healthcosts.net
Fetal shunt placement w/us at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$791.05
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.
$1,217.00
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.
$281.07 with UNITED vs $3,398.00 with UNITED — 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 |
|---|---|---|---|
| UNITED | MEDICARE ADVANTAGE | $281.07 | ↓ -64% |
| OPTUM | All Products VA | $281.07 | ↓ -64% |
| MMO | Medicare Advantage HMO & PPO | $281.07 | ↓ -64% |
| HUMANA | Medicare Advantage HMO | $281.07 | ↓ -64% |
| UPMC | MEDICARE ADVANTAGE | $288.30 | ↓ -64% |
| ANTHEM | MEDICARE ADVANTAGE | $288.30 | ↓ -64% |
| Summacare | MEDICARE ADVANTAGE | $288.30 | ↓ -64% |
| Valor | HMO & PPO | $288.30 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $288.30 | ↓ -64% |
| The Health Plan | MEDICARE ADVANTAGE | $290.90 | ↓ -63% |
| CIGNA | MEDICARE ADVANTAGE | $296.95 | ↓ -62% |
| Perennial Health | MEDICARE ADVANTAGE | $303.55 | ↓ -62% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $311.36 | ↓ -61% |
| Zing Health | Medicare Advantage | $317.13 | ↓ -60% |
| PPHP | ALL PRODUCTS | $317.13 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $344.17 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $389.44 | ↓ -51% |
| PHP | ALL PRODUCTS | $389.44 | ↓ -51% |
| Summacare | Preferred | $401.61 | ↓ -49% |
| Summacare | PREMIER | $436.90 | ↓ -45% |
| CC EHP | ALL PRODUCTS | $492.89 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $547.65 | ↓ -31% |
| OHCP | ALL PRODUCTS | $591.46 | ↓ -25% |
| Aultcare | PPO/HMO | $601.20 | ↓ -24% |
| OMAS | ALL PRODUCTS | $608.50 | ↓ -23% |
| MMO | TRADITIONAL | $634.06 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $657.18 | ↓ -17% |
| ANTHEM | TRADITIONAL | $673.00 | ↓ -15% |
| OPTUM | All Products Transplant | $688.82 | ↓ -13% |
| The Health Plan | HMO | $730.20 | ↓ -8% |
| UPMC | ALL PRODUCTS | $730.20 | ↓ -8% |
| MMO | ALL PRODUCTS | $742.08 | ↓ -6% |
| The Health Plan | ASO Self-Funded | $839.73 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $851.90 | ↑ +8% |
| GMS | ALL PRODUCTS | $851.90 | ↑ +8% |
| ANTHEM | PPO/HMO | $854.11 | ↑ +8% |
| ANTHEM | HPN | $859.49 | ↑ +9% |
| AETNA | ALL PRODUCTS | $912.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $912.75 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $973.60 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $1,095.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,095.30 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,095.30 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,095.30 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,217.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $1,875.34 | ↑ +137% |
| CARESOURCE | Managed Medicaid | $1,974.04 | ↑ +150% |
| Buckeye | Managed Medicaid | $1,974.04 | ↑ +150% |
| ANTHEM | Managed Medicaid | $2,072.74 | ↑ +162% |
| UNITED | Managed Medicaid | $2,072.74 | ↑ +162% |
| MOLINA | Managed Medicaid | $2,072.74 | ↑ +162% |
| United BH | Managed Medicaid | $2,092.48 | ↑ +165% |
| AMERIHEALTH | Managed Medicaid | $2,171.44 | ↑ +175% |
| AETNA | Acop | $2,451.00 | ↑ +210% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +262% |
| AETNA | International | $3,004.00 | ↑ +280% |
| UNITED | ALL PRODUCTS | $3,398.00 | ↑ +330% |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Fetal shunt placement w/us at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,337.40 | $1.10 – $3,236.40 |
| University Hospitals Ahuja Medical Center | Beachwood | $355.50 | $104.75 – $518.94 |
| University Hospitals Beachwood Medical Center | Beachwood | $355.50 | $189.60 – $730.18 |
| University Hospitals Conneaut Medical Center | Conneaut | $296.25 | not published |
| University Hospitals Elyria Medical Center | Elyria | $355.50 | $288.30 – $518.94 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $355.50 | $288.30 – $518.94 |
| University Hospitals Geneva Medical Center | Geneva | $296.25 | not published |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $355.50 | $288.30 – $518.94 |