Ghs intermed repair 20.1 - 30.0 cm-12036 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,209.65
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.
$1,861.00
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.
$0.01 with UNITED vs $4,001.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $137.43 | ↓ -89% |
| Buckeye | Managed Medicaid | $144.66 | ↓ -88% |
| Caresource | Managed Medicaid | $151.89 | ↓ -87% |
| United | Managed Medicaid | $151.89 | ↓ -87% |
| Molina | Managed Medicaid | $159.13 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $159.13 | ↓ -87% |
| Oscar | All Products | $160.08 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $173.70 | ↓ -86% |
| OPTUM | Managed Medicaid Transplant | $189.81 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $197.13 | ↓ -84% |
| CARESOURCE | Managed Medicaid | $199.80 | ↓ -83% |
| MOLINA | Managed Medicaid | $209.79 | ↓ -83% |
| ANTHEM | Managed Medicaid | $209.79 | ↓ -83% |
| UNITED | Managed Medicaid | $209.79 | ↓ -83% |
| United BH | Managed Medicaid | $211.79 | ↓ -82% |
| AMERIHEALTH | Managed Medicaid | $219.78 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $227.15 | ↓ -81% |
| OHCP | All Products | $245.07 | ↓ -80% |
| Summacare | Medicare Advantage MD | $253.87 | ↓ -79% |
| Anthem | Medicare Advantage | $262.84 | ↓ -78% |
| The Health Plan | All Products | $262.84 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $262.84 | ↓ -78% |
| The Health Plan | Medicare Advantage | $262.84 | ↓ -78% |
| Valor | All Products | $262.84 | ↓ -78% |
| Aetna | Medicare Advantage | $262.84 | ↓ -78% |
| United | Medicare Advantage | $262.84 | ↓ -78% |
| Humana | Medicare Advantage HMO | $262.84 | ↓ -78% |
| CommuniCare | Medicare Advantage | $275.98 | ↓ -77% |
| PPHP | All Products | $288.61 | ↓ -76% |
| Aultcare | PPO/HMO | $311.22 | ↓ -74% |
| OMAS | All Products | $315.00 | ↓ -74% |
| Optum | All Products Transplant | $367.29 | ↓ -70% |
| Anthem | All Products Mid-Level Facility | $375.33 | ↓ -69% |
| PHPHI | All Products | $378.00 | ↓ -69% |
| GMS | All Products | $441.00 | ↓ -64% |
| MMO | Traditional | $441.00 | ↓ -64% |
| ANTHEM | HPN | $461.95 | ↓ -62% |
| MMO | Medicare HMO & PPO | $467.46 | ↓ -61% |
| Aetna | All Products First Health | $472.50 | ↓ -61% |
| Consociate Health | All Products | $472.50 | ↓ -61% |
| Aetna | Asa | $504.00 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $519.22 | ↓ -57% |
| Cigna | All Products Mid-Level | $532.17 | ↓ -56% |
| Summacare | Preferred | $536.19 | ↓ -56% |
| Summacare | Premier | $545.15 | ↓ -55% |
| MMO | Medicare Advantage HMO & PPO | $565.60 | ↓ -53% |
| OPTUM | All Products VA | $565.60 | ↓ -53% |
| HUMANA | Medicare Advantage HMO | $565.60 | ↓ -53% |
| UNITED | MEDICARE ADVANTAGE | $565.60 | ↓ -53% |
| Multiplan | All Products | $567.00 | ↓ -53% |
| Anthem | All Products Mid-Level Non-Facility | $569.16 | ↓ -53% |
| Aetna | Acop | $580.96 | ↓ -52% |
| The Health Plan | MEDICARE ADVANTAGE | $585.39 | ↓ -52% |
