healthcosts.net
Hc transcatheter placement and sbsq removal cepd perq at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$2,037.10
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.
$3,134.00
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 $13,135.08 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 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $81.44 | ↓ -96% |
| Summacare | Medicare Advantage Psych | $86.47 | ↓ -96% |
| Optum | Managed Medicaid Transplant | $98.78 | ↓ -95% |
| Buckeye | Managed Medicaid | $103.98 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $106.50 | ↓ -95% |
| Caresource | Managed Medicaid | $109.18 | ↓ -95% |
| United | Managed Medicaid | $109.18 | ↓ -95% |
| Molina | Managed Medicaid | $114.38 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $114.38 | ↓ -94% |
| Humana | Medicare Advantage HMO | $115.29 | ↓ -94% |
| Valor | All Products | $115.29 | ↓ -94% |
| United | Medicare Advantage | $115.29 | ↓ -94% |
| Aetna | Medicare Advantage | $115.29 | ↓ -94% |
| The Health Plan | Medicare Advantage | $115.29 | ↓ -94% |
| The Health Plan | All Products | $115.29 | ↓ -94% |
| Anthem | Medicare Advantage | $115.29 | ↓ -94% |
| Optum | Medicare Advantage Transplant | $115.29 | ↓ -94% |
| Summacare | Medicare Advantage MD | $119.03 | ↓ -94% |
| CommuniCare | Medicare Advantage | $121.05 | ↓ -94% |
| PPHP | All Products | $126.82 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $178.86 | ↓ -91% |
| Anthem | All Products Mid-Level Facility | $178.86 | ↓ -91% |
| ANTHEM | HPN | $218.78 | ↓ -89% |
| MMO | Medicare HMO & PPO | $230.80 | ↓ -89% |
| Summacare | Preferred | $235.19 | ↓ -88% |
| ANTHEM | PPO/HMO | $236.71 | ↓ -88% |
| Oscar | All Products | $254.10 | ↓ -88% |
| Summacare | Premier | $255.59 | ↓ -87% |
| United | HMO & PPO | $326.37 | ↓ -84% |
| United | All Products - Mid-Level | $358.63 | ↓ -82% |
| United | All Products | $386.53 | ↓ -81% |
| OHCP | All Products | $389.00 | ↓ -81% |
| Anthem | All Products Physician Facility | $454.25 | ↓ -78% |
| Anthem | All Products Physician Non-Facility | $454.25 | ↓ -78% |
| Anthem | All Products Physician | $454.25 | ↓ -78% |
| Aultcare | PPO/HMO | $494.00 | ↓ -76% |
| OMAS | All Products | $500.00 | ↓ -75% |
| MMO | NASCO | $540.00 | ↓ -73% |
| MMO | SuperMed | $540.00 | ↓ -73% |
| Optum | All Products Transplant | $583.00 | ↓ -71% |
| PHPHI | All Products | $600.00 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $683.21 | ↓ -66% |
| GMS | All Products | $700.00 | ↓ -66% |
| MMO | Traditional | $700.00 | ↓ -66% |
| Consociate Health | All Products | $750.00 | ↓ -63% |
| Aetna | All Products First Health | $750.00 | ↓ -63% |
| Aetna | Asa | $800.00 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $886.30 | ↓ -56% |
| Multiplan | All Products | $900.00 | ↓ -56% |
| Aetna | Qhp/Ifp | $1,000.00 | ↓ -51% |
| PHP | ALL PRODUCTS | $1,002.88 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,002.88 | ↓ -51% |
| Summacare | PREMIER | $1,125.11 | ↓ -45% |
| CC EHP | ALL PRODUCTS | $1,269.27 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,410.30 | ↓ -31% |
| OHCP | ALL PRODUCTS | $1,523.12 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,567.00 | ↓ -23% |
| MMO | TRADITIONAL | $1,632.81 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $1,692.36 | ↓ -17% |
| ANTHEM | TRADITIONAL | $1,733.10 | ↓ -15% |
| OPTUM | All Products Transplant | $1,773.84 | ↓ -13% |
| UPMC | ALL PRODUCTS | $1,880.40 | ↓ -8% |
| The Health Plan | HMO | $1,880.40 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $2,162.46 | ↑ +6% |
| GMS | ALL PRODUCTS | $2,193.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $2,193.80 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $2,350.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $2,350.50 | ↑ +15% |
| AETNA | Acop | $2,451.00 | ↑ +20% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,507.20 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $2,820.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,820.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $2,820.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $2,820.60 | ↑ +38% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +40% |
| AETNA | International | $3,004.00 | ↑ +47% |
| AETNA | Qhp/Ipf | $3,134.00 | ↑ +54% |
| UNITED | ALL PRODUCTS | $3,398.00 | ↑ +67% |
| OPTUM | Managed Medicaid Transplant | $11,343.93 | ↑ +457% |
| CARESOURCE | Managed Medicaid | $11,940.98 | ↑ +486% |
| ANTHEM | Managed Medicaid | $12,538.03 | ↑ +515% |
| UNITED | Managed Medicaid | $12,538.03 | ↑ +515% |
| MOLINA | Managed Medicaid | $12,538.03 | ↑ +515% |
| United BH | Managed Medicaid | $12,657.44 | ↑ +521% |
| AMERIHEALTH | Managed Medicaid | $13,135.08 | ↑ +545% |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
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Hc transcatheter placement and sbsq removal cepd perq at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,037.10 | $1.10 – $16,547.65 |
| avon hospital | Avon | $2,037.10 | $237.83 – $12,397.90 |
| euclid hospital | Euclid | $2,037.10 | $163.22 – $14,432.62 |
| fairview hospital | Cleveland | $2,037.10 | $162.13 – $13,558.72 |
| lutheran hospital | Cleveland | $2,037.10 | $162.13 – $12,908.36 |
| hillcrest hospital | Mayfield Heights | $2,037.10 | $162.13 – $14,126.07 |
| marymount hospital | Garfield Heights | $2,037.10 | $162.13 – $12,745.50 |
| medina hospital | Medina | $2,037.10 | $161.39 – $13,220.23 |