healthcosts.net
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$471.25
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.
$725.00
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 $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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $17.52 | ↓ -96% |
| Buckeye | Managed Medicaid | $18.44 | ↓ -96% |
| United | Managed Medicaid | $19.36 | ↓ -96% |
| Caresource | Managed Medicaid | $19.36 | ↓ -96% |
| Molina | Managed Medicaid | $20.28 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $20.28 | ↓ -96% |
| Summacare | Medicare Advantage Lower Level | $32.31 | ↓ -93% |
| Summacare | Medicare Advantage Psych | $35.29 | ↓ -93% |
| Summacare | Medicare Advantage CNA | $42.25 | ↓ -91% |
| Optum | Medicare Advantage Transplant | $47.05 | ↓ -90% |
| Valor | All Products | $47.05 | ↓ -90% |
| United | Medicare Advantage | $47.05 | ↓ -90% |
| Aetna | Medicare Advantage | $47.05 | ↓ -90% |
| The Health Plan | Medicare Advantage | $47.05 | ↓ -90% |
| The Health Plan | All Products | $47.05 | ↓ -90% |
| Humana | Medicare Advantage HMO | $47.05 | ↓ -90% |
| Anthem | Medicare Advantage | $47.05 | ↓ -90% |
| Summacare | Medicare Advantage MD | $47.22 | ↓ -90% |
| CommuniCare | Medicare Advantage | $49.40 | ↓ -90% |
| PPHP | All Products | $51.76 | ↓ -89% |
| Anthem | All Products Mid-Level Facility | $71.15 | ↓ -85% |
| ANTHEM | HPN | $91.30 | ↓ -81% |
| Summacare | Preferred | $95.98 | ↓ -80% |
| Summacare | Premier | $101.39 | ↓ -78% |
| ANTHEM | PPO/HMO | $102.07 | ↓ -78% |
| MMO | Medicare HMO & PPO | $107.00 | ↓ -77% |
| Oscar | All Products | $119.94 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $158.05 | ↓ -66% |
| Cigna | All Products Mid-Level | $175.01 | ↓ -63% |
| Anthem | All Products Physician Facility | $180.67 | ↓ -62% |
| Anthem | All Products Physician | $180.67 | ↓ -62% |
| OHCP | All Products | $183.61 | ↓ -61% |
| Anthem | All Products Mid-Level Non-Facility | $187.19 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $205.03 | ↓ -56% |
| Cigna | All Products Physician | $206.80 | ↓ -56% |
| Aetna | Acop | $216.45 | ↓ -54% |
| PHPHI | ALL PRODUCTS | $232.00 | ↓ -51% |
| PHP | ALL PRODUCTS | $232.00 | ↓ -51% |
| Aultcare | PPO/HMO | $233.17 | ↓ -51% |
| OMAS | All Products | $236.00 | ↓ -50% |
| MMO | NASCO | $254.88 | ↓ -46% |
| MMO | SuperMed | $254.88 | ↓ -46% |
| Summacare | PREMIER | $260.28 | ↓ -45% |
| Optum | All Products Transplant | $275.18 | ↓ -42% |
| PHPHI | All Products | $283.20 | ↓ -40% |
| CC EHP | ALL PRODUCTS | $293.63 | ↓ -38% |
| OPTUM | Managed Medicaid Transplant | $305.36 | ↓ -35% |
| CARESOURCE | Managed Medicaid | $321.43 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $326.25 | ↓ -31% |
| MMO | Traditional | $330.40 | ↓ -30% |
| GMS | All Products | $330.40 | ↓ -30% |
| MOLINA | Managed Medicaid | $337.50 | ↓ -28% |
| UNITED | Managed Medicaid | $337.50 | ↓ -28% |
| ANTHEM | Managed Medicaid | $337.50 | ↓ -28% |
| United | HMO & PPO | $337.57 | ↓ -28% |
| United BH | Managed Medicaid | $340.72 | ↓ -28% |
| OHCP | ALL PRODUCTS | $352.35 | ↓ -25% |
| AMERIHEALTH | Managed Medicaid | $353.57 | ↓ -25% |
| Consociate Health | All Products | $354.00 | ↓ -25% |
| Aetna | All Products First Health | $354.00 | ↓ -25% |
| OMAS | ALL PRODUCTS | $362.50 | ↓ -23% |
| United | All Products - Mid-Level | $370.93 | ↓ -21% |
| Aetna | Asa | $377.60 | ↓ -20% |
| MMO | TRADITIONAL | $377.73 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $391.50 | ↓ -17% |
| United | All Products | $399.79 | ↓ -15% |
| ANTHEM | TRADITIONAL | $400.93 | ↓ -15% |
| OPTUM | All Products Transplant | $410.35 | ↓ -13% |
| Multiplan | All Products | $424.80 | ↓ -10% |
| UPMC | ALL PRODUCTS | $435.00 | ↓ -8% |
| The Health Plan | HMO | $435.00 | ↓ -8% |
| Aetna | Qhp/Ifp | $472.00 | ↑ +0% |
| Anthem | All Products Physician Non-Facility | $475.40 | ↑ +1% |
| The Health Plan | ASO Self-Funded | $500.25 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $507.50 | ↑ +8% |
| GMS | ALL PRODUCTS | $507.50 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $543.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $543.75 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $580.00 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $652.50 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $652.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $652.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $652.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $725.00 | ↑ +54% |
| AETNA | Acop | $2,451.00 | ↑ +420% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +507% |
| AETNA | International | $3,004.00 | ↑ +537% |
| UNITED | ALL PRODUCTS | $3,398.00 | ↑ +621% |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $471.25 | $0.01 – $652.50 |
| avon hospital | Avon | $471.25 | $102.55 – $652.50 |
| euclid hospital | Euclid | $471.25 | $102.55 – $652.50 |
| fairview hospital | Cleveland | $471.25 | $87.60 – $652.50 |
| lutheran hospital | Cleveland | $471.25 | $102.55 – $652.50 |
| hillcrest hospital | Mayfield Heights | $471.25 | $87.60 – $652.50 |
| marymount hospital | Garfield Heights | $471.25 | $102.55 – $652.50 |
| medina hospital | Medina | $471.25 | $69.59 – $652.50 |