| PHP | ALL PRODUCTS | $587.52 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $587.52 | ↓ -51% |
| Perennial Health | MEDICARE ADVANTAGE | $610.84 | ↓ -50% |
| Cigna | All Products Physician | $628.81 | ↓ -48% |
| Aetna | Qhp/Ifp | $630.00 | ↓ -48% |
| Summacare | PREMIER | $659.12 | ↓ -46% |
| ANTHEM | MEDICARE ADVANTAGE | $699.22 | ↓ -42% |
| Summacare | MEDICARE ADVANTAGE | $699.22 | ↓ -42% |
| AETNA | MEDICARE ADVANTAGE | $699.22 | ↓ -42% |
| UPMC | MEDICARE ADVANTAGE | $699.22 | ↓ -42% |
| Valor | HMO & PPO | $699.22 | ↓ -42% |
| CIGNA | MEDICARE ADVANTAGE | $720.20 | ↓ -40% |
| CC EHP | ALL PRODUCTS | $743.58 | ↓ -39% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $755.16 | ↓ -38% |
| PPHP | ALL PRODUCTS | $769.14 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $826.20 | ↓ -32% |
| OHCP | ALL PRODUCTS | $892.30 | ↓ -26% |
| OMAS | ALL PRODUCTS | $918.00 | ↓ -24% |
| Anthem | All Products Physician | $953.29 | ↓ -21% |
| Anthem | All Products Physician Facility | $953.29 | ↓ -21% |
| MMO | TRADITIONAL | $956.56 | ↓ -21% |
| Ohio Healthy | TRANSPLANT | $991.44 | ↓ -18% |
| ANTHEM | TRADITIONAL | $1,015.31 | ↓ -16% |
| OPTUM | All Products Transplant | $1,039.18 | ↓ -14% |
| United | HMO & PPO | $1,050.22 | ↓ -13% |
| MMO | NASCO | $1,071.62 | ↓ -11% |
| MMO | SuperMed | $1,071.62 | ↓ -11% |
| UPMC | ALL PRODUCTS | $1,101.60 | ↓ -9% |
| The Health Plan | HMO | $1,101.60 | ↓ -9% |
| United | All Products - Mid-Level | $1,154.00 | ↓ -5% |
| United | All Products | $1,243.79 | ↑ +3% |
| The Health Plan | ASO Self-Funded | $1,266.84 | ↑ +5% |
| Medical Benefit Corp | Transplant SMCP | $1,285.20 | ↑ +6% |
| GMS | ALL PRODUCTS | $1,285.20 | ↑ +6% |
| AETNA | ALL PRODUCTS | $1,377.00 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $1,377.00 | ↑ +14% |
| Anthem | All Products Physician Non-Facility | $1,445.54 | ↑ +20% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,468.80 | ↑ +21% |
| FrontPath | TRANSPLANT | $1,652.40 | ↑ +37% |
| MULTIPLAN | ALL PRODUCTS | $1,652.40 | ↑ +37% |
| Tertiary Care Network | TRANSPLANT | $1,652.40 | ↑ +37% |
| Managed Care Services | TRANSPLANT | $1,652.40 | ↑ +37% |
| MMO | ALL PRODUCTS | $1,799.79 | ↑ +49% |
| AETNA | Qhp/Ipf | $1,836.00 | ↑ +52% |
| ANTHEM | PPO/HMO | $2,071.51 | ↑ +71% |
| AETNA | Acop | $3,265.00 | ↑ +170% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↑ +215% |
| AETNA | International | $4,001.00 | ↑ +231% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs intermed repair 20.1 - 30.0 cm-12036 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $1,309.20 | not published |
| Clermont Hospital | Batavia | $1,309.20 | not published |
| Kings Mills Hospital | Mason | $1,309.20 | not published |
| Mercy West Hospital | Cincinnati | $1,309.20 | not published |
| Trinity Medical Center East | Steubenville | $1,003.27 | $192.85 – $1,514.59 |
| cleveland clinic main campus | Cleveland | $1,209.65 | $0.01 – $1,674.90 |
| avon hospital | Avon | $1,193.40 | $203.57 – $1,652.40 |
| euclid hospital | Euclid | $1,193.40 | $208.56 – $1,652.40 |