% |
| OPTUM | All Products VA | $3,260.78 | ↓ -69% |
| AETNA | Acop | $3,265.00 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $3,374.91 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $3,387.33 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $3,387.33 | ↓ -68% |
| Valor | HMO & PPO | $3,387.33 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $3,387.33 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $3,387.33 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $3,488.95 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $3,521.64 | ↓ -67% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,658.32 | ↓ -65% |
| PPHP | ALL PRODUCTS | $3,726.07 | ↓ -65% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -64% |
| AETNA | International | $4,001.00 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $4,590.98 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $5,194.88 | ↓ -51% |
| PHP | ALL PRODUCTS | $5,194.88 | ↓ -51% |
| Summacare | PREMIER | $5,828.01 | ↓ -45% |
| MMO | SuperMed | $5,906.43 | ↓ -44% |
| MMO | NASCO | $5,906.43 | ↓ -44% |
| CC EHP | ALL PRODUCTS | $6,574.77 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $7,305.30 | ↓ -31% |
| UNITED | ALL PRODUCTS | $7,821.00 | ↓ -26% |
| OHCP | ALL PRODUCTS | $7,889.72 | ↓ -25% |
| OMAS | ALL PRODUCTS | $8,117.00 | ↓ -23% |
| MMO | TRADITIONAL | $8,457.91 | ↓ -20% |
| MMO | ALL PRODUCTS | $8,719.00 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $8,766.36 | ↓ -17% |
| ANTHEM | TRADITIONAL | $8,977.40 | ↓ -15% |
| OPTUM | All Products Transplant | $9,188.44 | ↓ -13% |
| The Health Plan | HMO | $9,740.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $9,740.40 | ↓ -8% |
| ANTHEM | PPO/HMO | $10,035.32 | ↓ -5% |
| The Health Plan | ASO Self-Funded | $11,201.46 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $11,363.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $11,363.80 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $12,175.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $12,175.50 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $12,987.20 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $14,610.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $14,610.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $14,610.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $14,610.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $16,234.00 | ↑ +54% |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $10,552.10 | $1.10 – $14,610.60 |
| avon hospital | Avon | $10,552.10 | $245.82 – $14,610.60 |
| euclid hospital | Euclid | $10,552.10 | $245.82 – $14,610.60 |
| fairview hospital | Cleveland | $10,552.10 | $209.97 – $14,610.60 |
| lutheran hospital | Cleveland | $10,552.10 | $245.82 – $14,610.60 |
| hillcrest hospital | Mayfield Heights | $10,552.10 | $209.97 – $14,610.60 |
| marymount hospital | Garfield Heights | $10,552.10 | $245.82 – $14,610.60 |
| medina hospital | Medina | $10,552.10 | $166.81 – $14,610.60 |