healthcosts.net
Excision of vaginal septum 57130 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$639.60
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.
$984.00
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 $9,073.17 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% |
| Summacare | Medicare Advantage Lower Level | $105.86 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $112.22 | ↓ -82% |
| Optum | Managed Medicaid Transplant | $115.80 | ↓ -82% |
| Buckeye | Managed Medicaid | $121.89 | ↓ -81% |
| United | Managed Medicaid | $127.98 | ↓ -80% |
| Caresource | Managed Medicaid | $127.98 | ↓ -80% |
| Molina | Managed Medicaid | $134.08 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $134.08 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $138.43 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $149.63 | ↓ -77% |
| Valor | All Products | $149.63 | ↓ -77% |
| United | Medicare Advantage | $149.63 | ↓ -77% |
| Aetna | Medicare Advantage | $149.63 | ↓ -77% |
| The Health Plan | Medicare Advantage | $149.63 | ↓ -77% |
| The Health Plan | All Products | $149.63 | ↓ -77% |
| Humana | Medicare Advantage HMO | $149.63 | ↓ -77% |
| Anthem | Medicare Advantage | $149.63 | ↓ -77% |
| Summacare | Medicare Advantage MD | $154.72 | ↓ -76% |
| CommuniCare | Medicare Advantage | $157.11 | ↓ -75% |
| PPHP | All Products | $164.59 | ↓ -74% |
| Anthem | All Products Mid-Level Facility | $232.31 | ↓ -64% |
| Oscar | All Products | $250.03 | ↓ -61% |
| Aetna | Acop | $257.68 | ↓ -60% |
| MMO | Medicare HMO & PPO | $279.46 | ↓ -56% |
| Cigna | All Products Mid-Level | $287.18 | ↓ -55% |
| Summacare | Preferred | $305.25 | ↓ -52% |
| Anthem | All Products Mid-Level Non-Facility | $307.14 | ↓ -52% |
| Summacare | Premier | $332.23 | ↓ -48% |
| Cigna | All Products Physician | $339.33 | ↓ -47% |
| OHCP | All Products | $382.78 | ↓ -40% |
| Aultcare | PPO/HMO | $486.10 | ↓ -24% |
| OMAS | All Products | $492.00 | ↓ -23% |
| United | HMO & PPO | $561.82 | ↓ -12% |
| Optum | All Products Transplant | $573.67 | ↓ -10% |
| Anthem | All Products Physician | $590.01 | ↓ -8% |
| Anthem | All Products Physician Facility | $590.01 | ↓ -8% |
| PHPHI | All Products | $590.40 | ↓ -8% |
| United | All Products - Mid-Level | $617.34 | ↓ -3% |
| United | All Products | $665.37 | ↑ +4% |
| MMO | Traditional | $688.80 | ↑ +8% |
| GMS | All Products | $688.80 | ↑ +8% |
| Consociate Health | All Products | $738.00 | ↑ +15% |
| Aetna | All Products First Health | $738.00 | ↑ +15% |
| Anthem | All Products Physician Non-Facility | $780.09 | ↑ +22% |
| Aetna | Asa | $787.20 | ↑ +23% |
| Multiplan | All Products | $885.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $984.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $1,166.34 | ↑ +82% |
| CARESOURCE | Managed Medicaid | $1,227.73 | ↑ +92% |
| UNITED | Managed Medicaid | $1,289.12 | ↑ +102% |
| MOLINA | Managed Medicaid | $1,289.12 | ↑ +102% |
| ANTHEM | Managed Medicaid | $1,289.12 | ↑ +102% |
| United BH | Managed Medicaid | $1,301.39 | ↑ +103% |
| AMERIHEALTH | Managed Medicaid | $1,350.50 | ↑ +111% |
| UNITED | MEDICARE ADVANTAGE | $2,937.82 | ↑ +359% |
| MMO | Medicare Advantage HMO & PPO | $2,937.82 | ↑ +359% |
| OPTUM | All Products VA | $2,937.82 | ↑ +359% |
| HUMANA | Medicare Advantage HMO | $2,937.82 | ↑ +359% |
| The Health Plan | MEDICARE ADVANTAGE | $3,040.65 | ↑ +375% |
| Valor | HMO & PPO | $3,062.57 | ↑ +379% |
| AETNA | MEDICARE ADVANTAGE | $3,062.57 | ↑ +379% |
| ANTHEM | MEDICARE ADVANTAGE | $3,062.57 | ↑ +379% |
| Summacare | MEDICARE ADVANTAGE | $3,062.57 | ↑ +379% |
| UPMC | MEDICARE ADVANTAGE | $3,062.57 | ↑ +379% |
| CIGNA | MEDICARE ADVANTAGE | $3,154.45 | ↑ +393% |
| Perennial Health | MEDICARE ADVANTAGE | $3,172.85 | ↑ +396% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,307.58 | ↑ +417% |
| PPHP | ALL PRODUCTS | $3,368.83 | ↑ +427% |
| MMO | SuperMed | $5,338.37 | ↑ +735% |
| MMO | NASCO | $5,338.37 | ↑ +735% |
| ANTHEM | HPN | $7,712.16 | ↑ +1106% |
| MMO | ALL PRODUCTS | $7,883.06 | ↑ +1132% |
| ANTHEM | PPO/HMO | $9,073.17 | ↑ +1319% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Excision of vaginal septum 57130 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $639.60 | $1.10 – $3,062.57 |
| avon hospital | Avon | $9,506.90 | $305.70 – $13,163.40 |
| euclid hospital | Euclid | $9,506.90 | $305.70 – $13,163.40 |
| fairview hospital | Cleveland | $9,506.90 | $261.12 – $13,163.40 |
| lutheran hospital | Cleveland | $9,506.90 | $305.70 – $13,163.40 |
| hillcrest hospital | Mayfield Heights | $9,506.90 | $261.12 – $13,163.40 |
| marymount hospital | Garfield Heights | $9,506.90 | $305.70 – $13,163.40 |
| medina hospital | Medina | $9,506.90 | $207.44 – $13,163.40 |