Ghs i and d perirectal abscess 46040 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$3,525.60
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.
$5,424.00
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 $6,561.00 with AETNA — 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% |
| Oscar | All Products | $165.17 | ↓ -95% |
| Optum | Managed Medicaid Transplant | $209.26 | ↓ -94% |
| Buckeye | Managed Medicaid | $220.27 | ↓ -94% |
| Caresource | Managed Medicaid | $231.28 | ↓ -93% |
| United | Managed Medicaid | $231.28 | ↓ -93% |
| AmeriHealth | Managed Medicaid | $242.30 | ↓ -93% |
| Molina | Managed Medicaid | $242.30 | ↓ -93% |
| OHCP | All Products | $252.85 | ↓ -93% |
| Summacare | Medicare Advantage Lower Level | $263.15 | ↓ -93% |
| Summacare | Medicare Advantage Psych | $313.62 | ↓ -91% |
| Aultcare | PPO/HMO | $321.10 | ↓ -91% |
| OMAS | All Products | $325.00 | ↓ -91% |
| Summacare | Medicare Advantage CNA | $344.12 | ↓ -90% |
| Optum | All Products Transplant | $378.95 | ↓ -89% |
| Summacare | Medicare Advantage MD | $384.61 | ↓ -89% |
| PHPHI | All Products | $390.00 | ↓ -89% |
| The Health Plan | All Products | $418.16 | ↓ -88% |
| The Health Plan | Medicare Advantage | $418.16 | ↓ -88% |
| Optum | Medicare Advantage Transplant | $418.16 | ↓ -88% |
| Aetna | Medicare Advantage | $418.16 | ↓ -88% |
| Anthem | Medicare Advantage | $418.16 | ↓ -88% |
| Valor | All Products | $418.16 | ↓ -88% |
| Humana | Medicare Advantage HMO | $418.16 | ↓ -88% |
| United | Medicare Advantage | $418.16 | ↓ -88% |
| PPHP | All Products | $437.24 | ↓ -88% |
| CommuniCare | Medicare Advantage | $439.07 | ↓ -88% |
| GMS | All Products | $455.00 | ↓ -87% |
| MMO | Traditional | $455.00 | ↓ -87% |
| Aetna | All Products First Health | $487.50 | ↓ -86% |
| Consociate Health | All Products | $487.50 | ↓ -86% |
| Aetna | Asa | $520.00 | ↓ -85% |
| Anthem | All Products Mid-Level Facility | $566.97 | ↓ -84% |
| Multiplan | All Products | $585.00 | ↓ -83% |
| Aetna | Qhp/Ifp | $650.00 | ↓ -82% |
| Cigna | All Products Mid-Level | $684.62 | ↓ -81% |
| MMO | Medicare HMO & PPO | $685.72 | ↓ -81% |
| ANTHEM | HPN | $695.58 | ↓ -80% |
| Anthem | All Products Mid-Level Non-Facility | $732.21 | ↓ -79% |
| Aetna | Acop | $744.60 | ↓ -79% |
| Cigna | All Products Physician | $808.95 | ↓ -77% |
| Summacare | Premier | $825.89 | ↓ -77% |
| Summacare | Preferred | $853.05 | ↓ -76% |
| OPTUM | Managed Medicaid Transplant | $863.18 | ↓ -76% |
| CARESOURCE | Managed Medicaid | $908.61 | ↓ -74% |
| UNITED | Managed Medicaid | $954.04 | ↓ -73% |
| ANTHEM | Managed Medicaid | $954.04 | ↓ -73% |
| MOLINA | Managed Medicaid | $954.04 | ↓ -73% |
| United BH | Managed Medicaid | $963.13 | ↓ -73% |
| AMERIHEALTH | Managed Medicaid | $999.47 | ↓ -72% |
| MMO | Medicare Advantage HMO & PPO | $1,089.45 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $1,089.45 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $1,089.45 | ↓ -69% |
| OPTUM | All Products VA | $1,089.45 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $1,127.58 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $1,132.12 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $1,132.12 | ↓ -68% |
| Valor | HMO & PPO | $1,132.12 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $1,132.12 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $1,132.12 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $1,166.08 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $1,176.60 | ↓ -67% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,222.68 | ↓ -65% |
| PPHP | ALL PRODUCTS | $1,245.33 | ↓ -65% |
| United | HMO & PPO | $1,347.93 | ↓ -62% |
| Anthem | All Products Physician Facility | $1,439.98 | ↓ -59% |
| Anthem | All Products Physician | $1,439.98 | ↓ -59% |
| United | All Products - Mid-Level | $1,481.14 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $1,533.91 | ↓ -56% |
| United | All Products | $1,596.37 | ↓ -55% |
| PHP | ALL PRODUCTS | $1,735.68 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,735.68 | ↓ -51% |
| Anthem | All Products Physician Non-Facility | $1,859.65 | ↓ -47% |
| Summacare | PREMIER | $1,947.22 | ↓ -45% |
| MMO | NASCO | $2,014.21 | ↓ -43% |
| MMO | SuperMed | $2,014.21 | ↓ -43% |
| CC EHP | ALL PRODUCTS | $2,196.72 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,440.80 | ↓ -31% |
| UNITED | ALL PRODUCTS | $2,453.00 | ↓ -30% |
| OHCP | ALL PRODUCTS | $2,636.06 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,712.00 | ↓ -23% |
| MMO | TRADITIONAL | $2,825.90 | ↓ -20% |
| MMO | ALL PRODUCTS | $2,914.06 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $2,928.96 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,999.47 | ↓ -15% |
| OPTUM | All Products Transplant | $3,069.98 | ↓ -13% |
| UPMC | ALL PRODUCTS | $3,254.40 | ↓ -8% |
| The Health Plan | HMO | $3,254.40 | ↓ -8% |
| ANTHEM | PPO/HMO | $3,354.00 | ↓ -5% |
| The Health Plan | ASO Self-Funded | $3,742.56 | ↑ +6% |
| GMS | ALL PRODUCTS | $3,796.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $3,796.80 | ↑ +8% |
| AETNA | ALL PRODUCTS | $4,068.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $4,068.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $4,339.20 | ↑ +23% |
| FrontPath | TRANSPLANT | $4,881.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $4,881.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $4,881.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $4,881.60 | ↑ +38% |
| AETNA | Acop | $5,355.00 | ↑ +52% |
| AETNA | Qhp/Ipf | $5,424.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↑ +77% |
| AETNA | International | $6,561.00 | ↑ +86% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ghs i and d perirectal abscess 46040 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $19,567.80 | $1,166.15 – $1,189.47 |
| Kings Mills Hospital | Mason | $2,548.80 | not published |
| Mercy West Hospital | Cincinnati | $11,384.88 | $1,186.40 – $1,210.12 |
| cleveland clinic main campus | Cleveland | $3,525.60 | $0.01 – $4,881.60 |
| avon hospital | Avon | $3,525.60 | $0.01 – $4,881.60 |
| euclid hospital | Euclid | $3,525.60 | $0.01 – $4,881.60 |
| fairview hospital | Cleveland | $3,525.60 | $0.01 – $4,881.60 |
| lutheran hospital | Cleveland | $3,525.60 | $0.01 – $4,881.60 |