healthcosts.net
Fna bx w/mr gdn 1st les at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$783.90
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.
$1,206.00
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 $1,984.79 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% |
| Anthem | All Products Mid-Level Facility | $157.17 | ↓ -80% |
| OPTUM | Managed Medicaid Transplant | $305.36 | ↓ -61% |
| Oscar | All Products | $306.44 | ↓ -61% |
| CARESOURCE | Managed Medicaid | $321.43 | ↓ -59% |
| Buckeye | Managed Medicaid | $321.43 | ↓ -59% |
| ANTHEM | Managed Medicaid | $337.50 | ↓ -57% |
| MOLINA | Managed Medicaid | $337.50 | ↓ -57% |
| UNITED | Managed Medicaid | $337.50 | ↓ -57% |
| United BH | Managed Medicaid | $340.72 | ↓ -57% |
| AMERIHEALTH | Managed Medicaid | $353.57 | ↓ -55% |
| Anthem | All Products Physician | $399.14 | ↓ -49% |
| Anthem | All Products Physician Facility | $399.14 | ↓ -49% |
| OHCP | All Products | $469.13 | ↓ -40% |
| Aultcare | PPO/HMO | $595.76 | ↓ -24% |
| OMAS | All Products | $603.00 | ↓ -23% |
| Anthem | All Products Mid-Level Non-Facility | $605.40 | ↓ -23% |
| HUMANA | Medicare Advantage HMO | $650.10 | ↓ -17% |
| MMO | Medicare Advantage HMO & PPO | $650.10 | ↓ -17% |
| UNITED | MEDICARE ADVANTAGE | $650.10 | ↓ -17% |
| OPTUM | All Products VA | $650.10 | ↓ -17% |
| Summacare | MEDICARE ADVANTAGE | $669.95 | ↓ -15% |
| ANTHEM | MEDICARE ADVANTAGE | $669.95 | ↓ -15% |
| AETNA | MEDICARE ADVANTAGE | $669.95 | ↓ -15% |
| UPMC | MEDICARE ADVANTAGE | $669.95 | ↓ -15% |
| Valor | HMO & PPO | $669.95 | ↓ -15% |
| The Health Plan | MEDICARE ADVANTAGE | $672.86 | ↓ -14% |
| CIGNA | MEDICARE ADVANTAGE | $690.05 | ↓ -12% |
| Perennial Health | MEDICARE ADVANTAGE | $702.11 | ↓ -10% |
| Optum | All Products Transplant | $703.10 | ↓ -10% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $723.54 | ↓ -8% |
| PHPHI | All Products | $723.60 | ↓ -8% |
| PPHP | ALL PRODUCTS | $736.94 | ↓ -6% |
| Summacare | Medicare Advantage MD | $844.20 | ↑ +8% |
| GMS | All Products | $844.20 | ↑ +8% |
| MMO | Traditional | $844.20 | ↑ +8% |
| Summacare | Medicare Advantage CNA | $844.20 | ↑ +8% |
| Summacare | Medicare Advantage Lower Level | $844.20 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $844.20 | ↑ +8% |
| Summacare | Preferred | $844.20 | ↑ +8% |
| Summacare | Premier | $844.20 | ↑ +8% |
| United | HMO & PPO | $875.64 | ↑ +12% |
| Consociate Health | All Products | $904.50 | ↑ +15% |
| Aetna | All Products First Health | $904.50 | ↑ +15% |
| United | All Products - Mid-Level | $962.18 | ↑ +23% |
| Aetna | Asa | $964.80 | ↑ +23% |
| United | All Products | $1,037.04 | ↑ +32% |
| Multiplan | All Products | $1,085.40 | ↑ +38% |
| MMO | NASCO | $1,200.64 | ↑ +53% |
| MMO | SuperMed | $1,200.64 | ↑ +53% |
| Aetna | Qhp/Ifp | $1,206.00 | ↑ +54% |
| Anthem | All Products Physician Non-Facility | $1,537.59 | ↑ +96% |
| ANTHEM | HPN | $1,687.06 | ↑ +115% |
| MMO | ALL PRODUCTS | $1,724.45 | ↑ +120% |
| ANTHEM | PPO/HMO | $1,984.79 | ↑ +153% |
| Anthem | Medicare Advantage | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| PPHP | All Products | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| The Health Plan | All Products | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
Visitor-reported prices
Comments
Fna bx w/mr gdn 1st les at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,104.05 | $0.01 – $2,913.30 |
| mercy hospital | Canton | $783.90 | $1.10 – $1,085.40 |
| University Hospitals Ahuja Medical Center | Beachwood | $900.75 | $265.42 – $1,205.91 |
| University Hospitals Beachwood Medical Center | Beachwood | $900.75 | $480.40 – $1,696.78 |
| University Hospitals Conneaut Medical Center | Conneaut | $857.25 | not published |
| University Hospitals Elyria Medical Center | Elyria | $900.75 | $669.95 – $1,205.91 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $900.75 | $669.95 – $1,205.91 |
| University Hospitals Geneva Medical Center | Geneva | $857.25 | not published |