healthcosts.net
Excision aural polyp at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$325.00
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.
$500.00
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 $4,348.85 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 | $63.62 | ↓ -80% |
| Buckeye | Managed Medicaid | $66.97 | ↓ -79% |
| Caresource | Managed Medicaid | $70.32 | ↓ -78% |
| United | Managed Medicaid | $70.32 | ↓ -78% |
| Molina | Managed Medicaid | $73.67 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $73.67 | ↓ -77% |
| Summacare | Medicare Advantage Lower Level | $77.69 | ↓ -76% |
| Summacare | Medicare Advantage Psych | $85.85 | ↓ -74% |
| Summacare | Medicare Advantage CNA | $101.60 | ↓ -69% |
| Summacare | Medicare Advantage MD | $113.55 | ↓ -65% |
| Valor | All Products | $114.47 | ↓ -65% |
| Anthem | Medicare Advantage | $114.47 | ↓ -65% |
| The Health Plan | All Products | $114.47 | ↓ -65% |
| The Health Plan | Medicare Advantage | $114.47 | ↓ -65% |
| Aetna | Medicare Advantage | $114.47 | ↓ -65% |
| Optum | Medicare Advantage Transplant | $114.47 | ↓ -65% |
| United | Medicare Advantage | $114.47 | ↓ -65% |
| Humana | Medicare Advantage HMO | $114.47 | ↓ -65% |
| CommuniCare | Medicare Advantage | $120.19 | ↓ -63% |
| PPHP | All Products | $125.92 | ↓ -61% |
| Oscar | All Products | $127.05 | ↓ -61% |
| Anthem | All Products Mid-Level Facility | $172.06 | ↓ -47% |
| OHCP | All Products | $194.50 | ↓ -40% |
| MMO | Medicare HMO & PPO | $218.72 | ↓ -33% |
| Summacare | Preferred | $233.52 | ↓ -28% |
| Summacare | Premier | $243.84 | ↓ -25% |
| Aultcare | PPO/HMO | $247.00 | ↓ -24% |
| OMAS | All Products | $250.00 | ↓ -23% |
| Cigna | All Products Mid-Level | $258.36 | ↓ -21% |
| Anthem | All Products Mid-Level Non-Facility | $276.31 | ↓ -15% |
| Aetna | Acop | $277.62 | ↓ -15% |
| Optum | All Products Transplant | $291.50 | ↓ -10% |
| PHPHI | All Products | $300.00 | ↓ -8% |
| Cigna | All Products Physician | $305.28 | ↓ -6% |
| MMO | Traditional | $350.00 | ↑ +8% |
| GMS | All Products | $350.00 | ↑ +8% |
| Aetna | All Products First Health | $375.00 | ↑ +15% |
| Consociate Health | All Products | $375.00 | ↑ +15% |
| Aetna | Asa | $400.00 | ↑ +23% |
| Anthem | All Products Physician | $436.97 | ↑ +34% |
| Anthem | All Products Physician Facility | $436.97 | ↑ +34% |
| Multiplan | All Products | $450.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $500.00 | ↑ +54% |
| United | HMO & PPO | $504.77 | ↑ +55% |
| United | All Products - Mid-Level | $554.66 | ↑ +71% |
| United | All Products | $597.81 | ↑ +84% |
| Anthem | All Products Physician Non-Facility | $701.78 | ↑ +116% |
| OPTUM | Managed Medicaid Transplant | $745.85 | ↑ +129% |
| CARESOURCE | Managed Medicaid | $785.10 | ↑ +142% |
| ANTHEM | Managed Medicaid | $824.36 | ↑ +154% |
| MOLINA | Managed Medicaid | $824.36 | ↑ +154% |
| UNITED | Managed Medicaid | $824.36 | ↑ +154% |
| United BH | Managed Medicaid | $832.21 | ↑ +156% |
| AMERIHEALTH | Managed Medicaid | $863.61 | ↑ +166% |
| HUMANA | Medicare Advantage HMO | $1,368.67 | ↑ +321% |
| MMO | Medicare Advantage HMO & PPO | $1,368.67 | ↑ +321% |
| OPTUM | All Products VA | $1,368.67 | ↑ +321% |
| UNITED | MEDICARE ADVANTAGE | $1,368.67 | ↑ +321% |
| The Health Plan | MEDICARE ADVANTAGE | $1,416.58 | ↑ +336% |
| Summacare | MEDICARE ADVANTAGE | $1,467.92 | ↑ +352% |
| AETNA | MEDICARE ADVANTAGE | $1,467.92 | ↑ +352% |
| ANTHEM | MEDICARE ADVANTAGE | $1,467.92 | ↑ +352% |
| Valor | HMO & PPO | $1,467.92 | ↑ +352% |
| UPMC | MEDICARE ADVANTAGE | $1,467.92 | ↑ +352% |
| Perennial Health | MEDICARE ADVANTAGE | $1,478.17 | ↑ +355% |
| CIGNA | MEDICARE ADVANTAGE | $1,511.96 | ↑ +365% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,585.35 | ↑ +388% |
| PPHP | ALL PRODUCTS | $1,614.71 | ↑ +397% |
| MMO | SuperMed | $2,603.78 | ↑ +701% |
| MMO | NASCO | $2,603.78 | ↑ +701% |
| ANTHEM | HPN | $3,696.51 | ↑ +1037% |
| MMO | ALL PRODUCTS | $3,778.42 | ↑ +1063% |
| ANTHEM | PPO/HMO | $4,348.85 | ↑ +1238% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Excision aural polyp at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,851.25 | $0.01 – $5,332.50 |
| mercy hospital | Canton | $325.00 | $1.10 – $1,511.96 |
| avon hospital | Avon | not published | $799.91 – $1,614.71 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,305.97 – $1,512.17 |
| euclid hospital | Euclid | not published | $819.53 – $1,614.71 |
| fairview hospital | Cleveland | not published | $769.90 – $1,614.71 |
| lutheran hospital | Cleveland | not published | $732.97 – $1,614.71 |
| hillcrest hospital | Mayfield Heights | not published | $802.12 – $1,614.71 |