Grp adapt bhv tx by phy/qhp at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$89.05
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.
$137.00
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 $167.27 with AMERIHEALTH — 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% |
| United | All Products - Mid-Level | $13.11 | ↓ -85% |
| United | HMO & PPO | $13.36 | ↓ -85% |
| United | All Products | $13.86 | ↓ -84% |
| Oscar | All Products | $19.06 | ↓ -79% |
| Anthem | All Products Mid-Level Facility | $24.32 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $26.12 | ↓ -71% |
| MMO | Medicare Advantage HMO & PPO | $27.53 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $27.53 | ↓ -69% |
| OPTUM | All Products VA | $27.53 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $27.53 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $28.49 | ↓ -68% |
| OHCP | All Products | $29.18 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $29.73 | ↓ -67% |
| MMO | Medicare HMO & PPO | $30.17 | ↓ -66% |
| ANTHEM | MEDICARE ADVANTAGE | $35.45 | ↓ -60% |
| AETNA | MEDICARE ADVANTAGE | $35.45 | ↓ -60% |
| UPMC | MEDICARE ADVANTAGE | $35.45 | ↓ -60% |
| Valor | HMO & PPO | $35.45 | ↓ -60% |
| Summacare | MEDICARE ADVANTAGE | $35.45 | ↓ -60% |
| CIGNA | MEDICARE ADVANTAGE | $36.51 | ↓ -59% |
| Aultcare | PPO/HMO | $37.05 | ↓ -58% |
| OMAS | All Products | $37.50 | ↓ -58% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $38.28 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $38.74 | ↓ -56% |
| PPHP | ALL PRODUCTS | $38.99 | ↓ -56% |
| Optum | All Products Transplant | $43.73 | ↓ -51% |
| PHP | ALL PRODUCTS | $43.84 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $43.84 | ↓ -51% |
| PHPHI | All Products | $45.00 | ↓ -49% |
| Summacare | Preferred | $45.21 | ↓ -49% |
| AETNA | Acop | $45.48 | ↓ -49% |
| MMO | SuperMed | $48.38 | ↓ -46% |
| MMO | NASCO | $48.38 | ↓ -46% |
| Summacare | PREMIER | $49.18 | ↓ -45% |
| MMO | Traditional | $52.50 | ↓ -41% |
| Summacare | Medicare Advantage Psych | $52.50 | ↓ -41% |
| Summacare | Medicare Advantage CNA | $52.50 | ↓ -41% |
| GMS | All Products | $52.50 | ↓ -41% |
| Summacare | Premier | $52.50 | ↓ -41% |
| Summacare | Medicare Advantage Lower Level | $52.50 | ↓ -41% |
| Summacare | Medicare Advantage MD | $52.50 | ↓ -41% |
| AETNA | Asa_Whirlpool_Peia | $53.16 | ↓ -40% |
| CC EHP | ALL PRODUCTS | $53.57 | ↓ -40% |
| AETNA | International | $55.76 | ↓ -37% |
| Aetna | All Products First Health | $56.25 | ↓ -37% |
| Consociate Health | All Products | $56.25 | ↓ -37% |
| Aetna | Asa | $60.00 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $61.65 | ↓ -31% |
| Anthem | All Products Physician Facility | $61.78 | ↓ -31% |
| Anthem | All Products Physician | $61.78 | ↓ -31% |
| Anthem | All Products Physician Non-Facility | $66.35 | ↓ -25% |
| OHCP | ALL PRODUCTS | $66.58 | ↓ -25% |
| Multiplan | All Products | $67.50 | ↓ -24% |
| OMAS | ALL PRODUCTS | $68.50 | ↓ -23% |
| MMO | TRADITIONAL | $71.38 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $73.98 | ↓ -17% |
| Aetna | Qhp/Ifp | $75.00 | ↓ -16% |
| ANTHEM | TRADITIONAL | $75.76 | ↓ -15% |
| OPTUM | All Products Transplant | $77.54 | ↓ -13% |
| UPMC | ALL PRODUCTS | $82.20 | ↓ -8% |
| The Health Plan | HMO | $82.20 | ↓ -8% |
| ANTHEM | HPN | $89.27 | ↑ +0% |
| MMO | ALL PRODUCTS | $91.24 | ↑ +2% |
| The Health Plan | ASO Self-Funded | $94.53 | ↑ +6% |
| GMS | ALL PRODUCTS | $95.90 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $95.90 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $102.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $102.75 | ↑ +15% |
| ANTHEM | PPO/HMO | $105.02 | ↑ +18% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $109.60 | ↑ +23% |
| UNITED | ALL PRODUCTS | $115.22 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $123.30 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $123.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $123.30 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $123.30 | ↑ +38% |
| AETNA | Qhp/Ipf | $137.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $144.46 | ↑ +62% |
| CARESOURCE | Managed Medicaid | $152.06 | ↑ +71% |
| Buckeye | Managed Medicaid | $152.06 | ↑ +71% |
| UNITED | Managed Medicaid | $159.66 | ↑ +79% |
| MOLINA | Managed Medicaid | $159.66 | ↑ +79% |
| ANTHEM | Managed Medicaid | $159.66 | ↑ +79% |
| United BH | Managed Medicaid | $161.18 | ↑ +81% |
| AMERIHEALTH | Managed Medicaid | $167.27 | ↑ +88% |
| The Health Plan | All Products | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| PPHP | All Products | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Grp adapt bhv tx by phy/qhp at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $89.05 | $1.10 – $201.15 |
| mercy hospital | Canton | $48.75 | $1.10 – $163.23 |
| avon hospital | Avon | not published | $27.62 – $157.88 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $252.95 – $292.89 |
| euclid hospital | Euclid | not published | $24.89 – $183.79 |
| fairview hospital | Cleveland | not published | $24.89 – $172.67 |
| lutheran hospital | Cleveland | not published | $27.62 – $164.38 |
| hillcrest hospital | Mayfield Heights | not published | $24.89 – $179.88 |