healthcosts.net
Excision of anal lesion(s) at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$8,199.75
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.
$12,615.00
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 $12,615.00 with AETNA — 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% |
| Summacare | Medicare Advantage Lower Level | $84.94 | ↓ -99% |
| Oscar | All Products | $89.19 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $95.87 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $97.34 | ↓ -99% |
| Buckeye | Managed Medicaid | $100.92 | ↓ -99% |
| Caresource | Managed Medicaid | $105.97 | ↓ -99% |
| United | Managed Medicaid | $105.97 | ↓ -99% |
| Molina | Managed Medicaid | $111.01 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $111.01 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $111.08 | ↓ -99% |
| Summacare | Medicare Advantage MD | $124.15 | ↓ -98% |
| Valor | All Products | $129.78 | ↓ -98% |
| The Health Plan | All Products | $129.78 | ↓ -98% |
| Aetna | Medicare Advantage | $129.78 | ↓ -98% |
| United | Medicare Advantage | $129.78 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $129.78 | ↓ -98% |
| The Health Plan | Medicare Advantage | $129.78 | ↓ -98% |
| Anthem | Medicare Advantage | $129.78 | ↓ -98% |
| Humana | Medicare Advantage HMO | $129.78 | ↓ -98% |
| CommuniCare | Medicare Advantage | $136.27 | ↓ -98% |
| OHCP | All Products | $136.54 | ↓ -98% |
| PPHP | All Products | $141.13 | ↓ -98% |
| Aultcare | PPO/HMO | $173.39 | ↓ -98% |
| OMAS | All Products | $175.50 | ↓ -98% |
| Anthem | All Products Mid-Level Facility | $183.82 | ↓ -98% |
| Optum | All Products Transplant | $204.63 | ↓ -98% |
| PHPHI | All Products | $210.60 | ↓ -97% |
| ANTHEM | HPN | $225.42 | ↓ -97% |
| MMO | Medicare HMO & PPO | $227.15 | ↓ -97% |
| GMS | All Products | $245.70 | ↓ -97% |
| MMO | Traditional | $245.70 | ↓ -97% |
| Consociate Health | All Products | $263.25 | ↓ -97% |
| Aetna | All Products First Health | $263.25 | ↓ -97% |
| Summacare | Preferred | $264.75 | ↓ -97% |
| Summacare | Premier | $266.59 | ↓ -97% |
| Aetna | Asa | $280.80 | ↓ -97% |
| Multiplan | All Products | $315.90 | ↓ -96% |
| Aetna | Qhp/Ifp | $351.00 | ↓ -96% |
| Aetna | Acop | $379.78 | ↓ -95% |
| Cigna | All Products Mid-Level | $382.59 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $409.19 | ↓ -95% |
| Cigna | All Products Physician | $452.07 | ↓ -94% |
| Anthem | All Products Physician Facility | $466.86 | ↓ -94% |
| Anthem | All Products Physician | $466.86 | ↓ -94% |
| United | HMO & PPO | $748.14 | ↓ -91% |
| United | All Products - Mid-Level | $822.08 | ↓ -90% |
| OPTUM | Managed Medicaid Transplant | $863.18 | ↓ -89% |
| United | All Products | $886.04 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $908.61 | ↓ -89% |
| ANTHEM | Managed Medicaid | $954.04 | ↓ -88% |
| UNITED | Managed Medicaid | $954.04 | ↓ -88% |
| MOLINA | Managed Medicaid | $954.04 | ↓ -88% |
| United BH | Managed Medicaid | $963.13 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $999.47 | ↓ -88% |
| Anthem | All Products Physician Non-Facility | $1,039.25 | ↓ -87% |
| AETNA | Acop | $2,451.00 | ↓ -70% |
| HUMANA | Medicare Advantage HMO | $2,533.91 | ↓ -69% |
| MMO | Medicare Advantage HMO & PPO | $2,533.91 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $2,533.91 | ↓ -69% |
| OPTUM | All Products VA | $2,533.91 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $2,622.60 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $2,625.99 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $2,625.99 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $2,625.99 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $2,625.99 | ↓ -68% |
| Valor | HMO & PPO | $2,625.99 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $2,704.77 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $2,736.63 | ↓ -67% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,836.07 | ↓ -65% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↓ -65% |
| PPHP | ALL PRODUCTS | $2,888.59 | ↓ -65% |
| AETNA | International | $3,004.00 | ↓ -63% |
| OSCAR | ALL PRODUCTS | $3,567.52 | ↓ -56% |
| PHP | ALL PRODUCTS | $4,036.80 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $4,036.80 | ↓ -51% |
| Summacare | PREMIER | $4,528.79 | ↓ -45% |
| MMO | NASCO | $4,793.60 | ↓ -42% |
| MMO | SuperMed | $4,793.60 | ↓ -42% |
| CC EHP | ALL PRODUCTS | $5,109.08 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $5,676.75 | ↓ -31% |
| OHCP | ALL PRODUCTS | $6,130.89 | ↓ -25% |
| OMAS | ALL PRODUCTS | $6,307.50 | ↓ -23% |
| MMO | TRADITIONAL | $6,572.42 | ↓ -20% |
| MMO | ALL PRODUCTS | $6,759.30 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $6,812.10 | ↓ -17% |
| UNITED | ALL PRODUCTS | $6,831.00 | ↓ -17% |
| ANTHEM | TRADITIONAL | $6,976.10 | ↓ -15% |
| OPTUM | All Products Transplant | $7,140.09 | ↓ -13% |
| UPMC | ALL PRODUCTS | $7,569.00 | ↓ -8% |
| The Health Plan | HMO | $7,569.00 | ↓ -8% |
| ANTHEM | PPO/HMO | $7,779.76 | ↓ -5% |
| The Health Plan | ASO Self-Funded | $8,704.35 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $8,830.50 | ↑ +8% |
| GMS | ALL PRODUCTS | $8,830.50 | ↑ +8% |
| AETNA | ALL PRODUCTS | $9,461.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $9,461.25 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $10,092.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $11,353.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $11,353.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $11,353.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $11,353.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $12,615.00 | ↑ +54% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Excision of anal lesion(s) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $8,199.75 | $0.01 – $11,353.50 |
| mercy hospital | Canton | $496.60 | $1.10 – $2,704.77 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,190.50 | $900.00 – $4,726.78 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,190.50 | $900.00 – $6,650.88 |
| University Hospitals Conneaut Medical Center | Conneaut | $2,658.75 | not published |
| University Hospitals Elyria Medical Center | Elyria | $3,190.50 | $2,625.99 – $4,726.78 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,190.50 | $2,625.99 – $4,726.78 |
| University Hospitals Geneva Medical Center | Geneva | $2,658.75 | not published |