healthcosts.net
Exploration maxillary sinus at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$889.20
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.
?
What you pay up front if you don't use insurance.
$1,368.00
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 $10,449.99 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 | $111.06 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $112.71 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $145.23 | ↓ -84% |
| Aetna | Medicare Advantage | $150.28 | ↓ -83% |
| Humana | Medicare Advantage HMO | $150.28 | ↓ -83% |
| The Health Plan | Medicare Advantage | $150.28 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $150.28 | ↓ -83% |
| Valor | All Products | $150.28 | ↓ -83% |
| United | Medicare Advantage | $150.28 | ↓ -83% |
| The Health Plan | All Products | $150.28 | ↓ -83% |
| Anthem | Medicare Advantage | $150.28 | ↓ -83% |
| CommuniCare | Medicare Advantage | $157.79 | ↓ -82% |
| Summacare | Medicare Advantage MD | $162.32 | ↓ -82% |
| Optum | Managed Medicaid Transplant | $162.58 | ↓ -82% |
| PPHP | All Products | $165.31 | ↓ -81% |
| Buckeye | Managed Medicaid | $171.14 | ↓ -81% |
| United | Managed Medicaid | $179.70 | ↓ -80% |
| Caresource | Managed Medicaid | $179.70 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $188.25 | ↓ -79% |
| Molina | Managed Medicaid | $188.25 | ↓ -79% |
| Anthem | All Products Mid-Level Non-Facility | $241.03 | ↓ -73% |
| Anthem | All Products Mid-Level Facility | $241.03 | ↓ -73% |
| Summacare | Preferred | $306.57 | ↓ -66% |
| Oscar | All Products | $347.61 | ↓ -61% |
| Summacare | Premier | $348.55 | ↓ -61% |
| MMO | Medicare HMO & PPO | $348.90 | ↓ -61% |
| United | HMO & PPO | $443.32 | ↓ -50% |
| United | All Products - Mid-Level | $487.13 | ↓ -45% |
| United | All Products | $525.03 | ↓ -41% |
| OHCP | All Products | $532.15 | ↓ -40% |
| Anthem | All Products Physician Facility | $612.19 | ↓ -31% |
| Anthem | All Products Physician | $612.19 | ↓ -31% |
| Anthem | All Products Physician Non-Facility | $612.19 | ↓ -31% |
| Aultcare | PPO/HMO | $675.79 | ↓ -24% |
| OMAS | All Products | $684.00 | ↓ -23% |
| Optum | All Products Transplant | $797.54 | ↓ -10% |
| PHPHI | All Products | $820.80 | ↓ -8% |
| GMS | All Products | $957.60 | ↑ +8% |
| MMO | Traditional | $957.60 | ↑ +8% |
| Aetna | All Products First Health | $1,026.00 | ↑ +15% |
| Consociate Health | All Products | $1,026.00 | ↑ +15% |
| Aetna | Asa | $1,094.40 | ↑ +23% |
| Multiplan | All Products | $1,231.20 | ↑ +38% |
| OPTUM | Managed Medicaid Transplant | $1,237.01 | ↑ +39% |
| CARESOURCE | Managed Medicaid | $1,302.12 | ↑ +46% |
| MOLINA | Managed Medicaid | $1,367.23 | ↑ +54% |
| ANTHEM | Managed Medicaid | $1,367.23 | ↑ +54% |
| UNITED | Managed Medicaid | $1,367.23 | ↑ +54% |
| Aetna | Qhp/Ifp | $1,368.00 | ↑ +54% |
| United BH | Managed Medicaid | $1,380.25 | ↑ +55% |
| AMERIHEALTH | Managed Medicaid | $1,432.33 | ↑ +61% |
| UNITED | MEDICARE ADVANTAGE | $3,406.67 | ↑ +283% |
| MMO | Medicare Advantage HMO & PPO | $3,406.67 | ↑ +283% |
| OPTUM | All Products VA | $3,406.67 | ↑ +283% |
| HUMANA | Medicare Advantage HMO | $3,406.67 | ↑ +283% |
| The Health Plan | MEDICARE ADVANTAGE | $3,525.90 | ↑ +297% |
| UPMC | MEDICARE ADVANTAGE | $3,527.30 | ↑ +297% |
| Valor | HMO & PPO | $3,527.30 | ↑ +297% |
| Summacare | MEDICARE ADVANTAGE | $3,527.30 | ↑ +297% |
| ANTHEM | MEDICARE ADVANTAGE | $3,527.30 | ↑ +297% |
| AETNA | MEDICARE ADVANTAGE | $3,527.30 | ↑ +297% |
| CIGNA | MEDICARE ADVANTAGE | $3,633.12 | ↑ +309% |
| Perennial Health | MEDICARE ADVANTAGE | $3,679.20 | ↑ +314% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,809.49 | ↑ +328% |
| PPHP | ALL PRODUCTS | $3,880.03 | ↑ +336% |
| MMO | NASCO | $6,393.86 | ↑ +619% |
| MMO | SuperMed | $6,393.86 | ↑ +619% |
| ANTHEM | HPN | $8,882.45 | ↑ +899% |
| MMO | ALL PRODUCTS | $9,079.28 | ↑ +921% |
| ANTHEM | PPO/HMO | $10,449.99 | ↑ +1075% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Exploration maxillary sinus at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $11,024.00 | $0.01 – $15,264.00 |
| mercy hospital | Canton | $889.20 | $1.10 – $3,633.12 |
| avon hospital | Avon | not published | $1,326.68 – $3,880.03 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,165.99 – $2,507.99 |
| euclid hospital | Euclid | not published | $1,359.21 – $3,880.03 |
| fairview hospital | Cleveland | not published | $1,276.91 – $3,880.03 |
| lutheran hospital | Cleveland | not published | $1,215.67 – $3,880.03 |
| hillcrest hospital | Mayfield Heights | not published | $1,330.34 – $3,880.03 |