healthcosts.net
Incision of fibula at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,242.80
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.
?
What you pay up front if you don't use insurance.
$1,912.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $9,170.92 with ANTHEM — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $250.79 | ↓ -80% |
| Optum | Managed Medicaid Transplant | $263.60 | ↓ -79% |
| Buckeye | Managed Medicaid | $277.47 | ↓ -78% |
| Summacare | Medicare Advantage Psych | $282.41 | ↓ -77% |
| Caresource | Managed Medicaid | $291.34 | ↓ -77% |
| United | Managed Medicaid | $291.34 | ↓ -77% |
| Molina | Managed Medicaid | $305.22 | ↓ -75% |
| AmeriHealth | Managed Medicaid | $305.22 | ↓ -75% |
| Summacare | Medicare Advantage CNA | $327.96 | ↓ -74% |
| Summacare | Medicare Advantage MD | $366.54 | ↓ -71% |
| The Health Plan | Medicare Advantage | $376.55 | ↓ -70% |
| The Health Plan | All Products | $376.55 | ↓ -70% |
| Anthem | Medicare Advantage | $376.55 | ↓ -70% |
| Humana | Medicare Advantage HMO | $376.55 | ↓ -70% |
| Optum | Medicare Advantage Transplant | $376.55 | ↓ -70% |
| Aetna | Medicare Advantage | $376.55 | ↓ -70% |
| Valor | All Products | $376.55 | ↓ -70% |
| United | Medicare Advantage | $376.55 | ↓ -70% |
| CommuniCare | Medicare Advantage | $395.38 | ↓ -68% |
| PPHP | All Products | $414.21 | ↓ -67% |
| Oscar | All Products | $485.84 | ↓ -61% |
| Anthem | All Products Mid-Level Facility | $540.35 | ↓ -57% |
| Anthem | All Products Mid-Level Non-Facility | $540.35 | ↓ -57% |
| MMO | Medicare HMO & PPO | $682.58 | ↓ -45% |
| OHCP | All Products | $743.77 | ↓ -40% |
| Summacare | Preferred | $768.16 | ↓ -38% |
| Summacare | Premier | $787.09 | ↓ -37% |
| Aultcare | PPO/HMO | $944.53 | ↓ -24% |
| OMAS | All Products | $956.00 | ↓ -23% |
| United | HMO & PPO | $1,004.09 | ↓ -19% |
| United | All Products - Mid-Level | $1,103.32 | ↓ -11% |
| Optum | All Products Transplant | $1,114.70 | ↓ -10% |
| PHPHI | All Products | $1,147.20 | ↓ -8% |
| United | All Products | $1,189.16 | ↓ -4% |
| GMS | All Products | $1,338.40 | ↑ +8% |
| MMO | Traditional | $1,338.40 | ↑ +8% |
| Anthem | All Products Physician Non-Facility | $1,372.36 | ↑ +10% |
| Anthem | All Products Physician | $1,372.36 | ↑ +10% |
| Anthem | All Products Physician Facility | $1,372.36 | ↑ +10% |
| Consociate Health | All Products | $1,434.00 | ↑ +15% |
| Aetna | All Products First Health | $1,434.00 | ↑ +15% |
| Aetna | Asa | $1,529.60 | ↑ +23% |
| Multiplan | All Products | $1,720.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,912.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $2,997.95 | ↑ +141% |
| OPTUM | All Products VA | $2,997.95 | ↑ +141% |
| HUMANA | Medicare Advantage HMO | $2,997.95 | ↑ +141% |
| MMO | Medicare Advantage HMO & PPO | $2,997.95 | ↑ +141% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↑ +149% |
| Valor | HMO & PPO | $3,095.56 | ↑ +149% |
| UPMC | MEDICARE ADVANTAGE | $3,095.56 | ↑ +149% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↑ +149% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↑ +149% |
| The Health Plan | MEDICARE ADVANTAGE | $3,102.88 | ↑ +150% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↑ +157% |
| Perennial Health | MEDICARE ADVANTAGE | $3,237.79 | ↑ +161% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↑ +169% |
| PPHP | ALL PRODUCTS | $3,405.12 | ↑ +174% |
| OPTUM | Managed Medicaid Transplant | $4,234.94 | ↑ +241% |
| CARESOURCE | Managed Medicaid | $4,457.83 | ↑ +259% |
| ANTHEM | Managed Medicaid | $4,680.72 | ↑ +277% |
| UNITED | Managed Medicaid | $4,680.72 | ↑ +277% |
| MOLINA | Managed Medicaid | $4,680.72 | ↑ +277% |
| United BH | Managed Medicaid | $4,725.30 | ↑ +280% |
| AMERIHEALTH | Managed Medicaid | $4,903.61 | ↑ +295% |
| MMO | SuperMed | $5,526.53 | ↑ +345% |
| MMO | NASCO | $5,526.53 | ↑ +345% |
| ANTHEM | HPN | $7,795.25 | ↑ +527% |
| MMO | ALL PRODUCTS | $7,967.98 | ↑ +541% |
| ANTHEM | PPO/HMO | $9,170.92 | ↑ +638% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Incision of fibula at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,242.80 | $1.10 – $6,177.60 |
| mercy hospital | Canton | $1,242.80 | $1.10 – $4,785.20 |
| avon hospital | Avon | not published | $3,007.88 – $4,628.40 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,415.27 – $8,586.11 |
| euclid hospital | Euclid | not published | $2,808.13 – $5,388.02 |
| fairview hospital | Cleveland | not published | $2,808.13 – $5,061.77 |
| lutheran hospital | Cleveland | not published | $3,007.88 – $4,818.98 |
| hillcrest hospital | Mayfield Heights | not published | $2,808.13 – $5,273.58 |