healthcosts.net
Incision of hip tendon at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$4,785.30
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.
$7,362.00
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.
$0.01 with UNITED vs $7,362.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $240.57 | ↓ -95% |
| Optum | Managed Medicaid Transplant | $244.82 | ↓ -95% |
| Buckeye | Managed Medicaid | $257.71 | ↓ -95% |
| Summacare | Medicare Advantage Psych | $263.04 | ↓ -95% |
| United | Managed Medicaid | $270.60 | ↓ -94% |
| Caresource | Managed Medicaid | $270.60 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $283.48 | ↓ -94% |
| Molina | Managed Medicaid | $283.48 | ↓ -94% |
| Summacare | Medicare Advantage CNA | $314.59 | ↓ -93% |
| The Health Plan | All Products | $350.72 | ↓ -93% |
| Humana | Medicare Advantage HMO | $350.72 | ↓ -93% |
| The Health Plan | Medicare Advantage | $350.72 | ↓ -93% |
| United | Medicare Advantage | $350.72 | ↓ -93% |
| Optum | Medicare Advantage Transplant | $350.72 | ↓ -93% |
| Aetna | Medicare Advantage | $350.72 | ↓ -93% |
| Anthem | Medicare Advantage | $350.72 | ↓ -93% |
| Valor | All Products | $350.72 | ↓ -93% |
| Summacare | Medicare Advantage MD | $351.60 | ↓ -93% |
| CommuniCare | Medicare Advantage | $368.26 | ↓ -92% |
| PPHP | All Products | $385.79 | ↓ -92% |
| Anthem | All Products Mid-Level Facility | $524.84 | ↓ -89% |
| Anthem | All Products Mid-Level Non-Facility | $524.84 | ↓ -89% |
| Oscar | All Products | $583.41 | ↓ -88% |
| ANTHEM | HPN | $654.81 | ↓ -86% |
| Summacare | Preferred | $715.47 | ↓ -85% |
| MMO | Medicare HMO & PPO | $747.83 | ↓ -84% |
| Summacare | Premier | $755.02 | ↓ -84% |
| OHCP | All Products | $893.14 | ↓ -81% |
| United | HMO & PPO | $967.37 | ↓ -80% |
| United | All Products - Mid-Level | $1,062.97 | ↓ -78% |
| Aultcare | PPO/HMO | $1,134.22 | ↓ -76% |
| United | All Products | $1,145.67 | ↓ -76% |
| OMAS | All Products | $1,148.00 | ↓ -76% |
| Anthem | All Products Physician | $1,332.98 | ↓ -72% |
| Anthem | All Products Physician Facility | $1,332.98 | ↓ -72% |
| Anthem | All Products Physician Non-Facility | $1,332.98 | ↓ -72% |
| Optum | All Products Transplant | $1,338.57 | ↓ -72% |
| PHPHI | All Products | $1,377.60 | ↓ -71% |
| OPTUM | All Products VA | $1,478.75 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $1,478.75 | ↓ -69% |
| MMO | Medicare Advantage HMO & PPO | $1,478.75 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $1,478.75 | ↓ -69% |
| ANTHEM | MEDICARE ADVANTAGE | $1,521.28 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $1,521.28 | ↓ -68% |
| Valor | HMO & PPO | $1,521.28 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $1,521.28 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $1,521.28 | ↓ -68% |
| The Health Plan | MEDICARE ADVANTAGE | $1,530.50 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $1,566.92 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $1,597.05 | ↓ -67% |
| GMS | All Products | $1,607.20 | ↓ -66% |
| MMO | Traditional | $1,607.20 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,642.99 | ↓ -66% |
| PPHP | ALL PRODUCTS | $1,673.41 | ↓ -65% |
| Consociate Health | All Products | $1,722.00 | ↓ -64% |
| Aetna | All Products First Health | $1,722.00 | ↓ -64% |
| Aetna | Asa | $1,836.80 | ↓ -62% |
| Multiplan | All Products | $2,066.40 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $2,081.97 | ↓ -56% |
| Aetna | Qhp/Ifp | $2,296.00 | ↓ -52% |
| PHP | ALL PRODUCTS | $2,355.84 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $2,355.84 | ↓ -51% |
| OPTUM | Managed Medicaid Transplant | $2,435.09 | ↓ -49% |
| CARESOURCE | Managed Medicaid | $2,563.25 | ↓ -46% |
| Summacare | PREMIER | $2,642.96 | ↓ -45% |
| ANTHEM | Managed Medicaid | $2,691.41 | ↓ -44% |
| MOLINA | Managed Medicaid | $2,691.41 | ↓ -44% |
| UNITED | Managed Medicaid | $2,691.41 | ↓ -44% |
| United BH | Managed Medicaid | $2,717.05 | ↓ -43% |
| MMO | SuperMed | $2,743.55 | ↓ -43% |
| MMO | NASCO | $2,743.55 | ↓ -43% |
| AMERIHEALTH | Managed Medicaid | $2,819.58 | ↓ -41% |
| CC EHP | ALL PRODUCTS | $2,981.61 | ↓ -38% |
| AETNA | Acop | $3,265.00 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,312.90 | ↓ -31% |
| OHCP | ALL PRODUCTS | $3,577.93 | ↓ -25% |
| OMAS | ALL PRODUCTS | $3,681.00 | ↓ -23% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -20% |
| MMO | TRADITIONAL | $3,835.60 | ↓ -20% |
| MMO | ALL PRODUCTS | $3,915.79 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $3,975.48 | ↓ -17% |
| AETNA | International | $4,001.00 | ↓ -16% |
| ANTHEM | TRADITIONAL | $4,071.19 | ↓ -15% |
| OPTUM | All Products Transplant | $4,166.89 | ↓ -13% |
| The Health Plan | HMO | $4,417.20 | ↓ -8% |
| UPMC | ALL PRODUCTS | $4,417.20 | ↓ -8% |
| ANTHEM | PPO/HMO | $4,506.96 | ↓ -6% |
| The Health Plan | ASO Self-Funded | $5,079.78 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $5,153.40 | ↑ +8% |
| GMS | ALL PRODUCTS | $5,153.40 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $5,521.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $5,521.50 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $5,889.60 | ↑ +23% |
| FrontPath | TRANSPLANT | $6,625.80 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $6,625.80 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $6,625.80 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $6,625.80 | ↑ +38% |
| AETNA | Qhp/Ipf | $7,362.00 | ↑ +54% |
| United BH | ALL PRODUCTS | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | 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 | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Incision of hip tendon at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,785.30 | $0.01 – $6,625.80 |
| mercy hospital | Canton | $1,492.40 | $1.10 – $2,751.49 |
| avon hospital | Avon | not published | $1,483.64 – $2,661.33 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,263.77 – $4,937.00 |
| euclid hospital | Euclid | not published | $1,394.34 – $3,098.11 |
| fairview hospital | Cleveland | not published | $1,394.34 – $2,910.51 |
| lutheran hospital | Cleveland | not published | $1,483.64 – $2,770.90 |
| hillcrest hospital | Mayfield Heights | not published | $1,394.34 – $3,032.29 |