healthcosts.net
Ghs refill of implantable pump at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$141.05
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.
$217.00
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 $925.80 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 | ↓ -99% |
| OPTUM | Managed Medicaid Transplant | $36.15 | ↓ -74% |
| Buckeye | Managed Medicaid | $38.05 | ↓ -73% |
| CARESOURCE | Managed Medicaid | $38.05 | ↓ -73% |
| MOLINA | Managed Medicaid | $39.95 | ↓ -72% |
| UNITED | Managed Medicaid | $39.95 | ↓ -72% |
| ANTHEM | Managed Medicaid | $39.95 | ↓ -72% |
| United BH | Managed Medicaid | $40.33 | ↓ -71% |
| AMERIHEALTH | Managed Medicaid | $41.86 | ↓ -70% |
| Optum | Managed Medicaid Transplant | $44.22 | ↓ -69% |
| Caresource | Managed Medicaid | $48.88 | ↓ -65% |
| United | Managed Medicaid | $48.88 | ↓ -65% |
| Summacare | Medicare Advantage Lower Level | $50.10 | ↓ -64% |
| Molina | Managed Medicaid | $51.21 | ↓ -64% |
| AmeriHealth | Managed Medicaid | $51.21 | ↓ -64% |
| Oscar | All Products | $55.14 | ↓ -61% |
| Summacare | Medicare Advantage CNA | $65.51 | ↓ -54% |
| Summacare | Medicare Advantage Psych | $67.70 | ↓ -52% |
| Summacare | Medicare Advantage MD | $73.22 | ↓ -48% |
| PPHP | All Products | $83.24 | ↓ -41% |
| OHCP | All Products | $84.41 | ↓ -40% |
| United | Medicare Advantage | $90.26 | ↓ -36% |
| Aetna | Medicare Advantage | $90.26 | ↓ -36% |
| The Health Plan | Medicare Advantage | $90.26 | ↓ -36% |
| The Health Plan | All Products | $90.26 | ↓ -36% |
| Optum | Medicare Advantage Transplant | $90.26 | ↓ -36% |
| Humana | Medicare Advantage HMO | $90.26 | ↓ -36% |
| Valor | All Products | $90.26 | ↓ -36% |
| Anthem | Medicare Advantage | $90.26 | ↓ -36% |
| CommuniCare | Medicare Advantage | $94.77 | ↓ -33% |
| Aultcare | PPO/HMO | $107.20 | ↓ -24% |
| OMAS | All Products | $108.50 | ↓ -23% |
| Anthem | All Products Mid-Level Facility | $112.95 | ↓ -20% |
| Anthem | All Products Mid-Level Non-Facility | $112.95 | ↓ -20% |
| MMO | Medicare HMO & PPO | $125.43 | ↓ -11% |
| Optum | All Products Transplant | $126.51 | ↓ -10% |
| PHPHI | All Products | $130.20 | ↓ -8% |
| MMO | Traditional | $151.90 | ↑ +8% |
| GMS | All Products | $151.90 | ↑ +8% |
| Summacare | Premier | $157.22 | ↑ +11% |
| Consociate Health | All Products | $162.75 | ↑ +15% |
| Aetna | All Products First Health | $162.75 | ↑ +15% |
| Aetna | Asa | $173.60 | ↑ +23% |
| Summacare | Preferred | $184.13 | ↑ +31% |
| Multiplan | All Products | $195.30 | ↑ +38% |
| United | All Products - Mid-Level | $214.35 | ↑ +52% |
| Aetna | Qhp/Ifp | $217.00 | ↑ +54% |
| United | HMO & PPO | $218.31 | ↑ +55% |
| United | All Products | $226.55 | ↑ +61% |
| Anthem | All Products Physician | $286.88 | ↑ +103% |
| Anthem | All Products Physician Facility | $286.88 | ↑ +103% |
| Anthem | All Products Physician Non-Facility | $286.88 | ↑ +103% |
| UNITED | MEDICARE ADVANTAGE | $306.47 | ↑ +117% |
| MMO | Medicare Advantage HMO & PPO | $306.47 | ↑ +117% |
| HUMANA | Medicare Advantage HMO | $306.47 | ↑ +117% |
| OPTUM | All Products VA | $306.47 | ↑ +117% |
| ANTHEM | MEDICARE ADVANTAGE | $312.49 | ↑ +122% |
| Valor | HMO & PPO | $312.49 | ↑ +122% |
| UPMC | MEDICARE ADVANTAGE | $312.49 | ↑ +122% |
| AETNA | MEDICARE ADVANTAGE | $312.49 | ↑ +122% |
| Summacare | MEDICARE ADVANTAGE | $312.49 | ↑ +122% |
| The Health Plan | MEDICARE ADVANTAGE | $317.20 | ↑ +125% |
| CIGNA | MEDICARE ADVANTAGE | $321.87 | ↑ +128% |
| Perennial Health | MEDICARE ADVANTAGE | $330.99 | ↑ +135% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $337.49 | ↑ +139% |
| PPHP | ALL PRODUCTS | $343.74 | ↑ +144% |
| MMO | NASCO | $578.82 | ↑ +310% |
| MMO | SuperMed | $578.82 | ↑ +310% |
| ANTHEM | HPN | $786.92 | ↑ +458% |
| MMO | ALL PRODUCTS | $804.36 | ↑ +470% |
| ANTHEM | PPO/HMO | $925.80 | ↑ +556% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Ghs refill of implantable pump at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,487.85 | $0.01 – $2,060.10 |
| avon hospital | Avon | $1,487.85 | $38.77 – $2,060.10 |
| euclid hospital | Euclid | $1,487.85 | $39.72 – $2,060.10 |
| fairview hospital | Cleveland | $1,487.85 | $37.32 – $2,060.10 |
| lutheran hospital | Cleveland | $1,487.85 | $35.52 – $2,060.10 |
| hillcrest hospital | Mayfield Heights | $1,487.85 | $38.87 – $2,060.10 |
| marymount hospital | Garfield Heights | $1,487.85 | $35.07 – $2,060.10 |
| medina hospital | Medina | $1,487.85 | $36.39 – $2,060.10 |