healthcosts.net
Ghs moderate sedation < 5 yr, 30 min at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$143.00
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.
$220.00
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 $220.00 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 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $14.61 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $15.65 | ↓ -89% |
| Optum | Managed Medicaid Transplant | $18.68 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $19.11 | ↓ -87% |
| Buckeye | Managed Medicaid | $19.66 | ↓ -86% |
| Caresource | Managed Medicaid | $20.64 | ↓ -86% |
| United | Managed Medicaid | $20.64 | ↓ -86% |
| Humana | Medicare Advantage HMO | $20.86 | ↓ -85% |
| The Health Plan | Medicare Advantage | $20.86 | ↓ -85% |
| The Health Plan | All Products | $20.86 | ↓ -85% |
| Aetna | Medicare Advantage | $20.86 | ↓ -85% |
| United | Medicare Advantage | $20.86 | ↓ -85% |
| Anthem | Medicare Advantage | $20.86 | ↓ -85% |
| Optum | Medicare Advantage Transplant | $20.86 | ↓ -85% |
| Valor | All Products | $20.86 | ↓ -85% |
| Summacare | Medicare Advantage MD | $21.36 | ↓ -85% |
| Molina | Managed Medicaid | $21.63 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $21.63 | ↓ -85% |
| CommuniCare | Medicare Advantage | $21.90 | ↓ -85% |
| PPHP | All Products | $22.95 | ↓ -84% |
| Anthem | All Products Mid-Level Facility | $32.58 | ↓ -77% |
| MMO | Medicare HMO & PPO | $40.84 | ↓ -71% |
| Summacare | Preferred | $42.55 | ↓ -70% |
| Summacare | Premier | $45.86 | ↓ -68% |
| Oscar | All Products | $55.90 | ↓ -61% |
| Cigna | All Products Mid-Level | $72.92 | ↓ -49% |
| Anthem | All Products Mid-Level Non-Facility | $77.98 | ↓ -45% |
| Anthem | All Products Physician Facility | $82.74 | ↓ -42% |
| Anthem | All Products Physician | $82.74 | ↓ -42% |
| OHCP | All Products | $85.58 | ↓ -40% |
| Cigna | All Products Physician | $86.16 | ↓ -40% |
| Aetna | Acop | $100.41 | ↓ -30% |
| Aultcare | PPO/HMO | $108.68 | ↓ -24% |
| OMAS | All Products | $110.00 | ↓ -23% |
| MMO | SuperMed | $118.80 | ↓ -17% |
| MMO | NASCO | $118.80 | ↓ -17% |
| Optum | All Products Transplant | $128.26 | ↓ -10% |
| PHPHI | All Products | $132.00 | ↓ -8% |
| United | All Products - Mid-Level | $147.77 | ↑ +3% |
| United | HMO & PPO | $150.49 | ↑ +5% |
| GMS | All Products | $154.00 | ↑ +8% |
| MMO | Traditional | $154.00 | ↑ +8% |
| United | All Products | $156.17 | ↑ +9% |
| OPTUM | Managed Medicaid Transplant | $159.23 | ↑ +11% |
| Consociate Health | All Products | $165.00 | ↑ +15% |
| Aetna | All Products First Health | $165.00 | ↑ +15% |
| CARESOURCE | Managed Medicaid | $167.61 | ↑ +17% |
| MOLINA | Managed Medicaid | $175.99 | ↑ +23% |
| UNITED | Managed Medicaid | $175.99 | ↑ +23% |
| ANTHEM | Managed Medicaid | $175.99 | ↑ +23% |
| Aetna | Asa | $176.00 | ↑ +23% |
| United BH | Managed Medicaid | $177.67 | ↑ +24% |
| AMERIHEALTH | Managed Medicaid | $184.37 | ↑ +29% |
| Multiplan | All Products | $198.00 | ↑ +38% |
| Anthem | All Products Physician Non-Facility | $198.05 | ↑ +38% |
| Aetna | Qhp/Ifp | $220.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $759.85 | $1.10 – $1,052.10 |
| avon hospital | Avon | $759.85 | $46.51 – $1,052.10 |
| euclid hospital | Euclid | $759.85 | $46.51 – $1,052.10 |
| fairview hospital | Cleveland | $759.85 | $39.73 – $1,052.10 |
| lutheran hospital | Cleveland | $759.85 | $46.51 – $1,052.10 |
| hillcrest hospital | Mayfield Heights | $759.85 | $39.73 – $1,052.10 |
| marymount hospital | Garfield Heights | $759.85 | $46.51 – $1,052.10 |
| medina hospital | Medina | $759.85 | $31.56 – $1,052.10 |