Ghs intermed repair over 30 cm - 12037 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$3,567.20
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.
$5,488.00
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 $5,783.06 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% |
| Optum | Managed Medicaid Transplant | $159.13 | ↓ -96% |
| Buckeye | Managed Medicaid | $167.50 | ↓ -95% |
| United | Managed Medicaid | $175.88 | ↓ -95% |
| Caresource | Managed Medicaid | $175.88 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $184.25 | ↓ -95% |
| Molina | Managed Medicaid | $184.25 | ↓ -95% |
| OPTUM | Managed Medicaid Transplant | $189.81 | ↓ -95% |
| CARESOURCE | Managed Medicaid | $199.80 | ↓ -94% |
| Summacare | Medicare Advantage Lower Level | $201.45 | ↓ -94% |
| UNITED | Managed Medicaid | $209.79 | ↓ -94% |
| MOLINA | Managed Medicaid | $209.79 | ↓ -94% |
| ANTHEM | Managed Medicaid | $209.79 | ↓ -94% |
| United BH | Managed Medicaid | $211.79 | ↓ -94% |
| AMERIHEALTH | Managed Medicaid | $219.78 | ↓ -94% |
| Summacare | Medicare Advantage Psych | $224.94 | ↓ -94% |
| Summacare | Medicare Advantage CNA | $263.44 | ↓ -93% |
| Summacare | Medicare Advantage MD | $294.43 | ↓ -92% |
| Humana | Medicare Advantage HMO | $299.92 | ↓ -92% |
| Valor | All Products | $299.92 | ↓ -92% |
| Aetna | Medicare Advantage | $299.92 | ↓ -92% |
| United | Medicare Advantage | $299.92 | ↓ -92% |
| The Health Plan | Medicare Advantage | $299.92 | ↓ -92% |
| The Health Plan | All Products | $299.92 | ↓ -92% |
| Anthem | Medicare Advantage | $299.92 | ↓ -92% |
| Optum | Medicare Advantage Transplant | $299.92 | ↓ -92% |
| CommuniCare | Medicare Advantage | $314.92 | ↓ -91% |
| PPHP | All Products | $329.91 | ↓ -91% |
| Anthem | All Products Mid-Level Facility | $436.82 | ↓ -88% |
| ANTHEM | HPN | $535.90 | ↓ -85% |
| MMO | Medicare HMO & PPO | $541.69 | ↓ -85% |
| Oscar | All Products | $559.02 | ↓ -84% |
| Cigna | All Products Mid-Level | $597.52 | ↓ -83% |
| Summacare | Preferred | $611.84 | ↓ -83% |
| Summacare | Premier | $632.26 | ↓ -82% |
| Anthem | All Products Mid-Level Non-Facility | $639.06 | ↓ -82% |
| Aetna | Acop | $659.11 | ↓ -82% |
| Cigna | All Products Physician | $706.03 | ↓ -80% |
| OHCP | All Products | $855.80 | ↓ -76% |
| Aultcare | PPO/HMO | $1,086.80 | ↓ -70% |
| OMAS | All Products | $1,100.00 | ↓ -69% |
| Anthem | All Products Physician | $1,109.42 | ↓ -69% |
| Anthem | All Products Physician Facility | $1,109.42 | ↓ -69% |
| United | HMO & PPO | $1,182.38 | ↓ -67% |
| Optum | All Products Transplant | $1,282.60 | ↓ -64% |
| United | All Products - Mid-Level | $1,299.23 | ↓ -64% |
| PHPHI | All Products | $1,320.00 | ↓ -63% |
| United | All Products | $1,400.31 | ↓ -61% |
| MMO | Traditional | $1,540.00 | ↓ -57% |
| GMS | All Products | $1,540.00 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $1,552.01 | ↓ -56% |
| Anthem | All Products Physician Non-Facility | $1,623.07 | ↓ -55% |
| Consociate Health | All Products | $1,650.00 | ↓ -54% |
| Aetna | All Products First Health | $1,650.00 | ↓ -54% |
| MMO | Medicare Advantage HMO & PPO | $1,690.17 | ↓ -53% |
