healthcosts.net
Ghs moderate sedation < 5 yr, 30 min, other at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$494.00
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.
$760.00
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 $760.00 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% |
| Summacare | Medicare Advantage Lower Level | $51.21 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $60.82 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $66.97 | ↓ -86% |
| Optum | Managed Medicaid Transplant | $72.88 | ↓ -85% |
| Summacare | Medicare Advantage MD | $74.85 | ↓ -85% |
| Buckeye | Managed Medicaid | $76.71 | ↓ -84% |
| Caresource | Managed Medicaid | $80.55 | ↓ -84% |
| United | Managed Medicaid | $80.55 | ↓ -84% |
| The Health Plan | All Products | $81.09 | ↓ -84% |
| The Health Plan | Medicare Advantage | $81.09 | ↓ -84% |
| Aetna | Medicare Advantage | $81.09 | ↓ -84% |
| United | Medicare Advantage | $81.09 | ↓ -84% |
| Anthem | Medicare Advantage | $81.09 | ↓ -84% |
| Optum | Medicare Advantage Transplant | $81.09 | ↓ -84% |
| Valor | All Products | $81.09 | ↓ -84% |
| Humana | Medicare Advantage HMO | $81.09 | ↓ -84% |
| Molina | Managed Medicaid | $84.38 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $84.38 | ↓ -83% |
| PPHP | All Products | $85.09 | ↓ -83% |
| CommuniCare | Medicare Advantage | $85.14 | ↓ -83% |
| Anthem | All Products Mid-Level Non-Facility | $111.69 | ↓ -77% |
| Anthem | All Products Mid-Level Facility | $111.69 | ↓ -77% |
| OPTUM | Managed Medicaid Transplant | $159.23 | ↓ -68% |
| MMO | Medicare HMO & PPO | $159.86 | ↓ -68% |
| Summacare | Premier | $160.73 | ↓ -67% |
| Summacare | Preferred | $165.42 | ↓ -67% |
| CARESOURCE | Managed Medicaid | $167.61 | ↓ -66% |
| UNITED | Managed Medicaid | $175.99 | ↓ -64% |
| MOLINA | Managed Medicaid | $175.99 | ↓ -64% |
| ANTHEM | Managed Medicaid | $175.99 | ↓ -64% |
| United BH | Managed Medicaid | $177.67 | ↓ -64% |
| AMERIHEALTH | Managed Medicaid | $184.37 | ↓ -63% |
| Oscar | All Products | $193.12 | ↓ -61% |
| United | All Products - Mid-Level | $210.19 | ↓ -57% |
| United | HMO & PPO | $214.07 | ↓ -57% |
| United | All Products | $222.15 | ↓ -55% |
| Anthem | All Products Physician Non-Facility | $283.67 | ↓ -43% |
| Anthem | All Products Physician Facility | $283.67 | ↓ -43% |
| Anthem | All Products Physician | $283.67 | ↓ -43% |
| OHCP | All Products | $295.64 | ↓ -40% |
| Aultcare | PPO/HMO | $375.44 | ↓ -24% |
| OMAS | All Products | $380.00 | ↓ -23% |
| MMO | NASCO | $410.40 | ↓ -17% |
| MMO | SuperMed | $410.40 | ↓ -17% |
| Optum | All Products Transplant | $443.08 | ↓ -10% |
| PHPHI | All Products | $456.00 | ↓ -8% |
| GMS | All Products | $532.00 | ↑ +8% |
| MMO | Traditional | $532.00 | ↑ +8% |
| Aetna | All Products First Health | $570.00 | ↑ +15% |
| Consociate Health | All Products | $570.00 | ↑ +15% |
| Aetna | Asa | $608.00 | ↑ +23% |
| Multiplan | All Products | $684.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $760.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min, other at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $494.00 | $1.10 – $684.00 |
| avon hospital | Avon | $466.05 | $156.31 – $645.30 |
| euclid hospital | Euclid | $466.05 | $156.31 – $645.30 |
| fairview hospital | Cleveland | $466.05 | $150.26 – $645.30 |
| lutheran hospital | Cleveland | $466.05 | $156.31 – $645.30 |
| hillcrest hospital | Mayfield Heights | $466.05 | $150.26 – $645.30 |
| marymount hospital | Garfield Heights | $466.05 | $154.51 – $645.30 |
| medina hospital | Medina | $466.05 | $119.37 – $645.30 |