healthcosts.net
G-esoph reflx tst w/electrod at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$455.00
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.
$700.00
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 $2,406.92 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% |
| MMO | Medicare HMO & PPO | $146.02 | ↓ -68% |
| Oscar | All Products | $177.87 | ↓ -61% |
| OPTUM | Managed Medicaid Transplant | $237.67 | ↓ -48% |
| CARESOURCE | Managed Medicaid | $250.18 | ↓ -45% |
| Buckeye | Managed Medicaid | $250.18 | ↓ -45% |
| Summacare | Medicare Advantage Lower Level | $254.47 | ↓ -44% |
| UNITED | Managed Medicaid | $262.69 | ↓ -42% |
| MOLINA | Managed Medicaid | $262.69 | ↓ -42% |
| ANTHEM | Managed Medicaid | $262.69 | ↓ -42% |
| United BH | Managed Medicaid | $265.19 | ↓ -42% |
| OHCP | All Products | $272.30 | ↓ -40% |
| AMERIHEALTH | Managed Medicaid | $275.20 | ↓ -40% |
| Summacare | Medicare Advantage CNA | $332.77 | ↓ -27% |
| Aultcare | PPO/HMO | $345.80 | ↓ -24% |
| Summacare | Medicare Advantage Psych | $349.46 | ↓ -23% |
| OMAS | All Products | $350.00 | ↓ -23% |
| Optum | Managed Medicaid Transplant | $365.75 | ↓ -20% |
| Summacare | Medicare Advantage MD | $371.92 | ↓ -18% |
| United | Managed Medicaid | $404.25 | ↓ -11% |
| Caresource | Managed Medicaid | $404.25 | ↓ -11% |
| Optum | All Products Transplant | $408.10 | ↓ -10% |
| PHPHI | All Products | $420.00 | ↓ -8% |
| PPHP | All Products | $422.81 | ↓ -7% |
| Molina | Managed Medicaid | $423.50 | ↓ -7% |
| AmeriHealth | Managed Medicaid | $423.50 | ↓ -7% |
| United | Medicare Advantage | $465.94 | ↑ +2% |
| Optum | Medicare Advantage Transplant | $465.94 | ↑ +2% |
| Anthem | Medicare Advantage | $465.94 | ↑ +2% |
| Humana | Medicare Advantage HMO | $465.94 | ↑ +2% |
| The Health Plan | All Products | $465.94 | ↑ +2% |
| Valor | All Products | $465.94 | ↑ +2% |
| The Health Plan | Medicare Advantage | $465.94 | ↑ +2% |
| Aetna | Medicare Advantage | $465.94 | ↑ +2% |
| CommuniCare | Medicare Advantage | $489.24 | ↑ +8% |
| MMO | Traditional | $490.00 | ↑ +8% |
| GMS | All Products | $490.00 | ↑ +8% |
| OPTUM | All Products VA | $490.26 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $490.26 | ↑ +8% |
| MMO | Medicare Advantage HMO & PPO | $490.26 | ↑ +8% |
| HUMANA | Medicare Advantage HMO | $490.26 | ↑ +8% |
| The Health Plan | MEDICARE ADVANTAGE | $507.42 | ↑ +12% |
| Consociate Health | All Products | $525.00 | ↑ +15% |
| Aetna | All Products First Health | $525.00 | ↑ +15% |
| Perennial Health | MEDICARE ADVANTAGE | $529.48 | ↑ +16% |
| Aetna | Asa | $560.00 | ↑ +23% |
| Anthem | All Products Mid-Level Facility | $590.09 | ↑ +30% |
| Anthem | All Products Mid-Level Non-Facility | $590.09 | ↑ +30% |
| Multiplan | All Products | $630.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $700.00 | ↑ +54% |
| Summacare | Premier | $798.64 | ↑ +76% |
| Valor | HMO & PPO | $812.43 | ↑ +79% |
| ANTHEM | MEDICARE ADVANTAGE | $812.43 | ↑ +79% |
| UPMC | MEDICARE ADVANTAGE | $812.43 | ↑ +79% |
| Summacare | MEDICARE ADVANTAGE | $812.43 | ↑ +79% |
| AETNA | MEDICARE ADVANTAGE | $812.43 | ↑ +79% |
| CIGNA | MEDICARE ADVANTAGE | $836.81 | ↑ +84% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $877.43 | ↑ +93% |
| PPHP | ALL PRODUCTS | $893.68 | ↑ +96% |
| MMO | NASCO | $915.71 | ↑ +101% |
| MMO | SuperMed | $915.71 | ↑ +101% |
| Summacare | Preferred | $950.52 | ↑ +109% |
| United | All Products - Mid-Level | $1,090.00 | ↑ +140% |
| United | HMO & PPO | $1,110.11 | ↑ +144% |
| United | All Products | $1,152.00 | ↑ +153% |
| Anthem | All Products Physician | $1,498.68 | ↑ +229% |
| Anthem | All Products Physician Facility | $1,498.68 | ↑ +229% |
| Anthem | All Products Physician Non-Facility | $1,498.68 | ↑ +229% |
| ANTHEM | HPN | $2,045.87 | ↑ +350% |
| MMO | ALL PRODUCTS | $2,091.21 | ↑ +360% |
| ANTHEM | PPO/HMO | $2,406.92 | ↑ +429% |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
G-esoph reflx tst w/electrod at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,041.65 | $1.10 – $2,196.90 |
| avon hospital | Avon | $1,586.65 | $254.90 – $2,196.90 |
| euclid hospital | Euclid | $1,586.65 | $261.15 – $2,196.90 |
| fairview hospital | Cleveland | $1,586.65 | $245.34 – $2,196.90 |
| lutheran hospital | Cleveland | $1,586.65 | $233.57 – $2,196.90 |
| hillcrest hospital | Mayfield Heights | $1,586.65 | $255.60 – $2,196.90 |
| marymount hospital | Garfield Heights | $1,586.65 | $230.62 – $2,196.90 |
| medina hospital | Medina | $1,586.65 | $239.21 – $2,196.90 |