| OPTUM | All Products VA | $1,690.17 | ↓ -53% |
| UNITED | MEDICARE ADVANTAGE | $1,690.17 | ↓ -53% |
| HUMANA | Medicare Advantage HMO | $1,690.17 | ↓ -53% |
| The Health Plan | MEDICARE ADVANTAGE | $1,749.33 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,756.16 | ↓ -51% |
| PHP | ALL PRODUCTS | $1,756.16 | ↓ -51% |
| Aetna | Asa | $1,760.00 | ↓ -51% |
| Perennial Health | MEDICARE ADVANTAGE | $1,825.39 | ↓ -49% |
| UPMC | MEDICARE ADVANTAGE | $1,952.02 | ↓ -45% |
| ANTHEM | MEDICARE ADVANTAGE | $1,952.02 | ↓ -45% |
| AETNA | MEDICARE ADVANTAGE | $1,952.02 | ↓ -45% |
| Valor | HMO & PPO | $1,952.02 | ↓ -45% |
| Summacare | MEDICARE ADVANTAGE | $1,952.02 | ↓ -45% |
| Summacare | PREMIER | $1,970.19 | ↓ -45% |
| Multiplan | All Products | $1,980.00 | ↓ -44% |
| CIGNA | MEDICARE ADVANTAGE | $2,010.58 | ↓ -44% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,108.18 | ↓ -41% |
| PPHP | ALL PRODUCTS | $2,147.22 | ↓ -40% |
| Aetna | Qhp/Ifp | $2,200.00 | ↓ -38% |
| CC EHP | ALL PRODUCTS | $2,222.64 | ↓ -38% |
| UNITED | ALL PRODUCTS | $2,453.00 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,469.60 | ↓ -31% |
| OHCP | ALL PRODUCTS | $2,667.17 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,744.00 | ↓ -23% |
| MMO | TRADITIONAL | $2,859.25 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $2,963.52 | ↓ -17% |
| ANTHEM | TRADITIONAL | $3,034.86 | ↓ -15% |
| OPTUM | All Products Transplant | $3,106.21 | ↓ -13% |
| MMO | SuperMed | $3,114.50 | ↓ -13% |
| MMO | NASCO | $3,114.50 | ↓ -13% |
| AETNA | Acop | $3,265.00 | ↓ -8% |
| The Health Plan | HMO | $3,292.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $3,292.80 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $3,786.72 | ↑ +6% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↑ +7% |
| Medical Benefit Corp | Transplant SMCP | $3,841.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $3,841.60 | ↑ +8% |
| AETNA | International | $4,001.00 | ↑ +12% |
| Consociate Health | ALL PRODUCTS | $4,116.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $4,116.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $4,390.40 | ↑ +23% |
| Managed Care Services | TRANSPLANT | $4,939.20 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $4,939.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $4,939.20 | ↑ +38% |
| FrontPath | TRANSPLANT | $4,939.20 | ↑ +38% |
| MMO | ALL PRODUCTS | $5,024.51 | ↑ +41% |
| AETNA | Qhp/Ipf | $5,488.00 | ↑ +54% |
| ANTHEM | PPO/HMO | $5,783.06 | ↑ +62% |
| United BH | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs intermed repair over 30 cm - 12037 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $3,579.60 | not published |
| Clermont Hospital | Batavia | $3,579.60 | not published |
| Kings Mills Hospital | Mason | $3,579.60 | not published |
| Mercy West Hospital | Cincinnati | $3,579.60 | not published |
| cleveland clinic main campus | Cleveland | $3,567.20 | $0.01 – $4,939.20 |
| avon hospital | Avon | $3,567.20 | $203.57 – $4,939.20 |
| euclid hospital | Euclid | $3,567.20 | $208.56 – $4,939.20 |
| fairview hospital | Cleveland | $3,567.20 | $195.94 – $4,939.20 |