healthcosts.net
Excision of lingual tonsil at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,435.20
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.
$2,208.00
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 $16,592.38 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 | $299.08 | ↓ -79% |
| Buckeye | Managed Medicaid | $314.82 | ↓ -78% |
| Caresource | Managed Medicaid | $330.56 | ↓ -77% |
| United | Managed Medicaid | $330.56 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $346.30 | ↓ -76% |
| Molina | Managed Medicaid | $346.30 | ↓ -76% |
| Summacare | Medicare Advantage Lower Level | $351.41 | ↓ -76% |
| Summacare | Medicare Advantage Psych | $391.10 | ↓ -73% |
| Summacare | Medicare Advantage CNA | $459.54 | ↓ -68% |
| Summacare | Medicare Advantage MD | $513.60 | ↓ -64% |
| Humana | Medicare Advantage HMO | $521.46 | ↓ -64% |
| Valor | All Products | $521.46 | ↓ -64% |
| United | Medicare Advantage | $521.46 | ↓ -64% |
| Aetna | Medicare Advantage | $521.46 | ↓ -64% |
| The Health Plan | Medicare Advantage | $521.46 | ↓ -64% |
| The Health Plan | All Products | $521.46 | ↓ -64% |
| Anthem | Medicare Advantage | $521.46 | ↓ -64% |
| Optum | Medicare Advantage Transplant | $521.46 | ↓ -64% |
| CommuniCare | Medicare Advantage | $547.53 | ↓ -62% |
| Oscar | All Products | $561.05 | ↓ -61% |
| PPHP | All Products | $573.61 | ↓ -60% |
| Anthem | All Products Mid-Level Non-Facility | $775.86 | ↓ -46% |
| Anthem | All Products Mid-Level Facility | $775.86 | ↓ -46% |
| OHCP | All Products | $858.91 | ↓ -40% |
| MMO | Medicare HMO & PPO | $994.81 | ↓ -31% |
| Summacare | Preferred | $1,063.78 | ↓ -26% |
| Aultcare | PPO/HMO | $1,090.75 | ↓ -24% |
| Summacare | Premier | $1,102.89 | ↓ -23% |
| OMAS | All Products | $1,104.00 | ↓ -23% |
| OPTUM | Managed Medicaid Transplant | $1,138.70 | ↓ -21% |
| CARESOURCE | Managed Medicaid | $1,198.63 | ↓ -16% |
| ANTHEM | Managed Medicaid | $1,258.56 | ↓ -12% |
| MOLINA | Managed Medicaid | $1,258.56 | ↓ -12% |
| UNITED | Managed Medicaid | $1,258.56 | ↓ -12% |
| United BH | Managed Medicaid | $1,270.55 | ↓ -11% |
| Optum | All Products Transplant | $1,287.26 | ↓ -10% |
| AMERIHEALTH | Managed Medicaid | $1,318.49 | ↓ -8% |
| PHPHI | All Products | $1,324.80 | ↓ -8% |
| United | HMO & PPO | $1,421.01 | ↓ -1% |
| GMS | All Products | $1,545.60 | ↑ +8% |
| MMO | Traditional | $1,545.60 | ↑ +8% |
| United | All Products - Mid-Level | $1,561.44 | ↑ +9% |
| Aetna | All Products First Health | $1,656.00 | ↑ +15% |
| Consociate Health | All Products | $1,656.00 | ↑ +15% |
| United | All Products | $1,682.93 | ↑ +17% |
| Aetna | Asa | $1,766.40 | ↑ +23% |
| Anthem | All Products Physician Non-Facility | $1,970.53 | ↑ +37% |
| Anthem | All Products Physician Facility | $1,970.53 | ↑ +37% |
| Anthem | All Products Physician | $1,970.53 | ↑ +37% |
| Multiplan | All Products | $1,987.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,208.00 | ↑ +54% |
| MMO | Medicare Advantage HMO & PPO | $5,465.95 | ↑ +281% |
| UNITED | MEDICARE ADVANTAGE | $5,465.95 | ↑ +281% |
| HUMANA | Medicare Advantage HMO | $5,465.95 | ↑ +281% |
| OPTUM | All Products VA | $5,465.95 | ↑ +281% |
| Summacare | MEDICARE ADVANTAGE | $5,600.62 | ↑ +290% |
| ANTHEM | MEDICARE ADVANTAGE | $5,600.62 | ↑ +290% |
| AETNA | MEDICARE ADVANTAGE | $5,600.62 | ↑ +290% |
| UPMC | MEDICARE ADVANTAGE | $5,600.62 | ↑ +290% |
| Valor | HMO & PPO | $5,600.62 | ↑ +290% |
| The Health Plan | MEDICARE ADVANTAGE | $5,657.26 | ↑ +294% |
| CIGNA | MEDICARE ADVANTAGE | $5,768.63 | ↑ +302% |
| Perennial Health | MEDICARE ADVANTAGE | $5,903.23 | ↑ +311% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,048.66 | ↑ +321% |
| PPHP | ALL PRODUCTS | $6,160.68 | ↑ +329% |
| MMO | NASCO | $9,999.36 | ↑ +597% |
| MMO | SuperMed | $9,999.36 | ↑ +597% |
| ANTHEM | HPN | $14,103.47 | ↑ +883% |
| MMO | ALL PRODUCTS | $14,415.98 | ↑ +904% |
| ANTHEM | PPO/HMO | $16,592.38 | ↑ +1056% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Excision of lingual tonsil at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,435.20 | $1.10 – $5,600.62 |
| mercy hospital | Canton | $1,435.20 | $1.10 – $5,768.63 |
| avon hospital | Avon | not published | $1,221.23 – $6,160.68 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,993.83 – $2,308.65 |
| euclid hospital | Euclid | not published | $1,251.18 – $6,160.68 |
| fairview hospital | Cleveland | not published | $1,175.43 – $6,160.68 |
| lutheran hospital | Cleveland | not published | $1,119.04 – $6,160.68 |
| hillcrest hospital | Mayfield Heights | not published | $1,224.61 – $6,160.68 |